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Öğe Adaptation of the cyber aggression in relationships scale to Turkish: A validity and reliability study(Wiley, 2021) Nacar, Gulcin; Timur Tashan, Sermin; Bekar, MinePurpose In this study, the cyber aggression in relationships scale (CARS) was intended to be adapted to Turkish. Design and Methods The study was designed as a methodological study with 426 students. Findings The best fit index values for both the cyber perpetration and cyber victimization scales (CVSs) were obtained through confirmatory factor analysis. Cronbach's alpha internal consistency coefficients for the overall and sub-dimensions of the cyber perpetration scale and CVS were found to range from 0.88 to 0.92 and 0.85 to 0.91, respectively. Practice Implications In the study, CARS was found to be a valid and reliable instrument for Turkish society.Öğe Asrın Felaketinde Gebe Olmak: Deprem Sonrası Travma Düzeyinin Gebelik Yakınmaları ve Yaşam Kalitesi Üzerine Etkisi(2024) Nacar, Gulcin; Keskin Töre, Fatma; Hatun, BerfinAmaç: Araştırma, deprem sonrası travma düzeyinin gebelik yakınmaları ve yaşam kalitesi üzerine etkisini incelemek amacıyla yapıldı. Gereç ve Yöntemler: Araştırma, Haziran 2023–Ağustos 2023 tarihleri arasında tanımlayıcı türde yapıldı. Araştırma, Malatya ilinde bulunan Malatya Eğitim ve Araştırma Hastanesinin kadın hastalıkları ve doğum polikliniklerine başvuran 260 gebe kadın ile yürütüldü. Veriler, Kişisel Bilgi Formu, Deprem Sonrası Travma Düzeyini Belirleme Ölçeği ve Gebelikteki Yakınmalar ve Yaşam Kalitesine Etkisi Ölçeği kullanılarak elde edildi. Bulgular: Araştırmada Gebelikteki Yakınmalar ve Yaşam Kalitesine Etkisi Ölçeği puan ortalaması 112,11±29,23 ve Deprem Sonrası Travma Düzeyini Belirleme Ölçeği puan ortalaması 66,74±13,65 olarak belirlendi. Araştırmada deprem sırasında herhangi bir arkadaş /komşu kaybeden (β-katsayısı=-0,141; p=0,021), deprem sonrası düzenli olarak sağlık kontrollerine gitmeyen (β-katsayısı =0,144; p=0,021) ve deprem sonrası travma düzeyi yüksek olan (β-sayısı=0,128; p=0,038) gebelerin yakınmalarının daha fazla olduğu ve buna bağlı olarak yaşam kalitesinin daha düşük olduğu belirlendi. Sonuç: Araştırmada deprem sonrası travma düzeyinin gebelikteki yakınmaları etkilediği dolayısıyla yaşam kalitesinin de etkilendiği belirlendi. Sağlık profesyonellerinin deprem gibi felaketler sonrası gebelerde yaşanan deprem travma düzeyini ve bu travmanın gebelik yakınmalarına ve yaşam kalitesine etkisini göz ardı etmemesi önerilmektedir.Öğe Associations between social media use, body mass index, and body image among pregnant women(Bmc, 2026) Tore, Fatma Keskin; Agrali, Cansu; Nacar, GulcinBackround Body image during pregnancy is an important psychosocial factor that influences maternal well-being. Emerging evidence suggests that both social media exposure and body mass index (BMI) may shape body image perceptions during this period. This study examined the associations between social media use, BMI, and body image in pregnant women. Methods This cross-sectional, descriptive, and correlational study was conducted with 272 pregnant women recruited through convenience sampling from the gynecology and obstetrics outpatient clinics of a state hospital in the Mediterranean region of T & uuml;rkiye. Data were collected using a Personal Information Form, the Social Media Addiction Scale-Adult Form, and the Body Image in Pregnancy Scale. Results Correlation analysis showed that higher social media addiction scores were significantly associated with higher BIPS scores (r = 0.366, p < 0.001), whereas BMI was not significantly correlated (r = 0.090, p = 0.140) with body image Multiple linear regression analysis further demonstrated that satisfaction with body before pregnancy (beta = 0.137, p = 0.024), satisfaction with body changes during pregnancy (beta = 0.205, p = 0.003), emotions when away from social media (beta = 0.161, p = 0.016), and social media addiction (beta = 0.347, p = 0.001) were significantly associated with higher negative body image scores, while worry about postpartum body appearance was inversely associated with BIPS scores (beta = -0.155, p = 0.026). The model explained 30.5% of the variance in body image, with social media addiction emerging as the strongest predictor. Conclusion This study demonstrated that higher levels of social media use and addiction were associated with more negative body image perceptions among pregnant women. Health professionals may consider integrating counseling and educational interventions into prenatal care to promote healthier and more mindful social media use during pregnancy.