http://hdl.handle.net/20.500.12566/365 2026-04-05T20:44:59Z http://hdl.handle.net/20.500.12566/2463 Gebelik ve üriner sistem hastalıkları Deliktaş Demirci, Ayşe; Oruç, Mine 2025-01-01T00:00:00Z http://hdl.handle.net/20.500.12566/2462 Gebe kadınların benliklerine ilişkin algı ve deneyimleri: Nitel araştırma Oruç, Mine; Deliktaş Demirci, Ayşe; Kabukcuoğlu, Kamile Amaç: Bu çalışmanın amacı; gebe kadınların benliklerine ilişkin algıları ve benlik algılarının şekillendirdiği maternal deneyimlerinin belirlenmesidir. Yöntem: Çalışma, tanımlayıcı nitel araştırma yöntemlerinden fenomenolojik yaklaşım ile sağlıklı gebeliklere sahip olan ikinci ve üçüncü trimesterdeki rutin gebelik kontrolüne gelen 13 gebe ile yürütülmüştür. Veriler yüz yüze yapılan yarı yapılandırılmış görüşmelerle toplanmıştır. Elde edilen verilerin analizinde tematik analiz yöntemi kullanılmıştır. Bulgular: Çalışmada “deneyimlenen gebe benlik” ve “benlik algısının maternal etkileri” başlıklı iki ana ve bunları temsil eden altı alt tema belirlenmiştir. “Deneyimlenen gebe benlik” teması; gebe bedene uyum(suzluk), bedeni maternal sürece hazırlama(ma) ve kimlikte karmaşa (annelik/kadınlık) alt temalarını temsil etmiştir. Kadınların gebelik öncesi benlik algılarının, sosyal desteklerinin ve maternal sürece ilişkin deneyimlerinin olmasının gebe bedene uyumlarını etkilediği bildirilmiştir. Sürece ilişkin kadınların bir kısmının bilinçli bir şekilde kendilerini hazırladıkları bildirilirken bazı kadınların maternal sürece odaklanmadıkları ifade edilmiştir. Gebelikte yaşanan değişimler ve sahip olunan rollerin yoğunluğu etkisi ile sıklıkla rollerde karmaşa deneyimledikleri, kadınlık algılarının olumsuz etkilendiğinden bahsedilmiştir. “Benlik algısının maternal etkileri”nde ise kadınlar sahip oldukları benlik algılarının gebelikte artmış maternal bağlanma, doğum korkusu ve doğum sonrası döneme bilinmezliğine ilişkin kaygı yaşadıklarından bahsetmişlerdir. Sonuçlar: Çalışmada gebe kadınların olumlu ve olumsuz benlik algılarının olduğu, benlik algıları üzerinde farkındalık düzeylerinin, sosyal desteklerinin, gebelik öncesi algılarının ve toplumsal cinsiyet rollerinin etkili olduğu görülmüştür. Ayrıca, gebelikteki benlik algısının maternal süreci birçok açıdan etkilemesi nedeni ile antenatal bakımda gebelerin benlik algılarını güçlendirecek yaklaşımların sunulması önerilmektedir.; Aim: This study aimed to describe pregnant women's self-perceptions, and the maternal experiences shaped by their self-perceptions. Methods: The study was conducted with 13 pregnant women who came for routine pregnancy check-ups in the second and third trimesters of their healthy pregnancies, using the phenomenological approach, one of the descriptive qualitative research methods. Data were collected through faceto-face semi-structured interviews, and thematic analysis was used to analyze the obtained data. Results: The study identified two main themes: “experienced pregnant self” and “maternal effects of self-perception,” with six related sub-themes. The “experienced pregnant self” theme included sub-themes of adaptation to the pregnant body, preparation for the maternal process, and identity confusion (motherhood vs. womanhood). It was found that women’s adaptation to pregnancy, their previous self-perception, social support, and experiences were key factors. Some women consciously prepared for pregnancy, while others did not. Role confusion was common due to physical changes and the intensity of roles, negatively affecting their perception of femininity. The "maternal effects of self-perception" theme highlighted women’s increased maternal attachment, fear of childbirth, and postpartum anxiety influenced by their self-perception. Conclusion: The study presented that pregnant women have positive and negative self-perceptions, and that their awareness levels, social support, pre-pregnancy perceptions, and gender roles are effective on their self-perceptions. In addition, since self-perception during pregnancy affects the maternal process in many ways, it is recommended to provide approaches that will strengthen the self-perception of pregnant women in antenatal care. 2025-01-01T00:00:00Z http://hdl.handle.net/20.500.12566/2461 How risky pregnant women achieve positive antenatal experience: a cross‐sectional study of examination of the sense of coherence, prenatal distress, and pregnancy acceptance Deliktaş Demirci, Ayşe; Oruç, Mine; Koçhan, Merve; Kabukcuoğlu, Kamile Rationale: Antenatal care incorporating a health‐promoting approach should focus on positive pregnancy experiences.This approach can bring pregnant women closer to the health dimension.Aims and Objectives: To examine the effects and explanatory power of sense of coherence and prenatal distress on pregnancyacceptance among high‐risk pregnancies.Methods: A descriptive cross‐sectional survey was conducted between April and October 2023. The sample included 219 high‐risk pregnant women who had high‐risk pregnancies and were admitted to prenatal clinics at a state hospital. t‐tests, ANOVA,Pearson's correlation coefficients, and hierarchical linear multiple regression were performed using IBM SPSS softwareversion 23.0.Results: This study indicated that high‐risk pregnant women exhibited moderate levels of sense of coherence (54.43 ± 7.49),high acceptance of pregnancy (24.53 ± 5.83), and low levels of prenatal distress (11.63 ± 4.96). The research findings showedthat acceptance of pregnancy was influenced by the wanted pregnancy status (β = 0.231, p = 0.002), prenatal distress (β = 0.275,p = 0.000), and sense of coherence levels of women (β = −0.206, p = 0.001). The explanatory power of the model was 34%(F = 5.250, p = 0.000).Conclusions: The research revealed a strong link between the acceptance of pregnancy and factors such as the desired status ofthe pregnancy, prenatal stress, and a sense of coherence. These findings highlight key psychosocial predictors of pregnancyacceptance in high‐risk pregnancies. 2025-01-01T00:00:00Z http://hdl.handle.net/20.500.12566/2460 Effects of virtual reality on fear of birth, length of labor, and fetal well-being: a randomized controlled trial Oruç, Mine; Kabukcuoğlu, Kamile Objectives: The use of technological methods in childbirth is becoming increasingly common. This study aimed to evaluate the effects of virtual reality (VR) glasses on fear of childbirth, duration of labor, and fetal well-being in women undergoing term vaginal delivery. Methods: This single-blind randomized controlled trial included 144 pregnant women, equally divided into VR and control groups, stratified by parity. The intervention group watched nature videos via VR glasses in two sessions during the active phase of labor. Data were collected using clinical record forms, a nonstress test (NST) monitoring form, and the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ-A/B). Results: The use of VR significantly reduced fear of childbirth and shortened the active phase of labor among both primiparous and multiparous women (p<0.05). No significant differences were found in the total duration of labor or other phases. While significant differences were observed in fetal movements and accelerations between groups, no clinically adverse effects on fetal well-being were reported. No side effects or complications related to the VR intervention were observed. Conclusions: VR appears to be a safe and effective nonpharmacological method to reduce childbirth fear and shorten the active phase of labor. Further studies are recommended to confirm its effects on labor physiology and neonatal outcomes. 2025-01-01T00:00:00Z