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  1. Home
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Browsing by Author "Yanikkerem, E"

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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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    A survey of knowledge, attitudes and practices relating to emergency contraception among health workers in Manisa, Turkey
    Sevil, U; Yanikkerem, E; Hatipoglu, S
    Objective: to determine knowledge, attitudes and practices relating to emergency contraception among health-care providers (general practitioners, nurses and midwives). Design: a cross-sectional design using face-to-face interview methods plus questionnaire in the work setting. Researchers were able to maintain privacy by using priority strategies. Setting: 18 primary health-care units in Manisa, western Turkey. Sample: 182 health-care providers (general practitioners [n = 72]; nurses and midwives [n = 110] were invited to participate in the study, but 26 of them declined. Participants: 156 health-care providers. As 16 participants had not heard of emergency contraception, 140 health-care providers (general practitioners [n = 51] and nurses and midwives [n = 89]) were included. Findings: of the health-care providers, almost one in 10 was unfamiliar with the term 'emergency contraception'. Only a few health-care providers knew how to use the intra-uterine contraceptive device (IUCD) for emergency contraception and the doses of emergency contraceptive pills. Some health-care providers included emergency contraception in routine consultations, but many did not support the use of emergency contraception in Turkey. Many of the providers thought that young people should not know about emergency contraception. Key conclusions and implications for practice: knowledge among health-care providers about emergency contraception is inadequate. All health-care providers should know about emergency contraception and include it in routine contraceptive consultations. Thus, continuing education information programmes are required. Further research into the knowledge, practices and attitudes of health-care providers is needed to understand the underlying reasons for the hesitant attitudes among health professionals. (c) 2005 Elsevier Ltd. All rights reserved.
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    Quality of life in Turkish infertile couples and related factors
    Goker, A; Yanikkerem, E; Birge, O; Kuscu, NK
    Infertility is a major life crisis affecting couples' psychosocial and physical health. We aimed to assess the quality of life in Turkish infertile couples. This cross-sectional survey was carried out in 127 infertile couples admitted to a University Hospital. The quality of life was measured using the fertility quality of life tool (FertiQoL) scale. Women had lower overall quality of life than men. Women and men who were married for fewer than 10 years had a significantly lower emotional score. Women who had a history of infertility treatment, men who have lived in the town or village men with primary infertility and men who have had primary education or lower, had lower scores for mind/body subscale. Social scores were found lower in women under the age of 30, women with middle or low income, men who were married for fewer than 10 years, men who did not have children for 5 years or more and men with primary infertility. The tolerability and environment scores were significantly higher in women who had been married more than once. We conclude that health care providers should be aware of the factors affecting the quality of life (QoL) and give counselling to improve couples' quality of life at infertility clinics.
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    Knowledge, Attitudes, Practices and Barriers Towards HPV Vaccination among Nurses in Turkey: a Longitudinal Study
    Yanikkerem, E; Koker, G
    Background: Human papilloma virus (HPV) occurs in women of all age groups, and causes cervical, anal, vaginal, vulvar, penile and oropharyngeal cancers. The aim of the study was to discover what nurses know about HPV infection, testing and vaccination and to determine vaccine practice of their daughters and perceived barriers. Materials and Methods: This cross-sectional and prospective study was carried out nurses who have worked in a hospital between January and June 2014. Pre-test and post-test were used to evaluate the nurses' knowledge about HPV infection, testing and vaccination. This study was performed with nurses who had girls between 9 and 26 years of age for evaluating the behavior of vaccination after three months of education. Results: The mean of pre-test and post-test scores about HPV infection, which included 22 items, were 8.2 +/- 5.6 and 19.2 +/- 1.5, respectively. Before education the HPV testing knowledge score was remarkably poor (1.9 +/- 1.7 over 5), after education it increased to 4.8 +/- 0.5. The mean HPV vaccine knowledge score were 3.7 +/- 2.7 (pre-test) 7.3 +/- 0.8 (post-test) on a 0-8 scale. The difference between mean total pre-test (13.9 +/- 9.1) and post-test (31.3 +/- 1.9) scores was statistically significant (p<0.001). After three months of education, only two of the nurses' daughters were vaccinated. The main reason was noted by nurses were not willing to be vaccinated was cost, doubts about safety and efficacy related to the vaccine. About one-third of nurses declared that they would receive the vaccine for their daughter later. Conclusions: Nurses have a crucial role in the prevention, treatment, increasing public awareness and care for population. The education of the nurses about HPV infection, test and vaccination will play an important part decreasing cancer mortality and morbidity.
