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Öğe Attitudes of midwifery and nursing students in a Turkish university toward lesbians and gay men and opinions about healthcare approaches(ELSEVIER SCI LTD, 2018) Bilgic, Dilek; Daglar, Gulseren; Sabanciogullari, Selma; Ozkan, Semiha AydinLesbians and gay men are subjected to negative attitudes and poor quality health care by midwives in the process of having children and by nurses in the process of receiving general health care services. Our aim was to investigate midwifery and nursing students' attitudes towards lesbians and gay men and their opinions about health care approaches displayed towards them. The study was designed as a cross-sectional and descriptive one and conducted in one midwifery and two nursing schools in a city in Turkey and comprised 1321 students. To assess the participants' attitudes, the Attitudes toward Lesbians and Gays (ATLG) Scale was used. To assess opinions about health care approaches, the students were asked open-ended questions. All the participating students' attitude scores were below the average and they exhibited negative attitudes towards lesbians and gays. While very few of the participants had positive views about health care given to, most of them either had negative views or did not have any opinions. The midwifery students' attitudes were more positive than were those of the nursing students. Students' health care approaches towards lesbians and gay men were insufficient and negative. Educators need to develop training programs, which can help students gain cultural awareness of the health care needs of lesbians and gay men in different cultures before they graduate.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 Evaluation of women's sexual quality of life, depression, and sexual functions in the pregnancy and postpartum periods: A multi-centered study(Wiley, 2022) Surucu, Sule Gokyildiz; Vurgec, Burcu Avcibay; Senol, Derya Kaya; Gozuyesil, Ebru; Bilgic, Dilek; Koroglu, Cemile Onat; Daglar, GulserenAim This multi-centered, longitudinal, and prospective study aims to identify women's sexual functions, sexual quality of life, and depression and their relationships with each other in the pregnancy and postpartum periods. Methods The participating pregnant women (n = 113) were interviewed six times: once in each trimester, and once in the eighth week third month, and sixth month postpartum. This study was conducted in three regions of Turkey including Marmara, Mediterranean, and Central Anatolia regions. Data were collected through the Socio-demographic Form, Female Sexual Function Index (FSFI), Sexual Quality of Life-Female Questionnaire (SQLQ-F), and Center for Epidemiologic Studies-Depression Scale (CES-D). While the first interviews were administered face to face, successive ones were administered via phone. Results The sexual dysfunction rates of the participants were found to be high in the pregnancy and postpartum periods, and their sexual quality of life, which decreased as the pregnancy months progressed, was found to increase significantly with the progress in the postpartum period. The sexual dysfunction increased and sexual quality of life decreased significantly with the increase in depression symptoms in the pregnancy and postpartum periods. When the depressive symptoms decreased especially in the sixth month postpartum, sexual quality of life was also found to increase. Conclusions As a result, in the pregnancy and postpartum periods, it is highly important to provide women with diagnosis through a holistic approach by creating available environments to assess their psychological health and sexual functions and refer them to the related physicians when necessary.Öğe Factors affecting the quality of life among pregnant women during the third trimester of pregnancy(Cukurova Univ, Fac Medicine, 2019) Daglar, Gulseren; Bilgic, Dilek; Ozkan, Semiha AydinPurpose: The aim of this study was to determine the factors affecting the quality of life pregnant women during the third trimester of pregnancy. Materials and Methods: The study group of this cros-ssectional research comprise of the pregnant women resident in a province center in Central Anatolia. 12 neighborhoods were chosen using simple random sampling method and the pregnancy registries of the selected neighborhoods available in Family Health Centers were used. The study was performed via home visits and the research sample consisted of 742 pregnant women. Personal Information Form and Quality of Life Scale were used for data collection. Results: The physical, psychological, social and environmental field scores of the pregnant women were respectively 13.8 +/- 2.5; 14.5 +/- 2.3; 14.6 +/- 2.8 and 14.8 +/- 2.2. 13.1%, 15.9%, 10.4% and 17.4% of the pregnant women were found to have low physical, psychological, social and environmental domain quality of life sub-dimensions, respectively. Conclusion: During the third trimester of pregnancy, life qualities of pregnant women are affected by their perception of health condition, educational level, the number of gestations and deliveries they have undergone, their perception of fiscal situation, and their preparedness for parenthood.Öğe How do personality characteristics of risky pregnant women affect their prenatal distress levels?