Browsing by Author "Yeşil, Yeşim"

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Çocuklarda Burun Kanaması Prevalansı, İlişkili Faktörler, Sebepler ve Tedavi Yaklaşımları: Mardin İli Örneği
(15. Uluslararası Kulak Burun Boğaz ve Baş Boyun Cerrahisi Kongresi, 2023) Bütün, Ahmet; Yeşil, Yeşim; Sarı, Neslihan; Bütün, Ahmet; Department of Nursing / Hemşirelik Bölümü; Department of Midwifery/ Ebelik Bölümü; Department of Surgical Medical Sciences / Cerrahi Tıp Bilimleri Bölümü
Giriş: Burun kanaması çocukluk çağında sık karşılaşılan bir tablodur. Çoğunluğu hafif seyirli olmakla birlikte acil servise ciddi kanamalarla başvuracak geniş spektrumda klinik seyir gösterdiği izlenmektedir. Bu çalışmanın amacı ilkokul çağındaki çocuklarda burun kanaması yaygınlığını belirlemek ve burun kanaması ile aile ve çevresel faktörler arasındaki ilişkiyi değerlendirmek, sebep ve tedavi yaklaşımlarını gözden geçirmektir. Gereç ve Yöntem: Çalışmaya Mardin il merkezindeki üç ilköğretim okulunda 7-11 yaş arası 817 öğrenci alınmıştır. Burun kanaması prevalansı, demografik faktörler, kanama nedenleri ve tedavi yaklaşımları hakkında bilgiler içeren anket yoluyla veriler yüz-yüze görüşme tekniği kullanılarak toplanmıştır. Araştırma verileri SPSS 25 programı ile değerlendirilmiş olup tanımlayıcı istatistikler ve ki-kare analizi kullanılmış, p<0,05 istatistiksel olarak anlamlı kabul edilmiştir Bulgular: Mardin il merkezinde 7-11 yaş arası çocukların burun kanaması prevalansı 283 hasta (%34,6) olarak saptanmıştır. Burun kanamasının %5,7’sinde 2 yaş altında başladığı, %64,3’ünde yılda 5-14 kez kanadığı, ailedede burun kanaması varlığı %28,5 ve en çok %85,3’ünde yaz aylarında kanama izlendiği belirlenmiştir. Burun kanaması ile ailede sigara içilmesi arasında anlamlı bir ilişki olduğu görülmüştür (p<0.05). Ailede burun kanama varlığı, allerji, sinüzit, burun tıkanıklığı, burunda kabuklanma ve burun içinde yara olması burun kanaması ile ilişkilendirilmiştir (p<0.05). Burun kanaması olanların %80,2’sinin kendiliğinden iyileştiği, %26,1’inin tedavi aldığı ve bu tedavilerin sırasıyla %39,9’una burun kanaması ile ilgili bir müdahale yapıldığı, %16,3’ünün acil servise başvurduğu, %32,2’nin Kulak Burun Boğaz polikliniğine başvurduğu, %3,2’sinin burun kanaması nedeni ile hastanede yattığı, %4,2’sine burun kanaması nedeni ile kan verildiği saptanmıştır. Burun kanaması vakaları ebeveynlerin %55,1’inde korku yarattığı belirlenmiştir. Sonuç: Burun kanaması çocukluk çağında sık görülmekte olup, çoğunluğu kendiliğinden iyileşmektedir. Mardin il merkezinde burun kanamasının çocuklarda daha çok yaz aylarında izlendiği görülmüştür. Burun kanaması ailede sigara içilmesi ile ilişkili bulunmuş olup, ailede burun kanama varlığı, sinüzit, allerji, burun tıkanıklığı, burunda kabuklanma ve burunda yara olması ile ilişkili bulunmuştur.
