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    The Effect of Home-Based Telehealth and Postpartum Care Given According to Watson's Theory of Human Caring on the Improvement in the Emotional State of the Mother During the Pandemic Process: A Case Report
    (Mary Ann Liebert, Inc, 2023) Oz, Tugba; Demirel, Ozlem Bakan; Yildiz, Hatice
    Objective: The purpose of this case report was to evaluate the effect of telehealth and postpartum care provided to a mother with maternal depression according to Watson's Theory of Human Caring during the pandemic on the improvement in the mother's emotional state and to evaluate the applicability of the model.Methods: Edinburgh Postnatal Depression Scale was administered to eight women who responded to the announcement made on social media, and verbal and written permission was obtained from the mother with the highest scale score. A total of six video calls were made with the mother via WhatsApp, twice a week in the first week after postnatal discharge and once a week in the next 4 weeks, in accordance with the form drawn up according to Watson's Theory of Human Caring.Results: In this study, it was observed that home-based telehealth and postpartum care provided using Watson's Theory of Human Caring, which includes a holistic approach, was very useful, and the care provided according to the model provided a positive improvement in the emotional state of the mother with depression.Conclusions: It was concluded that telehealth and postpartum care is useful in home-based care in extraordinary situations/quarantine conditions such as pandemic; care can also be provided in the form of telehealth service according to Watson's Theory of Human Caring to mothers with depression; and care provides positive improvement in the emotional state of mothers.
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    Evaluation of education and counseling using social media tools after discharge in women who underwent episiotomy
    (Taylor & Francis Inc, 2023) Oz, Tugba; Guloglu, Zuebeyde Eksi
    In this study, it was aimed to evaluate the effects of post-discharge education and counseling using social media tools on wound healing, pain status, and care and practices for women with episiotomy. The study was conducted experimentally with 60 women (30 experimental, 30 control) who had vaginal delivery with episiotomy in a public hospital in Istanbul. Data were collected using a data entry form and evaluations on the REEDA (Redness, Edema, Ecchymosis, Discharge, Approximation) scale, VAS (Visual Analogue Scale), and Diagnostic Form for Episiotomy Care and challenges. In our study, training and counseling were given to the experimental group by making video calls via social media on the 3rd, 5th, 7th, and 14th postnatal days (PP), and the results were evaluated without any training to the control group. SPSS program was used for data analysis. There was no difference between the experimental and control groups in terms of demographic and obstetric data. It was determined that the total scores of the experimental group on the REEDA scale on the 7th postnatal day (x over bar =2.167 & PLUSMN; 0.747) were statistically significantly lower than the total scores of the control group on the REEDA scale on 7th postnatal day (x over bar =3.100 & PLUSMN; 0.923) (p = 0.000 > 0.05). It was determined that the total scores of the experimental group on REEDA scale on the 14th postnatal day (x over bar =0.200 & PLUSMN; 0.407) were also statistically significantly lower than the total scores of the control group on REEDA scale on the 14th postnatal day. (x over bar =1.333 & PLUSMN; 0.844) (p = 0.000 > 0.05). The VAS DS scores of the experimental group on 3rd (x over bar =4.733 & PLUSMN; 0.907) and the 5th (x over bar =3.267 & PLUSMN; 0.691) postnatal day were statistically significantly lower than the VAS DS scores of the control group on 3rd (x over bar =5.267 & PLUSMN; 0.944) and 5th (x over bar =3.933 & PLUSMN; 0.944) (p = 0.003 > 0.05) postnatal day. In the light of this information, it was found that scores on REEDA scale were lower and pain experiences were significantly less in the group that received education and counseling with social media tools after discharge in women who underwent episiotomy.
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    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, Nurdan
    Background 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.
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    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, Nurdan
    Purpose: 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.
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    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, Nurdan
    Purpose: 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.