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OBJECTIVE: This study aims to examine the relationship between human papillomavirus (HPV) testing attitudes and beliefs, knowledge, and vaccination attitudes. DESIGN: This study was a cross-sectional design. SAMPLE: This study was conducted between March 15, 2024, and June 2, 2024, through social media platforms such as Facebook, Instagram, Twitter, and Telegram, by sharing on forum pages, and involved 674 women who volunteered to participate. MEASUREMENTS: The research data were collected using the "health belief model scale regarding HPV infection and vaccination (HBMS-HPVV)" and the "HPV Testing Attitudes and Beliefs Scale (HTABS)," which were developed by the researchers through a literature review. RESULTS: The average age of the women participating in the study was 46.59 ± 11.15 years; 81.5% were married, 57.6% had no knowledge about cervical cancer, and 62.2% had no knowledge about the HPV vaccine, a protective vaccine against cervical cancer. The average scores for the subdimensions of severity, barriers, benefits, and susceptibility of the HBMS-HPVV were 3.19 ± 0.60, 2.96 ± 1.22, 2.29 ± 1.40, and 3.92 ± 0.49, respectively. The average scores for the subdimensions of personal barriers, social norms, confidence, and worries of the HTABS were 31.14 ± 19.27, 7.57 ± 4.47, 30.03 ± 7.18, and 11.91 ± 2.52, respectively. A statistically significant positive relationship was found between all HBMS-HPVV subdimensions and the HTABS subdimensions (p < 0.001). CONCLUSION: The study found that as the perceived severity increases, the perceived benefits, susceptibility, and confidence increase, while the perceived barriers, personal barriers, social norms, and worries decrease. Based on these results, it is recommended that women's health nurses provide education and seminars to raise awareness about cervical cancer, early screening and diagnosis programs, and the HPV vaccine.
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BACKGROUND: Spousal support during pregnancy reduces the anxiety and stress of the pregnant women and increases the ability to cope with the problems experienced by the pregnant women. The study aimed to examine the effect of perceived spousal support on childbirth self-efficacy on pregnant women in Turkey. METHODS: This cross-sectional exploratory study was conducted on 524 pregnant women who volunteered to participate in the research by approving the shared online survey and distributed by sharing the online questionnaire created by the researchers on social media (such as Facebook and Instagram) forums or group pages between 20 June and 27 July 2022. Data were collected with an e-questionnaire including The Information Form prepared by examining the literature from the pregnant women who volunteered to participate, the Spouse Support Scale measures the perceived spousal support level and consists of 27 questions, and the Childbirth Self-Efficacy Scale measures women's self-confidence in childbirth and their ability to cope and consists of 32 questions in the study. RESULTS: The mean age of the pregnant women was 29.99 (5.62) and the mean week of gestation was 25.93 (7.72). It was determined that 11.5% of the pregnant women were related to their spouses, 78.2% were married voluntarily, 86.5% had knowledge about birth, and 74.6% had a planned pregnancy. The Spouse Support Scale (SSS) total score average was 66.06 (19.82), the emotional support sub-dimension mean score of SSS was 22.03 (6.63), the material support and information support sub-dimension mean score was 17.17 (5.12), appreciation support sub-dimension mean score was 19.52 (5.90) and social interest support sub-dimension mean score was 21.98 (10.18), while the total mean score of the Childbirth Self Efficacy Scale (CBSES) was 234.20 (108.14), CBSES's result expectation sub-dimension mean score was 116.98 (54.13), and proficiency expectation sub-dimension mean score was 117.22 (54.07). A statistically significant correlation was found between the total and sub-dimension mean scores of CBSES and the mean scores of the total and sub-dimension SSS in pregnant women (p < .001). CONCLUSION: It was determined that perceived spousal support has an effect on birth self-efficacy in pregnant women in Turkey. Obstetrics nurses and midwives should support the spousal support and birth self-efficacy of pregnant women during pregnancy follow-up and delivery.
