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CAN GÜRKAN, ÖZLEM

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    Aile içi şiddete maruz kalmanın menstrüel özelliklere etkisinin incelenmesi
    (2022-09-25) CAN GÜRKAN, ÖZLEM; Geylani S., CAN GÜRKAN Ö.
    Amaç: Çalışma şiddete maruz kalan ve kalmayan kadınlar arasında menstrüel özellik, premenstrüel sendrom, menstrüel ağrı şiddeti yaşama durumları arasındaki farklılıkların değerlendirilmesi amacıyla gerçekleştirilmiştir. Yöntem: Tanımlayıcı ve kesitsel tipteki çalışmanın evrenini, Ocak 2022- Temmuz 2022 tarihleri arasında İstanbul' da bulunan bir Aile Sağlığı Merkezine kayıtlı 18- 49 yaş grubundaki kadınlar oluşturmuştur. Örnekleme kriterlerine uyan toplam 285 kadınla çalışma tamamlanmıştır. Araştırmanın, etik kurul izni Marmara Üniversitesi Sağlık Bilimleri Enstitüsü Etik Kurulu'ndan (17.05.21-75), kurum izni ise İstanbul İl Sağlık Müdürlüğünden alınmıştır. Veriler, katılımcıların öz bildirimine dayalı olarak elde edilmiştir. Veriler Tanımlayıcı Bilgi Formu, Kadına Yönelik Aile İçi Şiddet Tarama Formu, Premenstrüel Semptom Ölçeği ve Görsel Değerlendirme Ölçeği kullanılarak elde edilmiştir. Bulgular: Katılımcıların yaş ortalaması 33,21 ± 6,84 yıldır. Katılımcıların % 80'i ( n=228) son bir yılda eş şiddetine maruz kalmıştır. Son bir yıl içinde eş şiddetine maruz kalan katılımcıların menstrüel ağrı yaşama durumları Görsel Kıyaslama Ölçeği ile değerlendirildiğinde; şiddete uğrayanların 6,21± 2,40, uğramayanların 2,95±2,06 oranında menstrüel ağrı yaşadıkları ve gruplar arasında istatistiksel olarak anlamlı fark olduğu belirlendi (p=0,00). Son bir yıl içinde şiddete maruz kalan kadınların %42,5 (n=97) oranında; uğramayanların ise %1,8 (n=1) oranında şiddetli premenstrüel sendrom yaşadıkları ve gruplar arasında istatistiksel olarak anlamlı farklılık olduğu belirlendi (X2= 44,35; p=0,00). Sonuç ve Öneriler: Eş şiddetine maruz kalmanın menstrüel ağrı yaşama ve premenstrüel ağrı yaşama durumunu arttırdığı söylenebilir. Menstrüel ağrı şikayeti olan ve şiddetli premenstrüel şikayetler yaşayan kadınların hemşireler ve diğer sağlık profesyonelleri tarafından eş şiddetine maruz kalma durumları açısından değerlendirilmesi önerilir.
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    PublicationOpen Access
    The effect of covid-19 fear on healthy lifestyle behaviors in menoposal women: case of southeastern anatolia
    (2022-01-01) CAN GÜRKAN, ÖZLEM; Demirel O. B. , Oz T., CAN GÜRKAN Ö.
    Background. The study was conducted to evaluate the effect of Covid-19 fear on healthy lifestyle behaviors in menopausal women living in the Southeastern Anatolia region.Material and methods. As of April and June 2021, a descriptive, cross-sectional and relationship-seeking design study was completed with 203 participants who were in the menopausal period and who were between the ages of 40 and 65 and were living in the provinces of Gaziantep, Diyarbakir, ,Sanliurfa, Batman, Adiyaman, Siirt, Mardin, Kilis,,Sirnak in the Southeastern Anatolia region of Turkey. The data were collected using the descriptive information form prepared by the researchers, the Fear of Covid-19 Scale, the Menopause Symptoms Evaluation Scale and the Healthy Lifestyle Behaviors Scale-II. Descriptive statistical analyses, Mann Whitney U test, Kruskall Wallis H test and Spearman Correlation Analysis were used to analyze the data.Results. The mean age of the participants was 55.7 +/- 5.6 years (min: 40, max: 69), the highest scores in the Healthy Lifestyle Behaviors Scale-II were found in the sub-dimensions of \"spiritual development\" (23.4 +/- 3.2) and \"interpersonal relations\" (23.1 +/- 3.3). In the Menopause Symptoms Evaluation Scale total and sub-dimension scores, it was determined that the \"somatic complaints\" (10.4 +/- 2.6) and \"psychological complaints\" sub -dimensions (10.7 +/- 3.1) had the highest scores.Conclusions. A statistically significant positive correlation was found between the participants\" Fear of Covid-19 Scale scores and Menopause Symptoms Evaluation Scale total and sub-dimension scores. There was a statistically significant positive correlation between the Menopause Symptoms Evaluation Scale and the Healthy Lifestyle Behaviors Scale-II and certain sub-dimensions.
