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Öğe Attitudes and counselling of healthcare professionals on increasing breast milk: cross-sectional study(Elsevier Espana Slu, 2023) Gokduman-Keles, Mine; Akdolun-Balkaya, Nevin; Toker, EylemObjective: To determine the breast milk-increasing practices healthcare professionals used with their children and their recommendations to mothers. Method: A descriptive cross-sectional study in a Mediterranean region of Turkey. It was carried out with 301 healthcare professionals working in 64 Family Health Centers between January and June 2018. The data were collected by the researchers with a questionnaire including 28 questions. Results: The mean age of healthcare professionals was 36.89 +/- 8.5. All the healthcare profes-sionals encountered mothers with the perception of insufficient breast milk. 73.7% of those with children had breast milk-increasing practices. Increased age negatively affected these practices (OR: 0.923), and increased education positively affected the practices (OR: 3.489). Having received training on breastfeeding and breast milk-increasing measures positively affec-ted the use of practices (OR: 2.118). The use of breast milk-increasing practices by healthcare professionals positively affected their recommendations to mothers (OR: 2.506). Conclusions: Health professionals had their own breast milk boosting practices that they recom-mended to women as well. This result is especially significant in terms of guiding mothers who wish to increase breast milk supply and seek reliable information and contributes to the protection of maternal and newborn health. (c) 2023 Elsevier Espana, S.L.U. All rights reserved.Öğe Evaluatıon Of The Effıcıency Of Internet Addıctıon Educatıon Gıven To Secondary School(Bingol University, 2024) Yeşilyurt, Pelin Zıvdır; Gök, Büşra; Söyler, Sait; Toker, Eylem; Karakul, AtiyeThis study aims to examine the effectiveness of internet addiction education given to secondary school students. This research was carried out in the pretest-posttest control group design and the sample of the research consists of 90 secondary school students studying in a district of Mersin. 'Descriptive Characteristics Form and Internet Addiction Scale' were used to collect data. Students were given education on internet addiction, and questionnaires were applied before and four months after the education. While the mean of daily internet use time measured with the pretest was 120.55±134.11 in the education group, the mean time of daily internet use measured by the posttest was 66.87±66.91 minutes. It was found that there was a statistically significant difference in the education group in terms of the sub-dimensions of the internet addiction scale and the overall scale score before and after the education (p0.05). The questionnaire applied after the education showed that there was a statistically significant difference between the education and control groups in terms of negative social relations (pÖğe KADINLARIN SAĞLIK ALGILARININ JİNEKOLOJİK KANSER FARKINDALIKLARINA ETKİSİ KESİTSEL BİR ÇALIŞMA(2023) Oztas, Hatice Gül; Toker, Eylem; Kamalak, HülyaAmaç: Bu çalışmada kadınların sağlık algılarının jinekolojik kanserlere ilişkin farkındalık düzeylerine etkisinin belirlenmesi amaçlanmıştır. Gereç ve Yöntemler: Analitik-kesitsel tipte tasarlanan bu çalışma, Türkiye’nin güneyinde yer alan bir il merkezinde yer alan Aile Sağlığı Merkezleri’ne kayıtlı 20-65 yaş aralığındaki 421 kadın ile yapılmıştır. Veriler 12 Eylül 2021- 20 Haziran 2022 tarihleri arasında toplanmıştır. Verilerin toplanmasında Kişisel Bilgi Formu, Sağlık Algı Ölçeği (SAÖ) ve Jinekolojik Kanserler Farkındalık Ölçeği (JİKFÖ) kullanılmıştır. Bulgular: Çalışmada; katılımcıların Sağlık Algı Ölçeği’nden aldıkları puan ortalamasının 49,59 ± 5,59, Jinekolojik Kanserler Farkındalık Ölçeği’nden aldıkları puan ortalamasının 155,39 ± 22,04 olup puanların ortalamanın üzerinde olduğu saptanmıştır. Katılımcıların çalışma durumu, eğitim durumu, gelir durumu, kilo algıları, kronik hastalık öyküsü, doğum kontrol yöntemi kullanma durumu, düzenli ilaç kullanma, menopoza girme durumu, HPV aşısını bilme durumları ile Sağlık Algı Ölçeği puan ortalamaları ve Jinekolojik Kanserler Farkındalık Ölçeği puan ortalamaları arasında istatistiksel olarak anlamlı fark bulunmuştur (p<0,05). Ancak Pap Smear Testi yaptırma durumu ile SAÖ puan ortalaması arasında istatiksel olarak anlamlı bir fark saptanmaz iken (p>0,05), JKFÖ puan ortalamaları arasında istatistiksel olarak anlamlı fark bulunmuştur (p<0,05). Sağlık Algı Ölçeği ile Jinekolojik Kanserler Farkındalık Ölçeği ve alt boyutlarının puan ortalamaları arasında pozitif yönde orta düzeyde istatistiksel olarak anlamlı ilişki tespit edilmiştir (p<0.05). Sonuç: Kadınların sağlık algılarının artması ile jinekolojik kanserlere ilişkin farkındalık düzeylerinin de arttığı sonucuna varılmıştır.