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Öğe Effects of Intradermal Sterile Water Injections in Women with Low Back Pain in Labor: A Randomized, Controlled, Clinical Trial(Balkan Medical Journal, 2018) Genc Koyucu, Refika; Demirci, Nurdan; Ender Yumru, Ayşe; Salman, Süleyman; Tahsin Ayanoglu, Yavuz; Tosun, Yildiz; Tayfun, CihangirBackground: In addition to the pain caused byuterine contractions during labour, continuous and severe back pain is observed in 33% of women. Several pharmacological and nonpharmacological methods are available for managing this pain. Sterile water injection is considered as alternative method for nonpharmacological pain management. Aims: To assess the satisfaction level and effectiveness of sterile water injection for back pain among women in labour. Study Design: Randomized controlled trial. Methods: A total of 168 term, healthy women with labour pain and severe back pain were randomized into the sterile water injection (study) and dry injection (placebo) groups. Injections were applied to the rhombus of Michaelis in the sacral area. Pain scores were assessed at 10, 30, 60, 120, and 180 min using a visual analogue scale. Additionally, the need for epidural analgesia, Apgar score, mode of delivery, time of delivery, maternal satisfaction, and breastfeeding score were assessed. Results: The mean back pain scores at 30 min after injections were significantly lower in the study group (study group: 31.66±11.38; placebo: 75±18.26, pÖğe Effects of pushing techniques during the second stage of labor: A randomized controlled trial(Elsevier Taiwan, 2017) Koyucu, Refika Genc; Demirci, NurdanObjective: Spontaneous pushing is a method that is used in the management of the second stage of labor and suggested to be more physiological for the mother and infant. The present study aims to evaluate the effects of pushing techniques on the mother and newborn. Materials and methods: This randomized prospective study was performed between June 2013 March 2014 in a tertiary maternity clinic in Istanbul. 80 low risk, nulliparous cases were randomized to pushing groups. Valsalva pushing group was told to hold their breath while pushing. No visual-verbal instructions were given to spontaneous pushing group and they were encouraged to push without preventing respiration. Demographic data, second stage period, perineal laceration rates, fetal heart rate patterns, presence of meconium stained amniotic liquid, newborn APGAR scores, POP-Q examination and Q-tip test results were evaluated in these cases. Results: The second stage of labor was significantly longer with spontaneous pushing. Decrease in Hb levels in valsalva pushing group was determined to be higher than spontaneous pushing group. An increased urethral mobility was observed in valsalva pushing group. Conclusions: Although the duration of the second stage of labor was longer compared to valsalva pushing technique, women were able to give birth without requiring any verbal or visual instruction, without exceeding the limit value of two hours and without affecting fetal wellness and neonatal results. (C) 2017 Taiwan Association of Obstetrics & Gynecology. Publishing services by Elsevier B.V.Öğe The effect of virtual reality glasses applied during intrauterine device insertion on pain, anxiety and satisfaction: Randomized controlled study(Sage Publications Ltd, 2024) Oz, Tugba; Demirci, NurdanBackground and aim This study was carried out to determine the effect of the use of virtual reality glasses, on anxiety, pain, and satisfaction level in order to reduce anxiety and pain during intrauterine device (IUD) insertion, which is a painful and stressful procedure for women and to divert attention to increase satisfaction.Methods This randomized controlled study in the gynecology clinic of a state hospital with 80 women who were accepted to participate in the study. Data were collected using structured patient information form, numerical pain rating scale, state-trait anxiety inventory, patient satisfaction evaluation form, and virtual reality glasses.Results Post-procedural pain scores in the control group after IUD application were higher than post-procedural pain in the virtual reality group. Measurements of post-procedure anxiety in the control group were higher than measurements of post-procedural in the virtual reality group. Satisfaction levels of women with virtual reality glasses during IUD insertion were also found to be high.Conclusions It was determined that the use of virtual reality glasses, one of the methods of distraction during IUD insertion, was effective in reducing pain and anxiety and increasing patient satisfaction.Öğe The Effect of Virtual Reality, Music Therapy, and Stress Ball Application on Pain and Anxiety During Outpatient Gynecological Procedures: A Randomized Controlled Trial(Elsevier Science Inc, 2024) Oz, Tugba; Demirci, NurdanPurpose: The aim of this study was to determine the effect of virtual reality, music therapy, and stress ball applications, which are methods of distraction, on pain, anxiety, and patient satisfaction during outpatient gynecological procedures. Design: This study was a randomized controlled trial with control and intervention groups, pre-test and post-test. Methods: The study was conducted with 200 women who underwent gynecological surgical procedures without sedation in a state hospital on the European side of Istanbul between October 2022 and March 2023. There were four groups in the study: Virtual Reality (n = 50), Music Therapy (n = 50), Stress Ball (n = 50), and Control group (n = 50). Data were collected using a Descriptive Information Form, Visual Analog Scale, State-Trait Anxiety Inventory, Life Information Follow-up Form, and Patient Satisfaction Evaluation Form. The scales were completed separately by the investigator before the procedure, 10 minutes after the procedure, and 1 hour after the procedure. Findings: A statistically significant difference between the intervention groups and control groups of women who underwent a gynecological procedure at the 10th minute after the procedure (P=.000) and at the 1st hour after the procedure (P=.000) was significant. State-Trait Anxiety Inventory of women by groups decreased after the procedure and showed a statistically significant difference (P =.000). Satisfaction scores of the women with the intervention according to the groups also showed a significant difference (P =.000). When the satisfaction scores of the women with the intervention were compared by groups, the satisfaction scores ranged from the highest to the lowest, as virtual reality, music therapy, and stress ball application, respectively. Conclusions: Virtual reality, music therapy, and stress ball applications, which are methods of distraction during the outpatient gynecological procedure, were effective in reducing anxiety and pain and increasing patient satisfaction. (c) 2024 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.Öğe VALIDITY AND RELIABILITY OF THE TURKISH VERSION OF THE SELF-CARE ACTIVITIES SCREENING SCALE DURING COVID-19 LOCKDOWN(Dokuz Eylul Univ Inst Health Sciences, 2024) Tarus, Hamide Arslan; Yalazi, Rueveyda Olmez; Oz, Tugba; Demirci, NurdanPurpose: The aim of this study was to adapt the Self -Care Activities Screening Scale in Turkish and to determine its validity and reliability. Material and Methods: The sample of this methodological study conducted during Covid-19 lockdown consists of 140 individuals. For the adaptation of the Self -Care Activities Screening Scale in Turkish, it was translated into Turkish and culturally adapted. Then, the psychometric properties of the scale were evaluated by exploratory factor analysis and confirmatory factor analysis. Results: The Self -Care Activities Screening Scale consists of 14 items and four dimensions. The fit indices were found to be satisfactory in the confirmatory factor analysis. The intraclass correlation coefficient of the test -retest reliability was 0.81 and the Cronbach's alpha coefficient was 0.85. Conclusion: The Turkish version of the Self -Care Activities Screening Scale is a valid and reliable tool that can be used to screen self -care activities in the general population.
