Person: DEMİRCİ, NURDAN
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DEMİRCİ
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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 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 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.Publication Open Access Factors Affecting Delivery Preference of Primigravida Women: A Qualitative Study(2018) DEMİRCİ, NURDAN; FİLİZ SÜZER ÖZKAN;NURDAN DEMİRCİObjective: The objective was to identify factors affecting the pregnancy, pregnancyperception and preference of delivery method of primigravida women, and to evaluate their experiencesand satisfaction regarding their deliveries. Material and Methods: This is a descriptivestudy using a qualitative method. The study was carried out at the gynecology and obstetrics departmentof a university hospital in Turkey. The study group was composed of 14 primigravidawomen 18-35 years old who had not undergone IVF treatment. All had become pregnant spontaneouslyand none had a high-risky pregnancy, pregnancy is not risky. Data were collected viasemi-structured interviews after which thematic analyses were performed. Results: At the endof interviews with pregnant women, three main themes (perception of pregnancy, perceptionof childbirth and experience of childbirth) and seven subthemes (state of willingness for pregnancy,emotional state during pregnancy, preference of childbirth and affecting factors, fearfrom childbirth, method and experience of childbirth) were generated. Conclusion: As a resultof research; it was found that a planned pregnancy affected the attitude towards pregnancy. Inaddition, feelings of the women towards their pregnancy changed throughout the pregnancy,while their delivery choices did not change; most wanted vaginal deliveries since they believedit was healthier. All of the pregnant women were afraid of delivery and this fear of childbirthaffected the preference of delivery.Publication Open Access Effects of Intradermal Sterile Water Injections in Women with Low Back Pain in Labor: A Randomized, Controlled, Clinical Trial(GALENOS YAYINCILIK, 2018-03-15) DEMİRCİ, NURDAN; Koyucu, Refika Genc; Demirci, Nurdan; Yumru, Ayse Ender; Salman, Suleyman; Ayanoglu, Yavuz Tahsin; Tosun, Yildiz; Tayfur, CihangirBackground: In addition to the pain caused byuterine contractions during labour, continuous and severe back pain is observed in 33% of women. Several pharmacological and nonpharmacological methods are available for managing this pain. Sterile water injection is considered as alternative method for nonpharmacological pain management. Aims: To assess the satisfaction level and effectiveness of sterile water injection for back pain among women in labour. Study Design: Randomized controlled trial. Methods: A total of 168 term, healthy women with labour pain and severe back pain were randomized into the sterile water injection (study) and dry injection (placebo) groups. Injections were applied to the rhombus of Michaelis in the sacral area. Pain scores were assessed at 10, 30, 60, 120, and 180 min using a visual analogue scale. Additionally, the need for epidural analgesia, Apgar score, mode of delivery, time of delivery, maternal satisfaction, and breastfeeding score were assessed. Results: The mean back pain scores at 30 min after injections were significantly lower in the study group (study group: 31.66 +/- 11.38; placebo: 75 +/- 18.26, p<0.01). The mean decrease in pain scores after 30 min according to baseline was significantly higher in the study group (study group: 54.82 +/- 7.81; placebo: 13.33 +/- 12.05, p<0.01). The need for epidural analgesia, time of delivery, mode of delivery, and Apgar and breastfeeding scores were similar in both groups. Maternal satisfaction from the analgesic effect was significantly higher in the study group (study group: 84.5%; placebo: 35.7%, p<0.01). Conclusion: The application of sterile water injection is effective for relieving back pain in the first stage of labour and has a sufficient satisfaction level among women.Publication Metadata only Does antenatal education reduce fear of childbirth?(WILEY, 2016) POTUR, DİLEK; Karabulut, O.; Potur, D. Coskuner; Merih, Y. Dogan; Mutlu, S. Cebeci; Demirci, N.AimThe aim of this study was to determine the effect of antenatal education on fear of childbirth, acceptance of pregnancy and identification with motherhood role. BackgroundThere is insufficient evidence pertaining to the effect of antenatal education on fear of childbirth, acceptance of pregnancy and identification with motherhood role. IntroductionThe purpose of antenatal education is to help couples make the right decisions during delivery. Through antenatal education, couples prepare themselves for delivery. MethodsThis is a quasi-experimental and prospective study that employs a pre- and post-education model. In total, 192 pregnant women (education group, n=69 and control group, n=123) participated in the study. Data were collected using the pregnancy identification form: the Prenatal Self-Evaluation Questionnaire and a version of the Wijma Delivery Expectancy/Experience Questionnaire. ResultsPrior to participating in the study, the education group and control group had similar levels of acceptance of pregnancy and identification with motherhood role, whereas a significant difference was found in their fear of childbirth levels. When surveyed again after receiving education, the two groups' levels of acceptance of pregnancy and fear of childbirth were found to be significantly different. However, they had similar levels of identification with the motherhood role. ConclusionAntenatal education appears to increase the acceptance of pregnancy, does not affect the identification with motherhood role and reduces the fear of childbirth. Implications for nursing and health policyA systematic antenatal education programme, as part of routine antenatal care services, would help reduce the rate of interventional labour and facilitate pregnant women's conscious participation in the act of labour by reducing their fear of childbirth.Publication Open Access Effects of pushing techniques during the second stage of labor: A randomized controlled trial(ELSEVIER TAIWAN, 2017-10) DEMİRCİ, NURDAN; Koyucu, Refika Genc; Demirci, NurdanObjective: Spontaneous pushing is a method that is used in the management of the second stage of labor and suggested to be more physiological for the mother and infant. The present study aims to evaluate the effects of pushing techniques on the mother and newborn. Materials and methods: This randomized prospective study was performed between June 2013 March 2014 in a tertiary maternity clinic in Istanbul. 80 low risk, nulliparous cases were randomized to pushing groups. Valsalva pushing group was told to hold their breath while pushing. No visual-verbal instructions were given to spontaneous pushing group and they were encouraged to push without preventing respiration. Demographic data, second stage period, perineal laceration rates, fetal heart rate patterns, presence of meconium stained amniotic liquid, newborn APGAR scores, POP-Q examination and Q-tip test results were evaluated in these cases. Results: The second stage of labor was significantly longer with spontaneous pushing. Decrease in Hb levels in valsalva pushing group was determined to be higher than spontaneous pushing group. An increased urethral mobility was observed in valsalva pushing group. Conclusions: Although the duration of the second stage of labor was longer compared to valsalva pushing technique, women were able to give birth without requiring any verbal or visual instruction, without exceeding the limit value of two hours and without affecting fetal wellness and neonatal results. (C) 2017 Taiwan Association of Obstetrics & Gynecology. Publishing services by Elsevier B.V.