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    Effects of Antenatal Education Program on Postpartum Functional Status and Depression
    (MARMARA UNIV, INST HEALTH SCIENCES, 2017) CAN GÜRKAN, ÖZLEM; Gurkan, Ozlem Can; Eksi, Zubeyde
    Objective: The aim of the study was to determine the effects of antenatal education on the functional status and depression in women who were in the 6th postpartum week and in the 6th postpartum month. Methods: The nonrandomized, post-test-control group design was used. The study was conducted on pregnant women who applied to the prenatal center of a hospital in Istanbul. The participants in the education group attended the antenatal education program, whereas those in the control group received routine antenatal care. The study was completed with 65 participants (education group=31 and control group=34). Data collection was performed using the Demographic Questionnaire, the 6th Week Assessment Form, the Inventory of Functional Status after Childbirth (IFSAC), and the Edinburgh Postpartum Depression Scale (EPDS). Results: The results showed that there was no significant difference in terms of both the EPDS scores and IFSAC scores between the groups at both the 6th week and the 6th month (p>0.05). Conclusion: It was found that antenatal training may not be effective in decreasing postpartum depression and in improving the postpartum functional status.
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    PublicationOpen Access
    Women's health nursing in traditional and complementary medicine practices
    (2022-12-01) CAN GÜRKAN, ÖZLEM; KARADENİZ H., CAN GÜRKAN Ö.
    Women’s health is the state of complete physical, psychological, social, and cultural wellbeing. Specific nursing practices for women’s health require dynamic and highly autonomous roles that require expert knowledge in order to evaluate, diagnose, and treat actual and potential health problems of individuals, families, and societies. Today, traditional and complementary medicine is practiced in this field by various methods such as acupuncture, homeopathy, ayurveda, massage, reflexology, hypnosis, aromatherapy, yoga, meditation, reiki, therapeutic touch therapy, music therapy, and dance therapy. It is seen that women’s health nurses play an active role in a wide range of these practices. In this review, the role of women’s health nurses in traditional and complementary medicine practices at the international level is discussed with legal frameworks.
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    PublicationOpen Access
    Preconception Risk Factors and Preconception Care Practices in a Hospital Based Turkish Sample
    (MARMARA UNIV, INST HEALTH SCIENCES, 2021-07-09) CAN GÜRKAN, ÖZLEM; Gurkan, Ozlem Can; Abbasoglu, Done
    Objective: The aim of the study was to evaluate the preconception risk factors that may adversely affect pregnancy outcomes, and preconception care practices. Methods: A descriptive study was completed with 359 women. The data were collected with a questionnaire that was drawn up by the researchers. Results: Findings demonstrated that preconception risk factors were advanced age (20.6%), smoking (23.1%), existence of a chronic illness (23.6%) and being overweight (26.7%). Applied to a health institution to receive preconception care was 12.3 %. The most common preconception care practices were the use of folic acid (45.4%) and applying to the doctor for reorganization of the treatment for chronic illness (41.2%). Conclusion: The data showed that women had preconceptional risk factors and did not receive adequate preconceptional care. Women need to be provided with awareness on preconception risk factors. Policies should be developed to increase the frequency of women receiving preconception care.
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    Effects of laughter yoga on premenstrual symptoms
    (2022-05-12) CAN GÜRKAN, ÖZLEM; KARALİ E., CAN GÜRKAN Ö.
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    Value of the neutrophil-to-lymphocyte ratio in predicting left ventricular recovery in patients with peripartum cardiomyopathy
    (SPRINGER WIEN, 2017) CAN GÜRKAN, ÖZLEM; Gurkan, Ufuk; Akgoz, Haldun; Aksoy, Sukru; Gurkan, Ozlem Can; Osken, Altug; Dayi, Sennur Unal; Oz, Dilaver; Haci, Recep
    The aim of this study was to assess the value of the neutrophil-to-lymphocyte ratio (NLR) in predicting left ventricular (LV) recovery in patients with peripartum cardiomyopathy (PPCM). Patients with PPCM (n = 40), who were admitted to our tertiary reference hospital between 2007 and 2015 were retrospectively analyzed. All patients were followed-up for at least 12 months after the diagnosis. All patients had standard echocardiographic examination at baseline and the last follow-up visit. Recovery of LV function was defined as the presence of LV ejection fraction (EF) > 45%. Data on blood parameters were also collected at baseline. Univariate and multivariate analysis were used to assess the significant predictive variables for persistent LV systolic dysfunction. Of the patients 21 (52.5%) did not recover LV function at the last follow-up visit (nonrecovery group), while 19 of the patients (47.5%) exhibited LV recovery (recovery group). The LV EF and fractional shortening (FS) were significantly lower in the nonrecovery group. The baseline LV end-diastolic diameter, LV end-systolic diameter (LVESD) and systolic pulmonary arterial pressure were significantly increased in the nonrecovery group. The NLR, CaEuroreactive protein and troponin levels were significantly higher in the nonrecovery group. In multivariate logistic regression analysis only NLR and LVESD were identified as independent predictors of persistent LV systolic dysfunction in patients with PPCM (p = 0.020 and p = 0.009 respectively). Elevated NLR and increased LVESD were independent prognostic factors in predicting persistent LV dysfunction in patients with PPCM. The NLR might assist in identifying high risk patients with PPCM.
