Yazar "Ozsahin, Zeliha" seçeneğine göre listele
Listeleniyor 1 - 12 / 12
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Determinants of the desire to avoid pregnancy after the disaster of the century in Türkiye(Bmc, 2024) Ozsahin, ZelihaBackgroundAfter natural disasters, the occurrence of mental health problems and adverse effects on reproductive health in women of reproductive age can be attributed to a multitude of factors, including the deterioration of health facilities, a shortage of qualified health professionals, a lack of socio-economic stability, and a paucity of familial and community support.MethodsThe descriptive correlational study was conducted through social networks with 405 women who had experienced the disaster of the century 8 months after (between November and December 2023) the earthquake. The snowball sampling method was used to obtain the research data. The questionnaire form, developed for the purpose of data collection, was disseminated to women who consented to participate in the study through social networks. The data were evaluated using a variety of statistical techniques, including number, percentage, mean, standard deviation, independent sample t-test, one-way analysis of variance, and structural equation modeling.ResultsAccording to the results of linear regression analysis, these were found to be predictors of the desire to avoid pregnancy: having housing problems (beta-coefficient 0.173; p = .008), having a damaged home (beta-coefficient. 276; p = .009), sleep patterns (beta-coefficient 0.433; p = .022), eating habits (beta-coefficients 0.248, 0.044), use of psychiatric medication (beta-coefficient 0.436, p = .003), and problems related to the food and water supply (beta-coefficient 0.127, p = .003). In addition, a structural equation model (SEM) was established to examine the relationship between these variables and mental well-being and pregnancy avoidance. Only the model constructed with mental well-being demonstrated significance in the SEM analysis.ConclusionsThis study shows that women's mental health is negatively affected in unpredictable emergencies such as earthquakes and that poor mental health negatively affects pregnancy planning. The findings of the study may help to guide health professionals working in the field of women's health to protect women's mental health in emergency situations, to provide counseling about pregnancy planning, and to provide social and psychological support programs.Öğe Determining the Cultural Care Needs of Infertile Couples in Turkey: A Qualitative Study Guided by the Cultural Competence Model(Springer, 2022) Derya, Yesim Aksoy; Altiparmak, Sumeyye; Ay, Cigdem Karakayali; Ozsahin, ZelihaThe cultural competence model is an ethnographic model created to improve the cultural understanding of people's status in the context of health, health promotion and illness. This study aimed to use the Purnell Model for Cultural Competence for determining the cultural care needs of couples undergoing infertility treatment. This study with a qualitative design was conducted at a private in vitro fertilization center in eastern Turkey. The sample of the study consisted of 10 infertile couples with unexplained infertility problems (n = 20). The 12 cultural domains were used as a basis in determining the cultural care needs of the infertile couples, and these domains formed the themes. Data were collected using the method of interpretative phenomenological analysis. The emotions defined in the spirituality theme were seeing it as destiny or seeing it as a test to be passed in terms of religion and visiting holy tombs, applying to faith healers and making vows. The first three emotions that came to the fore in the pregnancy and childbearing theme were feelings of deficiency/illness/stigmatization, deterioration in body image and unsatisfactory inability to feel love for own child. In the healthcare practitioners theme, it was determined that compliance with treatment was partially sufficient, but the religious-cultural influence was high.