(Coll Public Health Sciences, Chulalongkorn Univ, 2020) Evcili, Funda; Daglar, GulserenPurpose - The prenatal distress level of the pregnant woman is influenced by many variables. Personality characteristics are one of the most important of these variables. Knowing personality characteristics of pregnant women contributes to the personalization of care. The purpose of this paper is to identify the effect of personality characteristics of pregnant women at risk on the prenatal distress level. Design/methodology/approach - A total of 438 women who were hospitalized based on a medical diagnosis associated with pregnancy were included in the study. The participants were administered the Personal Information Form, Cervantes Personality Scale and Revised Prenatal Distress Questionnaire. Data were evaluated using the SPSS 22.0 software program. Findings - Of the pregnant women, 27.4 percent found their ability to cope with stress insufficient, and one-fifth of them found their social support insufficient. The pregnant women at risk with introverted, neurotic and inconsistent personality were found to have high levels of prenatal distress. Research limitations/implications - This study was conducted on a group of Turkish pregnant women and cannot be generalized to other cultures. The data obtained from the research cannot be used to evaluate the psychological and physical disorders of the pregnant woman. Practical implications - All health care professionals should evaluate women not only physically but also mentally and emotionally, beginning with the preconceptional period. They should determine the conditions that create distress and identify the personality characteristics that prevent from coping with stress. By using cognitive and behavioral techniques, pregnant women should be trained to gain skills on subjects such as risk perception and stress management, personality characteristics and coping, problem solving, psychological endurance and optimism. Caring initiatives should be personalized in line with personality characteristics of pregnant women. The care offered within this framework will contribute to the strengthening and development of the health of not only the women but also the family and society, and to the reduction of health care costs. Social implications - Researchers have determined that pregnant women at risk with introverted, neurotic and inconsistent personality characteristics have higher distress levels. They have determined that these pregnant women find their ability to cope with stress more inadequate. It is vital to cope with stress during pregnancy due to its adverse effects on maternal/fetal/neonatal health. Originality/value - The prenatal distress level of the pregnant woman is influenced by many demographic (age, marital status and socioeconomic level), social (marital dissatisfaction, and lack of social support), personal (self-esteem, neuroticism and negative life experiences) and pregnancy-related (experiencing risky pregnancy, and previous pregnancy experiences) variables. Personality characteristics are one of the most important of these variables. This research is original because there are limited number of studies examining the effect of personality characteristics on prenatal distress level in the literature. And knowing the relationship between personality characteristics and distress by health professionals enables individualization of care. The care offered within this framework will contribute to the strengthening and development of the health of not only the women, but also the family and society, and to the decrease of health care costs.Öğe LEVEL OF MOTHER-BABY BONDING AND INFLUENCING FACTORS DURING PREGNANCY AND POSTPARTUM PERIOD(MEDICINSKA NAKLADA, 2018) Daglar, Gulseren; Nur, NaimBackground: Bonding is the process of an emotional relationship between mothers and babies. Pregnancy and postpartum periods are most important of developing a mother-child bonding. Here we aimed to determine the level of mother-baby bonding and identify the influencing factors during pregnancy and the postpartum period and to examine the relationship between bonding level during pregnancy and the postpartum period. Subjects and methods: This cross-sectional descriptive study included twelve districts across a range of socioeconomic structures. Every district was selected by a simple random sampling method. Data were collected with Prenatal Attachment Inventory, Mother-to-Infant Bonding Scale, Center for Epidemiologic Studies' Depression Scale and Beck Anxiety Inventory. The study included two home visits. The first visit at gestational age >= 35 weeks and second visit on the seventh or eighth day of the postpartum period. The study was conducted with 227 pregnant women. Results: We found that, 50.7% pregnant women had prenatal depression and 36.6% pregnant women had postpartum depression. We detected a negative association between depression level during pregnancy and the postpartum period with mother-baby bonding in the postpartum period (r=0.174, p=0.009; and r=0.221, p=0.001, respectively). A negative correlation was detected between anxiety level and mother-baby bonding level in the postpartum period (r=0.151, p=0.023). It was found that when the prenatal attachment level increases, the level of postpartum bonding is also increases (r=0.297, p=0.000). Conclusions: Depression and anxiety levels were higher during pregnancy than the postpartum period. Depression level during pregnancy and postpartum period depression and anxiety level negatively affected mother-baby bonding in the postpartum period. We found that as prenatal attachment level increases, the level of postpartum bonding also increases.Öğe Perception of Pregnancy Risk Scale: Turkish validity and reliability study(Cukurova Univ, Fac Medicine, 2019) Evcili, Funda; Daglar, GulserenPurpose: The purpose of this study is to examine the reliability and validity of Turkish form of Perception of Pregnancy Risk Scale that was developed by Heaman ve Gupton. Materials and Methods: The Turkish scale was administered to 349 pregnant women (164 risky and 185 healthy) who were admitted to two hospitals in the city center between September 2018 and January 2019. The sample of the study consisted of women who were hospitalized in clinics with the diagnosis of risky pregnancy and women who applied to outpatient clinic for routine pregnancy follow-up. Personal Information Form and Turkish form of Perception of Pregnancy Risk were applied to pregnant women by interviewing face to face. Results: The mean age of the pregnant women was 27.65 +/- 6.03. 