Sağlık Bilimleri Fakültesi

Abortusun Kadın Ruh Sağlığı Üzerindeki Etkileri

2022-01-28T13:48:57Z

Abortusun Kadın Ruh Sağlığı Üzerindeki Etkileri Şen Tepe, Çiğdem Abortus, dünyada yaygın görülen kadın sağlığı sorunlarından biridir. Gebelik döneminde yaşanan çeşitli komplikasyonlar sonucunda abortus gelişebilir. Yaşanan abortus, kadının yaşamında fiziksel ve psikolojik sorunları beraberinde getirmektedir. Bebeğin kaybı ile gebeliğinin başarısız olduğunu düşünen kadın, travma, öfke, korku, kızgınlık, suçluluk, yas, anksiyete gibi duygular yaşamaktadır. Bu dönemde, kadının fizyolojik ihtiyaçları göz önüne alınırken psikolojik ihtiyaçları sıklıkla göz ardı edilmektedir. Abortus yaşayan kadınların ruh sağlığı açısından risk altında olduğu, yas süreci ile anksiyete ve depresyon belirtilerini yoğun yaşadığı görülmektedir. Kayıp sonrasında yas yaşanması doğal bir süreçtir ancak bu süreç patolojik de seyredebilir. Uzamış yas sonrası depresyon, anksiyete atakları gibi psikolojik reaksiyonlar da görülebilir. Bu durum müdahale edilmediğinde kadınların yaşam kalitesini etkileyebilir. Kadınların yaşadığı bu durum, bir sonraki gebeliğinde ruh sağlığı açısından risk oluşturabilir. Daha önceki gebeliği abortus ile sonuçlanmış kadınların, gebeliğinde depresyon ve anksiyete gibi psikiyatrik rahatsızlıklarla karşılaşma oranını artırabilir. Kadının bu süreci ruh sağlığı açısından da sağlıklı atlatabilmesi adına hemşireler tarafından uygun danışmanlık ve destek hizmeti verilmesi önemlidir. Hemşire, kayıp yaşayan kadını fiziksel ve psikolojik travmalara karşı korumak için onunla iletişimi sürdürmeli ve takipçisi olmalıdır. Bu makalede, abortus sonrası yaşanan yas, anksiyete, depresyon süreci ve hemşirelik yaklaşımı hakkında bilgilere yer verilmiştir.

The validity and reliability of Pictorial Pediatric Symptom Checklist in children of 4-5 ages

2020-03-13T07:05:05Z

The validity and reliability of Pictorial Pediatric Symptom Checklist in children of 4-5 ages Öner, Özge; Semra Karaca; Sengul Cangur Objective: The objective of this study is to carry out the validity and reliability of Pictorial Pediatric Symptom Checklist (PPSC), in preschool children of 4-5 ages. Methods: This methodological study was carried out by permission of ethics committee from Marmara University Institute of Health Sciences Ethics Committee and permission of Duzce Provincial National Education Directorate. The population of the study consists of 1.512 parents with children of 4-5 ages studying in 26 preschool education institutions in Duzce. The sample of the study is composed of 759 parents who accept to participate in the study and meet the admission criteria. MINRES Factor Analysis and Confirmatory Factor Analysis (CFA) were used to identify and support of the validity of PPSC. The Cronbach's alpha internal consistency, test-retest and Spearman-Brown reliability coefficients were calculated in order to assess the reliability of the checklist. Findings: It was observed that the dataset of the checklist meet multivariate normal distribution and multicollinearity assumptions. According to Cronbach's alpha internal consistency and test-retest validity coefficients, the overall reliability of the checklist is at an acceptable level. As a result of factor analysis, the construct validity of PPSC with five-factor structure was investigated with CFA. Although the suggested model was not considered as meaningful (chi(2)=460.02, df=365, p=0.001), the model has a good fit because it is RMSEA<0.05 and chi(2)/df<2, when other model fit indexes were analyzed. The model has an acceptable fit as indexes SRMR<0.07, CFI, NFI, GFI, and AGFI are close to the values 0.90 or 0.95. Conclusion: The findings show that the PPSC is a valid and reliable screening tool offering the opportunity of identifying psychosocial and behavioral problems in preschool children.

Domestic violence and woman's reproductive health: a review of the literature

2020-03-13T07:05:42Z

Domestic violence and woman's reproductive health: a review of the literature Aygul Akyuz; Tulay Yavan; Gonul Sahiner; Kurt, Gönül; Ayse Kilic This paper outlines the current literature on the effect of violence on women's reproductive health. Domestic violence is considered worldwide to be a social health problem which particularly affects women. It is generally categorized in five groups as physical, sexual, verbal, economic, and emotional violence. Domestic violence against women also includes sterilization and abortion by force, forcing women to use contraceptives against their will, or withholding contraceptives from those who wish to use them, genital mutilation, killing female children, and choosing gender in the prenatal period. A woman infected with a sexually transmitted disease by her partner or husband, and having a partner or husband having sexual intercourse with another woman also falls within the sexual violence parameters. Domestic violence has significant effects on both the general and reproductive health of the women, and may cause serious complications and may end with death. The studies show that women exposed to violence have worse health conditions and benefit less from health services than others. Therefore, health care personnel have important responsibilities to define domestic violence and intervene when necessary. These personnel must also be educated in matters of domestic violence, effective policy and protocols must be put in place. And, very importantly, health personnel must be supported by their managers when they try to deal with matters relating to domestic violence. (C) 2012 Elsevier Ltd. All rights reserved.

Effect of Reflexology to Depressive Symptoms in Women With Overactive Bladder

2020-03-13T07:07:49Z

Effect of Reflexology to Depressive Symptoms in Women With Overactive Bladder Aydın, Yasemin; Ergul Aslan; Onay Yalcin Overactive bladder (OAB) is a chronic disease that has negative effects on quality of life, especially when seen alongside urinary incontinence. In society-based studies, the prevalence of OAB in women was found to be between 9.7% and 35.7%. Overactive bladder syndrome, which is seen in women more often than in men, is seen more with progressing age and affects all age groups.1,2 Many studies have determined that because of OAB complaints women experience a decrease in selfconfidence, social isolation, and a feeling that they are different from others in the society, limited social and physical life, and negative effects on social interactions, professional life, psychological wellbeing, and sexual life.3,4,5 In addition, women can experience a fear of smelling bad because of urinary incontinence, feelings of inadequacy and dirtiness, ailment, stigmatization, distorted body image, guilt, denial, anxiety, and depression, and may exhibit emotional reactions.4,6,7 For these reasons, efforts to form alternative treatment