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1.
Women Health ; 59(1): 101-113, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-29979949

RESUMO

This prospective study was conducted in the urogynecology and gynecology outpatient clinics of Istanbul Faculty of Medicine from December 2014 to March 2015. The objective was to identify the association between obesity and sexual function and quality of life in women with pelvic floor dysfunction (PFD). A total of 387 sexually active women diagnosed with urinary incontinence and/or pelvic organ prolapse were included and categorized as obese (n = 200) or nonobese (n = 187). Mean body mass indexes were 25.7 ± 2.41 kg/m2 for nonobese women and 34.9 ± 3.92 kg/m2 for obese women. The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 total score was significantly lower in obese (27.66 ± 7.12) than in nonobese women (30.18 ± 6.54) (p < .05). Quality of life mean scores were higher in obese women for both the Incontinence Impact Questionnaire total score (67.24 ± 26.8 versus 49.12 ± 27.5) and Urogenital Distress Inventory total score (65.02 ± 21.4 versus 55.07 ± 24.7) (p < .001). Obese women with PFD had symptoms for longer durations, had more frequent urinary incontinence, and worse sexual function and quality of life than nonobese women. Health-care professionals caring for obese women should be aware of the coexistence of obesity and PFD. Future studies should evaluate whether obesity-associated PFD can be reduced through successful weight reduction interventions.


Assuntos
Distúrbios do Assoalho Pélvico/complicações , Diafragma da Pelve/fisiopatologia , Prolapso de Órgão Pélvico/complicações , Qualidade de Vida , Disfunções Sexuais Fisiológicas/diagnóstico , Incontinência Urinária/complicações , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Obesidade/complicações , Obesidade/psicologia , Distúrbios do Assoalho Pélvico/fisiopatologia , Distúrbios do Assoalho Pélvico/psicologia , Prolapso de Órgão Pélvico/fisiopatologia , Prolapso de Órgão Pélvico/psicologia , Estudos Prospectivos , Disfunções Sexuais Fisiológicas/etiologia , Disfunções Sexuais Fisiológicas/psicologia , Inquéritos e Questionários , Turquia
2.
Complement Ther Clin Pract ; 32: 25-31, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30057052

RESUMO

PURPOSE: This study was designed as an experimental controlled study, aiming to identify the effect of ice massage with short duration (40 min) and long duration (80 min) applied on Large Intestinal 4 (LI4) acupressure point on labor process and perception of labor pain. METHODS: The participants, who met the research criteria according to the results of power analysis, were 72 healthy pregnant women divided into experiment and control group. RESULTS: Results show that ice massage applied on the LI4 region was effective in the 80th minute. Moreover, in terms of the effect of ice massage on labor duration, the application was found to reduce the labor duration of the women in the experimental group approximately 1 h on average. CONCLUSION: It was found that the ice massage applied by midwives on the LI4 point during the active phase of delivery could reduce pain and shorten the delivery duration.


Assuntos
Acupressão , Pontos de Acupuntura , Crioterapia , Gelo , Dor do Parto/terapia , Feminino , Humanos , Trabalho de Parto/fisiologia , Gravidez
3.
Arch Gynecol Obstet ; 290(2): 291-8, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24619189

RESUMO

OBJECTIVE: To evaluate the long-term effects of percutaneous tibial nerve stimulation (PTNS) on quality of life in women with chronic pelvic pain. MATERIALS AND METHODS: Thirty-three women with chronic pelvic pain were randomized into PTNS (n = 16) or control (n = 17) groups. In PTNS group, weekly PTNS in 30-min sessions for 12 weeks was performed whereas the control group received no stimulation. Present pain intensity-visual analog scale (PPI-VAS), short-form McGill pain questionnaire (SF-MPQ), and SF-36 were used at baseline, 12-week, and 6-month follow-up for the evaluation of pain intensity and quality of life. RESULTS: Two women (12.5 %) were cured, 7 (43.8 %) were much improved, 6 (37.5 %) were the same and 1 (6.3 %) was worse after PTNS. Two women (11.8 %) were improved, 10 (58.8 %) were the same, and 5 (29.4 %) were worse in the control group. Mean PPI-VAS of PTNS group at baseline, 12 weeks, and 6 months was 8.4 ± 1.1, 3.8 ± 3.5 and 4.5 ± 3.7, respectively. There was a significant improvement in PPI-VAS scores of PTNS group whereas no change was observed in the control group. There was a slight increase in the PPI-VAS scores of the PTNS group at 6-month, but the difference was not statistically significant. There was significant improvement in all domains of SF-MPQ and SF-36 in PTNS group with continuing effects at 6 months whereas no significant change was observed in the control group. CONCLUSION: PTNS is a minimally invasive treatment method that leads to decrease in pain severity and improvement in quality of life in women with chronic pelvic pain with effects continuing at 6 months.


Assuntos
Dor Crônica/terapia , Dor Pélvica/terapia , Nervo Tibial/fisiologia , Estimulação Elétrica Nervosa Transcutânea , Adulto , Dor Crônica/fisiopatologia , Feminino , Humanos , Pessoa de Meia-Idade , Medição da Dor , Dor Pélvica/fisiopatologia , Estudos Prospectivos , Qualidade de Vida , Fatores de Risco , Inquéritos e Questionários , Tempo , Resultado do Tratamento , Turquia
4.
Int J Nurs Pract ; 20(4): 390-7, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24118372

RESUMO

This study aims to describe the health-promoting lifestyle behaviours of pregnant women. The study was carried out with pregnant women who applied to the polyclinics in different maternity and children hospitals located in Adana, Turkey, between 1 March and 30 May 2009. The data collection tools used in the study were (i) a questionnaire that was used to collect sociodemographic data from the participants and (ii) the Health Promoting Lifestyle Profile II (HPLP II). The results obtained from the study showed that total HPLP II scores were moderate; the highest scores were obtained on the spiritual growth dimension and the lowest scores on the physical activity dimension. Pregnant women with older age, those with a higher educational level, those with a better socioeconomic status and those living in a nuclear family were found to be more likely to have health-promoting lifestyles. Health promotion and healthy lifestyle need to be an integral part of health services provided for pregnant women. Midwives and nurses have prominent roles in encouraging pregnant women to engage in health-promoting behaviours.