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Gestantes , Autoeficácia , Feminino , Gravidez , Humanos , Lactente , Gestantes/psicologia , Estudos Transversais , Parto/psicologia , Ansiedade/psicologia , Inquéritos e QuestionáriosRESUMO
The aim of this study was to investigate the effectiveness of pelvic floor muscle training and abdominal training in women with stress urinary incontinence. The study included 64 female patients (aged 18 to 49 years) with stress urinary incontinence. Patients were randomly allocated into the pelvic floor muscle training (PFMT) or pelvic floor muscle plus abdominal training (PFMT+AT) groups. Clinical data included stress test results, pelvic floor activity measurements, and Urinary Distress Inventory, and Incontinence Impact Questionnaire responses. The increase in the pelvic floor muscle activity (from the 0th to the 4th week, from the 4th to the 8th week, and from the 0th to the 8th week) was significantly greater for the PFMT+AT group than for the PFMT group (p < 0.05). The negativity rate of the stress test at the 4th week was significantly higher for the PFMT+AT group (93.7%) than for the PFMT group (53.1%) (p < 0.001). Women with stress urinary incontinence benefit more from pelvic floor muscle training plus abdominal training than from pelvic floor muscle training alone in terms of increasing their pelvic floor muscle activity and quality of life, and they also experience an earlier recovery.
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Incontinência Urinária por Estresse , Incontinência Urinária , Terapia por Exercício , Feminino , Humanos , Diafragma da Pelve , Qualidade de Vida , Resultado do Tratamento , Incontinência Urinária por Estresse/terapiaRESUMO
BACKGROUND: Nurses working in the intensive care units (ICU) regarding the work-index-nursing work environment, the effect level ICU environment has on the nurses' care behaviors and stress levels of the nurses should be determined. OBJECTIVE: The study aimed to investigate the effect of the nurse manpower on care behaviours and stress level of the nurses working in the ICU. METHODS: This was a cross-sectional and correlational study. The sample of the study consisted of 123 nurses working in the ICUs. The data were collected using the survey form, Distress Thermometer (DT), The Practice Work Environment Scale of the Nursing Work Index (PES-NWI), and Caring Behaviors Scale-24 (CBS-24). RESULTS: The mean age of nurses in the ICU was 30.2±5.6 and the mean of working time in the intensive care unit of nurses in the ICU was 3.7±3.1 years. The mean of the DT was 4.8±3.4, and the mean score of PES-NWI was 2.6±1.0 and the mean score of CBS-24 was 4.7±1.1 in nurses in the ICU. The regression model which was studied to investigate the relationship between caring behaviors and stress and nurse manpower of nurses working in intensive care unit was significant. CONCLUSION: Care behaviors and stress levels of nurses working in intensive care units are negatively affected by insufficient nurse manpower.
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BACKGROUND: Postpartum blues/postpartum maternal blues is a psychological disorder experienced by mothers with symptoms of postpartum sadness, easy crying, easy anxiety, sensitivity, indecisiveness. The study aimed to examine the effect of music played on newly delivered mothers on postpartum blues. METHODS: A prospective, two-arm, randomized controlled study was conducted on n = 82 (41 = control, 41 = music group) mothers who gave birth at term in Trakya University Health Research and Application Center Maternity Service between May and December 2023. The research data were collected through the Personal Information Form, Stein Blues Scale (SBS), and Edinburgh Postpartum Depression Scale (EPDS). The scales used in the study were evaluated four times: postoperative 0-3 h, 12th, 24th, and 36th hours. RESULTS: The postoperative 0-3 h SBS test median of the new mothers in the music group was 19.00, and the 36th hours test median was 2.00, while the postoperative 0-3 h SBS test median of the control group was 21.00, and the 36th hour test median was 13.00. The postoperative 0-3 h EPDS test median of the new mothers in the music group was 22.00, and the 36th hours test median was 0.00, while the postoperative 0-3 h EPDS test median of the control group was 26.00, and the 36th hours test median was 10.00. A significant difference was found in the 12th, 24th, and 36th hours (p < .001). A statistically significant high positive correlation was found between EPDS and SBS in the 12th, 24th, and 36th hours (p < .001). CONCLUSIONS: In the study, it was found that music played to newly delivered mothers reduced postpartum blues and depression levels. REGISTRATION: The submission date for a clinical trial protocol is prior to completing participant recruitment and for a systematic review, prior to completing full paper screening. NCT06252155.
