Person: DEMİRGÖZ BAL, MELTEM
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DEMİRGÖZ BAL
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MELTEM
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Publication Open Access The Effects of Loneliness on Menopausal Symptoms(MARMARA UNIV, INST HEALTH SCIENCES, 2019-09-15) BAYRI BİNGÖL, FADİME; Bingol, Fadime Bayri; Bal, Meltem Demirgoz; Esencan, Tugba Yilmaz; Abbasoglu, Done Ertugrul; Aslan, BegumObjectives: This study was carried out to investigate the effect of menopausal symptoms on the loneliness of women in the menopausal period. Methods: The study sample consisted of 546 women who applied to the menopause polyclinic of a state hospital in Istanbul and agreed to participate in the study. Data were collected using the Personal Information Form, UCLA Loneliness Scale and Menopausal Symptom Rating Scale (MRS). Results The mean age of the women included in the study was 52.70 +/- 6.39. The mean scores of menopausal symptoms of women included in the study; were found to be higher in women with low education level (p=0.001), women with big family structure (p=0,002) and women with low income (p=0,001). It was determined that women with less education (p=0,015), women not working (p=0,001) and women with low income (p=0,001) were found to have higher mean loneliness scores. Correlation analysis revealed that the mean scores of menopausal symptoms were increased (p=0,000) as the loneliness level average of women increased. Women with the most severe mean scores of menopausal symptoms were found to have the highest mean level of loneliness (p=0,000). Conclusion: Women with high levels of loneliness were found to have experienced severe menopausal symptoms. It was determined that as women's level of loneliness increased, menopausal symptoms increased.Publication 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, BegumObjective: 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.Publication Open Access The Effects of Continuous Labor Support by Midwife: A Randomized Controlled Trial(MARMARA UNIV, INST HEALTH SCIENCES, 2021-05-29) DEMİRGÖZ BAL, MELTEM; Bostanoglu, Gulsemin; Bal, Meltem DemirgozObjective: The aim of this study was to evaluate the effects of continuous labor support by midwife. Methods: This study was a randomized controlled experimental design. Seventy primipara women were randomized into two groups, the continuous labor support by midwife group (n=35) and control group (n=35). In the experiment group was given the continuous midwife support and in the control group were undergone to routine hospital care in the clinic. Visual Analog Scale was used to assess women's anxiety level and coping with labor pain. All interventions and childbirth time were recorded by the researcher. Results: Anxiety level decreased and the level of coping with labor pain increased in the experimental group (p<0.05). The total childbirth time in the intervention group was shorter by 2 hours and 21 minutes. Labor induction, episiotomy, amniotomy and perineal trauma were higher in the control group (p<0.05). Conclusion: Continuous labor support should be provided at each childbirth to enhance childbirth outcomes.Publication Metadata only Validity and reliability of the Turkish version of the City Birth Trauma Scale (CityBiTS)(TAYLOR & FRANCIS INC, 2021) BAYRI BİNGÖL, FADİME; Bingol, Fadime Bayri; Bal, Meltem Demirgoz; Dissiz, Melike; Sormagec, Meltem Taylan; Yildiz, Pelin DikmenThe City Birth Trauma Scale (CityBiTS) was developed to be consistent with the current Diagnostic and Statistical Manual of Mental Disorders-DSM-5. It has been used as a complementary instrument that measures the psychological trauma related to childbirth. The aim of this study was to investigate the validity and reliability of the Turkish version of the CityBiTS. This research is a methodological study. This study was conducted with 315 women who had 6-month-old infants from August to October 2018. The CityBiTS is a 29-item instrument that was developed according to DSM-5 criteria to assess childbirth-related Post-Traumatic Stress Disorder. Test-retest measurements were performed at two-week intervals to evaluate the invariance of the scale over time. Cronbach's alpha coefficient of reliability was used to analyse internal consistency of scale. Cronbach's alpha coefficients were .76 for re-experiencing symptoms, .57 for avoidance symptoms, .77 for negative cognitions and mood, .83 for hyperarousal and .82 for dissociative symptoms. In conclusion, The Turkish version of the CityBiTS, as an instrument developed to be consistent with DSM-5 criteria in assessing childbirth-related trauma symptoms, is a valid and reliable tool. Impact statement What is already known on