Öğe Changes in Family Planning Methods and Sexual Behaviors after Türkiye's Earthquake and the Effect of on Quality of Sexual Life(Routledge Journals, Taylor & Francis Ltd, 2024) Tore, Fatma Keskin; Agrali, Cansu; Nacar, GulcinThis study aims to examine the changes in family planning methods and sexual behaviors after Turkiye's earthquake and the effect of on quality of sexual life. The study involved a total of 272 women. The multiple regression analysis indicated that having a low educational level, starting to use traditional family planning methods, experiencing a decrease in sexual desire, and having sexual intercourse once a month or less after the earthquake, negatively affected the quality of sexual life in women. Health professionals are recommended to assess women's needs for family planning methods after disasters like earthquakes.Öğe Determination of Genital Hygiene Behaviors and Risk Factors of Women of Reproductive Age After the Earthquake(Cambridge Univ Press, 2026) Keskin Tore, Fatma; Nacar, Gulcin; Hatun, Berfin; Simsek Kucukkelepce, DidemObjective This research aims to determine the genital hygiene behaviors and risk factors of women of reproductive age after the earthquake.Methods The descriptive and relationship-seeking research was conducted with 296 women reached online in the Malatya province, where the earthquake in Turkey caused heavy damage. Research data was collected using an online survey form created via Google Forms. Data were obtained using the Personal Information Form and Genital Hygiene Behavior Scale.Results In the study, genital hygiene behaviors of women with low education level (p = .004), not working (p = .003), sharing underwear (p = .002), having vaginal itching (p = .006), bathing frequency once a week or less (p = .001), bathing while sitting on a stool (p = .001) and having no knowledge about genital infection (p = .001) were found to be inadequate.Conclusions In the study, it was determined that the genital hygiene behaviors of women of reproductive age were negative after the earthquake. It is recommended that health professionals should not ignore the adverse effects that may occur on women's genital hygiene behaviors after disasters such as earthquakes and take the necessary initiatives.Öğe Determination of the association between aging anxiety and menopausal symptoms in middle-aged women(Lippincott Williams & Wilkins, 2025) Hazar, Seda; Nacar, Gulcin; Dogan, Furkan; Tashan, Sermin TimurObjectives:This study was conducted to determine the association between aging anxiety and menopausal symptoms. Methods:The study was descriptive and cross-sectional, conducted with women between the ages of 40 and 59 who actively use internet social media (WhatsApp, Instagram, Facebook, etc). The Personal Information Form, Menopause Symptoms Rating Scale (Menopause Rating Scale), and Aging Anxiety Scale for Middle-Aged Women were used to collect the data. Results:In the study, a statistically significant positive correlation was found between women's aging anxiety and menopausal symptoms (P < 0.05, r = 0.659). It was determined that there is an association between the effect of aging anxiety and menopausal symptoms (B = 0.38, P < 0.001). Conclusions:In the study, it was found that there was an association between menopausal symptoms and aging anxiety. However, the direction of the association is unknown. Therefore, it is recommended that health professionals address menopausal symptoms and aging anxiety together.