Öğe Kadınlara Verilen Modüler Menopoz Eğitiminin Menopoz Tutum ve Kanser Tarama Farkındalığına Etkisi(Sivas Cumhuriyet Üniversitesi, 2024) Toker, Eylem; Sade, Gülüzar; Sönmez, Tugce; Kaya, Zeynep Seyyide; Güray, SedaMenopoz hakkında verilen modüler eğitimin kadınların menopoza yönelik tutumlarına etkisini belirlemek amacı ile yapılmıştır. Araştırma ön test-son test modeline dayalı yarı deneysel bir çalışmadır. Araştırma 01.03.2022-01.07.2022 tarihleri arasında üzere gönüllü olan 95 kadınla yürütülmüştür. Kadınlara menopoza ilişkin beş ana konudan oluşan modüler eğitim araştırmacılar tarafından verilmiştir. Araştırmanın verileri araştırmacılar tarafından geliştirilen Tanıtıcı Bilgi Formu ve “Menopoza İlişkin Tutum Ölçeği” kullanılarak toplanmıştır. Kadınların menopoza yönelik tutumları eğitim öncesinde ve eğitim sonrasında uygulanmıştır. Kadınların eğitim öncesi MİTÖ puan ortalaması 40.98 ± 11.6, eğitim sonrası MİTÖ puan ortalaması ise 42.27 ± 12.2 olup, eğitim öncesi ve eğitim sonrası MİTÖ puan ortalamaları arasında istatistiksel olarak önemli farklılık bulunmamıştır. Çoklu lineer regresyon modeli oluşturularak yapılan ileri analizde katılımcıların evli olma durumunun MİTÖ puanını 3,6 kat artırdığı, dört çocuk ve üzeri sahip olmanın ise 3,3 kat azalttığı hesaplanmıştır (F (2,92) =6.030; p=0,003; R2=0,097 olarak elde edildi). Katılımcıların eğitim sonrası menopoz tutumları olumlu bulunmuştur. Kadınların tanıtıcı özelliklerinden gelir düzeyi, medeni durumları, eğitim durumları ve menopoza girmiş bulunmaları menopoz tutum puan ortalamalarını etkilemiştir. Farklı yaş gruplarında ve dezavantajlı gruplarda menopoz öncesi, menopoz ve menopoz sonrası dönemleri kapsayan eğitim içerikleri planlanması önerilir.Öğe Maternal attachment levels of advanced age mothers and relation factors(Univ Estadual Maringa, Pro-Reitoria Pesquisa Pos-Graduacao, 2024) Toker, Eylem; Sonmez, Mehtap Omac; Ozyesildag, Cemile; Akbulut, GamzeBeing mother at advanced age is associated with physical, emotional and social problems during pregnancy. The purpose of study to finding out the maternal attachment of pregnant women of advanced age and the associated factors. The methodology used was a descriptive and cross-sectional research. The minimum sample size was calculated as 323 in a confidence interval of 95%, with a margin of error of 5%. Total 278 pregnant women were included in this study. Data were collected through Personel Information Form and the Maternal Attachment Inventory. Non-parametric tests (Kruskal-Wallis,MannWhitney U), logistic regression analysis was performed for evaluating statistically significant data. The mean of Maternal Attachment Inventory scores is 97.22 +/- 17.38 points. The maternal attachment level was higher in cases in which the mother did not work (O.R:0.944), the epidural anesthesia was used (O.R:2.937), the mother had low number of stillbirths (O.R:0.868), the mother gave birth to male infant (O.R:1.022), the newborn had high birth weight (O.R:1.038), the newborn had congenital anomaly (O.R: 0.795) and the mother had no skin-to-skin contact (O.R:0.933). we conclude that though it was discerned that mothers of advanced age had high levels of MA, it was identified that the MA level was affected by certain demographic variables.Öğe Perceptions of Midwives About the Midwifery Profession: A Metaphor Study(AVES, 2023) Sönmez, Tuğçe; Toker, Eylem; Sade, Gülüzar; Kaya, Zeynep Seyyide; Güray, SedaObjective: The purpose of this study is to explain the perceptions of midwives about the midwifery profession through metaphors. Methods: This study utilized a phenomenological study design. Data were collected online using Google Forms between March 01, 2022, and April 30, 2022. Results: The average age of participating midwives was 34.94 ± 8.18. The results of the study indicated 47 different metaphors produced by 89 midwives. The metaphors obtained were grouped into 3 categories positive, negative, and both positive and negative. While 71 midwives produced metaphors in the positive category (81.6%), 6 midwives produced metaphors in the negative category (6.9%) and 10 midwives (11.5%) produced metaphors in both positive and negative categories. Two responses were excluded from the data since they did not contain metaphors. Conclusion: The majority of the midwives were found to produce positive metaphors and have positive perceptions about their profession. © 2023, AVES. All rights reserved.Öğe 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 OmacThis 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.Öğe The childbirth experiences of Syrian refugee mothers living in Turkey: a qualitative study(Routledge Journals, Taylor & Francis Ltd, 2021) Toker, Eylem; Aktas, SongulObjective:The study aims to examine the childbirth experiences of Syrian refugee mothers living in Turkey. Methods: This qualitative study was conducted with 12 mothers who had a vaginal birth and were assisted by midwives. The data were collected using an in-depth interview form and analyzed with the thematic analysis technique. Results: The childbirth experiences of the mothers were grouped under two main headings as negative and positive experiences. Negative childbirth experiences were divided into 4 main themes as negative emotions experienced during childbirth, lack of effective communication due to the language barrier, difficulties experienced related to hospital policies and dissatisfaction with midwives. Positive birth experiences, were categorized under three main themes as satisfaction with the midwife, finding the country safe to give birth, and mother' s positive attitude towards birth process. The mothers were satisfied with the attitudes and behaviors of the midwives and their professional practices, and the positive attitude of mothers towards birth in religious and cultural terms contributed to the positive birth perception. Conclusion: Refugee mothers were found to have both positive and negative childbirth experiences. Individualized, empathic communication-based, culturally sensitive and evidence-based care may contribute to the positive childbirth experiences of refugee women.Öğe 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, EylemBackground 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.Öğe 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 GokdumanThe 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.