Citation - WoS: 0
A Cross-Sectional Study of Emergency Care Services During the Covid-19 Pandemic: A Multicenter Study of Healthcare Staff Perspectives
(Springernature, 2024) Bütün, Ahmet; Yeşil, Yeşim; Department of Nursing / Hemşirelik Bölümü; Department of Midwifery/ Ebelik Bölümü
Introduction: The coronavirus disease 2019 (COVID-19) pandemic has significantly impacted various aspects of healthcare services, including emergency care services. Healthcare staff face mental issues and physical exertion when caring for patients potentially infected with COVID-19. Understanding the experiences and perspectives of emergency department (ED) healthcare staff during the COVID-19 pandemic is essential to inform evidence-based interventions and strategies to mitigate the impact on emergency care services. This study aims to investigate the experiences of ED healthcare staff regarding emergency care services during the COVID-19 pandemic, thus providing valuable insights into the challenges faced. Materials and methods: This study utilized a cross-sectional study design. Data were collected from 256 ED healthcare staff working in nine different hospitals located in Turkey between November 15, 2021, and December 30, 2021. Data were analyzed using descriptive statistics. Results: A total of 256 participants were included in the study. Of the participants, 58.6% were nurses, 19.5% were ED doctors, and 21.9% were emergency medical technicians. In addition, 67.2% of the participants were infected with COVID-19, and almost all of them (94.1%) were psychologically affected by the pandemic process. It was found that 85.2% of ED healthcare staff felt excluded by society due to being healthcare staff and 71.9% had to be separated from their families. Nurses were separated from their families at the highest rate (78%) during this period. Conclusion: More than half of the ED healthcare staff had problems accessing protective equipment and were separated from their families during the pandemic due to the risk of COVID-19 transmission. Although the number of ED visits decreased because of restrictions at the beginning of the pandemic, ED visits increased again with the abolition of restrictions.
Ebelik Bölümü Öğrencilerinin “Ebe” ve “Ebelik Mesleği” Kavramlarına Yönelik Metaforları
(Harran Üniversitesi, 2023) Yeşil, Yeşim; Apak, Hıdır; Department of Midwifery/ Ebelik Bölümü; Department of Social Services/ Sosyal Hizmet Bölümü
Amaç: Ebelik, hayatın en kritik anlarında bilim, sanat ve etik değerleri bütünleştiren bir meslektir. Ebe ve ebelik mesleği kavramının geleceğin sağlık profesyonelleri tarafından nasıl anlaşıldığı önemlidir. Bu bağlamda, araştırmanın amacı ebelik bölümü öğrencilerinin “ebe” ve “ebelik mesleği” kavramına ilişkin sahip oldukları algıları ve anlam dünyasında nerede durduğunun metaforlar aracılığıyla ortaya çıkarmaktır. Materyal ve metod: Araştırma nitel araştırma yöntemi ve olgu bilim deseninde yürütülmüştür. Araştırmanın çalışma grubunu 2021-2022 öğretim yılının bahar döneminde öğrenim gören Mardin Artuklu Üniversitesi Ebelik bölümü öğrencileri oluşturmuştur. Araştırmanın verileri her öğrencinin, “Ebe, Ebelik mesleği/ ... gibidir/benzemektedir. Çünkü,...” cümlesini tamamlamasıyla elde edilmiştir. Araştırmaya 89 gönüllü öğrenci katılmıştır. Veriler içerik analizi ile çözümlenmiştir. Bulgular: Araştırmanın sonuçlarına göre öğrenciler ebe kavramına yönelik 39, ebe mesleğine yönelik 53 farklı metafor üretmişlerdir. Ebe metaforları “kutsal”, “ailenin bir üyesi”, “rehber”, “güçlü”, “yardımcı”, “çok yönlü” şeklinde altı kavramsal tema altında toplanmıştır. Ebelik mesleği ise “yol gösteren”, “spiritüel”, “ihtiyaç duyulan”, “kadim”, “çok yönlü” yönetici ve koruyucu” ve “gelecek vadeden” şeklinde yedi tema altında açıklanmıştır. Sonuç: Ebelik mesleği anne ve bebek sağlığını geliştirmede temel bir disiplin olduğu için öğrencilerin ebe ve ebelik mesleği algıları oldukça önemlidir. Anahtar Kelimeler: Metafor, Ebe, Ebelik, Ebelik öğrenciler