Öğe Eating attitudes, depressive symptoms, physical activity levels and menopausal symptoms of postmenopausal women diagnosed with coronavirus disease 2019 (COVID-19): a case-control study(Routledge Journals, Taylor & Francis Ltd, 2022) Nacar, Gulcin; Tashan, Sermin TimurThe purpose of this study is to compare the eatingt attitudes, depressive symptoms, physical activity levels, and menopausal symptoms of postmenopausal women who had been diagnosed with coronavirus disease 2019 (COVID-19) and women without. This study utilized a case-control design and included 137 postmenopausal women, 70 women in the case group and 67 women in the control group. The case group was composed of all postmenopausal women who were registered in the COVID-19 polyclinic of a public hospital in Turkey, who had positive PCR results, and who had been diagnosed with COVID-19 at least one month before. Each woman in the case group was matched by age (+/- 1 year) with controls who visited the Family Health Center for any reason and who did not have suspected or confirmed COVID-19 disease. Data were collected using the Socio-demographic Form, the Eating Attitudes Test, the Beck Depression Inventory, the International Physical Activity Questionnaire-Short Form, and the Menopause Rating Scale between the 27(th) of January and the 5(th) of March 2021. Statistical analyses included percentage distributions, arithmetic means, standard deviation, t-test in independent groups, chi-square, Cronbach's alpha reliability analysis, binary logistic regression analysis, and analysis of covariance (ANCOVA). Results showed that women who had been diagnosed with COVID-19 had the risk of experiencing postmenopausal symptoms 1.36 times more than the women without (OR = 1.36 , %95 CI 1.084-1.48, p < .001). A statistically significant difference was found between women who had been diagnosed with COVID-19 and women without (F = 7.372, p < .05) in the ANCOVA model established to see the effect of depressive symptoms, physical activity levels, and eating attitudes on menopausal symptoms by eliminating the effects of smoking, age and menopause hormone therapy (MHT) use, and it explained 4.2% of the variance (?2 = .042). This study showed that postmenopausal women who had been diagnosed with COVID-19 experienced more menopausal symptoms. Health professionals are recommended to carefully evaluate the menopausal symptoms of postmenopausal women who had been diagnosed with COVID-19.Öğe The effect of motivational video and nutrition on the non-stress test: a randomised controlled clinical trial(Taylor & Francis Inc, 2022) Tashan, Sermin Timur; Coskun, Ebru Inci; Nacar, Gulcin; Erci, BehiceThis study aimed to determine the effect of motivational video stimulation and nutrition on the non-stress test (NST). The sample of the study consisted of 360 pregnant women in total, including two experimental groups and one control group (120 pregnant women in each group). After the pregnant women in the study were divided into three groups at a 1:1:1 ratio with the computer-assisted random sampling method, the draw method was used to determine the experimental and control groups. The pregnant women in the first experimental group were allowed to consume cake and juice 30 min before the NST procedure. The pregnant women in the second experimental group were also allowed to consume cake and juice, while they were also shown a video with the content of development and changes in the mother and the foetus during pregnancy, with relaxing music, for about 15-20 min. There was no intervention made in the control group. The data were collected using a Participant Information Form and an NST Findings Registry Form which were created by the researchers based on their review of the relevant literature. The data were analysed using arithmetic means, percentage distributions, ANOVA, Bonferroni and chi-squared tests. It was found that the mean number of foetal movements and the mean number of accelerations in the cake + juice and motivational video groups were higher than those in the control group (p < 0.001). Besides, the pregnant women in the experimental groups were found to have more reactive NST results. As a result, it was determined that the motivational video and cake + juice interventions improved the movement of the foetus, the number of accelerations and the ratio of reactivity in NST, but the