this subject? One of the possible barriers for this is the lack of validated questionnaires that measure the postpartum PTSD. What do the results of this study add? The aim of this study was to investigate the validity and reliability of the Turkish version of the CityBiTS. The City Birth Trauma Scale has good psychometric properties and the two symptom clusters identified are consistent with previous research on symptoms of postpartum PTSD. What are the implications of these findings for clinical practice and/or further research? The City Birth Trauma Scale provides with a measure of birth-related PTSD foruse in research and clinical practice.Publication Open Access Assessment of students anxiety level and technology readiness in a simulation-based obstetrics training(2023-01-01) ÇATAR, RAMAZAN ÖZGÜR; KİTAPÇI, OKAN CEM; ŞİŞMAN KİTAPÇI, NUR; DEMİRGÖZ BAL, MELTEM; MUMCU, GONCA; Ayyıldız S., ÇANDERELİ Z. Ö., KILIÇ AKSU P., ÇATAR R. Ö., KİTAPÇI O. C., ŞİŞMAN KİTAPÇI N., KÖKSAL L., DEMİRGÖZ BAL M., MUMCU G.Aim: This study aims to evaluate the effects of simulation-based obstetrics training on students' professional development and examine students' anxiety and technology readiness. Material and Methods: The study was quasi-experimental and performed with 3rd -year students in Midwifery Department (n=60) between September 2018 and January 2019. Students attended a 14-week simulation-based delivery training. In the pre-and posttraining periods, the data were collected by the State-Trait Anxiety Inventory (STAI) and the Tendency Scale for the Use of Technology. Results: Students reported that simulation-based delivery training improved their "professional skills" (95%) and "professional internalization" (93.4%). They stated that there was a positive effect on "anxiety in the working environment" (93.3%) in posttraining. Since no significant differences were observed in scores of the Tendency Scale for the Use of Technology and STAI in pre-and post-training periods (p>0.05), it was thought that they were not potential barrier factors in the training. Conclusion: The ensuring of professional development was achieved by using simulation-based training in the study. However, technology readiness and anxiety levels were stable in pre-and post-training periodsPublication Metadata only Validity and Reliability of the Turkish Version of the COVID Stress Scale(KOREAN SOC NURSING SCIENCE, 2021) BAYRI BİNGÖL, FADİME; Demirgoz Bal, Meltem; Dissiz, Melike; Bayri Bingol, FadimePurpose: The aim of this study was to assess the Turkish adaptation of the COVID Stress Scale (CSS) on the basis of determining the stress caused by the coronavirus disease (COVID-19) pandemic, and to test its validity and reliability. Methods: The English CSS was translated into Turkish using forward and backward translation. Data were collected online from 360 participants. Construct validity was evaluated using confirmatory factor analysis, exploratory factor analysis, and content validity. Pearson product-moment correlation, Cronbach's alpha reliability coefficient, and test-retest methods were used to evaluate reliability. Results: The Turkish version of the CSS has 36 items consistent with the original scale and has five factors: COVID danger and contamination, socioeconomic consequences of COVID, COVID xenophobia, traumatic stress due to COVID, and compulsive checking for COVID. The construct validity of the Turkish version of the CSS was verified by the adjusted goodness of fit index >.85, and comparative fit index > .95. The content validity index of each item was 91%. The corrected item-total correlations of the scale ranged from .51 to .89. Internal consistency was reliable, with a Cronbach's alpha of .93. Conclusion: The Turkish version of the CSS is valid and reliable. It can be used as a measurement tool for the assessment of COVID-related stress.Publication Open Access The breastfeeding experiences of COVID-19-positive women: A qualitative study in Turkey(WILEY, 2022-01) DEMİRGÖZ BAL, MELTEM; Asci, Ozlem; Bal, Meltem Demirgoz; Ergin, AylaAim The aim of the study was to determine the breastfeeding experiences of COVID-19-positive women. Methods This was a qualitative study of 14 women diagnosed with COVID-19. One-to-one telephone interviews were conducted and recorded. The data were analyzed thematically. Results Three main themes were identified. Theme 1 was increased emotional load, outlining the emotional effects of the disease in the women, such as feeling sad and inadequate, in addition to anxiety and fear. Theme 2 was breastfeeding during the disease, which illustrated the effects of the treatment process on the women, the disease-related symptoms, their influence on breastfeeding attitudes and behavior, and the