Browsing by Author "Esmeray, N"

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    Effects of physical and depressive symptoms on the sexual life of Turkish women in the climacteric period
    Yanikkerem, E; Göker, A; Çakir, Ö; Esmeray, N
    Objective: To assess the effects of physical and depressive symptoms on the sexual life of women in the climacteric period. Methods: This study was conducted with 572 women at a university hospital. The Beck Depression Inventory (BDI), Menopause Rating Scale (MRS) and Female Sexual Function Index (FSFI) were used to evaluate depressive symptoms, intensity of menopausal symptoms and sexual function. Results: Sexual dysfunction and depressive symptoms were determined in 86.4% and 54.9% of the women, respectively. In univariate analysis, women without health insurance, with low income, being married for longer than 21 years and being in menopause had low FSFI but high BDI and MRS scores. In multiple regression analysis, advanced age of women, women with low income, unemployed women, low educated women and their husbands and women with depressive symptoms had low FSFI scores. There was a negative relationship between total FSFI and MRS and BDI scores. Conclusion: Determination and treatment of sexual, emotional and physical problems in the climacteric period are very important for the improvement of the quality of life of women.
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    Turkish nursing students' attitudes towards voluntary induced abortion
    Yanikkerem, E; Ertem, G; Üstgörül, S; Karakus, A; Baydar, O; Esmeray, N
    Objective: To evaluate Turkish nursing students' attitudes towards voluntary induced abortion. Methods: This cross-sectional study was conducted between January and June 2015, comprising students of Ege University Nursing Faculty and Celal Bayar University School of Health, located in two different cities of Turkey. Data was collected with a three-part questionnaire, focussing on students' characteristics, the knowledge of abortion law in Turkey and attitudes towards voluntary induced abortion. SPSS 15 was used for data analysis. Results: The mean score of students' attitude towards voluntary induced abortion was 39.8 +/- 7.9 which shows that nursing students moderately support abortion. Female students, students coming from upper class in society, and students who had higher family income and sexual experiences had more supportiveness attitudes towards voluntary induced abortion (p<0.05). Those who lived in a village before university life, who had extended family, and students of parents with low educational level, had lower score in this regard (p<0.05). Conclusion: Nursing students should be encouraged to behave non-judgmentally to women who want to have abortion.
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    Factors affecting readiness for discharge and perceived social support after childbirth
    Yanikkerem, E; Esmeray, N; Karakus, A; Üstgörül, S; Baydar, Ö; Göker, A
    Aims and objectivesTo evaluate the factors affecting readiness for discharge and perceived social support after childbirth. BackgroundMany women still die during and following pregnancy and childbirth. Both early and late discharges are conflicting issues in the world. Evaluation of the readiness for discharge in terms of patient safety, satisfaction, physical, emotional, psychological and social aspects is important. DesignDescriptive and cross-sectional study. MethodsThe study was carried out with 610 women in the early postpartum period at two hospitals in Turkey between October 2014-March 2015 using Readiness for Hospital Discharge Scale-New Mother Form and Multidimensional Scale of perceived social support. ResultsThe mean scores for Readiness for Hospital Discharge Scale-New Mother Form and Multidimensional Scale of perceived social support were found as 163.5 (SD: 34.1) and 64.2 (SD: 18.8), respectively. Women who were discharged from Merkezefendi Hospital, women who had one child or one pregnancy and women or baby who experienced complication during or after birth had lower scores on Readiness for Hospital Discharge Scale-New Mother Form. Women who received information about the postpartum period had significantly higher scores on the total Readiness for Hospital Discharge Scale-New Mother Form than women did not (165.533.8 vs 151.136.1). Personal status, knowledge and total score of the Readiness for Hospital Discharge Scale-New Mother Form were significantly higher in women who were ready for discharge. ConclusionsFindings provide vital information that can inform nursing clinical practice, especially related to readiness for discharge protocols and developing strategies for women, who had low sociodemographic backgrounds, did not have any information about postpartum period and were not ready for discharge. Relevance to Clinical PracticeThe mother and family face with postpartum difficulties on their own when early discharge takes place. Providing postpartum care services plays an important role for maternal-child health.