EBELİK ÖĞRENCİLERİNİN BEBEK DOSTU HASTANE KURUMU UYGULAMALARINA YÖNELİK GÖRÜŞ VE DENEYİMLERİNİN DEĞERLENDİRİLMESİ
(Sağlık Bilimleri Dergisi, 2022) Yeşil, Yeşim; Yeşil, Yeşim; Çeber Turfan, Esin; Department of Midwifery/ Ebelik Bölümü
Bu çalışma ile ebelik öğrencilerinin hastanelerde bebek dostu uygulamalara yönelik düşünce ve deneyimlerinin belirlenmesi amaçlanmıştır. Çalışma tanımlayıcı özellikte olup, Mayıs- Haziran 2019 tarihleri arasında uygulanmış, 255 öğrenci katılmıştır. Araştırma verileri, anket formu kullanılarak yüz yüze görüşme yöntemiyle toplanmıştır. Analizde tanımlayıcı istatistikler ve ki-kare analizi kullanılmıştır. Öğrencilerin %70’i uygulama yaptığı kurumun bebek dostu olduğunu bilmektedir. Öğrencilerin % 55.3’ü emzirme danışmanlığı konusunda kendisini yeterli hissetmektedir. Bebek dostu hastane girişimi ve on adım ilkesi konusunda yaklaşık %20’si; mama kodu konusunda ise %62.4’ü zayıf bilgi düzeyine sahiptir. Araştırmamızın sonuçları, gerek öğrencilerin bebek dostu uygulamalar konusunda eğitim yoluyla giderilebilecek eksikliklerinin belirlenmesi, gerekse de klinikte var olan aksaklıklara ışık tutması bakımından yararlı olmuştur. Sağlık alanında öğrenim gören öğrencilerin bebek dostu hastanelerde staj yapması ve bu uygulamaların içinde olması, emzirme dostu uygulamaları benimsemeleri açısından son derece önemli bir fırsat dönemidir.
Ebelik Öğrencilerinin Fiziksel Aktivite ve Akademik Başarı Durumlarının İncelenmesi
(Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2018) Yeşil, Yeşim; Çatalgöl, Şeyma; Çolak, Melek Balçık; Yeşil, Yeşim; Karapolat, Hale; Department of Midwifery/ Ebelik Bölümü
Amaç: Araştırma, Balıkesir, Konya, İzmir olmak üzere üç şehirdeki lisans eğitimine devam eden ebelik bölümü öğrencilerinin yıl sonu başarı puanı ile fiziksel aktivite arasındaki ilişkiyi belirlemek amacıyla tanımlayıcı türde yapılmıştır. Materyal-Metod: Araştırma evrenini Konya, Balıkesir ve İzmir illerindeki devlet üniversitesi ebelik bölümü birinci sınıfta öğrenim gören 234 öğrenci oluşturmuştur. Araştırmanın verileri literatür taranarak hazırlanan öğrencilerin sosyo-demografik özelliklerini içeren anket formu ile Uluslararası Fiziksel Aktivite Değerlendirme Anketi Kısa Formu kullanılarak toplanmıştır. Bulgular: Çalışmaya katılan öğrencilerin yaş ortancası 19.0 (min=18.0, max=28.0), beden kütle indeksleri ortancası 20.83 (min=15.78, max=31.74) olarak saptanmıştır. Ebelik birinci sınıf öğrencilerinin %6.8’inin sigara ve %11.5’inin alkol kullandığı saptanmıştır. Sigara kullanma durumları ile yaş, vücut ağırlığı, boy, başarı puanı, toplam MET (Metabolik Eşdeğer) değeri ve beden kütle indeksi arasında anlamlı bir fark olmadığı saptanmıştır (p>0.05). Ebelik öğrencilerinin başarı puanları ile düzenli fiziksel aktivite yapma durumları (toplam MET skoru), beden kütle indeksi, vücut ağırlıkları karşılaştırıldığında aralarında anlamlı bir ilişki olmadığı saptanmıştır (p>0.05). Sonuç: Çalışmanın üniversite birinci sınıf öğrencilerinde yapılmış olması nedeniyle bir adaptasyon süreci yaşadıkları ve bu nedenle düzenli fiziksel aktivite yapamadıkları görülmüştür. Çalışmanın daha fazla sayıda, farklı yaş grupları ve farklı sınıflarda tekrarlanması önerilmektedir. Anahtar sözcükler: Ebelik, fiziksel aktivite, başarı
Ebelik ve Hemşirelik Bölümü Öğrencilerinin Cinsel Sağlık Okuryazarlığı ve Cinsel Sağlığa Yönelik Tutumlarının Belirlenmesi
(2024) Yeşil, Yeşim; Apak, Hıdır; Department of Midwifery/ Ebelik Bölümü; Department of Social Services/ Sosyal Hizmet Bölümü
