Evaluating nursing students clinic stress, and coping with stress during the clinic first day of the Woman Health and Diseases Nursing clinical course

Purpose: This study aimed to explore the clinical stress levels, stress sources and coping strategies of Turkish male and female nursing students attending the Woman’s Health and Disease Nursing clinical course on the first day.Method and material: This cross-sectional study was conducted in March 2010 at a public university located in Istanbul. The study group included 98 nursing students. Data were collected from the nursing students in the study group using a self-report questionnaire, clinical stress questionnaire and Carver Coping scale. The data were analyses using percentages, chi-square analysis, the Mann-Whitney U test and Cronbach's alpha coefficients Results: Approximately half of the male students (47.6%) reported that they experienced stress since the patient group consisted of females and the majority of male students (76.2%) stated that they were subject to gender discrimination at the clinic and there was a significant difference between the male and female students. The male and female nursing students’ stress levels and Carver Coping scale total score of  on the first day of the Woman’s Health and Disease nursing clinical course was similar (p>0.05). Conclusions:  Male students experience stress because the patient group consisted of women, the majority of male students reported that they were subject to gender discrimination and gender discrimination was a source of stress for them. Female and male nursing students experienced stress in the first day of the clinical course of the Woman's Health and Diseases Nursing course, and that the stressors and coping strategies were similar across genders. In the clinical training for the Woman's Health and Diseases Nursing course lectures should be aware of possible stressors and, if necessary, should help students in positive coping

İlk gebelikte beden imajının algılanma durumunun değerlendirilmesi.

1. ÖZETAraştırma ilk kez gebelik deneyimi yaşayan kadınların beden imajını algılama durumlarını belirlemek amacıyla tanımlayıcı olarak planlanmıştır.Çalışma İstanbul ilinde bulunan Çalışma ve Sosyal Güvenlik Bakanlığına bağlı Eğitim ve Araştırma hastanesinde gerçekleştirilmiştir. Örneklem grubu rastgele yöntemle seçilen, 4 Ocak - 1 Mayıs 2002 tarihleri arasında eğitime gelen 18 yaşın üstünde olan, ilk kez gebe kalan, gebeliğinin 7. ayında olan , soruları sözel olarak yanıtlayabilecek yeterlilikte , en az ilkokul mezunu ve çalışmaya katılmayı kabul eden 100 gebe kadın oluşturmuştur. Veriler, bilgi formu ve Çok Yönlü Beden Self İlişkileri Ölçeği (MBSRQ) kullanılarak toplanılmıştır. Verilerin değerlendirilmesinde yüzdelik, ortalama, standart sapma, cronbach Alfa tutarlılık kat sayıları, pearson korelasyon testi, eşleştirilmiş "t" testi ve tek yönlü varyans analizi ( one way ANOVA ) kullanılmıştır.Gebelerin yaş aralığı 18-37 olup, yaş ortalamalarının 24.11+3.94, %55'inin ilköğrenimli, %73'ünün çalışmadığı ve vücut ağırlığı artış ortalaması13,53+4,34olduğu saptanmıştır.Çalışmamızda Çok Yönlü Beden - Self İlişkileri Ölçeği gebelik öncesi ve gebelikte uygulanarak geçerlilik ve güvenirlilik belirlenmiş, gebelik öncesi alpha değeri a:0,87 gebelikte ise a:0,83 olarak bulunmuş ve ölçek yüksek derecede güvenilir olduğu saptanmıştır (n= 100).Gebelik öncesi ve gebelikteki Çok Yönlü Beden Self İlişkileri puanları arasında istatistiksel olarak ileri derecede anlamlı bir fark saptanmıştır (t=7.846, sd=99, p0.05).SUMMARYEVALUATION OF THE BODY IMAGE PERCEPTION DURING THE FIRST PREGNANCYThis research was planned descriptively to define how women, experiencing their first pregnancy, perceive their body images. The study was performed in the Education and Research Hospital, which is a sub-division of the Ministry of Labor and Social Insurances and is located in Istanbul. The subjects of the exemplification group - 100 pregnant women total - was chosen randomly among the individuals who visited the hospital between January 4th - May 1st 2002 for educational purposes and among individuals who were older than 18, who were experiencing their first pregnancies, who were in the 7th month of pregnancy, who were at least elementary school graduates to ensure the potency to orally reply the questions and who accepted to participate. Data were gathered using the information form and Multidimensional Body-Self Relations Questionnaire (MBSRQ). In the evaluation of the data: percentage, average, standard deviation, cronbach Alpha consistency coefficients, Pearson correlation test, paired "t" test and one-way variance analysis (one-way ANOVA) were used. The age range of the subject pregnant women was 18-37, with an average age of 24.11+3.94. 55% of them were elementary school graduates, 73% of them were non-working. The mean increase in body-weight increase was 13,53+4,34. The Multidimensional Body-Self Relations Questionnaire, in our study, was applied before and during pregnancy to determine the validity and reliability. Alpha value obtained before pregnancy was a:0, 87, and a:0, 83 during pregnancy and the questionnaire was found to be highly reliable (n=100). Difference with a high level statistical significance was found between the results obtained form the Multidimensional Body-Self Relations Questionnaire before and during pregnancy (t=7.846, sd=99, p0.05)

