Aim This study aims to examine pregnancy and birth planning during COVID-19 and the effects of a tele-education offered to pregnant women for this planning process on prenatal distress and pregnancy-related anxiety. Method The population of this quasi-experimental study was composed of pregnant women who applied for the antenatal education class of a public hospital in the east of Turkey during their past prenatal follow-ups and wrote their contact details in the registration book to participate in group trainings. The sample of the study consisted of a total of 96 pregnant women, including 48 in the experiment and 48 in the control groups, who were selected using power analysis and non-probability random sampling method. The data were collected between April 22 and May 13, 2020 using a “Personal Information Form”, the “Revised Prenatal Distress Questionnaire (NuPDQ)” and the “Pregnancy Related Anxiety Questionnaire-Revised 2 (PRAQ-R2)”. An individual tele-education (interactive education and consultancy provided by phone calls, text message and digital education booklet) was provided to the pregnant women in the experiment group for one week. No intervention was administered to those in the control group. The data were statistically analyzed using descriptive statistics (frequency, percentage, mean, standard deviation, min-max values) and t-test in dependent and independent groups. Results The posttest NuPDQ total mean scores of pregnant women in the experiment and control groups were 8.75±5.10 and 11.50±4.91, respectively, whereby the difference between the groups was statistically significant (t=-2.689, p=0.008). Additionally, the difference between their mean scores on both PRAQ-R2 and its subscales of “fear of giving birth” and “worries of bearing a physically or mentally handicapped child” was statistically significant (p<0.05), where those in the experiment group had lower anxiety, fear of giving birth and worries of bearing a physically or mentally handicapped child. Conclusion The tele-education offered to the pregnant women for pregnancy and birth planning during COVID-19 decreased their prenatal distress and pregnancy-related anxiety.
Posterior leukoencephalopathy syndrome is a recently described syndrome involving mainly parieto-occipital gray/white matter of the brain. It occurs secondary to various clinical entities, like hypertension and immunosuppressive therapy. Few cases after combination chemotherapy have been reported. This study describes a 36-year-old woman with primary refractory T-cell lymphoma, who developed central nervous system toxicity due to treatment with intrathecal methotrexate and intravenous ifosfamide, idarubicine and etoposide given as a salvage regimen. Both clinical features as well as magnetic resonance imaging findings were typical for posterior leukoencephalopathy syndrome. The patient died despite anti-hypertensive therapy and haemodialysis. Central nervous system toxicity related to chemotherapeutics and posterior leukoencephalopathy syndrome are discussed briefly.
Bu araştırma, 15-49 yaş evli kadınların aile planlamasına ilişkin tutumlarını belirlemek amacıyla yapıldı. Yöntem: Kesitsel-tanımlayıcı tipte olan araştırmanın örneklemini, Nisan-Haziran 2019 tarihleri arasında, Türkiye'nin doğusunda bulunan bir ilde çalışmaya katılmayı kabul eden 323 kadın oluşturdu. Veriler, "Kişisel Bilgi Formu" ve "Aile Planlaması Tutum Ölçeği (APTÖ)" ile toplandı. Verilerin analizinde tanımlayıcı istatistikler, bağımsız gruplarda t testi ve tek yönlü varyans analizi kullanıldı. Bulgular: Kadınların "APTÖ" puan ortalaması 109.1±18.7΄dir. "Toplumun Aile Planlamasına İlişkin Tutumu", "Aile Planlaması Yöntemlerine İlişkin Tutum" ve "Doğuma İlişkin Tutum" alt ölçeklerinden alınan puan ortalamaları sırası ile 48.8±10.1, 35.1±6.5 ve 25.1±5.4΄tür. Okuma-yazma bilmeyen kadınların APTÖ puan ortalamaları 100.2±19.0, üniversite mezunlarının 125.2±18.4΄tür (p<0.05). Çekirdek ailede yaşayan kadınların APTÖ puan ortalaması 110.6±18.8, geleneksel