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    The anxiety levels of midwives and nurses working for filiation during COVID-19: A sample of Turkey
    (Routledge Journals, Taylor & Francis Ltd, 2023) Toker, Eylem; Keles, Mine Gokduman; Sonmez, Mehtap Omac
    This study examines the anxiety levels of midwives and nurses working for filiation during management of the COVID-19 pandemic(n = 205) The cross-sectional data were collected using State-Trait Anxiety Inventory (STAI-I and II). Having COVID-19 test done and provision of protective equipment affected their STAI-I and II. High anxiety status was found to be those who did not experience fear of carrying the coronavirus to their families (O.R: 1.128), who had diagnosis tests done (O.R:0.888), who had good feeling states before COVID-19 process (O.R:1.076). Information about infection spreads, required equipment and providing social support will lead to a reduction in their anxiety levels in working filiation.
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    The effect of virtual reality glasses, distraction cards, and breath exercises during Pap smear tests on anxiety, pain, and satisfaction: A randomized controlled trial
    (Sage Publications Ltd, 2025) Keles, Mine Gokduman; Toker, Eylem
    Background and aim: This study aimed to determine the effect of the use of virtual reality (VR) glasses, distraction cards (DCs), and breath exercises (BEs) on anxiety, pain, and satisfaction levels of women undergoing Pap smear tests, which is a painful and stressful procedure for women. Methods: The study was conducted as a randomized controlled trial study in a public health center with 140 women (four groups; each group was n = 35) undergoing Pap smear tests. The data were collected using the descriptive information form, state anxiety inventory, the visual analog scale for fatigue, the Newcastle-Satisfaction-Nursing-Care Scale, and the VR glasses application form. Results: After the Pap smear test, anxiety scores decreased significantly within all groups except for the control. The satisfaction scores indicated significant differences between the intervention and the control groups. In terms of the pain scores, the control group had higher pain scores during speculum insertion and the Pap smear test than the other group. Conclusion: The use of VR glasses, DCs, and BEs during a Pap smear test effectively reduces anxiety and pain while increasing satisfaction. These methods are recommended to incorporate into the Pap smear tests.
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    The effect of virtual reality on fetal movement, fetal heart rate, maternal satisfaction, fatigue, and anxiety levels and vital signs of pregnant women during non-stress test: A randomized controlled trial
    (Taylor & Francis Inc, 2024) Toker, Eylem; Keles, Mine Gokduman
    The study was conducted to investigate the effect of virtual reality on fetal movement, fetal heart rate, maternal satisfaction, fatigue and anxiety levels.The data of this randomized control experimental design study were collected using the State Anxiety Inventory, the Visual Analogue for Fatigue and the Newcastle-Satisfaction-Nursing-Care-Scale. A total of 88 pregnant women were included in the study. While the pregnant women in the experimental group watched a nature video with virtual reality during the Non-Stress Test procedure, those in the control group underwent the routine Non-Stress Test. The anxiety scores, the maternal satisfaction scores significantly higher in the experimental group. The virtual reality application is effective in reducing fatigue. There was a significant difference only in the experimental group in terms of systolic blood pressure, pulse values, the number of fetal movements and accelerations. It is recommended to have pregnant women use virtual reality during the Non-Stress Test procedure.