Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleAçık Erişim2024The Relationship Between Body Image and Anxiety and Depression in Pregnant Women in Türkiye
Kırbaş, Zila Özlem; Özkan, Hava; Aktaş, Elif Odabaşı
Objective: This study was conducted to examine the relationship between body image and anxiety and depression during pregnancy. Materials and Methods: A cross-sectional and correlational study was conducted with 300 pregnant women in a public hospital and family health centers between October 2022 and February 2023. Data were collected with the Personal Information Form, Body Understanding Scale for Pregnancy (BUMPs) and Hospital Anxiety and Depression (HAD) Scale. Mean, percentage, Independent Sample t-test, One-Way ANOVA, Correlation and Multiple Linear Regression were used for data analysis. Results: Correlation analysis showed significant positive correlations between Body Image and Anxiety and Depression in Pregnancy. In the multiple linear regression analysis, it was found that 13% (R2 adj. = 0.13) of the variance in the HADS-A subscale variable was explained by independent variables. It was found that 27% of the variance in the HAD-D subscale variable (R2 adj.= 0.27) was explained by independent variables. Conclusions: This study showed that body image during pregnancy is a multifaceted problem that affects anxiety and depression in pregnant women. The high prevalence of prenatal anxiety and depression highlights the importance of this condition as a public health problem.
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İncele - Derleme MakaleAçık Erişim2024The effect of mode of delivery on postpartum comfort level and breastfeeding self-efficacy: a systematic review and meta-analysis
Özkan, Hava; Aktas, Elif Odabasi; Isik, Hafsa Kubra
ObjectiveThis study was conducted to determine the effect of the mode of delivery on maternal postpartum comfort level and breastfeeding self-efficacy.MethodsThe study was conducted as a systematic review and a meta-analysis. Searching was performed from March to July 2022, on PubMed, National Thesis Center, Dergi Park, Google Scholar, Web of Science, and EBSCO search engines and we included studies from the last 10 years. The Joanna Briggs Institute Critical Appraisal tools used in cross-sectional studies were employed to appraise the methodological quality and performed meta-analyses using a random-effects model for all outcomes. Study data consisted of continuous variables calculated by Mean Difference.ResultsFrom 3732 records received, 21 cross-sectional studies involving 5266 participants were determined to be eligible. Meta-analysis results showed that cesarean section reduced postpartum comfort, albeit not statistically significant (MD: -0.87 95%: -1.98-0.24, Z = 1.53, p = 0.44), whereas the combined results of breastfeeding self-efficacy showed that delivery type did not affect breastfeeding self-efficacy.ConclusionThe results of this review have clinical implications for postpartum caregivers, as the effects of mode of delivery on postpartum comfort and breastfeeding self-efficacy have been well documented in previous studies. The authors recommend caregivers plan maternal care to increase their comfort, taking into account the factors that may affect postpartum comfort in the light of evidence-based practices.
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İncele - MakaleAçık Erişim2024Scopus SJRQ1Validity and reliability of the Turkish version of the transition of primiparas becoming mothers scale
Kirbaş, Zila Özlem; Odabaşi Aktaş, Elif; Özkan, Hava
Background: The transition to motherhood is an important life event in a woman’s life and represents an important developmental process that brings physical, psychological and social changes to gain a new role. However, research on the transition to motherhood in Turkish society is scarce. There is a need for a comprehensive, practical and reliable tool to evaluate the transition to motherhood in primiparous mothers. This study evaluated the reliability and validity of the Turkish version of the Transition of Primiparous Becoming Mothers Scale (TMP-S) to evaluate the transition process of primiparous mothers to motherhood. Methods: This methodological research was carried out in obstetrics and gynecology outpatient clinics, pediatric outpatient clinics, and family health centers of a hospital in Türkiye. The sample consisted of primiparous mothers of 0 to 6- month-old babies who visited clinics and family health centers for routine postnatal examinations (n = 305). After evaluating the language equivalence and content validity of the scale, test-retest reliability, internal consistency and construct validity were examined. Factor analysis, Pearson’s correlation, retest reliability, and Cronbach’s alpha were employed to evaluate structural validity and reliability. Results: The final TPM-S had two dimensions with 25 items. Exploratory factor analysis revealed a two-factor solution, which accounted for 59.276% of the variance. Confirmatory factor analysis showed that the model fit of the two-factor model also reached a satisfactory model ft after modification. The comparative fit index was 0.894, the Tucker‒Lewis index was 0.882, and the root mean square error of approximation was 0.079. The content validity index of the scale ranged from 0.56 ~ 0.77. The Cronbach’s alpha coefficient was 0.93 for the total scale, and the test–retest reliability was 0.96. Conclusions: It is a valid and reliable tool for evaluating the transition to motherhood among primiparous mothers of 0 to 6 month-old babies in Türkiye. Turkish researchers and healthcare professionals can routinely apply this measurement tool to primiparous mothers in the first six months after birth to evaluate their transition to motherhood.
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İncele - MakaleAçık Erişim2024Scopus SJRQ2Effect of kangaroo mother care and white noise on physiological-stress parameters in heel lancing: randomized controlled study
Kirbaş, Zila Özlem; OdabaşI Aktaş, Elif; Bayraktar, Bülent; Özkan, Hava
Background: Newborns are exposed to varying degrees of stressful interventions due to procedures such as heel lancing used in routine metabolic screenings. It is an examination of the effects of white noise and kangaroo care on some physiological parameters and stress markers (cortisol and glucose-regulated protein 78-GRP78) in heel lancing in newborns. Methods: Randomized controlled study was conducted at a gynecology service of a hospital between January and September 2023. 90 babies were divided into three groups: 30 babies in the Kangaroo Care Group (KCG), 30 babies in the White Music Group (WMG), and 30 babies in the Control Group (CG). All babies were randomly divided into groups. Stress parameters were measured by saliva collection method and physiological parameters by saturation device. Results: A statistically significant difference was determined between the total crying time, pulse and saturation values according to the groups (p < 0.001; p = 0.001). A statistically significant difference was determined between the mean values of cortisol and GRP78 measurements according to group and time interaction (p < 0.001). KCG was more effective in reducing total crying time and stabilizing pulse, saturation, salivary cortisol, GRP-78 values compared to WNG and CG. Conclusion: It was concluded that white noise and kangaroo care help reduce newborns’ stress in the case of heel lancing. Practical implications: The practice of kangaroo care and the use of white noise methods may assist healthcare professionals as supportive methods in stress management during invasive procedures. Trial Registration: NCT06278441, registered on 19/02/2024.
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