two interventions did not have any superiority over each other. It is recommended to offer cake and juice to pregnant women before NST or have them watch a motivational video during NST, for having good NST results.Impact statement What is already known about the topic? The false-positive rates of the NST, which enables monitoring foetal movements and foetal heart rates, are high. These false-positive rates of the NST lead to many obstetric complications, in addition to increasing the rates of cesarean-section deliveries. Recent studies showed that there are methods and factors that increase foetal movements and shorten the application period of the NST. It was identified that food intake, music therapy, foetal vibroacoustic and halogen light stimulation before the NST increases foetal movements and shortens the application period of the NST. What this paper adds? In the study, it was found that watching motivational videos and consuming cake and juice increased the number of foetal movements, the number of accelerations and the rate of reactive NST results, but the two interventions did not have superiority over each other. What are the implications of these findings for clinical practice and/or further research? In order to increase reactive NST rates, it is recommended that pregnant women consume cake and fruit juice before the procedure and watch a motivational video during the NST procedure.Öğe Effects of abdominal touch, music, and virtual reality video during the non-stress test on maternal anxiety and fetal parameters: A randomized controlled clinical trial(Elsevier, 2025) Nacar, Gulcin; Kucukkelepce, Didem Simsek; Ozkan, Tuba KocThis randomized control trial compared the effects of abdominal touch, music, and virtual reality video on maternal anxiety and fetal parameters. 120 pregnant women were randomly assigned to one of three experimental arms (abdominal touch, music, virtual reality video) or the control group (30 pregnant women in each group). Data were collected through the Participant Information Form, and outcomes were assesssed using the Non-stress test (NST) Findings Registry Form, and the State Anxiety Scale. This trial showed that abdominal touch and virtual reality videos were superior to music in increasing fetal heart rate (p=0.001), and music and virtual reality videos were superior to abdominal touch in decreasing maternal anxiety (p=0.001). Abdominal touch and virtual reality video were effective in increasing fetal heart rate, and music and virtual reality video were effective in decreasing maternal anxiety. It is recommended to provide pregnant women access to abdominal touch, music, and virtual reality videos to reduce maternal stress and anxiety and to increase fetal heart rate.Öğe The effects of acupressure and yoga for coping with premenstrual syndromes on premenstrual symptoms and quality of life(Elsevier Sci Ltd, 2021) Kucukkelepce, Didem Simsek; Unver, Hacer; Nacar, Gulcin; Tashan, Sermin TimurObjective: This study aims to identify the effects of acupressure and yoga for coping with premenstrual syndromes (PMS) on the premenstrual symptoms and quality of life. Methods: This study adopted a randomized intervention design with a pretest-posttest control group. The sample consisted of 155 students with PMS complaints (50 in yoga, 51 in acupressure, and 54 in control group). The students in the intervention groups did yoga and received acupressure throughout 12 weeks. Results: It was found that the Premenstrual Syndrome Scale posttest mean score of the students was lower, and the physical health, psychological health, and environment sub-scale mean scores of the World Health Organization Quality of Life Questionnaire were higher in the yoga group in comparison to the other groups (p < 0.05). Conclusion: Yoga was found to be a more effective non-pharmacological method for coping with premenstrual symptoms.