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Öğe The effect of relaxation exercises training on pregnancy-related anxiety after perinatal loss: A pilot randomized control trial(Elsevier, 2022) Duman, Mesude; Ozan, Yeter Durgun; Derya, Yeşim Aksoy; Taşhan, Sermin TimurBackground: Pregnancy-related anxiety is quite frequent during pregnancy after perinatal loss, and it is likely to cause negative effects on the mother and the foetus. amongst independent nursing practices, progressive muscle relaxation exercises are considered to be one of alternative treatment methods to relax pregnant women physically and psychologically. Purpose: The aim of this study is to examine the effect of progressive muscle relaxation exercises on the pregnancy-related anxiety levels of pregnant women who have experienced a perinatal loss. Methods: One hundred and four pregnant women who had experienced a perinatal loss were randomly assigned to an intervention group (n = 31) or a control group (n = 33) and participated in a 12-week trial. The intervention group received training on progressive muscle relaxation exercises, while the control group was provided only with routine healthcare services. The Pregnancy-Related Anxiety Questionnaire-R2 was used to evaluate the level of pregnancy-related anxiety. Results: The intervention group showed improvement in comparison to the control group at the end of the intervention. After the intervention, the measured levels of "pregnancy related anxiety", "fear of giving birth", and "worries about bearing a handicapped child" significantly decreased in the intervention group compared to the pre-intervention levels and the control group, and the difference between the groups was statistically significant (p<0.001, p<0.001, and p<0.001, respectively). However, there were no significant differences in the levels of concern about own appearance between the groups after the intervention (p>0.05). Conclusion: According to the results of the study, progressive muscle relaxation led to a decrease in the pregnancy-related anxiety levels of the pregnant women who had experienced a perinatal loss. (c) 2020 Elsevier Inc. All rights reserved.Öğe Examining the Reproductive Health Behaviors of Women with Chronic Disease(Hacettepe Üniversitesi, 2019) Duman, Mesude; Taşhan, Sermin Timur; Serin, Emine KaplanAim: This study was conducted to examine the reproductive health behaviors of women with chronic disease. Material and Methods: This descriptive study was conducted between 15 October 2016-15 October 2017 with 160 married women who applied to internal medicine outpatient clinics or were hospitalized in internal diseases clinics of a private hospital in Adıyaman and were diagnosed with at least one chronic disease. During the study period, the total number of women with chronic disease in reproductive age who was applied to the internal medicine outpatient clinics and admitted to the internal clinics was 297. In the study, no sampling was performed and all women who met the sample selection criteria and accepted the study were included in the study. The data were collected using “Participant Information Form”. Percentage, arithmetic mean and standard deviation were used in statistical analysis. The necessary permission was received from the institution where the study was conducted and ethical approval was received from the Non-interventional Clinical Studies Ethics Committee. Results: 88.1% of the women who participated in the study reported that having a disease did not affect their decision of having a child in the future, 40% of them had pregnancy after being diagnosed with the illness, 63.8% of them had shortened the duration of breastfeeding due to their disease, 13.8% of them had a perinatal loss after the diagnosis and 10% of them reported that their sexual life was affected because of their illness. In addition, it was determined that 71.9% of women currently use a modern contraceptive method and 26.5% of women who use modern methods prefer condom. Conclusion: The study results showed that having a chronic disease did not affect the desire of having children, shortening the duration of breastfeeding and the high rate of contraceptive use in women with chronic disease. It is recommended that nurses should be more susceptible to possible reproductive health problems in women with chronic diseases, consider reproductive health problems more carefully and provide the necessary additional health care.