Lokal düşük doz ısı uygulamasının dismenore üzerine etkileri

ÖZETLokal Düşük Doz Isı Uygulamasının Dismenore Üzerine EtkileriDilek COŞKUNER POTURBu araştırma, Dismenore sorunu yaşayan kız öğrencilerin ağrılarını gidermede lokal düşük doz ısı uygulamasının etkisini belirlemek amacıyla, prospektif deneysel olarak planlanmıştır. Araştırmanın evrenini İstanbul ilinde, bir kamu üniversitesinin, Eğitim ve Fen Edebiyat Fakültelerinde 2007 - 2008 Eğitim Öğretim yılı güz döneminde ikinci sınıfta öğrenim gören kız öğrenciler oluşturmuştur. Örneklem grubunu belirleyebilmek için evrendeki kız öğrencilere dismenore tanılama formu uygulanmış, kontrol grubuna 66, analjezi grubuna 61 ve ısı bandı grubuna 66 olmak üzere toplam 193 dismenore yaşayan ve çalışma kriterlerimize uyan kız öğrenciler araştırma kapsamına alınmıştır. İki menstrüel siklusu kapsayan uygulama döneminde, kontrol grubu hiçbir yöntem kullanmadan; analjezi grubu kendilerinin belirlediği bir analjezik ilacı ve ısı bandı grubu da alt abdomene iç çamaşırın altında kalacak şekilde bant uygulamıştır. Veriler, ön uygulaması yapılan, veri toplama formu, dismenore izlem formu, görsel kıyaslama ve genel konfor ölçeği ile toplanmıştır. Elde edilen veriler, yüzdelik dağılımlar, Ki-kare, Kruskal Wallis, ANOVA, Repeated ANOVA, ANCOVA, T testi ve Pearson Korelasyon Analizi ile değerlendirilmiştir. Araştırma bulgularına göre; iki menstrüel siklusta da sekiz saatlik ağrı şiddetlerinin ölçümü sonucu ısı bandı grubundaki kız öğrencilerin ağrı şiddeti açısından, analjezi ve kontrol grubuna göre istatistiksel olarak anlamlı fark belirlenmiştir ( p0.05). Araştırmamızda elde edilen bulgular doğrultusunda ısı bandı uygulamasının dismenore ağrısını azaltmada etkili olduğu belirlenmiştir. Uygulaması kolay ve noninvazif bir yöntem olan ısı bandının menstrüel ağrıyı azaltmak için hemşireler tarafından önerilebileceği sonucuna varılmıştır.Anahtar kelimeler: Ağrı şiddeti, analjezi, dismenore, ısı bandı, konfor SUMMARYThe Effects of Local Low Dose Heat Application on DysmenorrheaThe research was planned as prospective experimental to determine the effect of locally low dose heat application for fixing the pain of the females who have dysmenorrhea problem. The scope of the research was the second class female students of Faculties of Education, Science and Letters in 2007-2008 Academic Year Fall Semester in a state university in Istanbul. Female students was filled out the Dysmenorrhea Identification Form to determine the sample group and totally 193 female students who have the eligible criteria attended the research as control group, 66, analgesia group, 61, heat wrap group, 66. Control group didn’t apply any technique, analgesia group applied a some analgesic drugs and, heat wrap group applied heat wrap on lower abdomen under their underwears in application period which contains two menstrual period. Data were collected by Data Collection Form, Dysmenorrhea Monitoring Form, Visual Analog Scale and General Comfort Questionnaire. The data were examined with percentage, chi-square analysis, Kruskal Wallis, ANOVA, Repeated ANOVA, ANCOVA, T tests and Pearson correlation analysis. There were significantly statistical difference in the heat wrap group versus control group and analgesia group in term of pain severity according to results of measuring pain severity for eight hours (p0.05). According to the results of research heat wrap is an effective method to decrease dysmenorrheal pain. In conclusion, heat wrap which is easy to apply and a non-invasive method can be recommended to decrease the menstrual pain by nurses.Key words: Analgesic, comfort, dysmenorrhea, heat wrap, pain intensit

