ABSTRACT
BACKGROUND: The fear of childbirth (FOC) causes negativities such as increased an need for analgesia and interventions related to labour, prolonged labor, and childbirth dissatisfaction. It has been shown that birth support can be an effective strategy for reducing these negative outcomes. Also, labour support based on a nursing theory can help improve care outcomes. AIM: This study aimed to examine the effects of nursing care structured according to Kolcaba's theory on duration, pain, and comfort of childbirth. METHODS: This pilot study was a randomised controlled study. Before the participants were randomized, their FOC levels were determined using the Wijma Delivery Expectancy/Experience Scale A (WDEQ-A). Ninety women who had a FOC (WDEQ-A >66) were randomised into groups. The study was completed with 46 women (21 intervention, 25 control). The intervention group received the labour support based on Kolcaba's Theory of Comfort. The control group received standard care at birth.The data were collected using the Wijma Delivery Expectancy/Experience Scale A and the Comfort Behavior Checklist during pregnancy and labour. They were analysed using non-parametric tests. RESULTS: The women in the intervention group had shorter latent and active phases (p = 0.002), lower pain scores (p = 0.000), and higher levels of birth comfort (p = 0.002). RELEVANCE FOR THE CLINICAL PRACTICE: Labor support structured according to Kolcaba's Theory of Comfort contributes to increased comfort and decreases childbirth pain. This study can guide healthcare professionals who provide labour support on how to plan, provide, and assess care for woman who are giving birth.
ABSTRACT
PURPOSE: This study aimed to determine the attitudes and beliefs of the nursing students toward sexual healthcare and the obstacles they encounter. METHODS: This descriptive study included 475 nursing students. FINDINGS: The total Sexual Attitude and Belief Survey score was associated with many characteristics such as nursing year, mothers' educational status; talking about sexuality, receiving sexual health education, the status of clinical sexual health evaluation; having difficulty in providing sexual healthcare to the opposite sex, feeling shy about providing sexual healthcare (p < 0.05). PRACTICE IMPLICATIONS: The result of this study showed that nursing students have negative beliefs and attitudes toward sexual healthcare.
Subject(s)
Sexual Health , Students, Nursing , Health Knowledge, Attitudes, Practice , Humans , Sexual Behavior , Sexuality , Surveys and QuestionnairesABSTRACT
It is very important that infants are exclusively breastfed for the first 6 months of life and then that breastfeeding is continued until 2 years of age. In this study, we aimed to determine the rate of exclusive breastfeeding for the first 6 months of life following birth and the factors associated with continuation of exclusive breastfeeding. The study was a retrospective cohort study. The study population consists of infants born in Akdeniz University Hospital. Infants born between June 1, 2016, and June 1, 2017 (n = 1402) were included in the sample. For analysis of data, descriptive statistics, χ2 test, t test, and logistic regression test were employed. The rate of exclusive breastfeeding for the first 6 months was 29.8%. Further analysis revealed that chances of breastfeeding exclusivity for the first 6 months were increased by 1.6-fold if the father had higher education, by 1.4-fold if the infant was not given formula in the hospital, by approximately 4-fold if feeding bottle was not used, and by 1.7-fold in the absence of problems related to breastfeeding. The study results showed that success in exclusive breastfeeding was influenced by several factors. We recommended that modifiable factors associated with the success of exclusive breastfeeding be well managed.