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    Breast-feeding knowledge and practices among mothers in Manisa, Turkey
    Yanikkerem, E; Tuncer, R; Yilmaz, K; Aslan, M; Karadeniz, G
    Objective: to determine breast-feeding knowledge and practices among mothers before and after an educational intervention on breast feeding. Design: cross-sectional, descriptive study using a face-to-face questionnaire. Setting: Manisa Maternity and Children's Hospital, which has Baby Friendly status. Participants: 158 women in the early postpartum period. Measurements and findings: 10.8% of women were not aware that they should offer colostrum to their babies. Only 43.7% of women commenced breast feeding with in the first 30 minutes of giving birth. Prior to receiving the educational intervention, 55.7% of mothers knew how often they should feed their baby, 48.7% knew that they should breast feed their baby for two years together with additional food, although 55.1% of women did not know how to hold their breast during a feed. The mean pre-tests core was 9.9 (SD 2.4; range 3-13), and the mean post-tests core was 12.6 (SD 0.8; range 9-13). The difference between the mean pre- and post-test scores was statistically significant (paired t = 15.3, df = 157, P<0.001). Conclusion and implications for practice: given the integral role of breast feeding in improving overall community health, regular breast-feeding counselling should be offered, particularly during the pregnancy and early postpartum period. (C) 2007 Elsevier Ltd. All rights reserved.
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    Turkish health professional's attitude toward euthanasia
    Karadeniz, G; Yanikkerem, E; Pirinçci, E; Erdem, R; Esen, A; Kitapçioglu, G
    The cross-sectional study was administrated between April and September 2006. Participants are doctors, nurses, and midwives. Between these dates we met only 750 health staff (doctor, nurse, and midwife). Six hundred thirty-two of them responded to our questionnaire, 122 of them were in Manisa city, and 5 10 of them in Erciyes. We sought to identify variables that contribute to euthanasia attitude, including demographics, in order to demonstrate Turkish doctors', nurses', and midwives' attitudes toward euthanasia and to compare their attitudes in this regard. The data was collected by a two-part questionnaire. The first part included questions about the health personnel; the second part comprised the euthanasia (Medical Staff's Attitude toward Euthanasia) scale. The scale was developed by the researcher to measure the attitude of healthy staff euthanasia. The SPSS was used to analyze the data. Student t-test, ANOVA, Mann Whitney U, and Kruskal Wallis were used to evaluate the data. The p value 0.05 (95% confidence interval) was accepted as significant. In our study, professional groups are compared with all the factors but there is a significant difference only between social cost and professional groups.
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    Analysis of job-related risks faced by hospital nurses
    Karadeniz, G; Gündüz, T; Altiparmak, S; Yanikkerem, E
    The aim of this study was to analyze the job-related risks nurses face during training such as needlestick injuries, contaminated blood and infectious fluids. From May to July 2003 we conducted a survey of a sample of 242 nurses who were working in the the Pediatric Hospital, Government Hospital, the Training Hospital of Celal Bayar University, the Gynecology Hospital and the Psychiatric Hospital in Manisa City in Turkey. Two hundred sixteen nurses (89.3%) had needlestick injuries and 107 (44.2%) had injuries by contaminated cutting utensils. A total of 104 nurses (43.0%) used gloves, while 65 (26.9%) used gloves and mask. In medical and surgical staff nurses, injuries due to contaminated cutting utensils were statistically significant (p < 0.05). Awareness of accidents was significant between the two groups (p < 0.05).
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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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    Prenatal, Obstetric, Neonatal Outcomes and Contraceptive Behaviors in Women with Four or More Pregnancies
    Akay, A; Yanikkerem, E
    Background: The aim of the population-based study was to determine prenatal, obstetric, neonatal outcomes and contraceptive behaviors in women with four or more pregnancies. Methods: This study was conducted with women (n=294) using a questionnaire in two family centers of Manisa, Turkey where the fertility rate was high. Results: In the study, the mean number of pregnancies was 5.6+/-1.5. Loving children, willing to have a larger family and to have a male child were determined the main reasons of extreme fertility. Although 93.2% of women did not desire to have children in the future, only 43.3% of them used a birth control method. The rates of gestational diabetes, hypertension, depression, physical violence, lower weight of baby, risk of miscarriage, preterm birth and cesarean section were higher in the women with more pregnancies. Conclusions: It is very important to provide women with more pregnancies who had unmet need with client-centered counseling to encourage them to use more effective methods.
