Person: DEMİRCİ, NURDAN
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DEMİRCİ
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NURDAN
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Publication Open Access Is participation in antenatal classes associated with fathers' mental health? A quasi‐experimental and prospective study(2022-10-01) POTUR, DİLEK; DEMİRCİ, NURDAN; Gün Kakaşçı Ç., Potur D., Ertuğrul Abbas D., Karabulut Ö., Doğan Merih Y., Demirci N.Publication Open Access Gebelikte Demir ve Folat Eksikliği Anemisinde Kanıta Dayalı Güncel Yaklaşımlar(2019-12-15) DEMİRCİ, NURDAN; Zümrüt BİLGİN;Nurdan DEMİRCİAnemi, gebelikte en yaygın hemotolojik bir sorundur. Dünyadaki gebe kadınların %38.2'sinin anemik olduğu, tahmin edilmektedir. Türkiye’de üreme çağındaki kadınlarda anemi sıklığının %20 ile %39.9 arasında değiştiği belirtilmektedir. Gebelik dönemindeki anemiler edinsel ve kalıtsal olmak üzere iki grupta değerlendirilir. Gebelikte sıklıkla edinsel yetmezlik anemilerinden olan demir eksikliği ve daha az sıklıkla da folik asit eksikliği anemisi oluşur. Demir eksikliği anemisi (DEA)’nin en temel nedeni; gebelik öncesinde demir düzeyinin düşüklüğü, gebelikte absorbsiyonun artması ile artan gereksinimdir. Demir eksikliği anemisinin tanısı için öncelikle hemoglobin (Hb) ve serum ferritin düzeyi ölçülür. Gebelikte en düşük Hb değeri 1. ve 3. trimesterde <11 gr/dL, 2. trimesterde <10,5 gr/dL’olmalıdır. Gebelikte anemi; annenin hastalanma ve ölüm riskinde artışla (%20-40 oranında), fetüste ise intrauterin büyüme geriliği, düşük doğum ağırlığı, erken doğum ve perinatal mortalite riskinde artışla ilişkilidir. Maternal ve fetal komplikasyonların önlenmesi için gebe kadınlara demir ve folat desteği verilmesi önemlidir. Demir eksikliği anemisinde oral demir tedavisi birinci basamak tedavi olarak verilir. Oral tedavi yanıtsızlığı, tedaviye uyum sorunu, çok düşük hemoglobin değerleri ve hızlı demir replasmanına ihtiyaç duyulması gibi durumlarda intravenoz (İV) demir tedavisi tercih edilmektedir. Bu derlemede gebelikte demir ve folat eksikliği anemisinde kanıta dayalı güncel yaklaşımların incelenmesi amaçlanmıştır.Publication Open Access Primipar ve Mulitpar Gebelerin Prenatal Bağlanmalarını Etkileyen Faktörlerin Değerlendirilmesi(2020) DEMİRCİ, NURDAN; Dilek COŞKUNER POTUR;YELİZ DOĞAN MERİH;Nurdan DEMİRCİAmaç: Prenatal bağlanma ebeveynler ve doğmamış çocukları arasında gebelik döneminde kurulan duygusal bir bağdır. Çalışma, gebelikte prenatal bağlanmayı etkileyen faktörleri değerlendirerek, gebe-lerin bağlanma konusunda gerekli hemşirelik desteğinin sağlanmasında öneriler geliştirebilmek amacı ile planlanmıştır.Yöntem: Kesitsel ve tanımlayıcı nitelikte olan çalışmanın evrenini, İstanbul ili Anadolu yakasında bulu-nan Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesinin gebe izlemine Ocak - Mayıs 2015 tarihleri arasında başvuran gebeler oluşturmuştur. Örnekleme alınma kriterlerine uyan ve çalışmaya katılmaya gönüllü 303 gebe dahil edilmiştir. Veriler, gebelerin demografik, bireysel ve gebelik özellikle-rinin yer aldığı anket formu ve Prenatal Bağlanma Envanteri ile toplanmıştır. Araştırmadan elde edilen veriler, yüzde, ortalama, Kolmogorov Smirnov, Man Whitney U ve Kruskal-Wallis testleri ile kullanılmıştır.Bulgular: Gebelerin %43,2’si primipar, %56,8’i multipardır. Primiparların Prenatal Bağlanma düzeyi ve multiparlardan daha yüksek bulunmuş ve aralarında ileri derece anlamlı fark olduğu belirlenmiştir (p<0,001). 18-34 yaş aralığında, 1-9 yıllık evli olan, lise düzeyinde eğitimli, çalışan, çekirdek aile yapısın-da olan ve kronik bir hastalığı olmayan primipar gebelerin Prenatal Bağlanma düzeyi mutiparlardan daha yüksek ve aralarında anlamlı fark olduğu bulunmuştur (p<0,005). Obstetrik özellikleri açısından planlı ve doğal yollara gebe kalan, gebeliğe bağlı sorun yaşamayan, gebeliğini sonlandırmayı düşünme-yen ve doğumunu normal planlayan primipar gebelerin Prenatal Bağlanma düzeyi mutiparlardan daha yüksek ve ve aralarında anlamlı fark olduğu saptanmıştır (p<0,005).Sonuç: Anne fetüs arasındaki bağlanma, prenatal dönemde başlayıp, primipar gebelerin, multiparlara göre prenatal bağlanma düzeyi daha yüksek olduğu ve bağlanmayı sosyo demografik ve obstetrik fak-törlerinde etkilediği görülmektedir. Bu sonuca göre hemşire ve ebelerin prenatal bağlanma açısından multipar gebeleri yakından izlemeleri önerilebilir.Publication Open Access Does the level of Altruism of university students create a difference in their views on gamete donation and surrogacy?