Bu araştırma, bir devlet üniversitesinin Sağlık Bilimleri Fakültesi'nde ebelik ve hemşirelik bölümünde öğrenim gören öğrencilerin cinsel sağlık okuryazarlığı düzeyini ve cinsel sağlığa yönelik tutumlarını belirlemek amacıyla gerçekleştirilmiştir. Kesitsel tipte olan araştırmanın evrenini, 5-15 Aralık 2023 tarihleri arasında ilgili bölümlerde öğrenim gören toplam 616 öğrenci oluşturmuştur. Herhangi bir örneklem yöntemi seçilmemiş olup, evrenin tamamına ulaşılması planlanmış ancak 412 kişiyle sınırlı bir katılımcı sayısına ulaşılmıştır. Araştırmanın verileri, araştırmacılar tarafından literatür incelenerek oluşturulan sosyo-demografik özellikleri kapsayan soru formu, Cinsel Sağlık Okuryazarlık Ölçeği (CSOY) ve Cinsel Sağlığa Yönelik Tutum Ölçeği (CSYT) kullanılarak yüz yüze görüşme tekniği ile toplanmıştır. Verilerin istatistiksel analizinde frekans ve yüzde dağılımları, pearson korelasyon analizi ile değişkenler arasındaki ilişki incelenmiş, bağımsız değişkenli t-testi ile iki grup arasındaki farklar değerlendirilmiş ve tek yönlü varyans analizi (ANOVA) ile üç veya daha fazla grup arasındaki istatistiksel farklılıklar değerlendirilmiştir. Bu araştırmada, ebelik bölümünde okuyan, bir partneri olan (evli/sevgili/flört), cinsel sağlık eğitimi almış, cinsel sağlık bilgileri yeterli olan ve cinsel sağlık okuryazarlığı kavramını bilen öğrencilerin CSOY ve CSYT ölçeği puan ortalamalarının daha yüksek olduğu belirlenmiştir.
Citation - WoS: 0
Citation - Scopus: 0
Effect of Delivery Method on Breastfeeding Status in Primiparous Mothers Within the First 24 Hours
(Springer Publishing Co, 2024) Yeşil, Yeşim; Bay, Habibe; Celik, Gulbiye Dinc; Bay, Habibe; Eksioglu, Aysun; Turfan, Esin Ceber; Department of Midwifery/ Ebelik Bölümü; Department of Nursing / Hemşirelik Bölümü
Objective: This study aims to evaluate the effect of the delivery method on breastfeeding status of primiparous mothers during the first 24 hours. Methods: In this descriptive and analytical study, the sample consisted of 126 primiparous mothers with vaginal (n = 54) and cesarean (n = 72) deliveries. The research data were collected in a hospital through a personal information form and LATCH. Breastfeeding was assessed at the 6th, 12th, and 24th hours within the first 24 -hour period after the delivery. Results: A total of 83.3% of mothers with vaginal delivery started out breastfeeding in the first hour, while the rate was 43.1% for mothers with cesarean delivery. A total of 94.4% of mothers who had vaginal birth gave their babies colostrum, whereas the rate was 80.6% for mothers who had a cesarean birth. While there were no statistically significant differences in Applications 1 and 3 between the LATCH scores of mothers with vaginal and cesarean deliveries, Application 2 produced a significant difference (p < .05). Conclusions: Delivery method influenced the breastfeeding behavior and had an impact particularly on initiation of breastfeeding in the first hour.
Citation - Scopus: 5
The effect of hospital-based breastfeeding group education given early perinatal period on breastfeeding self-efficacy and breastfeeding status
(ScienceDirect, 2022) Yeşil, Yeşim; Ekşioğlu, Aysun; Ceber Turfan, Esin; Department of Midwifery/ Ebelik Bölümü
Aim: This study was conducted to examine the effect of hospital-based group breastfeeding education provided to mothers before discharge from the hospital on mothers’ self-efficacy and on the increase of breastfeeding rates. Methods: This randomized controlled educational research was conducted in the hospital is located in the West of Turkey. Ninety mothers who had healthy and term babies, and an intent to breastfeed their babies participated in the study. The questionnaire forms were collected by the researcher using face to face interview technique. Chi-square, dependent and independent groups t-test and ANOVA analysis were used along with descriptive statistics in analyzing the data. Results: Compared to the control group, the scores obtained from the Breastfeeding Self-Efficacy Scale were higher in the education group in all the follow-ups. Similarly, status of exclusive breastfeeding was higher in the education group compared to the control group. In the twelfth week, the rate of exclusive breastfeeding was 80.0% in the education group, while it was 47.5% in the control group. Conclusion: These results show that breastfeeding group education and follow-up counseling given before discharge from the hospital were effective. This is evidence in favor of increasing the use of group education. This RCT was registered NCT04515862 with www.clinicaltrials.gov on 2020.
