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Öğe Annelerin emzirme öyküleri ve emzirme davranışlarının incelenmesi: Bir Türkiye örneği(DergiPark, 2021) Şimşek, Ayşegül; Balkan, Elif; Çalışkan, Esra; Genç Koyucu, RefikaObjective: Breast milk is the most beneficial food for babies. Breastfeeding behaviors of women affect the nutrition and health status of their babies. This study aims to determine the breastfeeding behaviors of breastfeeding women and the factors affecting these behaviors. Methods: This study was conducted in a single-center, cross-sectional and descriptive type. Breastfeeding women were reached from the community by snowball sampling method between January and December 2020. Informed consent of the mothers and ethics committee approval were obtained before the study. The data were collected using a data collection form for infants and mothers, prepared in line with the literature, and analyzed in a computer environment. Results: In the study, 97 mothers and their babies were included. It was determined that 43.3% of the mothers had a baby for the first time, 46.4% received regular follow-up during pregnancy and 77.3% received breastfeeding training. The mothers of 66% reported that they breastfed their babies within the first hour. Significance was found between maternal age and the time of starting supplementary food, receiving breastfeeding training, and receiving postnatal breastfeeding support. It was concluded that the individual characteristics of the mother are effective in feeding and breastfeeding the baby. Conclusion: It was determined that the breastfeeding education received by the mothers during pregnancy had a positive effect on postpartum breastfeeding behaviors. In order to increase these positive behaviors, it is recommended that breastfeeding training should be given by midwives and its content should be enriched with comprehensive and individualized care features.Öğe Determination of mothers' thoughts and adaptation behaviors regarding the infant: a descriptive study(2022) Şimşek, Ayşegül; Balkan, Elif; Çalışkan, EsraBackground: With motherhood, women focus on their new baby. They begin to develop new adaptation behaviors to provide the best care for the infant. The study aims to describe the adaptive behaviors and concerned thoughts of first-time and repeat mothers. Methods: The study was designed in descriptive and cross-sectional type. Data were collected from mothers using a questionnaire and "The scale of being the mother of a baby." The study was completed with 112 mothers who were reached by snowball sampling method and agreed to participate. The data were analyzed at the 95% confidence interval at the p?.05 significance level. Results: 66.1% of the mothers had a baby for the first time, and 73.2% of the mothers received information/education about baby care. It was determined that they wanted to receive information on topics such as maternal and infant nutrition, diseases, and immunization. A statistically significant difference was found between the age of pacifier use (p = .032). It was determined that mothers got 130.7 points in total from the scale, 88.3 points from the evaluation of motherhood sub-dimension, and 42.3 points from the life change sub-dimension. A statistically significant difference was found between the baby care knowledge/training status and the scale scores. Conclusion: The importance and continuity of education during and after pregnancy has emerged. Nurses are competent people with a key role in this regard, and it is recommended to use individualized care protocols for the training provided.Öğe Determination of non-pharmacological methods used by midwifery students in premenstrual syndrome(2022) Balkan, Elif; Genç Koyucu, RefikaPurpose: To determine the non-pharmacological methods used by midwifery students with premenstrual syndrome. Methods: This descriptive study was conducted with 293 midwifery students online between February and May 2021 using the Student Information Form, Premenstrual Syndrome Scale (PMSS) and Nonpharmacological Methods Questionnaire Form. Results: The mean score of PMSS was 124.38±39.1 and the 54.6% of the students experienced PMS of moderate severity. While the rate of applying only non-pharmacological methods for PMS was 27.3%, the rate of applying in addition to pharmacological methods was 37.5%. The most commonly used non-pharmacological methods were hot application, shower with hot water, and plenty of water consumption Conclusion: Most of the midwifery students who participated in the study had moderate PMS. Students preferred non-pharmacological methods more in addition to pharmacological methods. It may be recommended to plan interventions to increase the level of knowledge and awareness of midwifery students about non-pharmacological methods that can be used for PMS.