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    Cacao butter as prophylaxis for nipple problems: A pilot randomized controlled study
    (2022-09-01) CAN GÜRKAN, ÖZLEM; Gurkan Ö., Abbasoglu D., Ozkan H. A., Aliogullari A.
    Objective: Cacao butter is a type of oil extracted from the fruit of the Theobroma Cacao plant. This study was conducted to compare the use of breast milk and cacao butter for the prevention of nipple problems in the early postpartum period.Materials and Methods: This randomized controlled study involved 72 participants, who were randomized into the cacao and mother\"s milk groups. Data were collected using Descriptive questionnaire, Nipple assessment form, and IMDAT (Amount of Urine Output, Condition of Breasts, Amount of Stool, Weight Increase and Satisfaction Status).Results: On postpartum day 10, the rates of nipple pain (11.40% cacao group versus 40.50% mother\"s milk group), rashes (14.30% cacao group versus 35.10% mother\"s milk group), and cracks (14.30% cacao group versus 43.20% mother\"s milk group) significantly reduced in the cacao group when compared with the mother\"s milk group (p < 0.05).Conclusion: The application of cacao butter to the nipples is possibly a more effective method than the application of mother\"s milk for preventing nipple pain, rashes, or cracked nipples. Cacao butter can be used prophylactically to prevent nipple problems in the early postpartum period.
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    Sezaryen sonrası sıcak su uygulamasının hastanın konforu üzerine etkisi
    (2022-11-25) CAN GÜRKAN, ÖZLEM; Sivri T., CAN GÜRKAN Ö.
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    PublicationOpen Access
    Knowing emergency contraceptive methods and usage rules of university students
    (2022-06-01) CAN GÜRKAN, ÖZLEM; CAN GÜRKAN Ö., ŞİMŞEK ŞAHİN E., Bozkurt F.
    Acil kontraseptif yöntemler (AKY) istenmeyen gebeliklerin oluşumunun önlenmesi için bireylere “ikinci bir şans” sunması bakımından oldukça önemlidir. Bu araştırma üniversite öğrencilerinin AKY kullanım kurallarıyla ilgili bilgi düzeylerini değerlendirmek amacıyla gerçekleştirildi. Tanımlayıcı ve kesitsel türdeki araştırmanın evrenini Şubat 2015- Nisan 2015 tarihleri arasında Marmara Üniversitesi Sağlık Bilimleri Fakültesi’nde öğrenim gören öğrenciler (N=1480) oluşturdu. Araştırmanın örneklem hesabı %80 güven aralığı, α=0,05 hata payı ile hesaplandı ve araştırmaya dahil edilme kriterlerini karşılayan 648 katılımcı ile gerçekleştirildi. Veriler öz bildirime dayalı soru formuyla toplandı. Araştırmaya katılan katılımcıların yaş ortalaması 20,4±1,4’tü ve yarısından fazlası hemşirelik bölümü öğrencisiydi. Cinsel ilişki yaşayan katılımcıların (%8,5), %47,3’ünün modern aile planlaması yöntemi kullanmakta olduğu bulundu. Korumasız cinsel ilişki sonrasında katılımcıların %20’sinin AKY kullandığı belirlendi. AKY’yi duyan ve bilgisi olan katılımcı oranı %42,3’tü. Katılımcıların AKY hakkında en önemli bilgi kaynağı sağlık çalışanları olduğu ancak buna rağmen katılımcıların önemli bir kısmının AKY’lere ilişkin eksik ve hatalı bilgiye sahip olduğu bulundu. AKY’yi bilme ve duyma durumu ile yaş, bölüm, öğrenim yılı ve cinsel ilişki yaşama durumu arasında istatistiksel açıdan anlamlı fark olduğu belirlendi (p<0,05). Katılımcıların tamamının sağlık alanında eğitim görüyor olmasına karşın hem hormonal AKY’ler hem de postkoital RİA uygulamasıyla ilgili yeterli bilgiye sahip olmadıkları belirlendi. AKY’ye ilişkin bilgi düzeylerinin artırılmasına yönelik, üniversitelerde Aile Planlaması, Cinsel Sağlık gibi derslerin yaygınlaştırılması, cinsel sağlık danışmanlığı birimlerinin oluşturulması ve konu ile ilgili bilgilendirmelerin yapılması önerilir