Öğe Effects of Perceived Trauma Levels of Women at Reproductive Age after Earthquakes on Their Menstruation Cycle(Cambridge Univ Press, 2025) Agrali, Cansu; Tore, Fatma KeskIn; Nacar, Gulcin; Ozturk, SimgeObjective The purpose of this study is to determine the effects of the perceived trauma levels of women at reproductive age after earthquakes on their menstruation cycle.Methods This descriptive and correlational study was conducted between March 17, 2023, and April 17, 2023, after the earthquakes that happened in Turkey on February 6, 2023 and affected 11 cities. The study was conducted with 355 women. Data were collected using an online questionnaire form prepared via Google Forms. Data collection was performed using a Participant Information Form and the Post-Earthquake Trauma Level Determination Scale.Results According to the multiple regression analysis results, the significant predictors of perceived trauma levels after the earthquakes included the severity of dysmenorrhea (beta-coefficient = 0.164, P = .007), characteristics of vaginal discharge (beta-coefficient = 0.136, P = .027), and itching in the perineum (beta-coefficient = -0.220, P = .001). These variables explained 12.4% of the total variance in the perceived trauma levels of the participants.Conclusions The perceived trauma levels of women after the earthquakes had significant effects on the severity of dysmenorrhea, characteristics of vaginal discharge, and itching in the perineum. Health professionals should not overlook the effects of women's perceived trauma levels on their menstruation cycles after earthquakes and evaluate the issue considering these aspects.Öğe GEBELERIN UYKU ÖZELLİKLERİNİN PRENATAL BAĞLANMA İLE İLİŞKİSİ(2019) Nacar, Gulcin; Taşhan, Sermin TimurAbstract: Araştırma gebelerin uyku özelliklerinin prenatal bağlanma ile ilişkisini belirlemek amacıyla yapılmıştır. Araştırma ilişki arayıcı tanımlayıcı olarak planlanmıştır. Araştırma, Aralık 2016-Haziran 2017 tarihleri arasında Türkiye'nin doğusundaki bir devlet hastanesinde yürütülmüştür. Araştırmanın örneklemini, güç analizine göre 0,05 etki büyüklüğünde ve %5 yanılgı düzeyi ile belirlenen %95 güven aralığında %98 oranla evreni temsil gücüne sahip 977 gebe oluşturmuştur. Verilerin elde edilmesinde “Katılımcı Bilgi Formu”, “Kadın Sağlığı İnisiyatifi Uykusuzluk Ölçeği (KSİUÖ)” ve ‘‘Prenatal Bağlanma Envanteri (PBE)” kullanılmıştır. İstatistiksel değerlendirmede; yüzde, ortalama, standart sapma, bağımsız gruplarda t testi, tek yönlü varyans analizi (ANOVA), bonferroni ve lojistik regresyon analizleri kullanılmıştır. Araştırmada gebelerin %66,7’sinin uykusuzluk problemi olduğu, %52,4’ünün 7 saatten az uyuduğu, % 85,4’ünün gebelik dönemindeki uyku alışkanlığında değişiklik olduğu bulunmuştur. Araştırmada öğrenim durumunun, bebeğin cinsiyetinin, gebelik trimesterinin uykusuzluk için önemli yordayıcılar olduğu tespit edilmiştir (p<0.05). Gebelerin uyku süresi azaldıkça prenatal bağlanma düzeylerinin arttığı görülmüştür (p: 0.022). Gebelikte uyku süresi ile prenatal bağlanma birlikte değerlendirilmeli ve anne, bebek sağlığı için gerekli önlemler alınmalıdır.Öğe Gebelikte D vitamini eksikliği ile huzursuz bacak sendromu arasındaki ilişki(2024) Taşhan, Sermin Timur; Nacar, Gulcin; İnal, Ceylan GüzelAmaç: Araştırmanın amacı, gebelikte D vitamini eksikliği ile huzursuz bacak sendromu arasındaki ilişkinin belirlenmesidir. Yöntem: Tanımlayıcı ve ilişki arayıcı tipte olan araştırma 367 gebe ile yürütülmüştür. Araştırma Türkiye’nin doğusunda bulunan bir kamu hastanesinin kadın doğum polikliniklerinde yapılmıştır. Araştırma verileri, Katılımcı Tanıtım Formu, Huzursuz Bacak Sendromu Tanı Kriterleri ve Kadın Sağlığı İnisiyatifi Uykusuzluk Ölçeği kullanılarak elde edilmiştir. Araştırma verilerinin değerlendirilmesinde tanımlayıcı istatistikler, ki kare testi, bağımsız gruplarda t testi ve binary lojistik regresyon analizi kullanılmıştır. Bulgular: Araştırmada gebelerin %25.3’ünde huzursuz bacak sendromu olduğu saptanmıştır. Gebelik haftası artıkça 0.926 kat (OR = 0.926, p = .001) ve uykusuzluk artıkça 0.717 kat (OR = 0.717, p = .001) huzursuz bacak sendromu riskinin artığı saptanmıştır. D vitamini eksikliği ile huzursuz bacak sendromu arasında ise anlamlı bir ilişki bulunmamıştır (p > .05). Sonuçlar: Araştırmada gebelik haftası ve uykusuzluk arttıkça huzursuz bacak sendromu riskinin arttığı bulunmuştur. Huzursuz bacak sendromlu gebelerin gebeliğin ilerleyen haftalarında daha fazla desteklenmesi, uykusuzluk yönünden değerlendirilmesi ve uyku kalitelerinin artırılmaya çalışılması önerilmektedir.