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Öğe Breast self-examination, mammography and Pap test among Turkish women: Role of healthcare professionals in Sivas(European Publishing, 2020) Yurtsal, Z. Burcu; Bekar, Mine; Guler, Handan; Cetin, Perihan; Cesur, BusraINTRODUCTION The aim of the present study is to determine how often women perform breast self-examination (BSE) and undergo mammography and Pap test, and how healthcare professionals affect them to do so. METHODS This descriptive study was carried out with 1025 women, aged 20-82 years and living in the central district of Sivas, who presented to the Gynecology and Obstetrics Outpatient Clinics of Hospitals between January and December 2010, and who volunteered to participate in the study and gave their verbal agreement to the researchers. RESULTS Out of the participants, 46.9% lacked mammogram knowledge, 13.2% received advice from healthcare professionals, and 20.1% thought that they were healthy and thus did not need mammography. Out of the participants, 45.9% lacked knowledge about the Pap test, 11.8% received advice from healthcare professionals, and 18.9% thought that they were healthy and thus did not need a 'Pap test'. CONCLUSIONS While one-fourth of the participants stated that they performed BSE and underwent mammography at least once, more than half reported that they did not have a Pap test. In preventive healthcare services, periodic health examinations and screenings for the most common types of women cancers should be increased; midwives should give education and counseling, and the importance of practices aimed at raising social awareness should be emphasized.Öğe Effect of episiotomy training with beef tongue and sponge simulators on the self-confidence building of midwifery students(ELSEVIER SCI LTD, 2018) Guler, Handan; Cetin, Perihan; Yurtsal, Zeliha Burcu; Cesur, Busra; Bekar, Mine; Ucar, Tuba; Evcili, Funda; Cetin, AliThis study assesses the efficacy of simulation-based episiotomy training (SBET) with beef tongue and sponge models in terms of the self confidence of midwifery students while performing episiotomy. Third-year midwifery students from Cumhuriyet University in the fall semesters of 2011 and 2012 were enrolled in the sponge and beef tongue model groups (n = 36 and n = 37, respectively). A checklist was prepared on the required skills for performing episiotomy which can be broken into three main parts, namely preparation, cutting and repairing and completion. According to the checklist, a Liken type questionnaire was developed including 5 items for preparation, 11 items for cutting and repairing, and 6 items for completion. After SBET with the sponge and beef tongue models in our laboratories of Midwifery Department, the students performed episiotomy steps in laboring women in Sivas State Hospital and then they filled in the questionnaire to indicate whether they gained self-confidence in performing episiotomy or not. Although, participants of both groups have successfully completed all the steps of episiotomy, overall, beef tongue model was found to be more successful regarding their self-confidence (p < 0.05), including the skills in performing local anesthesia; choosing needle holder, suture material and scissor for cutting; identifying apex, hymen and skin; using needle holder properly while penetrating into the skin, suturing vaginal mucosa until hymen, knotting, and suturing perineal muscles and skin. Our results suggest that while SBET with both models are applicable for episiotomy training of midwifery students in the laboratory setting, SBET with beef tongue model provides an additional increase in their self-confidence in the clinical settings.Öğe Effect of stress management training on depression, stress and coping strategies in pregnant women: a randomised controlled trial(TAYLOR & FRANCIS LTD, 2018) Pinar, Sukran Ertekin; Aksoy, Ozlem Duran; Daglar, Gulseren; Yurtsal, Z. Burcu; Cesur, BusraIntroduction: Pregnancy is a period of important biological and psychosocial changes and a period that carries high risk of experiencing anxiety and stress. It is important to reduce the depression and stress that is experienced in this period or to reduce the severity of the stress and to increase the stress coping power of the pregnant women. The research was conducted to examine the effect of stress management training on pregnant women's depression, stress and methods for coping with stress.Methods: Randomised controlled study of 202 pregnant women (experimental group: 103; control group: 99). The experimental group received stress management training and standard care; the control group received standard care. Data were collected using a Personal Information Form, the Beck Depression Inventory (BDI), Perceived Stress Scale (PSS) and ways of coping inventory (WCI).Results: Both groups showed a decrease in average BDI score during the study; the decrease was greater in the experimental group (p<0.05). In the two assessments carried out after training the experimental group had lower average PSS scores than the control group (p<0.05). At the second and third assessments the experimental group had higher scores than the control group on the self-confident approach and search for social support approach WCI subscales (ps<0.05).Discussion: The average BDI and PSS scores of pregnant women in the experimental group decreased after training in coping with stress. Their scores on the self-confident approach, optimistic approach and search for social support WCI subscales increased. Stress management training is an effective method of encouraging pregnant women to take a positive approach to coping with stress.Öğe The scale for body image concerns during pregnancy: Development and validation(WILEY, 2018) Ucar, Tuba; Guney, Esra; Cesur, Busra; Yurtsal, Zeliha BurcuPurposeThis study aimed to develop a scale that measures body image concerns during pregnancy. Design and MethodsThe study administered draft of the scale for validity and reliability analysis to 320 pregnant women who visited the maternity polyclinic of a public hospital in eastern Turkey between February and May 2016. FindingsThe Cronbach's alpha reliability coefficient of the entire scale was 0.88. Factor analysis determined that the 23 items that explained 58.578% of total variance were in four of the factors. Practice ImplicationsThe scale for body image concerns during pregnancy was a valid and reliable scale.