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    Women's attitudes and expectations regarding gynaecological examination
    Yanikkerem, E; Özdemir, M; Bingol, H; Tatar, A; Karadeniz, G
    Objective: to describe women's expectations of doctors and nurses during gynaecological examination, to identify if women have a preference for the doctor's gender, to investigate women's feelings during examination, and to determine why women consult the gynaecological outpatient clinic. Design: a descriptive and cross-sectional study using a questionnaire administered face to face. Setting: this study was performed with women recruited from those making an appointment for gynaecological examination at the gynaecological outpatient clinic at Manisa Maternity and Child Hospital between September 2004 and February 2005. Participants: four hundred and thirty-three women who applied to the gynaecological outpatient clinic at Manisa Maternity and Child Hospital. Measurements: the questionnaire included questions about the women's socio-demographic and reproductive characteristics, feelings with regard to pelvic examination, expectations of doctors and nurses during gynaecological examination, preferences regarding the gender of the physician, and the reason for the gynaecological examination. Findings: more than one-half of women felt anxious or worried about their health situation during the pelvic examination (54.8%), and 41.8% of women said that they were embarrassed about having to undress. 45.5% of women reported that they would prefer a female doctor, only 4.2% of women would prefer a mate doctor in their obstetric and gynaecological care, and the remaining women (49.9%) expressed no preference. Most women (62.1%) expected the doctor to explain their health situation after examination. 71.8% of women said that the nurse should have an understanding and gentle manner, and 28.2% of women stated that the nurse should offer information to the patient about the pelvic examination. Key conclusions: it was very important for the women to participate through receiving information during the gynaecological examination. When treated with respect, the women were able to have a positive relationship with the staff. This encourages the women to attend clinics for their own health needs. Gynaecological examination is an essential part of gynaecological care and the most common procedure in gynaecological practice. Many women in the world will have a gynaecological examination several times during their lives, from youth to old age. This study could contribute to improve health programmes to make the gynaecological examination situation more positive for women. (C) 2007 Elsevier Ltd. All rights reserved.
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    A survey of the awareness, use and attitudes of women towards Down syndrome screening
    Yanikkerem, E; Ay, S; Çiftçi, AY; Ustgorul, S; Goker, A
    Aims and objectives To determine awareness, use and attitudes of Turkish women towards prenatal screening tests (PST) for Down syndrome (DS). Background The technology of screening and diagnosing congenital diseases and abnormalities of foetuses has rapidly developed in the past few decades and prenatal screening for DS in early pregnancy is a valued component representing a cost-effective public health intervention in modern developed countries. Design Cross-sectional and descriptive study. Methods The study was carried out in 518 women in the early postpartum period at the Maternity and Children's Hospital between 1 September 2010 and 1 March 2011 using a questionnaire developed by the researchers. Results Awareness about the first- and second-trimester PST [nuchal translucency (NT), triple test] was 21 center dot 6 and 59 center dot 7%, whereas use of them was 13 center dot 7 and 44 center dot 8%, respectively. Women who had lower education, were unemployed, had a patriarchal family type, had a low income status, were unmarried, had consanguineous marriage and did not have a private doctor were less aware and had less use of NT and/or triple test. Women who did not have a genetic disease in their family, were multiparous, had an unplanned pregnancy and did not receive antenatal care were less aware and had less use of the triple test. In case, the foetus was diagnosed as DS, women made the following decisions: continuing the pregnancy, terminating the pregnancy, leaving the decision to the doctor and being not sure 34 center dot 9, 12 center dot 0, 29 center dot 9 and 23 center dot 2%, respectively. Conclusion Women's knowledge about and attitudes towards PST are important. This study shows that Turkish women have limited knowledge about and use of PST. Therefore, health professionals play a significant role in improving patients' information about PST. They should dedicate more time to discussions with women, provide appropriate and understandable information tailored to women's socio-economical level and should emphasise the indications, purposes and limitations of PST. Relevance to clinical practice Discovering women's opinions and knowledge about PST will help healthcare providers determine their information needs.