Öğe Feelings and thoughts of midwifery students during their first birth suite placement: a qualitative study(Wiley, 2024) Balkan, Elif; Koyucu, Refika GençThis descriptive qualitative study aimed to understand the feelings and thoughts experienced by 4th year midwifery students during the first birth they attended during clinical practice. Focus group interviews were conducted with 22 final year midwifery students in Istanbul, T & uuml;rkiye December 2020. The transcribed data were analyzed by the descriptive qualitative analysis method. The students experienced not only negative feelings such as fear, torment, anxiety but also positive feelings such as hope, excitement, and curiosity during the first birth practice. The situations that caused negative feelings and thoughts were not only the feelings of the students but also the conditions that negatively affected the care provided to the patient in the clinic. The clinical practice environment affects the feelings and thoughts of midwifery students about the birth process. For this reason, improving the clinical practice environment and supporting students throughout the education process may contribute to the development of positive feelings and thoughts when attending as a student for their first birth suite placement.Öğe Gebelerin ağız sağlığı bilgi ve tutumları ile bakım davranışlarındaki engellerin rustvold ağız sağlığı bilgi envanteri ve ağız sağlığı tutum envanteri doğrultusunda değerlendirilmesi(Selçuk Üniversitesi, 26 Aralık 2022) Kaydırak, Meltem Mecdi; Balkan, Elif; Şahin, Nevin HotunAmaç: Bu çalışma, gebelerin ağız ve diş sağlığı konusundaki bilgi ve tutumları ile ağız sağlığı bakım davranışlarındaki engellerin değerlendirilmesi amacıyla gerçekleştirildi. Gereç ve Yöntem: Tanımlayıcı tipte yürütülen bu araştırma bir üniversite hastanesinin Perinatoloji servisi, polikliniği ve Doğumhane birimlerinde Gebe Tanıtım Formu, Rustvold Ağız Sağlığı Bilgi Envanteri ve Rustvold Ağız Sağlığı Tutum Envanteri aracılığıyla yüz yüze şekilde 161 gebe katılımcı ile gerçekleştirildi. Verilerin istatistiksel analizinde tanımlayıcı analizler, Güvenilirlik analizi, madde toplam puan korelasyonu, Açıklayıcı faktör analizi, Kolmogorov-Smirnov, Kruskal Wallis, Mann-Whitney-U testleri kullanıldı. İstatistiksel anlamlılık değeri p≤0.05 kabul edildi. Bulgular: Gebelerin yaş ortalaması 28.17±4.99 ve gebelik haftası ortalaması 25.11±9.65 olarak belirlendi. Gebelik döneminde gebelerin %65.2’sinin en az bir ağız sağlığı sorunu yaşadığı ve en çok diş eti kanaması ile diş ağrısı sorunu yaşandığı belirlendi. Gebelerin %41.6’sının dişlerini günde iki kez fırçaladığı tespit edildi. Gebelerin RASBE doğru yanıt oranlarının %7.5-%78.3 arasında değiştiği, ASTE’nden alınan puan ortalamasının 19.91±2.67 olduğu belirlendi. Gebelerin ağız sağlığına ilişkin tutumunun iyi düzeyde olduğu; dişlerini düzenli fırçalayan ve diş hekimi kontrolüne düzenli giden gebelerin ASTE puanlarının istatistiksel olarak daha yüksek olduğu saptandı (p<0.05). Sonuç: Gebelerin ağız ve diş sağlığı tutumlarının iyi olduğu ancak gebelik döneminde çoğu kadının ağız ve diş sağlığına ilişkin bir sorun yaşadığı ancak ağız ve diş sağlığına ilişkin bilgi düzeylerinin düşük olduğu ve ağız sağlığı bakım davranışlarının beklenen yeterlilikte olmadığı saptanmıştır.