Öğe Does emotional freedom techniques affect premenstrual syndrome? A randomized controlled study(Wiley, 2025) Ozsahin, Zeliha; Santur, Sinem Guven; Ay, cigdem Karakayali; Derya, Yesim AksoyObjective: The study was conducted to determine the effect of emotional freedom techniques (EFT) on the severity of premenstrual syndrome (PMS). Methods: The study was conducted as a randomized controlled trial, with a premenstrual syndrome sample comprising 78 single female students of reproductive age presenting with PMS complaints (40 in the experimental group and 38 in the control group). Students in the experimental group were interviewed individually in the week before their menstrual cycle and received two EFT sessions with a 3-day interval. Results: The participants in the experimental group had higher post-test subjective units of experience (SUE) mean scores (experimental group mean 7.8 +/- 1.7; control group mean 0.5 +/- 5.7) and lower post-test PMS total (experimental group mean 76.8 +/- 30.1; control group mean 127.4 +/- 34.6) and subscale mean scores than the students in the control group, and the difference between the groups was statistically significant (P < 0.05). In repeated measures analysis, time-dependent change showed statistical significance between the groups (P < 0.05). Conclusion: The EFT was found to be an effective non-pharmacologic intervention for coping with PMS.Öğe Effect of emotional freedom techniques on anxiety, surgical fear and birth perception in planned caesareans: A randomised controlled trial(Elsevier Science Inc, 2026) Okyay, Esra Karatas; Santur, Sinem Guven; Ozsahin, Zeliha; Derya, Yesim AksoyIntroduction: The aim of this study was to determine the effect of emotional freedom techniques (EFT) applied before cesarean section on anxiety, surgical fear and perception of traumatic birth. Method: This randomized controlled trial was conducted with 106 pregnant women (53 EFT, 53 control) at the pregnancy outpatient clinic of a public hospital in eastern T & uuml;rkiye who were going to give birth by planned cesarean section. Personal Information Form, State Anxiety Inventory (STAI-I), Surgical Fear Scale (SFQ), Traumatic Birth Perception Scale (TBPS) and Subjective Experiences Scale (SUE) were used to obtain the data. Pregnant women in the experimental group received two EFT sessions one week apart, from the researchers. The control group did not receive any intervention. Descriptive statistics, Pearson chi-square test, t-test for dependent and independent groups, ANCOVA and repeated measures analysis of variance were used to analyze the data. Results: It was determined that the mean scores of the pregnant women in the experimental and control groups who would give birth by planned cesarean section were similar in the pretest phase (p > 0.05). After the EFT sessions applied to the pregnant women in the experimental group, it was found that the mean total scores of STAI-I, SFQ, and TBPS were statistically significantly lower and the mean SUE score was higher than the control group (p < 0.05). Conclusion: It was determined that EFT applied to pregnant women who will give birth by planned cesarean section decreased state anxiety, surgical fear and traumatic birth perception.Öğe The effects of adverse childhood experiences on pregnancy-related anxiety and acceptance of motherhood role(Makerere Univ, Coll Health Sciences,Sch Med, 2020) Ozsahin, ZelihaBackground: Adverse childhood experiences are a factor that may cause physical illness and deterioration of lifelong well-being in addition to many mental and psychiatric problems in the future. It is important to question and treat them. Objective: This study examined the effects of adverse childhood experiences on pregnancy-related anxiety and acceptance of motherhood role. Methods: This cross-sectional study was conducted on 536 pregnant women. The data were collected using the Personal Information Form, the Adverse Childhood Experience Questionnaire (ACEQ), the Acceptance of Motherhood Role (AoMR) subscale of the Prenatal Self Evaluation Questionnaire (PSEQ) and the Pregnancy-Related Anxiety Questionnaire-Revised 2 (PRAQ-R2). Results: It was found that those with high levels of negative childhood experience had higher levels of anxiety in pregnancy and lower acceptance of maternal role than the other groups (p<0.05). Additionally, a one-unit change in the AoMR score led to a 0.23-unit decrease in the ACEQ score, whereas a one-unit change in the PRAQ-R2 score led to a 0.57-unit increase in the ACEQ score (p<0.001). Conclusion: Adverse childhood events increase pregnancy-related anxiety and negatively affect acceptance of motherhood role.