Öğe Gebelikte stria gravidarumu etkileyen faktörler ve vajinal yırtık ile ilişkisi(Ortadoğu Reklam Tanıtım Yayıncılık, 2021) Yüksekol, Özlem Doğan; Duman, Mesude; Taşhan, Sermin TimurAmaç: Gebelikte, kadınlarda yüksek oranda stria gravidarum görülebilmekte ve bu durum kadınlarda estetik açıdan sorun olarak algılanabilmekte, yoğun olarak görülen stria gravidarum, vajinal yırtık riskini artırabilmektedir. Bu çalışma, stria gravidarumu etkileyen faktörler ve vajinal yırtık arasındaki ilişkiyi belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Kesitsel ve ilişki arayıcı tipte olan bu araştırma, 15 Kasım 2019 ve 15 Şubat 2020 tarihleri arasında yapılmıştır. Araştırmanın evrenini, Fırat Üniversitesi Tıp Fakültesi Hastanesi, Kadın Sağlığı ve Hastalıkları Polikliniği ve Elazığ Şehir Hastanesi’nin obstetri polikliniğine vajinal doğum yaptıktan sonra kontrole gelen kadınlar oluşturmuştur. Çalışmanın örneklemini, 550 vajinal doğum yapmış kadın oluşturmuştur. Veriler, anket formu ve Fitzpatrick cilt tipi skalası ile toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, bağımsız gruplarda t-testi, ki-kare ve lojistik regresyon analizi kullanılmıştır. Bulgular: Araştırmaya katılan kadınların yaş ortalaması 28,15±4,75 olarak bulunmuştur. Kadınların 414 (%75,3)’ünde stria varlığı tespit edilmiştir. Araştırmada, ailede stria gravidarum varlığı, cilt tipi ve gebelikte alınan kilonun stria gravidarum gelişimini etkilediği belirlenmiştir. Stria gravidarum ile vajinal yırtık arasında anlamlı ilişki bulunamamıştır (p=0,450). Sonuç: Araştırmada, kadınların çoğunda stria gravidarum görüldüğü saptanmıştır. Ayrıca cilt tipi, ailede stria gravidarum öyküsü ve gebelikte alınan kilonun stria gravidarum için risk faktörü olduğu belirlenmiştir. Araştırmanın sonuçlarına göre stria gravidarum ile vajinal yırtık arasındaki ilişkiyi inceleyen kapsamlı çalışmalar yapılması, stria gravidarum açısından risk oluşturan gebelere danışmanlık yapılması önerilmektedir.Öğe Social physique anxiety levels and influential factors in women who have aesthetic surgery(Ortadoğu Reklam Tanıtım Yayıncılık, 2017) Derya, Yeşim Aksoy; Taşhan, Sermin Timur; Duman, Mesude; Nacar, GülçinThis study aimed to investigate social physique anxiety levels and influential factors in women who have aesthetic surgery. Material and Methods: The study sample included 289 women who underwent aesthetic surgery. Results: The average period of time that women had considered aesthetic surgery was 38.91 ± 3.73/months. The first trait that participants hoped to gain with aesthetic surgery was "being more relaxed and confident" (69.2%). The women who learned about the aesthetic surgery they had from the media (e.g. TV, newspapers), and said that the people around them "judged/condemned" them for having aesthetic surgery, obtained higher total mean scores on the "Social Physique Anxiety Scale" than the other women (p< .05). Conclusion: The study also found that the waiting period for the aesthetic surgery was long, the women were mainly affected by their social environment and the media, and those who had negative feedback from their social environment had higher social physique anxiety. It is recommended to investigate aesthetic surgical operations in large sample groups including frequent genital aesthetic surgery such as labioplasty and vaginoplasty.Öğe Turkish adaptation of Desire to Avoid Pregnancy Scale: A validity and reliability study(Wiley, 2022) Yüksekol, Özlem Doğan; Duman, Mesude; Taşhan, Sermin TimurAim The purpose of the study was to adapt the Desire to Avoid Pregnancy Scale into Turkish and to study its validity and reliability. Methods The methodological study design was used. The study sample consisted of 510 nonpregnant women in a university hospital of a province in the east of Turkey between the dates of August 2019-February 2020. Personal information form and Turkish form of the scale were administered to women. The contraceptive intention scale was used as a parallel form. Results In the study, it was determined that the scale consisted of 14 items as a result of exploratory factor analysis. As a result of the item analysis, it was determined that the scale item total correlations were between r = 0.71 and 0.92. The Cronbach alpha coefficient of the scale was 0.97. The item-total correlation of the scale and parallel form reliability showed a high level of agreement. Conclusion It was determined that the Desire to Avoid Pregnancy Scale is a valid and reliable measurement tool for determining the wishes of Turkish women regarding pregnancy.Öğe The turkish version of body understanding measure for pregnancy scale: Validity and reliability study(Erciyes Üniversitesi Sağlık Bilimleri Enstitüsü, 2023) Duman, Mesude; Yüksekol, Özlem Doğan; Taşhan, Sermin TimurThe objective of this study was to adapt the Body Understanding Measure for Pregnancy Scale into the Turkish language and to examine the psychometric properties in pregnancy. The methodological study was conducted with 508 healthy pregnant women. Language validation, content validation, and pilot scheme are the three phases of cultural adaptation of the scale. The construct validity of the scale was analysed using both Exploratory and Confirmatory Factor Analyses. The reliability of the scale was tested using parallel-form reliability, test-retest reliability, Cronbach's α coefficient of internal consistency, and item total correlation. The Confirmatory Factor Analysis conducted supports the three-factor structure of the scale that is constructed by Exploratory Factor Analysis. We determined Cronbach’s α coefficient of internal consistency to vary between 0.78 and 0.88 for scale total and the subscales. Besides, there was a high correlation between the parallel-form reliability, test-retest reliability, item total correlation of the scale. The Turkish version of Body Understanding Measure for Pregnancy Scale is a validated and reliable tool designed to evaluate the body image concerns of Turkish pregnant women.