Citation - Scopus: 0
The Effect on Perceived Pain of Ice Massage Applied To Large Intestine-4 Pressure Point During Episiotomy Repair: a Randomized Controlled Trial
(Kare Publishing, 2023) Akın, B.; Yeşil, Yeşim; Yeşil, Y.; Saydam, B.K.; Can, H.Ö.; Department of Midwifery/ Ebelik Bölümü
Objectives: This study aimed to determine the effect on perceived pain of ice massage applied to the Large Intestine-4 (LI4) pressure point during episiotomy repair. Methods: Research data were collected between April 15, 2018, and December 15, 2018. Women who met the criteria for inclusion in the study and had an episiotomy performed by a midwife were assigned to the intervention or control group according to the randomization scheme. Women assigned to the intervention group were given plastic gloves filled with ice pieces just before the episiotomy repair began, and they were asked to press the glove into the LI4 region in their hands until the episiotomy repair was finished. The routine practice was carried out with the women in the control group. The questionnaire containing sociodemographic and birth-related information and a Visual Analogue Scale (VAS) were applied to all women. Results: A total of 347 women, 178 (51.0%) in the intervention group and 169 (49.0%) in the control group, were included in the study. There was no difference between the intervention group and the control group in the scores obtained from the VAS before the ice application (6.0 (6.0-7.0) vs. 6.0 (6.0-7.0), p=0.530). On the other hand, a significant difference was found between the mean VAS scores of women in the intervention and control groups after ice application (4.0 (4.0-6.0) vs. 5.0 (5.0-6.0), p=0.001). Conclusion: It was determined that ice massage applied to the LI4 pressure point in the hands during episiotomy repair significantly reduced the perceived pain level. © Copyright 2023 by Anatolian Journal of Family Medicine.
Citation - WoS: 1
Citation - Scopus: 1
Evaluation of contraceptive intentions among pregnant women in the third trimester: A cross-sectional study
(Wolters Kluwer, 2024) Yeşil, Yeşim; Dönmez, Ayşegül; Department of Midwifery/ Ebelik Bölümü
This study aims to determine contraceptive intentions of pregnant women in the third trimester. This cross-sectional study was conducted at a training and research hospital in Mardin province between March 2023 and May 2023. In total, 253 pregnant women who had the ability to communicate in Turkish and agreed to participate were included in the study. Data were collected through face-to-face interviews using a survey and the Contraceptive Intent Questionnaire (CIQ). The average age of the participants was 28.87 ± 5.35 with 30.8% of them holding a secondary school degree. It was found that there was a statistically significant difference in terms of CIQ score between categories of the following descriptive variables: education level, husband's/partner's education level, fertility plan, receiving family planning counseling during pregnancy, and paying for the contraceptive methods used (P = .046, P = .013, P < .001, P = .008, and P < .001 respectively). It was determined that pregnant women who had not received family planning counseling during pregnancy and paid for the contraceptive method had higher contraception intention.
Evaluation of Emergency Care Services During COVID-19 Pandemic: Healthcare Staff Perspectives
(3rd International Artemis Congress on Health and Sports Sciences, 2023) Bütün, Ahmet; Yeşil, Yeşim; Department of Nursing / Hemşirelik Bölümü; Department of Midwifery/ Ebelik Bölümü
Background: Emergency Departments (EDs) are critical and vital in the healthcare system. The main aim of EDs is to provide healthcare in the shortest time, fast and with high quality. Therefore, the services provided in the EDs should be well organized, carried out carefully and provided in good conditions. However, in the current situation, EDs are in a difficult situation both in Turkey and in the world because of COVID-19 pandemic which had significant negative effects on the EDs. ED healthcare staff are facing an enormous mental burden as well as physical exertion when caring for patients potentially infected with COVID-19. There is limited literature regarding the psychological effects of this type of disease outbreak on healthcare staff. Aim: This study aimed to investigate the experiences of ED healthcare staff regarding the emergency care services during the COVID-19 pandemic. Methods: This study utilised cross-sectional design. The data were collected from the 256 ED healthcare staff working in nine different hospitals located in Mardin, Turkey between 15/05/2021 and 15/08/2021. The data were analysed using descriptive statistics by using SPSS. Results: 256 participants were included in the study. 58.6% of participants were nurses, 19.5% of them were general practitioners and 21.9% of them were emergency medical technicians. 67.2% of participants infected with COVID-19 and almost all of them (94.1%) have been psychologically affected by the pandemic process. It was determined that nurses were separated from their families at the highest rate (78%) during this period. Conclusion: More than half of the ED healthcare staff have had problems accessing protective equipment, and have been separated from their families during the pandemic due to the risk of COVID-19 transmission. Although the number of ED visits decreased due to restrictions at the beginning of the pandemic, ED visits increased again with the abolition of restrictions.