Öğe Gebelikte dindarlık ile cinsellik arasındaki ilişkinin incelenmesi(2025) Nacar, Gulcin; Keskin Töre, Fatma; İnal, Ceylan GüzelAmaç: Gebelik dönemindeki cinsel davranışlar dini inançlar nedeni ile değişeme uğrayabilmektedir. Bu araştırmada, gebelikte dindarlık ile cinsellik arasındaki ilişkinin incelenmesi amaçlanmıştır. Yöntem: Tanımlayıcı ve ilişki arayıcı türde olan araştırma 201 gebe ile yürütülmüştür. Araştırmanın verileri, katılımcı bilgi formu, Münchner Motivasyonel Dindarlık Ölçeği ve Gebelikte Cinselliğe Karşı Tutum Ölçeği kullanılarak toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, ikili bağımsız grup karşılaştırmalarında t testi, ikili bağımsız grup karşılaştırmalarında Mann Whitney U Testi, üç ve üzeri bağımsız grup karşılaştırmalarında Kruskal Wallis H Testi ve değişkenlerin etkilerini belirlemek için Çoklu Doğrusal Regresyon analizi kullanılmıştır. Bulgular: Araştırmada gebelerin %95’inin gebelikte cinselliğe karşı olumsuz tutuma sahip olduğu bulunmuştur. Multiple regresyon modelinde; gebelikte cinsel ilişki sıklığı (β-coefficient=-0.242; p=0.001) ve cinsel tutumun (β-coefficient=-0.216; p=0.002) dindarlığı olumsuz olarak yordadığı ve bu değişkenlerin toplam varyansın %7.6’sını açıkladığı saptanmıştır. Sonuçlar: Araştırmada gebelerin tamamına yakınının cinselliğe karşı olumsuz tutuma sahip olduğu ve dindarlığın cinsel ilişki sıklığı ile cinselliğe karşı tutumu olumsuz etkilediği saptanmıştır. Bu sonuçlar doğrultusunda; sağlık profesyonellerinin, gebelikte cinselliği değerlendirirken dini inançları göz önüne alarak incelemesi ve bu durumun gebelerin cinselliğini olumsuz etkileyebileceğinin farkında olması önerilir. Sağlıklı bir cinsellik eşler arasındaki iletişimi güçlendirdiğinden, uyumu ve bağlılığı attırdığından dolayı uzun bir süreci kapsayan gebelik boyunca da sürdürülmesi desteklenmelidir.Öğe Investigation of the relationship between intimate partner violence and menopausal symptoms(Lippincott Williams & Wilkins, 2025) Nacar, Gulcin; Yildiz, Elif Ayfer Baltaci; Tashan, Sermin TimurObjective:This study aimed to determine the relationship between intimate partner violence and menopausal symptoms.Methods:The cross-sectional design included 168 postmenopausal women, 69 in the self-reported intimate partner violence group and 99 in the control (no experience of intimate partner violence) group. The women were registered in a family health center. Menopausal symptoms were assessed using the Menopause Rating Scale. The data were analyzed using descriptive statistics, chi 2 test, independent-samples t test, Mann-Whitney U test, and logistic regression analysis.Results:In our study, it was found that 62.3% of the women in the intimate partner violence group experienced physical, 71.0% verbal, 29.0% psychological, 4.3% economic, and 1.4% sexual violence. It was determined that there was a relationship between intimate partner violence and menopausal symptoms (OR = 1.11, 95% CI = 1.07 to 1.17).Conclusions:In the study, it was found that there was a relationship between intimate partner violence and menopausal symptoms.Öğe The predictors of sexual quality of life and relationship happiness during the COVID-19 pandemic: a sample of Turkey(Routledge Journals, Taylor & Francis Ltd, 2023) Keskin, Fatma; Nacar, GulcinThe purpose of this study is to examine the predictors of sexual quality of life and relationship happiness during the COVID-19 pandemic in a sample in Turkey. This study utilized a descriptive and relational screening design. It was conducted between June 2021 and November 2021 during the pandemic. The participants included 307 women who were accessed online through social networks. The linear multiple regression analysis results showed a significant relationship between changes in the family income level during the pandemic (& beta;-coefficient -0.120; p = .006), sexual compatibility with the spouse (& beta;-coefficient 0.541; p = .001) and experiencing problems in sexual life (& beta;-coefficient 0.173; p = .001) and sexual quality of life. A significant relationship was found between relationship happiness and quality of the time spent with the spouse during the pandemic (& beta;-coefficient -0.282; p = .001), sexual compatibility with the spouse (& beta;-coefficient -0.327; p = .001) and marriage compatibility (& beta;-coefficient -0.152; p = .019). This study found that women's sexual quality of life and relationship happiness were affected by the COVID-19 pandemic. Therefore, women should be provided with consultancy services through the evaluation of their sexual life and relationship happiness when their health problems are evaluated during the pandemic period.