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KARAKOÇ, AYŞE

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Sağlık Bilimleri Fakültesi

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KARAKOÇ

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AYŞE

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Now showing 1 - 10 of 12

Open Access
Breastfeeding experience of mothers with multiple babies: A phenomenological study
(2022-03-01) KARAKOÇ, AYŞE; Kocabey Z., KARAKOÇ A.
Objective: To determine the needs and underline the experiences of mothers by focusing on the experiences of mothers with multiple babies during their breastfeeding period. Methods: This is a phenomenological, qualitative study. A total of 13 mothers with three – to 13-month-old babies were interviewed in-depth and individually. The data were collected by a single observer with a personal information form containing individual characteristics of the participants and an interview form with semi-structured, open-ended questions. Results: The three main themes formed based on the interviews with mothers were the meaning of being a mother with multiple babies and breastfeeding them, challenging life experiences during breastfeeding, and the factors that affect motivation. The majority of the mothers expressed feelings including concern, fear, guilt, and frustration. All mothers stated that, after delivery, they needed a knowledgeable and dependable helper preferably not from the family and that they experienced conflicts in their relationships. Conclusion: It is important to maintain social, emotional, and physical support for mothers with multiple babies. Similarly, avoiding judgmental, questioning, and accusing expressions is essential to circumvent conflicts in relationships. It is recommended for mothers’ concerns to be addressed according to the source of the concern and for breastfeeding education content to be prepared accordingly. Each mother should be evaluated individually, and care plans and consultations should be prepared accordingly.
Open Access
How Can Vaginal Birth Management Skills Gained Much Better?
(MARMARA UNIV, INST HEALTH SCIENCES, 2019-12-31) KARAKOÇ, AYŞE; Bal, Meltem Demirgoz; Bingol, Fadime Bayri; Karakoc, Ayse; Aslan, Begum
Objective: In Turkey, midwives are given passive roles by claiming that the midwives are insufficient in the management of birth. The aim of this study was to determine the effects of clinical practice and simulation on normal birth management of midwifery students. Methods: The study was performed as a cross-sectional design at the Marmara University in Istanbul, Turkey, with 64 midwifery students. The data were collected via 2 questionnaires, the first for sociodemographic characteristics, the second for normal labor management skills. Results: The normal birth management skills of the students in the simulation group were significantly higher than those in the clinical group (P<0.05). The simulation group emphasized that a restricted case is the most significant disadvantage (87.5%). The clinical group students underlined that one-to-one contact with pregnant women is the most significant advantage (65.6%). Conclusion: It was seen that it is very advantageous to gain normal birth management skills firstly in simulation and then reinforce these skills in clinical practice in midwifery education. Thus, the disadvantages of both methods may be overcome.
Open Access
The effect of breastfeeding, breast milk odour and mother's heartbeat sound on pain level in newborns: A randomized trial
(2022-12-01) KARAKOÇ, AYŞE; Tavlar M., KARAKOÇ A.
Aim This study aimed to compare the effects of breastfeeding, breast milk odour and mother\"s heartbeat sounds on perceived pain during heel lance procedures in term newborns. Design This was a randomized three-group experimental study. Methods The sample of the study consisted of 90 newborns. The data were collected using pulse oximeter, fetal hand doppler, voice recorder, loudspeaker, a data collection form and the ALPS-Neo Pain and Stress Assessment Scale for Newborn Infants. Results During the procedure, newborns in the breast milk odour group had high levels of pain and stress, those in the mother\"s heartbeat sounds group had mild pain and stress, and those in the breastfeeding group had no pain and stress. Additionally, a statistically significant difference was found between their crying times. This difference was the highest for newborns in the breast milk odour group, followed by the mother\"s heartbeat sounds and breastfeeding groups, respectively. Conclusion Breastfeeding and mother\"s heartbeat sounds, which are non-pharmacological pain relief methods, are effective in neonatal pain management. However, breast milk odour is not effective for pain control in newborns. Further studies should examine the efficacy combinations of these methods.
Open Access
Validity and Reliability of the Turkish Version of the Acceptance of Cosmetic Surgery Scale (ACSS)
(KARE PUBL, 2017) KARAKOÇ, AYŞE; Karaca, Semra; Karakoc, Ayse; Onan, Nevin; Kadioglu, Hasibe
