Ahsen Şirin

Effect of foot massage to decrease physiological lower leg oedema in late pregnancy: A randomized controlled trial in Turkey

This study aims to evaluate the effect of foot massage for decreasing physiological lower leg oedema in late pregnancy. Eighty pregnant women were randomly divided into two groups; study group had a 20 min foot massage daily for 5 days whereas the control group did not receive any intervention beyond standard prenatal care. The research was conducted between March and August 2007 in Manisa Province Health Ministry Central Primary Health Care Clinic 1, in Manisa, Western Turkey. Compared with the control group, women in the experimental group had a significantly smaller lower leg circumference (right and left, ankle, instep and metatarsal-phalanges joint) after 5 days of massage. The results obtained from our research show that foot massage was found to have a positive effect on decreasing normal physiological lower leg oedema in late pregnancy.

Vajinal doğum yapan kadınların hastane taburculuğuna hazır oluşluk durumu

This research was planned to evaluate postpartum discharge readiness situation of women who had vaginal deliveries at hospital as being a descriptive, cross sectional study. This research was made in a state hospital between 01.03.2012-01.04.2012 to 110 women who had vaginal deliveries. In data collection, individual data collection form, Readiness for Hospital Discharge Scale–New Mother Form (RHD-NMF) was used. The average age of participants was 25.30±5.32 and 38.2% of them have primary school education and 51.8% of them lived in the province the longest. 66.4% of mothers did not receive any information about discharge and 31.8% of them took it from nurses and nursing students. The first three mostly information given subjects to mothers before discharge are 47.3% babys gas extraction, 46.4% perineal cleaning of the baby, 40.9% umbilical cord care and least information given subject is 87.3% postpartum exercises. 41.8% of the mothers stated that who helped them the most in the baby care is mothers in laws. 74.5% of the participants stated that they feel ready themselves for hospital discharge. The mean score of RHD-NMF was 142.09±43.76, respectively the mean scores of subscales are: personal status 52.56±12.82, knowledge status 44.63±17.97, ability status 19.04±7.75, expected support 25.85±11.15. According to our study results, although more than half of mothers feel themselves ready for discharge, their scale scores were found moderate, their ability and expected support subscale scores were found lower. Mothers should be given more extensive information by health staff before discharged.

Preterm eylem tanısı alan gebelerin kaygı, depresyon ve algılanan sosyal destek düzeyini etkileyen faktörler

Gebelik doneminde depresyon ve kayginin, gebelik ve dogum komplikasyonlarini artirdigi, yeni doganin sagligini olumsuz etkiledigi, erken doguma, dusuk dogum agirligina ve intrauterin gelisme geriligine neden oldugu bildirilmistir. Arastirmanin amaci preterm eylem tanisi alan gebelerde kaygi, depresyon ve algilanan sosyal destek duzeyini etkileyen faktorleri belirlemektir. Arastirma tanimlayici tiptedir. Arastirma kapsamina Ege Universitesi Hastanesi Kadin Dogum Klinigi dogum servisi ve T.C. Saglik Bakanligi Dr. Ekrem Hayri Ustundag Kadin Hastaliklari ve Dogumevinin riskli gebe servisinde 01 Haziran - 31 Agustos 2010 tarihleri arasinda yatan 113 gebe alinmistir. Arastirma verilerinin toplanmasinda; arastirmacilar tarafindan literatur dogrultusunda hazirlanan birey tanitim formu, Beck Depresyon Olcegi (BDO), Durumluk Kaygi Olcegi (DKO) ve Surekli Kaygi Olcegi (SKO) ve Cok Boyutlu Algilanan Sosyal Destek Olcegi (CBASDO) yuz-yuze gorusme teknigi kullanilarak uygulanmistir. Veriler t-testi ve tek-yonlu ANOVA kullanilarak analiz edildi. Preterm eylem tanisi alan gebelerin BDO puan ortalamasinin 24.92±10.40, DKO puan ortalamasinin 45.81±8.75, SKO puan ortalamasinin 49.68±7.41 ve CBASDO puan ortalamasinin 49.15±15.90 oldugu belirlenmistir. Sonuc olarak, gebelerin depresyon puanlari orta duzeyde, kaygi duzeyi puanlari yuksek duzeyde ve algilanan sosyal destek puanlari da orta duzeydeydi. Hemsire ve ebelerin preterm eylem tanisi alan gebelerde depresyon ve anksiyeteyi degerlendirmesi ve sosyal destegi arttiracak girisimler planlamalari onerilmektedir.