(2022-05-01) DEMİRCİ, NURDAN; POTUR, DİLEK; Gün Kakaşçı Ç., Potur D., Demirci N.Purpose: In Turkey, whose population is predominantly Muslim and where gamete donation and surrogacy are not legal, few studies have so far been conducted to examine university students’ views on these practices. For this reason, it is crucial to determine whether the altruism levels of university students who are at reproductive age in Turkey create a difference in their views on gamete donation and the legalization of surrogacy. Materials and Methods: This is a descriptive cross-sectional study. It was conducted in a Turkish university. A personal information form and the Altruism Inventory were administered to the participating students. A total of 3,979 students participated in the study. Results: More than half of the participants stated that surrogacy and gamete donation must be legal in Turkey. The mean altruism scores of those who advocated the legality of gamete donation in Turkey were similar to the mean scores of those who did not (p>0.05). On the other hand, the mean altruism scores of those who advocated the legality of surrogacy in Turkey were higher than the mean scores of those who did not (p<0.05). Conclusion: Although people have the freedom to make their own decisions about reproduction, the characteristics of the community of which they are a member, their beliefs, educational background, gender, and sub-dimensions of the Altruism Inventory such as charitableness and sociality can influence their views.Publication Metadata only Association between fear of childbirth and maternal acceptance of pregnancy(WILEY, 2017) POTUR, DİLEK; Potur, D. Coskuner; Mamuk, R.; Sahin, N. H.; Demirci, N.; Hamlaci, Y.AimThis descriptive study aimed to explore the associations between fear of childbirth, acceptance of pregnancy and identification with the motherhood role among primipara women. BackgroundWomen who have difficulty accepting their pregnancy have a harder time adapting to pregnancy and motherhood and experience more fears related to childbirth. The number of studies conducted on this topic is limited. MethodsThis study involved 310 pregnant women admitted to a public hospital in Istanbul between January and June of 2013. A participant identification form, the Prenatal Self-Evaluation Questionnaire and the Wijma Delivery Expectancy/Experience Questionnaire Version A were used for data collection. ResultsPregnant women participating in the study experienced moderate levels fear of childbirth. Pregnant women who requested caesarean section experienced more intense fear of childbirth. Fear of childbirth scores had significant but weak correlations with acceptance of pregnancy and identification with the motherhood role. ConclusionThe findings showed that acceptance of pregnancy and identification with the motherhood role are weakly associated with fear of childbirth. Implications for nursing and health policyThe results from this study can be used to help: increase awareness among health professionals (doctors, nurses, midwives) in antenatal care services about a mother's adaptation to pregnancy and the negative effects of fear of childbirth; direct future research examining factors affecting adaptation to pregnancy and fear of childbirth; establish routine assessments for adaptation to pregnancy and fear of childbirth; provide professional support for women with difficulties adapting to pregnancy and with fear of childbirth; result in reduced complications from invasive methods such as caesarean section due to less requests for these procedures; and promote the health of mothers and babies.Publication Metadata only Attitudes of nursing students toward gender roles: a cross-sectional