Objectives: Because cosmetic/aesthetic surgery has increased dramatically worldwide, it is necessary to evaluate the reasons and psychosocial situation of the persons proposing to undergo this surgery before any surgical intervention. The aims of the current study were to examine the validity and reliability of the Acceptance of Cosmetic Surgery Scale (ACSS) among Turkish persons. Methods: This methodological study was conducted with 584 participants. Content and construct validity studies were carried out to test the validity of the scale. The construct validity was analyzed with confirmatory factor analysis (CFA). For the scale's reliability, the techniques of internal consistency and consistency over time were used. Results: The Turkish adaptation of the ACSS was found to be valid, exhibiting a content validity index in the range of 0.80-1 on the item level, and 0.90 at the scale level. The scale displayed a three-factor structure. The total Cronbach's alpha coefficient for the scale was 0.92; the Cronbach's alpha coefficient for Factor 1 (Interpersonal) was 0.81; and 0.86 for Factor 2 (Social). The Cronbach alpha coefficient for Factor 3 (Consider) was 0.90. Conclusion: The ACSS is a valid and reliable tool that can be used in assessing acceptance of cosmetic surgery.
Open Access
Difficulties experienced by a group of nursing students during pandemic process and their coping strategies: A qualitative research
(2022-03-01) KARACA, SEMRA; KARAKOÇ, AYŞE; Karaca S., Karakoç A.
Objective: This phenomenologic study aims to investigate the difficulties experienced by a group of nursing students during the pandemia process thoroughly and to explain coping strategies. Methods: This research was carried out using the phenomenological method, which is one of the qualitative research methods, to examine the views of nursing students on their pandemic experiences and their coping strategies “Information Form” and “Questionnaire Form” were sent to the students online, and forms that were filled out completely and sent back were included in the content analysis. Results: Participants mean age was 21.19±1.06. Of the participants, 77.00% were female, 34.4% stated that they live in a metropolis during the pandemia process, while 83.6% mentioned that they were with their family, 31.1% did not leave their homes unless it is necessary. As a result of data analysis, the main themes of difficulties/stressors, stress/anxiety increasing factors, and coping strategies were reached. Conclusion: Student nurses experience more than one difficulty regarding the pandemia process; some students state that the pandemia process has changed their perception of their profession, and they mostly use positive methods to cope with these difficulties.
Open Access
Comparison of Subjective Wellbeing and Positive Future Expectations in Between Working and Nonworking Adolescents in Turkey
(ZAMENSALAMATI PUBL CO, 2016-01-01) KARAKOÇ, AYŞE; Karaca, Semra; Karakoc, Ayse; Bingol, Fadime; Eren, Nurhan; Andsoy, Isil Isik
Background: Wellbeing is one's evaluation and judgment of one's life. It consists of 3 dimensions: positive affectivity negative affectivity, and life satisfaction. Objectives: This study aimed to compare the subjective wellbeing and positive future expectations between working and nonworking adolescents. Patients and Methods: The study was designed as descriptive and comparative. The study sample consisted of 420 working and 482 nonworking adolescents (n = 902) aged 15-20 years, who were randomly recruited from two occupational education centers in Istanbul, Turkey and two high schools (formal educations) in the same district. Results: Adolescent subjective wellbeing scale (ASWS) total mean (SD) scores for working adolescents and nonworking adolescents were 48.76 (9.50) and 49.72 (8.01), respectively. In addition, positive future expectations scale (PFES) total mean (SD) scores for working adolescents and nonworking adolescents were 18.71(4.50) and 19.06 (3.49), respectively. In this study, no significant difference was found between the general wellbeing (scale total median score) scores of the working and nonworking adolescent groups (Z=1.01, P = 0.315). However, significant differences were found in the family relations satisfaction (Z=3.23, P = 0.002) and relations with significant others (Z=2.85, P = 0.004) subscales of the ASWS. Conclusions: A positive relationship was found between adolescent subjective wellbeing and positive future expectations. It was found that nonworking adolescents scored higher on the dimensions of family relations and relations with significant others of subjective wellbeing compared to those dimensions in working adolescents.
Open Access
Knowledge and opinions of parents of children hospitalized in hematology/oncology units regarding complementary and alternative medicine
(E D P SCIENCES, 2017) KARAKOÇ, AYŞE; Uysal, Gulzade; Duzkaya, Duygu Sonmez; Karakoc, Ayse; Masal, E; Onder, I; Besoluk, S; Caliskan, H; Demirhan, E
The current study aimed to determine the knowledge and opinions of parents who had children with cancer regarding complementary and alternative medicine. This descriptive study was performed with 145 parents. Data collection was implemented by means of a literature-based questionnaire. Of the parents who were enrolled into the study, 42.1% were aged 36 years or older and 57.2% had primary school education only. A total of 86.9% of the information was gathered from the mothers of the children. All parents preferred CAM therapies for their children's treatment; more than half used herbs as CAM, and 81.4% of the parents who used CAM with held this information from healthcare professionals. All parents had insufficient knowledge about complementary and alternative treatments, including those who had opted out of conventional medicine, but wanted to learn more about them. Therefore, healthcare professionals should improve their knowledge of CAM methods and be able to appropriately enlighten parents while providing an environment in which families can freely discuss information.
Open Access