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Depressão Pós-Parto , Mães , Musicoterapia , Humanos , Feminino , Adulto , Musicoterapia/métodos , Mães/psicologia , Música/psicologiaRESUMO
BACKGROUND: Pregnant women turn to holistic complementary and alternative medicine to cope with problems associated with the changes they experience during pregnancy. This study aimed to determine the attitudes of pregnant women in Türkiye toward holistic complementary and alternative medicine and influencing factors. METHODS: This cross-sectional exploratory study was carried out between June and November 2022 with a web-based questionnaire distributed via social media and communication platforms. Two hundred and twenty-one pregnant women participated in the study. A "Participant Identification Form" and the "Attitudes towards Holistic Complementary and Alternative Medicine Questionnaire" were used to collect the data. Logistic regression analysis was used to determine correlations between variables and scale scores. RESULTS: It was determined that 84.2% of the participants had knowledge about traditional and complementary therapies, and 77.8% used traditional and complementary therapies. The participants reported that they preferred faith (77.4%), energy healing (76.9%), massage (75.6%), diet (74.2%), meditation/yoga (62.0%), and herbal (59.7%) traditional and complementary therapies the most, and most of them used these methods to reduce nausea, vomiting, edema, and fatigue during pregnancy. The mean Attitudes towards Holistic Complementary and Alternative Medicine Questionnaire score of the participants was 35.0 (5.04). It was seen that having high school or higher education (p < 0.05), having an income more than expenses (p < 0.001), having received advice from nurses when having a complaint (p < 0.001), having knowledge about traditional and complementary therapies (p < 0.001), and being a practitioner who received services of traditional and complementary therapies (p < 0.001) were positively associated with the utilization of traditional and complementary therapies. CONCLUSION: In this study, it was determined that the attitudes of pregnant women towards holistic complementary and alternative medicine were high. Their personal characteristics, as well as their knowledge and practice of holistic complementary and alternative medicine affected their attitudes towards holistic complementary and alternative medicine. Obstetrics nurses/midwives should actively participate in training programs on traditional and complementary therapies focused on pregnant women.
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Terapias Complementares , Gestantes , Humanos , Feminino , Gravidez , Estudos Transversais , Conhecimentos, Atitudes e Prática em Saúde , InternetRESUMO
BACKGROUND: The COVID-19 pandemic has changed working women's workplace and family workload. The changing workplace-family workload may cause a decrease in work-family conflict management self-efficacy. The decrease in work-family conflict management self-efficacy in women may increase their depression, anxiety, and stress levels. OBJECTIVE: This study aimed to examine the relationship between Turkish women's self-efficacy for managing work-family conflict and their depression, anxiety, and stress during the COVID-19 pandemic. METHOD: This cross-sectional study was conducted with 244 Turkish women via social media (Facebook, Instagram, and WhatsApp). The data were collected online through a questionnaire, the Depression Anxiety Stress Scale-21 (DASS-21), and sub-scales of the Self-Efficacy for Managing Work-Family Conflict Scale (SE-WFC): Work-to-Family Conflict (WFC) and Family-to-Work Conflict (FWC). RESULTS: During the COVID-19 pandemic, 87.3% of working women experienced an increase in their family workload (100% increase in cooking and cleaning jobs). On the other hand, workplace workload of 83% of women increased. According to DASS-21, women experienced depression (55.7%), anxiety (49.6%) and stress (63.1%). A negative correlation was found between the mean scores of WFC/FWC and the mean scores of depression, anxiety, and stress. (pâ<â0.001). CONCLUSION: During the COVID-19 pandemic, Turkish women's self-efficacy for managing work-family and family-work conflict decreased, and their depression, anxiety, and stress levels increased.
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COVID-19 , Conflito Familiar , Feminino , Humanos , Estudos Transversais , Autoeficácia , Depressão/etiologia , Pandemias , COVID-19/epidemiologia , Ansiedade , Inquéritos e Questionários , Internet , Estresse Psicológico/etiologiaRESUMO
PURPOSE: This study aimed to assess the prevalence of anxiety and depression and related factors in pregnant women during the coronavirus disease 2019 (COVID-19) pandemic. DESIGN AND METHODS: This cross-sectional study was conducted on 403 pregnant women using a web-based survey. The hospital anxiety and depression scale was used to measure anxiety and depression. FINDINGS: The prevalence of anxiety and depression was 64.5% and 56.3%, respectively. Working status, physical activity status, discomfort with hospital visits, having information about COVID-19, and being informed by healthcare workers about COVID-19 were factors related to anxiety (p < .05). Education level, physical activity status, discomfort with hospital visits, and having information about COVID-19 were factors related to depression (p < .05). PRACTICE IMPLICATIONS: The aforementioned factors should be considered for reducing anxiety and depressive symptoms during pregnancy.