study(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2018) DEMİRCİ, NURDAN; Basar, Fatma; Demirci, NurdanBackground: Nurses can play a critical role in the development of equalitarian perspectives of gender roles. Aims' This study was conducted to determine the attitudes toward gender roles of Turkish nursing students' and to examine the factors affecting these attitudes. Design: The study used a cross-sectional descriptive relational design. Methods' The data were collected with The Characteristics Form and Gender Roles Attitude Scale (GRAS). Results' There was a statistically significant difference between the GRAS total score means, which determine the attitudes of the students to gender roles, according to their university, age, gender, length of residency, number of siblings, family type, parents' educational background and mother's employment status (p<.05). Conclusions' There should be training programs for parents in order to maintain gender equality. Impact statement: The results indicate that nurse students possess an egalitarian attitude toward gender roles. This would contribute to decreasing gender discrimination in health.Publication Open Access Domestic violence against women in Turkey(PROFESSIONAL MEDICAL PUBLICATIONS, 2018-05-24) DEMİRCİ, NURDAN; Basar, Fatma; Demirci, NurdanObjective: To identify the prevalence of domestic violence and the factors that influence domestic violence. Methods: A cross-sectional descriptive research design was used with data from 1481 women over 18 years of age who were married at least once. Demographics and the Scale for Domestic Violence against Women (SDVAW) were used to collect the data. Results: The results showed that 41.3% of the women experienced domestic violence, and the majority (89.2%) had been subjected to violence by their spouses. There was a significant relationship between the mean SDVAW score and educational status, income status, spouse's age, spouse's education level, marriage age, family type and subjection to violence (p<.05). Conclusion: Low social status in Turkey was connected to the level of domestic violence. Efforts should be made to improve women's social status. Chan ging the country's patriarchal system, and educating women and their spouses can be useful in preventing domestic violence.Publication Open Access Evaluation of Perinatology Nursing Certificate Program(ELSEVIER SCIENCE BV, 2012) POTUR, DİLEK; Komurcu, Nuran; Demirci, Nurdan; Yildiz, Hatice; Eksi, Zubeyde; Gurkan, Ozlem Can; Potur, Dilek Coskuner; Sayin, Sena Dilek; Cosar, Fatma; Durmaz, Aysegul; Gun, Cigdem; Uzunboylu, HDue to reasons connected with pregnancy and labour, each year approximately 600,000 women (lie in the world without having any other health problems. Reducing the number of mother and baby deaths is among the objectives of the Ministry of Health in Turkey. To achieve the desired goals, it is necessary to maintain perinatal services without any problems, to standardize care and to provide patient satisfaction. In this issue, health professionals, especially nurses and midwives play an important role. For this reason, thanks to the cooperation of Istanbul Provincial Directorate of Health with Marmara University Faculty of Medical Sciences Nursing School Department of Obstetrics and Gynecology Nursing, training was planned to educate nurses and midwives working in the field of Perinatology, who have an important role in woman health. Objective: The training aims to educate the nurses and midwives who work in the perinatal field, in the importance of women's health in order to make them more competent in the service they provide. Material and Method: A prospective intervention was planned and implemented as a study. A total of 129 midwives and nurses who work in the perinatology units of hospitals in Istanbul that are affiliated to the Ministry of Health, and who completed the Perfriatology Nursing Certificate Program, including 80 hours theoretical and 80 hours clinical practice, constituted the sample of this study. The study was implemented six times between April 2009 and November 2010, and in each program, 20-25 midwives/nurses received training. Data