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    Association of Postpartum Smoking Relapse With Breastfeeding and Body Mass Index
    (Lippincott Williams & Wilkins, 2019) Duman, Mesude; Tashan, Sermin Timur; Ozan, Yeter Durgun
    Objective: This study aimed to determine the relationship between smoking relapse and breastfeeding and body mass index in the postpartum period. Methods: This descriptive, cross-sectional study was conducted between November 2016 and November 2017 in the polyclinic for children's health and common illnesses at a university hospital in eastern Turkey. One hundred eleven women who met the inclusion criteria constituted the sample of the study. The data were evaluated using the analyses of percentage, arithmetic mean, standard deviation, independent-samples t test, analysis of variance, and multiple linear regression. Results: In the study, the week of pregnancy period when the women quit smoking was 8.19 +/- 5.17, and the week of postpartum smoking relapse was 8.47 +/- 11.76. Furthermore, 72.1% of the women stated that they wanted to quit smoking permanently. The study determined that the status of wanting to quit smoking permanently, the status of smoking while breastfeeding, and gained weight during the last gestation are important predictors of postpartum smoking relapse. Originality and Value: Knowledge on the characteristics of the women who started smoking again in the postpartum period is important for helping women who have quitted smoking in pregnancy but who are prone to relapse as a risk group by health care personnel.
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    The effect of sleep hygiene education and relaxation exercises on insomnia among postmenopausal women: A randomized clinical trial
    (Wiley, 2018) Duman, Mesude; Tashan, Sermin Timur
    Aim: This study used a randomized controlled trial model to determine the effect of progressive relaxation exercises and sleep hygiene training given to postmenopausal women with insomnia. Methods: A total of 161 postmenopausal women with insomnia were recruited and randomly assigned to experimental (n = 81) and control (n = 80) groups. The experimental group received sleep hygiene and progressive relaxation exercise training, but the control group only received routine health care. The relaxation exercise training was repeated once a week for 8 weeks. The study determined the effect of the intervention on insomnia symptoms. The data were collected between 15 June and 15 September 2015 and evaluated using descriptive statistics, independent samples t-test, chi-squared test, and Cronbach alpha analysis. Results: The mean (SD) score of the experimental group on the Women's Health Initiative Insomnia Rating Scale was 14.03 (3.4) pretest and 7.09 (3.4) posttest. The difference between the pretest and posttest scores was statistically significant (P < .001), as was the difference between the rates of insomnia symptoms between the groups posttest (P < .001). Conclusion: The findings of study suggest that nurses teaching progressive relaxation exercises and sleep hygiene would benefit postmenopausal women who suffer from insomnia.
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    Turkish adaptation of the pregnancy-related anxiety questionnaire-revised 2: Validity and reliability study in multiparous and primiparous pregnancy
    (Elsevier Sci Ltd, 2018) Aksoy Derya, Yesim; Tashan, Sermin Timur; Duman, Mesude; Ozan, Yeter Durgun
    Objective: The purpose of this study was to create a Turkish version of the Pregnancy-Related Anxiety Questionnaire-Revised 2 (PRAQR2), which was revised for application to multiparous and primiparous pregnancy, and to explore its psychometric characteristics in multiparous and primiparous pregnancy. Design: This study was methodologically designed to assess the reliability and validity of the PRAQ-R2. Setting: The study was carried out in the obstetrics clinic of a training and research hospital in Malatya. Participants: A total of 616 healthy pregnant women (399 multiparous and 217 primiparous) constituted the sample of the study. Methods: The cultural adaptation process of the questionnaire was conducted in three phases: language validity, content validity, and pilot application. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to test the construct validity of the questionnaire. The reliability of the PRAQ-R2 was evaluated with Cronbach's alpha internal consistency coefficient, item-total correlation, test-retest analysis, and parallel forms reliability. Findings: The EFA revealed that the PRAQ-R2 consists of 10 items for the multiparous group and 11 for the primiparous group after adding the item I am anxious about the delivery because I have never experienced one before. The CFA for both groups supported the three-factor questionnaire yielded by the EFA. Good fit index values were obtained in both groups. Cronbach's alpha internal consistency coefficient ranged from 0.81 to 0.93 for the multiparous group and 0.87 to 0.94 for the primiparous group for the complete PRAQ-R2 and each of its subdimensions. In addition, the item-total correlation, test-retest analysis, and parallel forms reliability of the questionnaire were highly correlated. Conclusion: The PRAQ-R2 is a valid and reliable instrument that can be used to evaluate the level of anxiety in Turkish pregnant women irrespective of parity. Implications for practice: The use of the PRAQ-R2 in prenatal healthcare services will contribute to the early diagnosis, treatment, and management of pregnancy-related anxiety.