Gözde Gökçe İsbir

Nursing Care of Nausea and Vomiting in Pregnancy Roy Adaptation Model

Nursing theories and conceptual models need to be developed and used in practice for accumulation of nursing knowledge. The authors in this article explain the concepts and nursing process of the Roy adaptation model in light of an example with the nausea and vomiting of pregnancy. It is expected that the article will provide guidance for nurses who want to use the model while offering nursing care and conducting research.

Experiences with Nausea and Vomiting During Pregnancy in Turkish Women Based on Roy Adaptation Model: A Content Analysis

PURPOSE This qualitative study aimed to explore how Turkish women experience nausea and vomiting in pregnancy based on the Roy Adaptation Model. METHODS To collect data, in-depth interviews were undertaken with 35 pregnant women who had nausea and vomiting. The sample of the study included pregnant women who were in their first 12 weeks of gestation, did not have medical problems and had nausea, retching and/or vomiting for at least the last 3 days. Data were collected in semi-structured interview form based on the Roy Adaptation Model and with a background data sheet. Data were analyzed using direct content analysis. RESULTS Data were classified into four adaptive modes according to the Roy Adaptation Model. The behaviors in the physiological mode were nausea, vomiting, fatigue, changes in sleep patterns, inadequate nutrition, inguinal pain, burning sensation and irritation in the throat, ketosis, and urinary incontinence. The behaviors in the self-concept mode were feeling weak, crying, inadequate self-care, changes in sexual intercourse, and social isolation. The behaviors in the role function mode were being unable to fulfill the responsibilities at home and work. The behaviors in the interdependence mode were dissatisfaction with relationships. CONCLUSION The study findings help nursing staff detect the stimuli and the behaviors of pregnant women with nausea and vomiting. Further research may evaluate the impact of a counseling program prepared under the guidance of a nursing model on nausea and vomiting in pregnancy.

The effects of antenatal education on fear of childbirth, maternal self-efficacy and post-traumatic stress disorder (PTSD) symptoms following childbirth: an experimental study

BACKGROUND Fear of birth and low childbirth self-efficacy is predictive of post-traumatic stress disorder symptoms following childbirth. The efficacy of antenatal education classes on fear of birth and childbirth self-efficacy has been supported; however, the effectiveness of antenatal classes on post-traumatic stress disorder symptoms after childbirth has received relatively little research attention. PURPOSE This study examined the effects of antenatal education on fear of childbirth, maternal self-efficacy and post-traumatic stress disorder symptoms following childbirth. DESIGN Quasi-experimental study. METHODS The study was conducted in a city located in the Middle Anatolia region of Turkey and data were collected between December 2013 and May 2015. Two groups of women were compared-an antenatal education intervention group (n=44), and a routine prenatal care control group (n=46). The Wijma Delivery Expectancy/Experience Questionnaire, Version A and B, Childbirth Self-efficacy Inventory and Impact of Event Scale-Revised was used to assess fear of childbirth, maternal self-efficacy and PTSD symptoms following childbirth. RESULTS Compared to the control group, women who attended antenatal education had greater childbirth self-efficacy, greater perceived support and control in birth, and less fear of birth and post-traumatic stress disorder symptoms following childbirth (all comparisons, p<0.05). CONCLUSIONS Antenatal education appears to alleviate post-traumatic stress disorder symptoms after childbirth.

The Turkish version of perceived support and control in birth scale

Abstract Objective: This is a methodological study carried out to evaluate the validity and reliability of the Turkish version of the Support and Control in Birth Scale (SCIB). Methods: This study included 339 post-partum women. The validity of the Turkish version of the scale was assessed in terms of content and construct validity. Reliability was evaluated using the internal consistency coefficient, the test–retest correlation coefficient and the item correlation between the subscales. Results: The internal consistency coefficient of the scale was 0.84 (p < 0.01). There were significant correlations between sub-scales (rho = 0.122, 0.129, 0.263, p < 0.05), and the test–retest correlation coefficient of the scale was also significant (rho = 0.86, α = 0.000). As in the original scale, a three-factor structure was examined, which explained 42.85% of the total variance. The model was verified by a confirmatory factor analysis. Conclusion: The Turkish version of the SCIB is a reliable and valid instrument for measuring the perceived support and control during birth among Turkish women.

My Birth Story is Like a Dream: A Childbirth Educator's Childbirth.

Fear of childbirth is universal. Because of the stories of bad experiences passed down for years, many women fear childbirth. As a result, many women do not believe in the power of their own bodies and often hand over control of their bodies to health-care professionals, resulting in unhappy childbirth experiences because of unnecessary intervention during labor and birth. As a pregnancy trainer who prepares pregnant women for childbirth, the author wrote her personal childbirth story with an autoethnographic narrative method. Her aim is to help motivate pregnant women preparing for childbirth, health-care professionals preparing those pregnant women, and birthing staff.

The effect of counselling on nausea and vomiting in pregnancy in Turkey

OBJECTIVES The aim of this study was to assess the effects of follow-up counselling on the duration and severity of nausea and vomiting in pregnant women. STUDY DESIGN This study is quasi-experimental and included 62 pregnant women with nausea and vomiting. The group that received counselling was considered to be the experimental group, and the group that received a standard outpatient clinic service was the control group. Data were collected with a demographic data form, that is, the Nausea and Vomiting in Pregnancy Instrument and Pregnancy Unique Quantification of Emesis and Nausea. Significance tests of the differences between two mean values, the Mann-Whitney U test and survival analyses were used to test the hypotheses. RESULTS In pregnant women with mild or moderate nausea and vomiting, nausea and vomiting terminated in a significantly shorter time in the experimental group than in the control group (p <0.001), but this difference was not significant for pregnant women with severe nausea and vomiting (p > 0.05). In addition, the number of weekly telephone follow-ups in the experimental group was significantly smaller (p <0.001). CONCLUSION Counselling effectively reduced the duration and severity of mild or moderate nausea and vomiting during pregnancy. However, it did not affect the duration of severe nausea and vomiting during pregnancy.