Assuntos
Comportamentos Relacionados com a Saúde , Promoção da Saúde , Estilo de Vida , Adulto , Estudos Transversais , Demografia , Feminino , Humanos , Paridade , Gravidez , Inquéritos e Questionários , Turquia
5.
Indian J Pharmacol ; 45(6): 616-8, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24347772

RESUMO

This study aimed to evaluate the awareness of nurse/midwives regarding pharmacovigilance as well as their knowledge and experience in identifying and reporting adverse reactions of drugs. Nurse/midwives (n = 329), working in four state hospitals, were provided a questionnaire with a view of identifying their knowledge and skills pertaining to pharmacovigilance. Around 45% of the participants claimed to have knowledge of pharmacovigilance but only 23.3% of them could define it correctly. Although 24.3% of the participants acknowledged that adverse reactions should be reported to a centre, only 1.2% of them named this centre (Turkey Pharmacovigilance Centre-TUFAM). The present study indicates that nurse/midwives have insufficient knowledge of pharmacovigilance practices. Hence, it is essential to include pharmacovigilance training in their undergraduate and graduate education programs, and to promote reporting of adverse reactions.


Assuntos
Competência Clínica , Tratamento Farmacológico , Enfermeiros Obstétricos , Recursos Humanos de Enfermagem , Estudos Transversais , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Inquéritos e Questionários , Turquia
6.
ISRN Obstet Gynecol ; 2013: 918179, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23970973

RESUMO

Objective. The purpose of this study is to identify menstruation characteristics of the women and the effects of menorrhagia on women's quality of life. Methods. The study was designed as a descriptive, case-control one. Results. Of the women in the case group, 10.9% stated that their menstrual bleeding was severe and very severe before complaints while 73.2% described bleeding as severe or very severe after complaints. Among those who complained about menorrhagia, 46.7% pointed that they used hygienic products that are more protective than regular sanitary pads. Women also stated that their clothes, bed linens, and furniture got dirty parallel to the severity of the bleeding. In all subscales of SF-36 scale, quality of life of the women in the menorrhagia group was significantly lower than the ones in the control group (P < 0.05). Conclusion. Menorrhagia has negative effects on women's quality of life. Therefore, quality of life of the women consulting the clinics with menorrhagia complaint should be investigated and effective approaches should be designed.

7.
Gynecol Obstet Invest ; 73(2): 99-105, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22269443

RESUMO

OBJECTIVE: This research is a prospective study which was designed to determine the effects of percutaneous tibial nerve stimulation (PTNS) therapy on the quality of life and sexual life of patients with chronic pelvic pain (CPP). METHODS: The sample consisted of an experimental group (n = 12) and a control group (n = 12), in total 24 patients. The experimental group was treated with PTNS once a week (in total 12 sessions), while the control group received routine intervention. RESULTS: The pain frequency and intensity in women who underwent PTNS decreased considerably. Women had less pain during sexual intercourse after PTNS. We determined in our study that PTNS improved the quality of life of women with CPP by decreasing the intensity of pain and contributed to a more comfortable performance of their daily activities. CONCLUSIONS: PTNS is a type of treatment which contributes to the quality of life of women with CPP by decreasing the intensity of pain.


Assuntos
Dor Crônica/terapia , Dor Pélvica/terapia , Nervo Tibial/fisiologia , Estimulação Elétrica Nervosa Transcutânea , Estudos de Casos e Controles , Coito , Feminino , Humanos , Medição da Dor , Estudos Prospectivos , Qualidade de Vida , Inquéritos e Questionários , Resultado do Tratamento
8.
J Sex Marital Ther ; 31(3): 201-15, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-16020139

RESUMO

The aim of this study was to define the effects of pregnancy on sexual life. The research was carried out during January-August 2000 at the Antenatal Polyclinic of University of Istanbul, Faculty of Medicine. The sampling consisted of 150 pregnant women in the 34th week or later in pregnancy, who were not restricted in their sexual lives by their physicians, and for whom the risks of placenta previa, early rupture of membranes, and premature birth risk were not present. We gathered the data using an interview form that was developed in the direction of the phases of sexual function (desire, stimulation, plato, orgasm, resolution). The form included 63 questions covering the experiences of pregnant women in all three trimesters of pregnancy. Researchers filled out forms during face-to-face interviews with the pregnant women. Sexual intercourse frequency was noted to decrease as pregnancy progressed. Fear of sexual intercourse was prevalent particularly in the third trimester. The pregnant women experienced less stimulation during sexual intercourse as pregnancy progressed. Length of intercourse also decreased during the later phases of pregnancy compared with prepregnancy. Inability to experience orgasm increased with each trimester. We determined that pregnant women felt more pain during the coitus as the pregnancy progressed. The rate of sexual satisfaction declined as pregnancy progressed, particularly during the third trimester. We determined in our study that sexual functioning declines as pregnancy progresses compared with prepregnancy.


Assuntos
Atitude Frente a Saúde , Coito/psicologia , Gestantes , Saúde da Mulher , Adulto , Feminino , Humanos , Estilo de Vida , Masculino , Gravidez , Complicações na Gravidez/psicologia , Trimestres da Gravidez , Gestantes/psicologia , Parceiros Sexuais , Inquéritos e Questionários , Turquia
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