effects of social media and television. Theme 3 was perceived social support and need, defining the social support perceived and expected by the women during isolation with needs. Conclusion Women who could not get the professional support they expected had to face the difficult choice between taking medical treatment and breastfeeding. Many women refused drug treatment for COVID-19 and continued to breastfeed with all the resultant emotional and physical difficulties, as they believed in the benefits of mother's milk. The experiences of the women were discussed with an approach that enabled developing health care services further. It was concluded that Turkish health care professionals need to develop an evidence-based and female-centered approach for COVID-19 management in breastfeeding women.Publication Metadata only The adaptation of the Postpartum-Specific Anxiety Scale into the Turkish language(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2021) BAYRI BİNGÖL, FADİME; Bayri Bingol, Fadime; Bal, Meltem Demirgoz; Aydin Ozkan, Semiha; Zengin, Orhan; Civ, BerrakBackground: The Postpartum Specific Anxiety Scale (PSAS) is used as a descriptive instrument to measure anxiety. Aim: The aim of this study was to examine the validity and reliability of the Turkish version of the PSAS. Study Design: The study is of methodological design. Methods: The study was conducted with 360 women who had given birth four months ago and presented at a Family Health Center. The validity analysis of the data was performed using the content validity index, exploratory factor analysis, confirmatory factor analysis, reliability analysis, Pearson's Moments Multiplication Correlation and Cronbach's Alpha Coefficient of Reliability. Correlation analysis, Cronbach's alpha analysis, and exploratory/confirmatory factor analysis were used in the evaluation of the data. Results: To assess the consistency of the scale over time, test-retest measurements were taken in a two-week interval. In the analysis of the internal consistency of the PSAS, Cronbach's alpha coefficient of reliability was .90 for maternal competence and attachment anxieties, .89 for infant safety and welfare anxieties, .83 for practical infant care anxieties, .83 for psychosocial adjustment to motherhood, and .94 for the overall scale. Conclusion: Our study has demonstrated that the Turkish version of the scale is a valid and reliable tool to use.Publication Open Access Comparison of sexual functions in women with and without type 1 diabetes(2023-01-01) DEMİRGÖZ BAL, MELTEM; Celik S., DEMİRGÖZ BAL M., KELLECİ M.OBJECTIVE: This study aimed to investigate female sexual function in patients with type 1 diabetes by comparing female sexual function index scores between women with and without type 1 diabetes. METHODS: A total of 62 women with type 1 diabetes and 69 age-matched women without diabetes but with similar backgrounds were enrolled in the patient and control groups, respectively. All participants were sexually active and had no systemic diseases other than diabetes in the patient group. RESULTS: The frequency of female sexual dysfunction was significantly higher, and the mean female sexual function index score was significantly lower in women with diabetes compared to the control group (p=0.01). There was a significant relationship between sexual dysfunction and duration of diabetes, glycosylated hemoglobin test, and body mass index (p<0.05). CONCLUSION: This study demonstrates that female sexual dysfunction is more common among women with type 1 diabetes than among women without type 1 diabetes. Patients with type 1 diabetes should be evaluated in terms of sexual health. Health professionals should give more attention to and provide guidance regarding sexual function in women with type 1 diabetes.Publication Metadata only The risk factors for postpartum posttraumatic stress disorder and depression(WILEY, 2020) BAYRI BİNGÖL, FADİME; Bingol, Fadime Bayri; Bal, Meltem DemirgozPurpose In this study, we examined the association between specific birth-related variables and postpartum posttraumatic stress disorder (PTSD) and depressive symptoms. Design and Methods In this descriptive study, data were collected using a personal information form, the City Birth Trauma Scale, and the Edinburgh Postpartum Depression Scale. Findings The findings revealed that 8.5% of participants met all the diagnostic criteria for PTSD. The risk of developing depression was 9.7 times higher among women who met all the criteria for PTSD than among those who did not meet all the criteria. Practice Implications During the postpartum period, at-risk mothers should be followed and screened for PTSD and depressive symptoms.
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