Öğe Effects of demographic and obstetric variables with body image on sexual dysfunction in pregnancy: A cross-sectional and comparative study(Wiley, 2020) Derya, Yesim Aksoy; Ugur, Hacer Goek; Ozsahin, ZelihaAimThis study was conducted to determine the effects of demographic and obstetric variables with body image on sexual dysfunction in pregnant women. BackgroundSexual dysfunction is frequent in pregnant women. To what extent body image plays a role is incompletely understood. MethodsIn the research, a cross-sectional and comparative study was conducted. A personal information form, body image scale, and female sexual function index were applied to 472 pregnant women. Descriptive statistics, the Student t-test, the chi (2) test, and logistic regression analysis were employed for evaluating the data. ResultsSexual dysfunction was found in 54.7%. The frequency of sexual dysfunction in the first trimester was lower. In addition, factors like the place of residence of the pregnant women and number of pregnancies were found to be related to sexual dysfunction in pregnant women. Each unit decrease in body image score resulted in women being 0.98 times more likely to experience sexual dysfunction. ConclusionIt was determined that approximately one in two pregnant women experienced sexual dysfunction, and body image, place of residence, trimester of the pregnancy, and number of pregnancies were important factors affecting sexual function. SUMMARY STATEMENT What is already known about this topic? Many factors cause sexual dysfunction, and one of these factors in women is pregnancy. In addition to the anatomical, physiological, and psychological changes caused by pregnancy, some demographic and obstetric variables can affect sexuality during pregnancy. To what extent body image plays role on sexual dysfunction in pregnancy is incompletely understood. What this paper adds?Approximately one in two pregnant women experienced sexual dysfunction in this study. We determined body image, living place, trimester of the pregnancy, and number of pregnancies were important factors affecting sexual function. The implications of this paper: The integration of findings with prenatal care services can be used to assess risk factors and provide protective services. Sexual dysfunction in pregnancy should be considered in the presentation of prenatal care services. Body image and all other variables should be considered as part of holistic follow up of pregnant women.Öğe The Effects of Emotional Freedom Techniques Implemented During Early Pregnancy on Nausea-Vomiting Severity and Anxiety: A Randomized Controlled Trial(Mary Ann Liebert, Inc, 2024) Santur, Sinem Guven; Ozsahin, ZelihaObjective: This randomized controlled trial investigated the effect of emotional freedom techniques (EFT) on the severity of nausea-vomiting and anxiety in early pregnancy. Design: The sample consisted of 131 pregnant women in the experimental and control groups between 6 and 16 weeks of pregnancy attending an antenatal clinic. Participants were randomly assigned to receive training on EFT or a control group. Data were collected using a personal information form, subjective experiences, the Pregnancy-Related Anxiety Questionnaire, and the Pregnancy-Unique Quantification of Emesis. Both groups attended two visits, a week apart. The participants in the EFT group received a session of EFT at each visit and completed two EFT sessions as home assignments, 2 and 4 days after the first visit. The participants in the control group attended two visits a week apart and completed assessments but did not receive EFT. Results: There were 55 women in each group who completed the study, and the groups were similar in terms of baseline measures, including socioeconomic status, smoking status, previous pregnancy, severity of nausea-vomiting, and total pregnancy-related anxiety. EFT significantly reduced anxiety levels from the baseline to the second session (fear of delivery, worries about bearing a handicapped child, concern about one's own appearance) and total pregnancy-related anxiety (total pretest 29.85 +/- 9.87, post-test 20.67 +/- 8.38; p < 0.001), while the control group showed no reduction in pregnancy-related anxiety (total pretest 26.1 +/- 7.79, post-test 25.98 +/- 8.49; p = 0.933). Although nausea-vomiting was reduced in both groups over the two-session period, at the end of treatment, the EFT group had significantly lower nausea intensity (EFT group 4.4 +/- 1.81, control group 5.36 +/- 2.48; p = 0.02). Conclusions: EFT is a nonpharmacologic intervention that can be effective in reducing nausea, vomiting, and anxiety in early pregnancy.