was collected via a questionnaire, a theoretical and practical evaluation form, a post-education three months evaluation form, and preliminary testing before and final testing after the training.Findings: It was determined that the average age of the participants was 32.10 +/- 5.92 and their average work duration was 11.23 +/- 7.31. While the theoretical training average preliminary test score was 62.16 +/- 11.60, the final test score average was 89.35 +/- 5.26. In the third month following the training, 43% and 28.8% of the midwives/nurses stated that they observed a development in their level of knowledge and skills respectively. Also, 92.2% of them indicated that the care they provide improved and 84.6% stated that patient satisfaction was affected in a positive way. Result: It was confirmed that training programs devoted to the field of expertise after graduation have a positive effect on the knowledge and skills of employees and on the service they provide.Publication Metadata only Does Antenatal Education Affect Level Of Empathy And Attachment Of Fathers?(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD) POTUR, DİLEK; Kakasci, Cigdem Gun; Potur, Dilek Coskuner; Karabulut, Ozlem; Abbasoglu, Done Ertugrul; Demirci, Nurdan; Merih, Yeliz DoganObjective The study aimed to determine the effects of antenatal education on the paternal bonding and empathic tendency levels of men who would become fathers for the first time. Background There are a limited number of studies in the literature that have investigated the effects of antenatal education programmes on fathers. Methods This prospective, controlled quasi-experimental study was conducted in a hospital in Istanbul. The men in the antenatal educational group (EG) and their wives participated in training in antenatal classes. The men in the control group (CG) came for routine prenatal follow-up examinations with their wives. The Empathic Tendency and Paternal Postnatal Attachment Scales were used to collect the data. Results The Empathic Tendency Scale was applied before the education (1) - after the education (2) and at the 6th postpartum week (3), whilst the Paternal Postnatal Attachment Scale was used at the 6th postpartum month (4). EG had higher emphatic tendency levels in the 2nd and 3rd measurements and higher paternal bonding levels in the 4th measurement in comparison to CG (p < 0.05). Conclusion Antenatal education increased the emphatic tendency of the fathers and the effects of this education continued in the postpartum period and affected paternal bonding positively.Publication Metadata only Attitudes Toward Violence Against Women and the Factors That Affect Them in Kutahya, Turkey(WOMENS HEALTH & ACTION RESEARCH CENTRE, 2019) DEMİRCİ, NURDAN; Basar, Fatma; Demirci, Nurdan; Cicek, Sevil; Saglam, Havva YesildereThis cross-sectional descriptive study was conducted to determine the attitudes of women and men living in Kutahya, Turkey towards violence against women, and the factors that affect them. The data were collected using an Information Form for Women, an Information Form for Men, and the Attitude towards Violence Scale. The study was completed with 2959 participants; 1481 women and 1478 men. In the study, 41.3% of the women and 22.6% of the men reported being subject to violence. The mean score of the attitude towards violence scale was 41.57 +/- 11.83 for women and 49.38 +/- 11.52 for men ( p<0.001). The mean scores on the attitude towards violence scale were found to be statistically significantly related to gender, education status, occupation, income status, co-educational status, co-occupation, marital age, family type, and subjection to violence ( p< 0.05). Socio-demographic and socio-cultural factors were found to influence the attitudes of women and men towards violence against women. The attitudes towards violence against women were found to be more positive in women. The rate of accepting violence as natural ( acceptable) phenomena was found to be higher among men. That is, the attitudes of men towards violence against women are closer to the traditional approach, away from the modern approach.