Öğe Relationship between sleep characteristics and depressive symptoms in last trimester of pregnancy(Makerere Univ, Coll Health Sciences,Sch Med, 2019) Nacar, Gulcin; Tashan, Sermin TimurBackground: Sleep problems during pregnancy may cause many complications that reduce quality of life. Aim: This study aims to determine the relationship between pregnant women's sleep characteristics and depressive symptoms. Methods: A hospital-based, cross-sectional study was conducted. Pregnant women were selected from the population by using the an improbable random sampling method. This study sample included 436 pregnant women who met the study's inclusion criteria. To collect data, this study used an information form that was developed by the researcher after reviewing relevant literature, the Women's Health Initiative Insomnia Rating Scale (WHIIRS), and the Beck Depression Inventory (BDI). The researchers used face-to-face interviews method to collect data from the participants, pregnant women who were examined in the polyclinic. Results: This study found that 36% of participating pregnant women reported insomnia, and 38.1% experienced depressive symptoms. It also determined that participants who had problems with insomnia, who experienced a change in sleep habits, and who did not wake up feeling rested experienced depressive symptoms 1.64, 2.79, and 2.59 times more than those who didn't have these problems, respectively. who experienced a decrease in sleep, who experienced an increase in sleep, and who did not wake up feeling rested experienced depressive symptoms 1.61, 3.22, 3.53, and 2.59 times more, respectively, than those who did not have insomnia, who did not experience a change in sleep habits in pregnancy, and who woke up feeling rested, respectively. Conclusion: This study determined that there is a relationship between insomnia and depressive symptoms and that pregnant women experiencing insomnia presented with more depressive symptoms.Öğe The effect of mindfulness-based stress reduction program applied to postmenopausal women on insomnia and quality of life(Routledge Journals, Taylor & Francis Ltd, 2024) Cetin, Nurdilan Sener; Nacar, Gulcin; Tashan, Sermin TimurThis study aimed to determine the effect of the mindfulness-based stress reduction program applied to postmenopausal women on insomnia and quality of life. A quasi-experimental pretest-posttest control group design was used. The sample of the study consisted of a total of 151 postmenopausal women, including 73 in the experimental group and 78 in the control group. In the study, the mindfulness-based stress reduction program (MBSR) was applied to the women in the experimental group for eight weeks, and then the women repeated the program individually for another eight weeks. The second measurement data were collected eight weeks after the collection of the first measurement data, and the third measurement data were collected 16 weeks later. The mean score obtained from the second measurement application of the Women's Health Initiative Insomnia Rating Scale (WHIIRS) was lower in the experimental group than in the control group (p < .05). In addition, the mean scores from the second and third measurement applications of the Menopause-Specific Quality of Life Questionnaire (MENQOL) were lower in the experimental group than in the control group (p < .05). The MBSR program reduced postmenopausal women's insomnia and improved their quality of life. This program can be used safely to treat insomnia and improve the quality of life of postmenopausal women.