Citation - WoS: 0
Citation - Scopus: 0
Evaluation of Nurses' and Midwives' Knowledge and Attitudes Towards Recognizing Violence Against Women
(Womens Health & Action Research Centre, 2024) Yeşil, Yeşim; Yesil, Yesim; Department of Midwifery/ Ebelik Bölümü
The study was cross-sectional research that surveyed 410 nurses and midwives from March 2020 to March 2021 in Turkey. The aim of this study was to evaluate the knowledge and attitudes of nurses and midwives towards recognizing violence against women. The "Scale for Nurses' and Midwives' Recognition of the Symptoms of Violence against Women" were used. The average total scale score was 20.3 +/- 3.2. The score of participants who are receiving postgraduate education, working in the field of gynaecology and obstetrics, and considering intervention as a professional responsibility when encountering a woman who has experienced violence was found to be significantly higher than the other groups (p<.05). It is important for midwives and nurses to be aware of signs of violence to identify violence against women. Providing education to midwives and nurses regarding signs of violence against women will contribute to the recognition, prevention, and awareness of violence. (Afr J Reprod Health 2024; 28 [2]: 116-124)
Citation - WoS: 0
Citation - Scopus: 0
Evaluation of Prenatal Comfort, Sleep, and Quality of Life in Pregnant Women With Cholestasis: a Cross-Sectional Study
(Mdpi, 2024) Paşa, Semir; Gunduz, Ulkin; Yeşil, Yeşim; Pasa, Semir; Department of Nursing / Hemşirelik Bölümü; Department of Midwifery/ Ebelik Bölümü
Background: Associated with adverse pregnancy outcomes, intrahepatic cholestasis of pregnancy is the most prevalent liver disease that women typically experience during pregnancy. This study aimed to evaluate prenatal comfort, sleep, and quality of life in pregnant women with cholestasis. Methods: This cross-sectional study was implemented between November 2022 and June 2023 at Mardin Training and Research Hospital with 150 pregnant women who received a diagnosis of pregnancy-induced intrahepatic cholestasis and agreed to participate. The following tools were utilized to collect data: A personal information form exploring socio-demographic and obstetric characteristics of participants, the Prenatal Comfort Scale (PCS), the Pittsburgh Sleep Quality Index (PSQI), and the World Health Organization Quality of Life-Brief Form (WHOQOL-BREF). Results: The mean age of participants was 27.79 +/- 6.33 years. The mean PCS and PSQI scores were 61.20 +/- 5.84 and 9.52 +/- 3.02, respectively. The mean scores of "physical health, psychological health, social relationships, and environmental health" sub-dimensions in WHOQOL-BREF were 10.63 +/- 2.18, 10.48 +/- 2.10, 11.31 +/- 3.28, and 11.27 +/- 2.10, respectively. A significant difference was found for PSQI regarding hospitalization status and change in sleep quality variables (p = 0.025 and p = 0.035, respectively). Conclusions: Cholestasis of pregnancy creates problems such as pruritus, body image changes, hospitalization, and poor sleep quality in women. This study showed that pregnant women with cholestasis had low levels of sleep quality and quality of life, implying that cholestasis affects their sleep quality, prenatal comfort levels, and quality of life in general. In addition, it is seen that women with this problem do not want to fall pregnant again.