Lokal düşük doz ısı uygulamasının dismenore üzerine etkileri

Lokal Düşük Doz Isı Uygulamasının Dismenore Üzerine Etkileri Dilek COŞKUNER POTUR Bu araştırma, Dismenore sorunu yaşayan kız öğrencilerin ağrılarını gidermede lokal düşük doz ısı uygulamasının etkisini belirlemek amacıyla, prospektif deneysel olarak planlanmıştır. Araştırmanın evrenini İstanbul ilinde, bir kamu üniversitesinin, Eğitim ve Fen Edebiyat Fakültelerinde 2007 - 2008 Eğitim Öğretim yılı güz döneminde ikinci sınıfta öğrenim gören kız öğrenciler oluşturmuştur. Örneklem grubunu belirleyebilmek için evrendeki kız öğrencilere dismenore tanılama formu uygulanmış, kontrol grubuna 66, analjezi grubuna 61 ve ısı bandı grubuna 66 olmak üzere toplam 193 dismenore yaşayan ve çalışma kriterlerimize uyan kız öğrenciler araştırma kapsamına alınmıştır. İki menstrüel siklusu kapsayan uygulama döneminde, kontrol grubu hiçbir yöntem kullanmadan; analjezi grubu kendilerinin belirlediği bir analjezik ilacı ve ısı bandı grubu da alt abdomene iç çamaşırın altında kalacak şekilde bant uygulamıştır. Veriler, ön uygulaması yapılan, veri toplama formu, dismenore izlem formu, görsel kıyaslama ve genel konfor ölçeği ile toplanmıştır. Elde edilen veriler, yüzdelik dağılımlar, Ki-kare, Kruskal Wallis, ANOVA, Repeated ANOVA, ANCOVA, T testi ve Pearson Korelasyon Analizi ile değerlendirilmiştir. Araştırma bulgularına göre; iki menstrüel siklusta da sekiz saatlik ağrı şiddetlerinin ölçümü sonucu ısı bandı grubundaki kız öğrencilerin ağrı şiddeti açısından, analjezi ve kontrol grubuna göre istatistiksel olarak anlamlı fark belirlenmiştir ( p0.05). Araştırmamızda elde edilen bulgular doğrultusunda ısı bandı uygulamasının dismenore ağrısını azaltmada etkili olduğu belirlenmiştir. Uygulaması kolay ve noninvazif bir yöntem olan ısı bandının menstrüel ağrıyı azaltmak için hemşireler tarafından önerilebileceği sonucuna varılmıştır. Anahtar kelimeler: Ağrı şiddeti, analjezi, dismenore, ısı bandı, konfor SUMMARY The Effects of Local Low Dose Heat Application on Dysmenorrhea The research was planned as prospective experimental to determine the effect of locally low dose heat application for fixing the pain of the females who have dysmenorrhea problem. The scope of the research was the second class female students of Faculties of Education, Science and Letters in 2007-2008 Academic Year Fall Semester in a state university in Istanbul. Female students was filled out the Dysmenorrhea Identification Form to determine the sample group and totally 193 female students who have the eligible criteria attended the research as control group, 66, analgesia group, 61, heat wrap group, 66. Control group didn’t apply any technique, analgesia group applied a some analgesic drugs and, heat wrap group applied heat wrap on lower abdomen under their underwears in application period which contains two menstrual period. Data were collected by Data Collection Form, Dysmenorrhea Monitoring Form, Visual Analog Scale and General Comfort Questionnaire. The data were examined with percentage, chi-square analysis, Kruskal Wallis, ANOVA, Repeated ANOVA, ANCOVA, T tests and Pearson correlation analysis. There were significantly statistical difference in the heat wrap group versus control group and analgesia group in term of pain severity according to results of measuring pain severity for eight hours (p0.05). According to the results of research heat wrap is an effective method to decrease dysmenorrheal pain. In conclusion, heat wrap which is easy to apply and a non-invasive method can be recommended to decrease the menstrual pain by nurses. Key words: Analgesic, comfort, dysmenorrhea, heat wrap, pain intensit