Öğe The effects of acupressure, laughter yoga, and a mindfulness-based stress reduction program applied to postmenopausal women for menopause symptoms and quality of life(Lippincott Williams & Wilkins, 2024) Koca, Hacer U.; Kucukkelepce, Didem S.; Nacar, Gulcin; Cetin, Nurdilan S.; Tashan, Sermin T.Objective: This research was conducted to determine the effects of acupressure, laughter yoga, and a mindfulness-based stress reduction program applied to postmenopausal women for menopause symptoms and quality of life. Methods: A randomized controlled design was used. The study was conducted with a total of 146 women, including 41 acupressure, 31 laughter yoga, 37 mindfulness-based stress reduction, and 37 control group women. The women in the acupressure group were administered acupressure twice a week, which accounted for 16 sessions in total. Women in the laughter yoga and mindfulness-based stress reduction groups received a total of eight sessions of the related intervention, which was performed once a week. Study data were collected using a participant information form, the Menopause Rating Scale (MRS), and the Menopause-Specific Quality of Life Scale (MENQOL). Descriptive statistics, paired-samples t test, chi(2) test, analysis of variance test, and intention to treat analysis were used to analyze the data. Before the intention to treat analysis was performed, the multiple imputation method was employed to deal with missing data. Results: In the study, it was found that there was a decrease in the MRS total score after the intervention in women in all three intervention groups compared to the control group (P < 0.05). In the laughter yoga group, total MRS scores decreased by 3.16 points (P < 0.05). In the acupressure group, total MRS scores decreased by 5.46 points (P < 0.05). In the mindfulness-based stress reduction (MBSR) program group, total MRS scores decreased by 4.65 points (P < 0.05). It was determined that the mean scores of women in the laughter yoga and acupressure groups on all subscales of the MENQOL decreased after the intervention compared to the control group (P < 0.05). The comparison of the MBSR group and the control group showed that there was a decrease only in the psychosocial domain subdimension of the MENQOL (P < 0.05). Conclusions: In conclusion, it was determined that laughter yoga, acupressure, and MBSR could be effective in reducing menopause symptoms and improving quality of life, although findings require further testing in a rigorously controlled study and in a study with only a single prespecified outcome.Öğe The effects of the pregnant woman's mental visualization of her baby during the non-stress test on maternal anxiety and fetal parameters: A randomized controlled clinical trial(Elsevier, 2025) Tore, Fatma Keskin; Agrali, Cansu; Nacar, Gulcin; Ozcan, Ozlem OzelObjective: The aim of this study is to examine the effects of pregnant women's mental visualization of their babies during the non-stress test on maternal anxiety and fetal parameters. Methods: This randomized controlled clinical trial was completed with 64 pregnant women (32 experimental, 32 control). It was conducted in a public hospital located in eastern Turkey. Data were collected using a personal information form, a non-stress test findings form, a baby picture evaluation form, and the State Anxiety Inventory. Results: It was determined that during NST (Non-Stress Test), pregnant women's visualization of their babies reduced the fetal heart rate (t = 2.083, p = 0.041) and fetal movements (t = 2.110, p = 0.039) while increasing the number of accelerations (t = 4.845, p = 0.001). There was no significant difference between the maternal anxiety levels in the experimental group and those in the control group (t = 1.184, p = 0.241). The maternal anxiety levels of the participants in the experimental increased in the posttest compared to the pretest (t = 3.371, p = 0.002). Conclusion: It was determined that the pregnant woman's mental visualization of her baby during the non-stress test reduced the fetal heart rate and fetal movements, increased the number of accelerations, and did not significantly affect maternal anxiety.