Citation - WoS: 0
Citation - Scopus: 0
Factors Affecting Maternal Satisfaction in Labor and Neonatal Outcomes: a Cross-Sectional Study
(Womens Health & Action Research Centre, 2024) Yeşil, Yeşim; Yesil, Yesim; Department of Midwifery/ Ebelik Bölümü
This study evaluated the factors affecting maternal satisfaction during labor and neonatal outcomes. This cross-sectional study was conducted with 319 mothers who gave birth in ahospital (01.10.2023-31.03.2024) and volunteered for the study. Data were collected using a personal information form including socio-demographic and obstetric characteristics of the mothers and the 'Birth Satisfaction Scale'. The mean age of the mothers who participated in the study was 28.07 +/- 6.44 years. The mean score of the Birth Satisfaction Scale was 22.29 +/- 5.03. The sub-dimensions of the scale were found to be significantly affected by mode of delivery, various factors (p<0.05). Positive birth experience also affects maternal satisfaction. This study showed that maternal satisfaction in labor was at a moderate level. It explains that maternal satisfaction in labor is affected by the mode of delivery and other factors. In addition, it is seen that the method of delivery has various negative effects on the newborn.
Citation - WoS: 0
Citation - Scopus: 1
Midwifery Students' Views on Nanda-I Diagnoses and Care Plans Used in Clinical Practice
(Mdpi, 2024) Baran, Leyla; Yesil, Yesim; Yeşil, Yeşim; Department of Social Services/ Sosyal Hizmet Bölümü; Department of Midwifery/ Ebelik Bölümü
Background: Developing a care plan for patients is not specific to nursing or midwifery; it is the case in every situation where patients seek help from care providers. Midwifery students draw upon NANDA-I diagnoses while developing care plans (CPs) in clinical practices, and plan and apply their care accordingly. This study aims to identify the views of midwifery students on the NANDA-I diagnoses and CPs that they use in clinical practice. Methods: This descriptive and cross-sectional study was conducted with 222 students between September and December 2022. The research data were collected through face-to-face interviews using a questionnaire based on NANDA-I diagnoses and CPs. In line with the existing literature, the questionnaire was designed by two academicians who specialized in nursing fundamentals and midwifery. The questionnaire consisted of closed-ended (8 questions) and open-ended (7 questions) questions. Data analysis was performed with descriptive statistics and Pearson's chi-square test. Results: Of 222 students, 57.7% stated that they did not know the definition of a CP. It was found that 46.8% of the students felt inadequate at developing CPs. Furthermore, the students stated that they found the CP training provided during their undergraduate study partially sufficient, with a rate of 52.7%, and 16.7% of midwifery students offered suggestions about CP teaching. The number of midwifery-related diagnoses of which the students were aware was 19. Conclusions: The study was beneficial in terms of identifying the deficiencies of the students related to NANDA-I diagnoses and developing CPs that might be overcome through education and observing the midwifery-related diagnoses that they used. It is of critical importance to educate midwifery students about midwifery-related NANDA-I diagnoses in order that they embrace midwifery diagnoses and CP learning.
Citation - WoS: 0
Postpartum Breastfeeding Practices and Attitudes in Parents: A Randomized Study to Evaluate the Effects of Individual and Group Breastfeeding Education of Mothers and Fathers
(Springer, 2023) Yeşil, Yeşim; Öztürk Can, Hafize; Department of Midwifery/ Ebelik Bölümü
Background Antenatal breastfeeding training is defined as the provision of breastfeeding information during pregnancy, which can be given in various ways, such as individual training and group training. The inclusion of fathers in this educational approach is associated with the initiation of breastfeeding, exclusive breastfeeding and duration of breastfeeding. However, studies involving fathers are limited. This randomized controlled study aimed to compare the effects of individual and group training given to parents and those of normal hospital practices on mothers' breastfeeding self-efficacy and fathers' attitudes toward breastfeeding. Methods The study was conducted randomly in a training and research hospital between March 2014 and September 2014 and included 180 people. Of them, 90 were prospective mothers who were in the third trimester of their pregnancy and were living with their husbands and received service from the obstetrics outpatient clinic of the hospital. The expecting mothers and their husbands were randomly assigned to three groups: individual training, group training and control group. After randomization, prospective mothers and fathers in all groups received training. In the first week, sixth week, and fourth month after delivery, the mothers' breastfeeding self-efficacy and breastfeeding attitudes as well as the attitudes of the fathers' toward breastfeeding were evaluated. Results There were no differences between the groups in terms of variables such as age, education status, family type, breastfeeding education status, and mode of delivery. There were significant differences between the scores obtained from the Breastfeeding Self-Efficacy Scale and its subscales in all three groups during the postpartum period (p <0.05). The highest scale scores were obtained at the postpartum fourth month in the individual training and control groups and at the postpartum sixth week in the group training group. There were differences between the scores obtained by the mothers and fathers during the postpartum process from the Iowa Infant Feeding Attitude Scale (p<0.05). Conclusion The analysis of all the results indicates that breastfeeding education given to parents in the antenatal period increases their breastfeeding self-efficacy and provides them with a positive attitude toward breastfeeding. However, further research is needed to determine whether individual or group training contributes to the development of breastfeeding self-efficacy and attitudes.