Określenie poziomu lęku przed Covid-19 i stresu u kobiet ciężarnych przyjmowanych na położnicze oddziały ratunkowe

Background. The aim of this study was to determine the fear of Covid-19 and pregnancy distress levels experienced by pregnant women who were admitted to the obstetrics emergency service during the pandemic. Material and methods. This descriptive study was conducted using the face-to-face interview technique with 194 pregnant women who met the inclusion criteria of the study and were admitted to the Obstetrics Emergency Service of the University of Health Sciences Zeynep Kamil Gynecology and Pediatrics Training and Research Hospital in Türkiye between December 2020 and February 2021. Results. The mean age of the pregnant women included in the study was 28.37, and 51.1% of them were found to be multiparous. The mean Fear of Covid-19 Scale (FCV-19S) of the pregnant women was 19.50±6.64 and the mean Tilburg Pregnancy Distress Scale (TPDS) was 34.79±6.82. It was determined that the educational status of the pregnant women differed statistically significantly (p<0.05) according to the FCV-19S. It was found that there is a positive and strong relationship between the FCV-19S and the TPDS (r=0.216; p=0.002) and “Negative Affect” (r=0.211; p=0.003). Conclusions. During the Covid-19 pandemic period, the Covid-19 fear and distress levels of the pregnant women who were admitted to the Obstetrics Emergency Service were determined as moderate. Since the fear of Covid-19 has an effect on pregnancy distress levels, it is recommended that nurses should be aware of the distress experienced by pregnant women and be their pregnancy support.Wprowadzenie. Celem niniejszego badania było określenie lęku przed Covid-19 oraz poziomu stresu ciążowego u ciężarnych kobiet, które zostały przyjęte na położnicze oddziały ratunkowe w trakcie pandemii. Materiał i metody. Niniejsze opisowe badanie zostało przeprowadzone techniką wywiadu bezpośredniego z 194 kobietami ciężarnymi, które spełniły kryteria włączenia do badania i zostały przyjęte na położniczy oddział ratunkowy szpitala Zeynep Kamil Gynecology and Pediatrics Training and Research Hospital Uniwersytetu Nauk o Zdrowiu w Turcji w okresie od grudnia 2020 do lutego 2021 r. Wyniki. Średni wiek kobiet ciężarnych objętych badaniem wynosił 28,37 lat, z czego 51,1% okazało się być wieloródkami. Średni wynik w skali lęku przed Covid-19 (SLCV-19) u kobiet w ciąży wyniósł 19,50±6,64, a średni wynik w skali poziomu stresu u kobiet ciężarnych Tilburga (SPSKCT) wyniósł 34,79±6,82. Stwierdzono, że status edukacyjny ciężarnych różnił się w sposób istotny statystycznie (p<0,05) według SLCV-19. Zaobserwowano, że istnieje pozytywny i silny związek między wynikiem w SLCV-19 oraz w SPSKCT (r=0,216; p=0,002) a „Afektem Negatywnym” (r=0,211; p=0,003). Wnioski. W okresie pandemii Covid-19, poziom lęku przed Covid-19 i stresu u kobiet ciężarnych przyjętych na położniczy oddział ratunkowy określono jako umiarkowany. Ponieważ lęk przed Covid-19 ma wpływ na poziom stresu związanego z ciążą, zaleca się, aby pielęgniarki były świadome stresu doświadczanego przez kobiety w ciąży i stanowiły dla nich wsparcie

Psychosocial predictors of the fear of childbirth in Turkish pregnant women

Introduction Fear of childbirth (FOC) affects women’s emotional health, preparation for birth, and outcomes of birth. Identifying the predictors of FOC can aid in identifying strategies for reducing women’s FOC. Objective This descriptive, cross-sectional study was aimed at determining the psychosocial predictors of FOC in pregnant women. Methods The participants were 624 nulliparous and multiparous pregnant women in their last trimester. Data were collected using a personal information form, Wijma Delivery Expectancy/Experience Questionnaire A, Childbirth Self-Efficacy Inventory, Multidimensional Scale of Perceived Social Support, State-Trait Anxiety Inventory, and Prenatal Self-Evaluation Questionnaire. Hierarchical regression analysis was performed to determine the predictors of FOC. Results FOC was high among this study’s participants and severe for one fifth of them. The psychosocial variables predicting FOC were self-efficacy and trait anxiety level, and spousal support was found to be a mediator variable in the relationship between self-efficacy and FOC. Conclusion The findings suggest that psychosocial variables are key to predicting FOC