Öğe Jinekolojik kanser hastası ve ailesinin psiko-sosyal bakımında sağlık profesyonelinin rolü(Bandırma Onyedi Eylül Üniversitesi, 25 Nisan 2023) Balkan, Elif; Oskay, ÜmranHer geçen gün kanser tanısının ve kanser sebebiyle ölümlerin yaygınlaşması, jinekolojik kanserlere önem verilmesinin altını çizmektedir. Kanserin önlenmesi ve erken tanılanmasının yanında, jinekolojik kanser tanısı konulmuş olan kadınların ve ailelerinin yaşam kalitesinin de yükseltilmesi önemlidir. Jinekolojik kanserlerde semptomlar ve uygulanan kemoterapi, radyoterapi ve cerrahi tedaviler sadece fizyolojik bütünlüğü tehdit etmekle kalmayıp, kadının beden imajına, cinsel kimliğine, annelik rolüne ve üreme kabiliyetine bir tehdit olarak algılanmakta, genital organlara yüklenen anlam nedeniyle hasta ve ailesinin yaşam kalitesi düşmektedir. Aile fertleri de ebeveynlik rollerinde bozulma, cinsel sorunlar, maddi kaygılar, iletişim sorunları gibi problemler yaşayabilmekte ve kanser tanısına çeşitli tepkiler gösterebilmektedir. Psiko-sosyal açıdan olumsuz etkilenen hasta ve ailesinin kanser sürecine uyumunu sağlamak ve hastalığa bağlı yaşadıkları olumsuz etkileri azaltmak için psiko-sosyal gereksinimlerinin belirlenmesi oldukça önemlidir. Bu nedenle sağlık profesyonelleri jinekolojik kanser hastaları ve ailelerine verecekleri bakımda jinekolojik kansere bağlı olarak meydana gelen psiko-sosyal değişiklikleri bilmeli, hasta ve ailelerinin bu doğrultudaki ihtiyaçlarını belirlemeli ve buna uygun girişimler planlayarak bakım vermelidir.Öğe The knowledge levels of midwifery students on contraceptive methods: a cross-sectional study(Churchill Livingstone, 2022) Balkan, Elif; Genç Koyucu, RefikaBackground: Effective contraceptives used correctly offer many benefits to both women's and children's health. However, public data reports that the rate at which women use an effective contraceptive method is still insufficient. Midwives, including the students, have an essential role in contraceptive counselling so there is a need to determine midwives' knowledge level on contraceptives. Objective: To evaluate midwifery students' knowledge levels of contraceptive methods. Design: Cross-sectional and descriptive study. Settings: Online survey. Participants: 290 midwifery students who met the inclusion criteria. Methods: The study was conducted between December 2020-March 2021 through Sociodemographic Form and Contraceptive Methods Information Form. Results: The mean age of the participants was 20.93 ± 1.97. There were 7.72 ± 3.21 correct answers to 15 questions measuring knowledge level of contraceptive methods. The most known modern contraceptive method was the condom, and the most known traditional method was the calendar method. 59.7 % of the participants considered the post-coital contraceptive method as a family planning method. The knowledge level on contraceptives of students who had not received prior training before was lower; and the knowledge level of students who received information about contraceptives through their courses in the curriculum was higher than those who learned from other sources. The level of knowledge increased as age and grade increased. Conclusions: Midwifery students had insufficient level of knowledge about contraceptives. Since midwifery students play an active role in family planning, interventions are necessary to deliver more detailed and accurate information about contraceptive methods.Öğe Kolcaba’nın konfor kuramı doğrultusunda serviks kanserli bir hastanın hemşirelik bakımı(Ordu Üniversitesi, 17 Nisan 2023) Balkan, Elif; Oskay, ÜmranKuramlar ve modeller hemşirelik bakımının sistematik hale gelmesi, ortak dil oluşturulması ve bakım kalitesinin artmasına fayda sağlar. Bu olgu sunumunda serviks kanseri tanısı konulmuş bir olgunun Kolcaba’nın Konfor Kuramı doğrultusunda değerlendirmesi yapılmış, hemşirelik tanıları belirlenmiş ve gerekli girişimler uygulanmıştır. Hasta bireylerde konforu bozan faktörlerin değerlendirilmesi ve giderilmesi ile verilen bakımın kalitesi artmaktadır. Ayrıca konfor; fiziksel, psikospiritüel, çevresel ve sosyokültürel alt boyutlardan oluştuğu için bu kuram bireyin bütüncül olarak değerlendirilmesine olanak sunmaktadır. Bu nedenle serviks kanserli bu olguda Konfor Kuramından yararlanılmıştır.Öğe The menstrual cup knowledge, attitudes, and behaviors of Turkish women in reproductive age(Elsevier, 2024) Balkan, Elif; Koyucu, Refika GencObjective: To evaluate the knowledge, attitudes, and behaviors of Turkish women of reproductive age toward menstrual cup.Methods: This descriptive study was conducted via online platforms with 301 Turkish women between March-June 2023. The Participant Information Form was used to collect the data. A p value of <0.05 was considered.Results: The mean age of the participants was 26.42 +/- 7.81 years. The most common used menstrual hygiene product was sanitary pad. Of the women, 72.1 % have heard of the menstrual cup