ailede yaşayan kadınların APTÖ ortalaması 101.8±16.8'dir (p<0.05). Hiç doğum yapmayan, aile planlaması konusunda danışmanlık alan ve modern yöntem kullanan kadınların APTÖ puan ortalaması, 3 ve üzerinde doğum yapmış, aile planlaması danışmanlığı almamış ve geleneksel yöntem kullanan kadınların APTÖ puan ortalamasından yüksektir (p<0.05). İstenmeyen gebelik ve isteyerek düşük yapma ile APTÖ puan ortalaması arasında istatistiksel olarak anlamlı farklılık saptanmamıştır (p>0.05). Sonuç: Araştırmanın sonucunda, kadınların aile planlaması yöntem kullanmaya yönelik tutumlarının olumlu ancak yeterli düzeyde olmadığı, eğitim düzeyi yüksek, çekirdek ailede yaşayan, çalışan ve daha önce aile planlaması danışmanlık hizmeti alan kadınların APTÖ puan ortalamalarının daha yüksek olduğu saptandı. Bu sonuçlar doğrultusunda, toplumda aile planlamasına olumlu tutum geliştirilmesi için verilecek eğitimlerde; eğitim düzeyi düşük olan, geniş aile yapısına sahip olan, çocuk sayısı fazla olan ve aile planlaması konusunda bilgi almayan kadınlara öncelik verilmesi önerilebilir.
Aim This study aims to adapt the London Measure of Unplanned Pregnancy (LMUP) developed by Barrett et al. to Turkish by checking its validity and reliability. Method The sample of this methodological study consisted of 596 pregnant women who were referred to the antenatal outpatient clinics of a public hospital in eastern Turkey. Data were collected from those who agreed to participate in the study, by using a personal information form and the six‐item LMUP. Data were analyzed using SPSS 25.0 and AMOS 24.0 statistical package programs, and statistically assessed using descriptive statistics such as number, percentage, mean and SD, language and content validity, explanatory factor analysis (EFA), confirmatory factor analysis (CFA), Cronbach's α reliability coefficient, and test–retest analysis. Results The EFA revealed that the Turkish version of the LMUP consisted of five items and one factor. The items' factor loadings were above 0.30, and explained 68.89% of the total variance. The CFA supported the one‐factor structure of the scale, which was revealed by the EFA. As a result of the CFA, the fit indices were found to be very good. The Cronbach's α coefficient of the scale was determined as 0.90. Conclusion The Turkish version of the LMUP is a valid and reliable instrument to evaluate unplanned pregnancy.
INTRODUCTION This study aimed to determine the effect of depression levels in midwives on burnout and job satisfaction. METHODS The sample of this descriptive study consisted of 322 midwives working in a province located in the eastern region of Turkey. Data were collected by using the Personal Information Form, Beck Depression Inventory (BDI), Maslach Burnout Inventory (MBI), and Minnesota Job Satisfaction Questionnaire (MJSQ) Short Form. RESULTS The rate of midwives experiencing depression was found to be 9.6%. The mean score of MJSQ was 64.59±13.29, while the mean scores for the sub-dimensions of MBI were: emotional burnout 18.57±6.65, decrease in sense of personal accomplishment 21.65±3.93, and depersonalization 6.25±3.86. It was found that midwives who did not experience depression (90.4%) had a higher level of job satisfaction and a higher sense of personal accomplishment (p<0.05). On the other hand, midwives experiencing depression (9.6%) had higher levels of emotional exhaustion and depersonalization. It was found that there was a negative weak relationship between BDI and job satisfaction and personal accomplishment, and a positive weak relationship between BDI and emotional exhaustion (p<0.05). CONCLUSIONS It was determined that midwives with depression have lower levels of job satisfaction and personal success, and experience emotional exhaustion more frequently. In addition, it was observed that as the level of depression decreased, job satisfaction and personal success increased significantly, whereas emotional exhaustion decreased.
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