Öğe Fertility awareness scale development study in Turkish women(Elsevier Science Inc, 2022) Ozsahin, Zeliha; Derya, Yesim AksoyABS T R A C T Introduction: There is a lack of information about fertility in the world, so in order to increase fertility awareness, it is necessary to provide effective counseling services. Therefore, there is a need for reliable measurement tools to be used to determine fertility awareness levels in women.Methods: This study of 500 women between the ages of 18 and 49 focussed on developing a valid fertility awareness instrument. Scale development was carried out in 4 stages; creating an item pool, expert opinion, pilot testing, and validity-reliability analysis. Kaiser-Meyer-Olkin Test, Explanatory Factor Analysis and Confirmatory Factor Analysis were carried out to ensure construct validity, and the Cronbach's alpha internal consistency coeffi-cient. Item total correlation and test-retest analysis were used to test the scale's reliability. Results: As a result of the explanatory factor analysis (EFA) conducted for the validity of the 39-item scale used in the study, 20 items with a factor load below 0.30 were removed from the scale, and a scale consisting of 19 items and two dimensions was obtained. The confirmatory factor analysis (CFA) that was carried out supported the 2-factor construct (bodily awareness and cognitive awareness) of the Fertility Awareness Scale, and the fit indices of the scale were determined to be sufficient. The Cronbach's alpha internal consistency coefficient was found to be 0.887, 0.623 and 0.659 in the overall FAS and its dimensions. Furthermore, the item-total correlation analysis and test-retest analysis of the scale revealed high correlations.Conclusion: Consequently, a valid and reliable measurement tool that can measure the fertility awareness levels of women was obtained.Öğe Integration of technology to clinical teaching:The impact of mobile and web-based software automation designed for midwifery students on motivation, time management and anxiety levels(Elsevier Sci Ltd, 2022) Derya, Yesim Aksoy; Akca, Emine Ibici; Ozsahin, Zeliha; Kapidere, MetinAim: This study was performed to assess the impact of a mobile and web-based software system named Midwifery Clinical Automation (EBEKO) and designed by researchers to be used in clinical practices on motivation, time management and anxiety level.Method: The sample of this randomized controlled trial consisted of 60 midwifery students who were randomly and equally assigned to the experimental and control groups. Data were collected between February and May 2019 using Student Introduction Form, Motivation Resources and Problems Scale (MRPS), Time Management Inventory (TMI) and Spielberger's State-Trait Anxiety Inventory (STAI I-II). EBEKO application was designed as a software system ensuring mutual interaction between students and instructors. Students in the experimental group and all instructors of the department of midwifery were trained in terms of using the system. Students were asked to upload the data regarding midwifery care, monitoring and trainings utilized within the clinical practices to the EBEKO. Data uploaded to the system were transferred to the screen designed for the instructors who were in charge. Instructors assessed these forms (for pregnant women/puerperal women/newborns etc.), demanded revisions, approved or returned. Approved forms corresponded to the number of forms needed by the students in the study to graduate. All students in the experimental group used EBEKO system throughout their education period (14 weeks). No interventions were made on the students in the control group. Data were analyzed through the de-scriptive statistics (frequency, percentage, mean, standard deviation, min-max values), and t-test in the dependent and independent groups. Results: Students in the experimental and control groups were found to have similar motivation, time management and anxiety level prior to the use of EBEKO. However, after the use of the application, the mean post-test motivation and time management scores of the students in the experimental group signif-icantly increased compared to the control group ( p < 0.001, p < 0.05), but no significant difference regarding the anxiety levels was present between the groups ( p > 0.05).Conclusion: EBEKO was found to positively affect the motivation and time management of midwifery students.(c) 2022 Elsevier Ltd. All rights reserved.