Zehra Gölbaşı

Effect of perineal massage on the rate of episiotomy and perineal tearing.

To examine the effects of perineal massage during active labor on the frequency of episiotomy and perineal tearing.

Aspects of emotional and physical discomfort in gynecologic examination: A study of Turkish women

This cross‐sectional study was carried out to determine physical and emotional discomforts experienced before and after a gynecologic examination by women who presented to the outpatient clinic of the gynecology and obstetrics department at a university hospital.

Sexuality Assessment Knowledge, Attitude, and Skill of Nursing Students: An Experimental Study with Control Group.

PURPOSE The purpose of this study was to determine sexuality assessment knowledge, attitude, and skill of student nurses before and after sexuality training. METHODS This study was conducted experimentally in a model with a pretest to posttest control group. FINDINGS In the measurements made after training, it was observed that mean scores of Sexuality Assessment Information Test, Sexual Attitude and Beliefs Scale, and Sexuality Assessment Skills Check List in the experimental group were significantly higher than mean scores of students in the control group (p < .05). CONCLUSION It was determined that sexuality assessment skills training has a positive effect on the knowledge, attitude, and behavior of nursing students. PRACTICE IMPLICATIONS Sexuality assessment skills training can provide nurses with a guide for discussing the topic of sexual health with their patients.

Relationship between menopausal symptoms and sexual dysfunction among married Turkish women in 40-65 age group.

This was a cross-sectional study to analyse the relationship between menopausal symptoms and sexual dysfunction among 229 married Turkish women in the 40-65 age group. The study was carried out at a menopause clinic of a state hospital between 1 October and 31 December 2010. Data were collected with Personal Characteristics Form, Menopause Rating Scale (MRS) and the Arizona Sexual Experience Scale (ASEX). The average age of the women was 52.33 (SD = 4.80) years. The average MRS total score was 20.13(SD = 9.20). The ASEX mean score was 19.97 (SD = 5.44). It was determined that there is a positive meaningful relationship between ASEX mean score, MRS total mean score and the sub-score of women. From the results obtained from this study, it can be said that women have differing levels of menopausal symptoms, and as the severity of menopausal symptoms increases, there is an increase in sexual dysfunction.

Quality of Sexual Life and Changes Occurring in Sexual Life of Women With High-Risk Pregnancy

This study was aimed at determining the quality of sexual life and changes occurring in the sexual life of women with high-risk pregnancy. The study was carried out at the obstetric clinic of a hospital in a province located in the Central Anatolia region of Turkey. The population of this cross-sectional study comprised 112 women diagnosed with high-risk pregnancy. When the period during which the women had a diagnosis of high-risk pregnancy was compared to the period during which they did not have such a diagnosis, it was determined that more than half of the women experienced adverse changes in their sexual lives. Also high-risk pregnancies involved such complaints as sexual dissatisfaction, sexual self-dislike, and feelings of pain during sexual intercourse.

Validity and reliability of the Turkish version of the Maternal Antenatal Attachment Scale

AIM The objective of this study was to translate the Maternal Antenatal Attachment Scale (MAAS) into Turkish, to adapt it to Turkish cultural conditions, and to determine its validity and reliability. METHODS This study was conducted in a state hospital in the Central Anatolia Region, Sivas, Turkey. A total of 190 pregnant women were included in the study. Data was collected by MAAS. The validity of language, content, and construct were examined to evaluate the validity of the MAAS. Cronbachs alpha was used to assess internal consistency reliability. RESULTS The consistency of specialist opinion on the scale, translated into Turkish and back-translated, was determined (Kendall W = 0.11; P > 0.05). The factor loadings resulting from the factor analysis directed at the construct validity of the scale were in the 0.33-0.71 range, and the items were grouped under two factors. Cronbachs alpha reliability coefficient overall for the entire scale was 0.79; it was calculated as being 0.76 for the first sub-dimension (11 items) and 0.65 for the second sub-dimension (eight items). CONCLUSION The Turkish version of the MAAS is a valid and reliable tool for the evaluation of the maternal-fetal attachment level in the antenatal period.