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    Domestic violence during pregnancy in turkey and responsibility of prenatal healthcare providers
    Yanikkerem, E; Karadas, G; Adigüzel, B; Sevil, Ü
    The purpose of this study was to estimate prevalence and risk groups of domestic violence during pregnancy in Manisa, Turkey, and to determine antenatal complications or health problems and health service use. This study was a population-based, cross-sectional, and household survey. The study universe included two primary health units situated in two different socioeconomic areas (rural and urban) in the city of Manisa, Turkey, from January to June 2004; the homes of 246 women were visited and the study sample included 217 women. A questionnaire was used that comprised sociodemographic and reproductive characteristics, and the Domestic Violence Against Women Determination Scale, developed by Yanikkerem in 2002 to measure the frequencies of type and severity of violence. The Statistical Package for the Social Sciences (SPSS, version 10.0 for Windows) was used to analyze the data. Student t test and Mann-Whitney U test were used to evaluate data. Results indicated that 9.7% of women were beaten by their partner during the pregnancy (17.3% in the rural area and 2.7% in the urban area) and 14.3% of women were beaten before pregnancy. A total of 10.6% of women said they had been slapped, 9.1% reported an object was thrown at them by their partner, and 6.5% admitted to having been kicked during pregnancy. A total of 36.4% of women reported experiencing forced sexual activity. Abused pregnant women were less educated, had lower income, were unmarried, were multiparous, had more children, had a longer duration of marriage, lived rural areas, were more likely to have unplanned pregnancies, had miscarriage, had an interpregnancy interval of 2 years or less, smoked more cigarettes, did not visit a health institution for control during pregnancy, and did not know the sex or knew the fetus was female when compared with nonabused women. Abused women who live with various problems during pregnancy and are victims of violence tend to feet isolated, insecure, and depressed. Our results indicate that most pregnant women do not report that their prenatal care providers discussed violence with them. Healthcare provides have an important role in this issue. Antenatal care protocols should be modified to address domestic violence and contributing factors. during pregnancy so that identified women can be counseled appropriately and attempts can be made to intervene to prevent further episodes of domestic violence in primary care settings.
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    Antenatal depression: Prevalence and risk factors in a hospital based Turkish sample
    Yanikkerem, E; Ay, S; Mutlu, S; Goker, A
    Objective: To assess the prevalence and associated risk factors for antenatal depression. Methods: From April to September 2011, a total of 651 pregnant women who had no chronic diseases, were at low risk for obstetric complications and who had no diagnosed depression before pregnancy were recruited for interview at Merkez Efendi Hospital, Maternal and Child out-patient department in western Turkey. The evaluation of depression was scored according to the Beck Depression Inventory. Statistical analysis was carried out using Chi-square, Fisher exact, t test and stepwise multiple regression analyses. Result: Of the total, 71 (10.9%) women scored >= 17 on the inventory. Low level of education, unplanned pregnancy, lack of social support and pregnancy-related physical symptoms were found to be the most important risk factors for antenatal depression. Conclusion: Early identification and treatment of antenatal depression may improve pregnancy outcomes, and healthcare providers need to be sensitive to the risk factors for depression and strengthen the women's skills in coping with stress to improve their emotional health.
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    Evaluation of quality of life in primiparae women with striae gravidarum: A cross-sectional study
    Gencoglan, G; Goker, A; Yildirim, Y; Yanikkerem, E; Ermertcan, A
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    The factors affecting self-esteem, depression and body image of pregnant women in a state hospital in Turkey
    Cevik, E; Yanikkerem, E
    Objective: To determine the factors affecting self-esteem, depression and body image of pregnant women at gestational age >= 28 weeks. Methods: The cross-sectional study was conducted at Ataturk State Hospital, Balikesir, Turkey from April to October 2016, and comprised pregnant women presenting to the Obstetrics and Gynaecology Outpatient Clinic. Data was collected using a questionnaire demographic characteristics, Body Image Scale, Beck Depression Inventory and Rosenberg Self Esteem Scale. Data was analysed using SPSS 22. Results: Of the 385 women approached, 362(94.0%) participated. Their mean age was 26.0 +/- 5.1 years. Those having graduated from a university and those who were employed had high self-esteem (p<0.05). Women whose husbands were unemployed, who had low family income and got married unwillingly, had low self-esteem and high depressive symptoms (p<0.05). In women whose husbands displayed negative attitudes towards their gaining weight during pregnancy, there was a negative relationship between depression and self-esteem scores (p<0.05), a positive correlation between self-esteem and body image scores (p<0.05), and a negative correlation between their body image and depression scores (p<0.05). Conclusion: Identification of the factors affecting women's perception of self-esteem, body image and possible depressive symptoms are important for the wellbeing of women and their family.