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    Factors Associated with Awareness of Gynecological Cancer Among Turkish Women: A Descriptive and Cross-sectional Study
    Selçuk, AK; Yanikkerem, E; Esmeray, N
    Objective: This study aimed to determine factors associated with awareness of gynecological cancer among Turkish women. Method: The online descriptive and cross-sectional study was conducted between November 2020 and April 2021 in Turkey via the snowball sampling technique by sharing an online link among all women between the ages of 20 and 65 years who had no history of gynecologic cancer, at least primary school graduates, who live in Turkey and use smartphones or the internet. The sample size for the study was calculated using G*Power software version 3.1.9.7. The input parameters were a t-test, a small effect size of 0.2, a 5% alpha error probability, and 80% power. The total sample size calculated was 788. The sample of the study consisted of 804 women. The women's descriptive characteristics form and gynecological cancers awareness scale were used for the study. The descriptive characteristics form was prepared by the researchers based on the literature. This questionnaire consisted of 25 questions that included information about women's age, education level, family type, number of children, applying regular gynecological examinations, and having knowledge about Pap smear test and cervical cancer. The gynecological cancers awareness scale consisted of 41 items and was a five-point Likert-type scale with four subdimensions. The total score to be obtained from the scale is between 41 and 205 points, and a high score indicates that women's awareness of gynecological cancer is high. After the relationship between the total and subscale scores and independent variables was evaluated using t-test and ANOVA, the variables were found to be significant, and the total score was tested using multiple regression analysis. Results: In the study, the mean age of the women was found 41.5 +/- 10.7, 64.3% had a university education, and 70.0% were employed. The rate of having a Pap smear test was found 66.8% and 34.3% of women had regular annual visits to a gynecologist. The total score on the gynecological cancers awareness scale was high in women aged over 42 years, those with postgraduate education, and those employed. The mean of the total score of the scale was found to be high in women who had an active sexual life, had regular gynecologic examinations, and had a history of pregnancy. All sub-dimension scores and the total score of the scale were determined to be higher in postgraduate education women than in middle school and lower education women. Women who had health insurance, had modern birth control methods, had the Pap smear test and had vulvar self-examination, and had information about Pap smear test and cervical cancer were found to have a high score from all subscales and total scores of the scale. According to the multiple regression analysis, the following were found to be statistically significant factors influencing awareness of gynecological cancer: Education status, using birth control methods, having vulvar self-examination and regular gynecologic examination, having Pap smear test, and having information about cervical cancer. Conclusion: It was determined that women with higher socio-economic status had a high awareness of gynecological cancer.
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    The effect of education given to women with hearing impairments on the behaviours of Pap smear screening
    Esmeray, N; Yanikkerem, E
    Objective The aim of the research was to determine the effect of education given to the women with hearing impairments on the behaviours of Pap smear test. Methods This study was a controlled trial study with longitudinal design. The sample consisted of 156 women (intervention = 78, control = 78) who registered in hearing-impaired associations in Izmir, Turkey. The education about cervical cancer and Pap smear test was given to intervention group with face-to-face interviews by using Turkish sign language. Three months later, the women were contacted and asked whether they have had a Pap smear test, and the total knowledge score of intervention groups was evaluated. Results There was not a statistically significant difference between the mean total score of knowledge about cervical cancer and Pap smear test in intervention (0.6 +/- 1.6) and control (1.1 +/- 1.9) groups. After 3 months, having a Pap smear test was found to be statistically significantly higher between groups (intervention = 29.5%, control = %1.2), and the mean cervical cancer and Pap smear knowledge score of the intervention group (9.2 +/- 1.4) was found to be statistically significantly higher than the score before education (0.6 +/- 1.6). Conclusion Education of cervical cancer and Pap smear test increased knowledge level and behaviour of Pap smear test of the women.