before, however, only 6.6 % of the women used menstrual cups. The 42.9 % of the women who use the menstrual cup had difficulty in using it. The most common concern of women who did not use menstrual cups was that they thought they were uncomfortable and did not know how to use them. Factors such as age, marital status, place of residence, occupation, previous pregnancy and finding the menstrual hygiene product used comfortable was found statistically significantly correlated with the menstrual cup usage.Conclusion: In our study, very few of the women use menstrual cups, and nearly half of them stated that they had difficulty in using it. The participants who did not use the menstrual cup most frequently did not know how to use the cup and did not use it because they thought the cup was uncomfortable. It is essential to increase the awareness of reproductive age women about the menstrual cups.Öğe The effects of the breastfeeding counseling course on the education of midwifery students and their perspectives(Kadın Sağlığı Hemşireleri Derneği, 31 Mart 2021) Şimşek, Ayşegül; Çalışkan, Esra; Balkan, Elif; Genç, RefikaObjective: Breastfeeding is essential for mother and baby health. An effective breastfeeding counseling ensures a healthy breastfeeding period. Midwives must learn comprehensively in their undergraduate education to gain all the necessary qualifications for this counseling. This study, it is aimed to compare the effect of breastfeeding counseling courses given to undergraduate students of the midwifery department on pre-and post-education information situations. Methods: The study was conducted in an experimental, single group pre-test-post-test design. This study was conducted with 91 students studying at a university from January to December 2020. Two hours of lessons per week were given for 14 weeks. A course included breast anatomy and physiology, breastfeeding methods, positions, breastfeeding indications, and contraindications. In the analysis of the information obtained, significance was accepted as p<0.05. Results: Many of the participants are in the third grade, on average 21 years old, and 93.3% of them have not received breastfeeding counseling training before. It was determined that breastfeeding training should be given during pregnancy and breastfeeding counseling should be given as a separate course in the curriculum. Conclusion: In this study, it was concluded that breastfeeding counseling should be given as a separate course in undergraduate education. Thus, effective training can be provided in their professional lives.Öğe Violence Exposure of Infertile Couples: A Systematic Review(İstanbul Üniversitesi, 20 Temmuz 2023) Çalışkan, Esra; Balkan, Elif; Kaydırak, Meltem MecdiObjective: This study systematically evaluated the current literature on the types of violence perpetrated against infertile couples. Violence against infertile couples is quite common in societies. Literature on the types and levels of violence faced by couples is limited. Materials and Methods: In this study, databases were scanned using ‘infertilite ve şiddet’,‘infertility and violence’ keywords. Open access clinical trials that met the inclusion criteria and conducted between January 2015/March 2020 were reviewed. The databases included Scopus, Science Direct, Cochrane, the Wiley Online Library, the National Academic Network Information Center National Medical Database, Google Scholar, and Web of Science were looked at. In this systematic review, seventeen studies were chosen based on inclusion/exclusion criteria. Results: Many of these studies (94.11%) were conducted with women. Thirteen studies examining types of violence toward infertile women found such women suffered from emotional (96.3%), verbal (84.9%), physical (68%), sexual (60%) and economic violence (77.4%). Marriage age, length of marriage, family structure, confirmation of infertility, length of infertility, number of infertility therapies received, alcohol/smoking use, education level, and employment status were described as factors influencing the incidence of violence in infertility. Conclusion: The results of these studies indicated that infertile couples had higher rates of social pressure and domestic abuse. However, this study revealed that there is a lack of research on violence towards men in cases of infertile couples.