Effect of an educational program based on cognitive behavioral techniques on fear of childbirth and the birth process

Abstract Objective: This study determined the effect of an educational program based on cognitive behavioral techniques (CBT) provided for pregnant women to address their fear of childbirth. Methods: This study was conducted experimentally using pretest–posttest and a control group. A total of 111 Turkish pregnant women were recruited with 52 in the intervention group and 59 in the control group. The intervention group attended the educational program on coping with childbirth fears based on CBT, which took 3 weeks over six sessions. The Wijma Delivery Expectancy/Experience Questionnaire, version-A (W-DEQ-A) was administered to both groups as the posttest. The researchers monitored the pregnant women’s labor and delivery and the State Anxiety Inventory (SAI), Numeric Pain Rating Scale (NPRS) and Birth Process Evaluation Form were completed. Results: The post-education W-DEQ-A score was 63.5 in the control group and 39.4 in the intervention group (p < .001). Their labor pain was lower, the second stage of labor was shorter and birth was more satisfactory for the intervention group than for the control group (p < .05). The CBT-based educational program and pain severity during childbirth were the significant predictors of satisfaction with childbirth (β = 0.354; β = –0.324, respectively; p < .05 for all). Conclusions: The CBT-based educational program on coping with childbirth fears reduced pregnant womens fear of childbirth and positively affected their birth experience.

Prevalence and some related factor of sexual dysfunction among married women admitted to gynecologic outpatient clinic

Aim. This study was carried out to examine the prevalence of sexual dysfunction in married women attended to the gynaecologic outpatient clinic and it’s correlates. Methods. The study was carried out at gnyecologic outpatient clinic of a university hospital as a cross sectionally. The sapmle of research was consisted of 216 women who admitted to the gynaecological outpatient clinic between September 24th and December 4th 2012 due to various complaints or for control. The data was collected by Individual Characteristic Form and Index of Female Sexual Function (IFSF). One-Way Anova and chi square test were used in the statistical analysis of the data. Results. The IFSF mean score of the women is 25.39. According to the total IFSF score, 69.4% of the women has Sexual Dysfunction (SD). The SD prevalance in women who came due to gynaecological complaints (%78) was found to be higher from women who came for control (61.5%) or for infetility (53.7%). It was found that the SD prevalence was found to be higher among women who herself and her spouse of 36 years and older age group and educational level of less than 5 years, have been married for more than 10 years and arranged married, have given birth at least once, and have chronic physical disease. Conclusion. More than half of women admitted to the gynecologic outpatient clinic for any reason have SD. Sexual dysfunction was related to advanced age, educational level, type of marriage, years of marriage, chronic-physical disease and gynecological problems.

Orijinal araştırma-Original research Sigara içen ve içmeyen üniversite öğrencilerinin stresle başa çıkma tarzları: Cinsiyetin etkisi

Amac. Bu calismada sigara icen ve icmeyen universite ogrencilerinin stresle basa cikma tarzlarinin cinsiyet acisindan incelenmesi amaclanmistir. Yontem. Calisma bir universitede ogrenim goren ogrenciler ile yurutulmustur. Arastirmanin orneklemini bu universitenin cesitli bolumlerinde ogrenim goren 965 universite ogrencisi olusturmustur. Verilerin toplanmasinda “Bilgi Formu” ve “Stresle Basa Cikma Yollari Envanteri” (SBCT) kullanilmistir. Verilerin analizinde student t testi, ki kare testi ve tek yonlu varyans analizi kullanilmistir. Bulgular. Arastirmada universite ogrencileri arasinda sigara kullanma yayginligi %39,8 olarak bulundu (erkeklerin %50,7’si ve kadinlarin %24,9’u). Ogrencilerin sigaraya baslama nedenleri arasinda arkadas etkisi, stresle basa cikma, merak ve sosyal kabul gorme yer aldi. Erkeklerde sigara kullanan ve kullanmayan bireylerin stresle basa cikma tarzlari puan ortalamasi benzer iken, kizlarda SBCT olceginin boyun egici yaklasim alt boyutu puan ortalamasi sigara kullananlarda, sosyal destek arama yaklasimi alt boyutu puan ortalamasi ise sigara kullanmayanlarda anlamli duzeyde yuksek bulundu (p