The Effects of Cord Clamping Time and Early Skin-to-Skin Contact on Maternal Birth Satisfaction in Term Infants
(MARMARA UNIV, INST HEALTH SCIENCES, 2020-07-06) KARAKOÇ, AYŞE; Genc, Kubra; Karakoc, Ayse; Celikel, Taner
Objective: Meeting the expectations of mothers during labor is defined as birth satisfaction. Evaluation of women's perception of satisfaction at birth is an important quality criterion in the evaluation of services. This study aims to determine the effect of cord clamping time and early skin contact on maternal birth satisfaction. Methods: Randomized controlled experimental study. The study data were collected between June and December 2018, from a total of 80 participants. Results: Case group was applied late cord clamping and skin contact, control group was applied routine care. The first breastfeeding time was 11.20 +/- 5.16 min. for the case group and 44.55 +/- 18.03 min. for the control group (p<0.001). Neonatal blood glucose levels within the first 15 minutes were 91.23 +/- 20.61 mg/dL for the case group and 83.13 +/- 14.17 mg/dL for the control group (p=0.044). Hemoglobin levels of the newborn 24 hours after birth were 18.90 +/- 1.58 g/dL for the case group and 18.13 +/- 1.78 g/dL for the control group (p=0.042). The difference between the before and after birth hemoglobin-hematocrit values of the mothers was not statistically significant (p=0.327 for Hgb; p=0.238 fot Htc). Postpartum satisfaction levels of the mothers were found to be 106.28 +/- 9.52 for the case group and 99.93 +/- 13.17 for the control group; mothers at the case group had higher postpartum satisfaction levels (p=0.016). Conclusion: Late cord clamping and early skin contact in newborn positively affect the first breastfeeding time, hemoglobin, hematocrit and blood sugar levels of newborns and can be considered as an important factor that increases mothers' satisfaction independent of many variables.
Open Access
The effects of simulation-based education on initial neonatal evaluation and care skills
(PROFESSIONAL MEDICAL PUBLICATIONS, 2019-07-09) KARAKOÇ, AYŞE; Karakoc, Ayse; Bal, Meltem Demirgoz; Bingol, Fadime Bayri; Aslan, Begum
Objective: Neonatal evaluations performed at the very first minutes following postpartum are the most important steps in deciding for neonatal resuscitation. Therefore, the newborn initial care and evaluation notion and skills of midwives in the delivery hall are quite important. The study was planned to determine the effects of simulation education on newborn evaluation and care skills in midwifery students. Methods: This is a quasi-experimental study. The population of the study was composed of the 4th year students of Marmara University Faculty of Health Sciences (65 students in total), who selected the Intern Newborn course in the 2017-2018 Fall and Spring semesters. Results: The areas where the control group students did not apply at all or needed the help of the trainer were observed as delivery room preparation (86.2%), initial neonatal evaluation (96.6%) and registration/safety (69%). According to the Guide for Newborn Evaluation at the Delivery Room, the differences in the mean total scores and all sub-dimension scores were found to be significant in favor of the experiment group. Conclusion: Education programs that are carried out by computer-assisted simulation and in accordance with the teaching guide were effective on improvement of knowledge-skills on newborns' first evaluations in the delivery room.
Open Access
Turkish Validity Reliability of the Pediatric Peripheral Intravenous Infiltration Scale and Its Adaptation to Newborns
(GALENOS YAYINCILIK, 2017-12-19) KARAKOÇ, AYŞE; Temizsoy, Ebru; Eris, Ozlem; Karakoc, Ayse; Cangur, Sengul; Karatekin, Guner; Ovali, Fahri
Aim: The aim of this study is to determine the Turkish validity reliability and newborns' adaptation to Pediatric Peripheral Intravenous Infiltration Scale. Materials and Methods: This study is methodological and was conducted on 54 newborns with the simultaneous evaluation of two observers. Each infant was monitored 8 times with hourly observations from when the vein path was changed, and a total of 864 observational outcomes were assessed with scale. SPSS program was used for statistical evaluations. Results: A total of 54 newborns were taken into the study and the proportions of cases at each care level in neonatal intensive care unit were similar (level 1: 16 patients, level 2: 23 patients, level 3: 15 patients (p=0.348). The most commonly used fluid was found to be dextrose 10% in 63%, and total parenteral nutritional fluid in 26%. The newborns' postnatal age was median 3 days (minimum: 1, maximum: 27). A total of 864 observations were made for 8 hours and in the 35% (n=19) of 54 babies, the vein pathway was changed after the first observation. 69% of the infants whose vascular accesses were changed, were identified in the first stage (1 point), 25% in the second stage (2 points), and vascular accesses were renewed. The Krippendorff's alpha reliability coefficient showing the integration between the two evaluators was 1.00 (p< 0.001). This result shows full agreement between the two evaluators. Intra-class correlation coefficient showing reliability between measurements was r= 0.99 (p< 0.001). This coefficient also indicates that the measurements are highly reliable. Conclusion: Intravenous infiltration and extravasations are preventable complications in neonates and should be assessed with the aid of a scale at regular intervals. Pediatric Peripheral Intravenous Infiltration Scale can be used in newborns and also in Turkish.