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    Planned and unplanned pregnancy: Effects on health practice and depression during pregnancy
    Yanikkerem, E; Ay, S; Piro, N
    Aim: The aim of the study was to explore the prevalence and characteristics of women with unplanned pregnancy (UP) and to examine the associations between pregnancy planning status and women's health practice and depression during pregnancy in Manisa, Turkey. Material and Methods: The study was conducted with pregnant women (n = 550) who attended a state hospital for antenatal care in Manisa, Turkey. Health practices of women during pregnancy were assessed with the Health Practices Questionnaire (HPQ II) and depression was measured by the Beck Depression Inventory (BDI). Results: Of the 550 pregnancies, 149 (27.1%) were unplanned. Women whose pregnancies were planned were likely to be younger, more educated, employed, to perceive more social support and to be more satisfied in marriage life than women whose pregnancies were unplanned. The number of pregnancies, births and children was higher in women whose pregnancies were unplanned. Women with UP had significantly lower HPQ scores (mean 118.4, SD = 13.5) than women with planned pregnancies (mean 124.0, SD = 14.1). Women with UP also had a significantly higher score for BDI (mean 10.3, SD 6.9 vs mean 8.1, SD 5.8). Conclusions: Women with UP had engaged in fewer healthy practices and experienced more depressive symptoms during pregnancy. Health-care providers should screen for UP at an early stage and offer health education programs to help women to develop positive health practices and to improve their emotional health.
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    The effect of infertility-related distress and marital adjustment on sexual dysfunction in women: a mixed methods study
    Yanikkerem, E; Topsakal,Ö; Kusçu, NK; Göker, A; Uyar, Y
    To investigate the effects of infertility-related distress and marital adjustment on sexual dysfunction. The research was carried out in two stages using a mixed method, both quantitatively with 242 and qualitatively with 12 infertile women. Characteristics of women questionnaire, the Infertility Distress Scale, Marital Adjustment Test, Female Sexual Function Index, and semi-structured interview form were used for data collection. The study found that smoking, husband's unemployment, and duration of wanting children led to an increase in infertility stress and decrease in marital harmony. Likewise, infertility treatment history, spouse's unemployment, paying all treatment expenses personally, and concerns about adoption were found to affect sexual functions. In this study, women's sexual functions were positively related to marital adjustment and negatively related to infertility stress. Qualitative data analysis identified four main themes: the implications of infertility, infertility on treatment, infertility on marriage, and infertility on sexuality. Women reported that their sex life suffered during diagnosis and treatment, with intercourse becoming a duty solely for conception, making them feel like robots. Health care providers should recognize the factors affecting women's sexual lives in infertility clinics.
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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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    Effects of low back massage on perceived birth pain and satisfaction
    Erdogan, SU; Yanikkerem, E; Goker, A
    Aim: The aim of the study was to evaluate the effect of low back massage on perceived birth pain and delivery. Method: This study was designed as a study-control experimental type. The study sample consisted of 62 pregnant women (massage group = 31, control group = 31). Massage was applied to the study group in three phases during intrapartum period. The massages were done at the end of latent, active and transition phases (at cervical dilatation 3-4 cm, 5-7 cm, 8-10 cm) correspondingly. The VAS scores were evaluated three times during all phases. Results: The first mean VAS score was 5.2 +/- 0.9 and 7.3 +/- 1.3 for massage and control groups, respectively. Second VAS score was found as 6.6 +/- 1.6 in massage group and 8.8 +/- 1.0 in control group. The third VAS score was significantly higher in the control group than massage group during third evaluation (9.2 +/- 2.4 vs 6.7 +/- 2.7) (p < 0.05). The mean duration of second stage was 24.6 +/- 12.7 min in massage group and 31.7 +/- 20.9 min in control group (p > 0.05). The mean scores of satisfaction about delivery were found as 8.8 +/- 0.7 in massage group and 6.9 +/- 0.8 in control group (p < 0.05). Conclusion: It was determined in the study that lower back massage has a significant impact on reducing labor pain and increasing the satisfaction with birth. Health professionals, who work in the delivery unit, can use massage intervention for decreasing pain, shortening delivery time and increasing satisfaction with birth experience. (C) 2017 Elsevier Ltd. All rights reserved.
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    Assessing the Role of Education on Turkish University Students' Knowledge about HPV and Related Diseases
    Yanikkerem, E; Piyan, G; Kavlak, T; Karadeniz, G
    Background: Human papillomavirus (HPV) is one of the most common sexually transmitted causes of infections and adolescents are at high risk. The aim of the study was to evaluate university students' HPV knowledge before and after educational intervention on HPV. Methods: This study was undertaken in the Celal Bayar University, Manisa, Turkey. A total of 553 university students were educated about HPV and related diseases. Pre-test was administered before education intervention, and then university students' knowledge was evaluated by using post-test. Paired sample t test was used to evaluate differences between pre-test and post-test answers. Results: The mean pre-test score for HPV knowledge was 11.6 (SD 1.76, range 10-20). After education, the mean post-test score was 18.8 (SD 1.52, range 11-20) (p<0.001). Conclusion: Information campaigns and education specifically targeting university students are needed in the near future, to promote greater and more adequate knowledge of HPV and related diseases in the general population.
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