47% of the pregnants were diagnosed as risky pregnancy in their current pregnancy. 52.8% of risky pregnants have a diagnosis of preterm birth risk. As a result of item analysis, the total item correlations of the scale were found to be between r = 0.47 and 0.67. Cronbach Alpha coefficient was found 0.84. Spearman-Brown reliability coefficient was 0.79; Guttman Split-Half 0.79. Two factors consisting of 9 items, factor load is between 0.40-0.67, explaining 63.479% of total variability and whose eigen value is over 1 were obtained in factor analysis done with oblimin rotation for construct validity. Factorial model of scales were found theoretically and statistically accepted compliance after confirmatory factor analysis. Conclusion: The scale can be used to assess the current risk perception of pregnant women towards herself and baby.Öğe Sexual experiences and quality of life in Turkish women using methods of contraception(TAYLOR & FRANCIS INC, not defined) Pinar, Sukran Ertekin; Demirel, Gulbahtiyar; Yildirim, Gulay; Daglar, GulserenThe aim of this study was to examine the sexual experiences and quality of life in women using methods of contraception. The sample of this descriptive study consisted of 259 women. The data were collected by the Personal Information Form, the Arizona Sexual Experiences Scale (ASES) and the World Health Organisation Quality of Life Scale (WHOQOL-BREF). It was found that 35.1% of the women use condoms, 30.1% of them use the Intrauterine Device (IUD), 22.0% had problems using the method and 39% had the side effects while using the method. There was a statistically significant difference between the state of having problems using the methods and quality of life average scores and between the state of having side effects and sexual life and quality of life average scores (p < .05).Impact statement What is already known on this subject? Sexual problems are common health problems among women and can lead to loss of self-esteem in women, depression and emotional stress. What do the results of this study add? Women who experience problems using a contraception method have a lower quality of life. Sexual dysfunctions were higher among those who experienced side effects of the methods, quality of life scores were lower.Öğe Sleep quality in the elderly either living at home or in a nursing home(AUSTRALIAN NURSING FEDERATION, 2014) Daglar, Gulseren; Pinar, Sukran Ertekin; Sabanciogullari, Selma; Kav, SultanObjective Changes in sleep duration, pattern, and quality occur with ageing. The aim of this study was to analyse the sleep quality and affecting factors in the elderly living either at home or in nursing homes. Design Descriptive and cross-sectional study Setting Sivas, a central Anatolian city in Turkey. Subject This study was carried out with 112 individuals; 52 were living in a nursing home and 60 at home. Main outcome measures A personal information form and Pittsburgh Sleep Quality Index (PSQI). Results There was no statistically significant difference between mean scores and sleep qualities of both groups (p > 0.05). The sleep quality of the individuals in both groups was not significantly influenced by personal variables such as age, gender, education, income, having children, and having a physical illness (p > 0.05). Individuals in both groups who reported their sleep as inadequate had sleep problems, and those who reported their sleep was affected for various reasons and who perceived their health as poor had significantly worse sleep quality (p < 0.05). Conclusion The sleep quality of the elderly living either at home were at similar levels and more than half of individuals in both groups had poor sleep quality.Öğe The relationship between coping with stress styles and quality of life of pregnant women(Cukurova Univ, Fac Medicine, 2019) Daglar, Gulseren; Nur, Naim; Bilgic, Dilek; Ozkan, Semiha AydinPurpose: The research was conducted to determine the relationship between coping with stress styles and of life of pregnant women. Materials and Methods: The population of this cross-sectional study consisted of pregnant women living in Sivas city center. The research was carried out in 6 Family Health Centers in the center of Sivas from 1 December 2015 to 1 March 2016. The sample consisted of 242 pregnant women. Data were collected by Personal Information Form, Styles of Coping with Stress Scale and World Health Organization Quality of Life Scale. Results: A weak statistically significant positive relationship was found between self-confident and optimistic approach scores of the pregnant women and their physical, psychological, social and environmental quality of life scores. There was a weak statistically significant negative relationship between approaches of helpless and submissive scores and psychological, social and environmental quality of life scores. In addition, there was a weak statistically significant relationship between social support searching approach and social and environmental quality of life scores. Conclusion: While social and environmental quality of life is positively affected in all areas of quality of life and in social support searching approach of pregnant women who use self-confident and optimistic approach in coping with stress, psychological, social and environmental quality of life is negatively affected in approaches of helpless and submissive. Pregnant women are recommended to improve their stress management skills.