Öğe The relationship of birth memory with anxiety and fatigue in postpartum women experiencing earthquake: The case of the Kahramanmaras earthquake(Wiley, 2025) Ozsahin, Zeliha; Nacar, Gulcin; Santur, Sinem Guven; Derya, Yesim Aksoy; Firat, HaticeObjective The study was conducted to investigate the relationship between birth memory and anxiety and fatigue in postnatal women who had experienced an earthquake. Methods The study, which used a descriptive and relational screening model, was conducted on women who gave birth in a public hospital after the Kahramanmara & scedil; earthquake. A total of 365 postpartum women participated in the study. The Personal Information Form, the Birth Memory and Recall Scale, the State Anxiety Scale, and the Fatigue Rating Scale were used to obtain the data. Results It was found that there was a significant positive correlation between the mean total score of the birth memory and recall scale and the mean score of the fatigue scale, and there was a significant correlation between the mean scores of the emotional memory, memory centrality, and involuntary recall subscales and the mean score of anxiety level (beta = 0.275, P = 0.001; beta = 0.176, P = 0.001; beta = -0.169 P = 0.004; beta = -0.208, P = 0.001, respectively). Conclusion It was found that birth memory and recall were significantly associated with the level of fatigue; and emotional memory, centrality of memory, and involuntary recall sub-dimensions were significantly associated with the level of anxiety in postnatal mothers who had experienced an earthquake.Öğe Turkish validity and reliability study for the person-centered maternity care scale(Wiley, 2021) Ozsahin, Zeliha; Altiparmak, Sumeyye; Aksoy Derya, Yesim; Kayhan Tetik, Burcu; Inceoglu, FeyzaAim The objective was to adapt the person-centered maternity care scale (PCMCS) developed by Afulani et al. in 2017 to Turkish and to perform the validity and reliability study of this scale. Methods The population of this methodological study consisted of 280 mothers who were referred to the postpartum service of a public hospital in eastern Turkey. Linguistic validity, context validity, and pilot practice studies regarding the PCMCS that could be used in the first nine postpartum weeks were performed. Explanatory factor analysis and confirmatory factor analysis were performed to assess the construct validity of the form. Reliability of PCMCS was tested through the Cronbach's alpha internal consistency coefficient, total item correlation, and test-retest analysis. Results The Turkish version of the PCMCS a 21-item scale with three sub-dimensions was obtained. These three sub-dimensions found as a result of explanatory factor analysis and confirmatory factor analysis supported the scale structure. Cronbach's alpha reliability coefficient scale was adequate for total and sub-dimensions. Conclusion Turkish version of PCMCS was found to be a valid and reliable instrument to be used for assessing the person-centered maternity care for women in the postpartum period.Öğe Turkish Validityand ReliabilityStudyofthe Negative Menstrual Attitudes Assessment Scale: A methodological study(Marmara Univ, Inst Health Sciences, 2025) Ozsahin, Zeliha; Santur, Sinem Guven; Derya, Yesim AksoyObjective: The objective of this study is to determine the validity and reliability of the Negative Menstrual Attitudes Assessment Scale (NMAS) in T & uuml;rkiye. The NMAS is a scale that evaluates women's negative attitudes towards menstruation.. Methods: This study employed a methodological approach and concentrated on female students registered in the Faculty of Health Sciences at a public institution from June to August 2023. The scale underwent a three-phase Turkish adaption procedure, comprising linguistic validity, content validity, and a pilot implementation. The pilot research had a cohort of 30 individuals. Following this, construct validity was assessed using Kaiser-Meyer-Olkin, Exploratory Factor Analysis (EFA), and Confirmatory Factor Analysis (CFA). Furthermore, assessments were performed to evaluate reliability, encompassing Cronbach's alpha internal consistency coefficient, item-total correlation, test-retest analysis, and ROC analysis for determining cut-off scores. Results: According to the EFA analysis, which confirmed the validity of the 15-item scale, it was determined that no items had factor loadings below 0.30. The subsequent CFA analysis validated the three-factor structure of the NMAS, exhibiting good fit indices. The resultant 15-item scale consists of three sub-dimensions: Debilitating Event, Bothersome Event, and Natural Event. The internal consistency coefficient of NMAS, as determined by Cronbach's alpha, was 0.861, 0.855, 0.784, and 0.772 forthe overall measure and its sub-dimensions, respectively. Moreover, the item-total correlation and test-retest analysis of the scale demonstrate a robust association. Conclusion: A rigorous and accurate instrument has been created to evaluate unfavorable menstruation attitudes among women in Turkish culture. The scale demonstrated robust psychometric properties, confirming its validity and reliability for assessing negative menstrual attitudes in Turkish culture.