Citation - WoS: 1
Citation - Scopus: 2
A retrospective descriptive study of NANDA-I nursing diagnoses used by midwives working in obstetrics and gynecologic service: An example from south-eastern Turkey
(Wiley Online Library, 2023) Yeşil, Yeşim; Baran, Leyla; Department of Midwifery/ Ebelik Bölümü; Department of Social Services/ Sosyal Hizmet Bölümü
Purpose: This study aims to identify NANDA-I nursing diagnoses that midwives working in obstetrics and gynecologic service use while managing the electronic nursing care process. Methods: This retrospective study was conducted in a descriptive way to evaluate electronic care plan records of 3025 patients staying in obstetrics and gynecologic service between April 1, 2020. and April 1, 2021. Diagnoses in the records of the electronic care process were digitalized by two faculty members. Then, NANDA-I nursing diagnoses used by midwives were identified. NANDA-I nursing diagnoses used by midwives were identified. Findings: It was determined that diagnoses in care plans documented from the system within the 1-year period fell into eight domains and 10 classes, and 5819 diagnoses were given in total. The most frequent diagnoses given in obstetrics and gynecologic service were "acute pain" and "risk for bleeding." Conclusion: Findings of this study revealed that nursing care records in obstetrics and gynecologic service did not have a large number of diagnoses and interventions. Implications for nursing practice: Care plans directly reflect the contribution of the care to the patient. Consequently, midwives being aware of and recording nursing diagnoses while giving care will ensure a standardized language and visibility in care. More coverage of midwifery-related diagnoses in the midwifery curriculum will make NANDA-I nursing diagnoses more visible in midwifery as well.
Citation - WoS: 0
Citation - Scopus: 0
Women's Experience, Satisfaction, and Continuation With the Levonogestrel-Containing Intrauterine System: a Cross-Sectional Study
(Lippincott Williams & Wilkins, 2024) Yeşil, Yeşim; Yesil, Yesim; Department of Midwifery/ Ebelik Bölümü
The levonorgestrel-containing intrauterine system (LNG-IUS) is a safe, long-acting, reversible contraceptive method. This study aimed to examine women's experiences, satisfaction, and continuation with the levonorgestrel-containing intrauterine system. This cross-sectional study examined women who had previously used or were still using LNG-IUS at a research hospital between October 2023 and March 2024. The study included 627 randomly sampled women who visited the Women's Health Outpatient Clinic of a Training and Research Hospital in Izmir Province. Inclusion criteria were age between the ages of 18 to 55, using/used LNG-IUS, and no diagnosis of any mental illness. LNG-IUS users were grouped according to the reasons for their use (treatment or contraception), and comparisons were made. A questionnaire was administered to the women after the outpatient examination. Women who did not meet the inclusion criteria and who did not speak Turkish were excluded from the study. A statistically significant difference was found between women's age, educational status, fertility goal, and previous contraceptive method and those who used LNG-IUS for treatment or contraception (P < .05). When the reasons for women's use of LNG-IUS are examined; It was determined that women used it due to menometrorrhea (48.2%), contraception (25.2%), dysmenorrhea (9.4%), myoma uteri (13.4%), and endometriosis (3.8%) Both groups who used LNG-IUS for treatment and contraception were very satisfied (83.6% and 86.1%, respectively) and would consider using LNG-IUS again (96.8%; 94.3%, respectively). The results showed that Women were satisfied with the use of LNG-IUS as both a treatment and contraceptive method. In this regard, conducting multicenter, quantitative, and qualitative studies that can also reflect the cultural characteristics of women's experiences with LNG-IUS may be recommended.