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    A natural consequence of aging in women?: a mixed-method exploration on osteoporosis self-efficacy in Turkey
    (Springer London Ltd, 2023) Gül, Sidar; Büyükbayram, Zeliha
    The perception of osteoporosis self-efficacy is an important factor in coping with osteoporosis. Being older, not exercising regularly, inadequate consumption of milk and dairy products, inadequate exposure to sunlight, knowledge gaps, negative disease perceptions, and barriers to osteoporosis treatment adherence negatively affect osteoporosis self-efficacy levels of women (p < 0.001).PurposeThe purpose of this study to determine the osteoporosis-related self-efficacy levels of women with osteoporosis and investigate the relationship between the characteristics of these women and their osteoporosis self-efficacy.MethodsThe study was conducted in Siirt province in the Southeastern Anatolia Region of Turkey. A mixed-method approach was selected. Data were collected with 280 surveys and 30 participants' interviews.ResultsThe mean total OSES score of the participants was 649.82 +/- 221.09. Aging, not exercising regularly, inadequate consumption of milk and dairy products, and inadequate exposure to sunlight were significant predictors of low osteoporosis self-efficacy (p < 0.001), explaining 23.4% of the total variance. Knowledge gaps, disease perceptions, facilitators of treatment adherence, and barriers to treatment adherence affected the osteoporosis self-efficacy of the participants.ConclusionThe osteoporosis-related self-efficacy levels of the participants of this study were low. The results suggest that a strategy to organize routine health education programs should be established in order to create a higher perception of osteoporosis self-efficacy in women with osteoporosis and to reduce knowledge gaps and barriers.
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    Desire to have a child during the COVID-19 pandemic: A case of Southeastern Anatolia Region
    (2023) Gül, Sidar; Yağmur, Yurdagül
    Aim: The aim of this study was to determine the desire of married couples have children during the COVID-19 pandemic and identify the factors affecting this desire. Methods: A descriptive cross-sectional survey study design was used. Married men and women aged 18 to 49 in a province located in the Southeastern Anatolia Region participated this study. Data were collected using a Personal Information Form and the COVID-19 Fear Scale via online. Results: Of the participants 44.1% wanted to have children before the pandemic, 50.2% of these participants postponed this desire during the pandemic. 40.7% of these participants were not using any contraceptive method, and partner's refusal (51.6%) was the most reason on this topic. The factors that influenced decisions to limit the number of children were advanced age, being unemployed, the sole decision-maker status of family elders regarding fertility-related preferences, less frequent sexual activity during the pandemic period, and fear of COVID-19. Conclusion: The results showed that the negative effects of the pandemic, and sociodemographic disadvantages significantly affected the desire to have a child.
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    DETERMINATION OF ANXIETY STATUS IN WOMEN WITH CHRONIC DISEASE DURING THE COVID-19 PANDEMIC
    (2022) Büyükbayram, Zeliha; Gül, Sidar; Özüdoğru, Osman
    This study was conducted to determine the anxiety status of women with chronic diseases during the coronavirus disease pandemic. This descriptive study was conducted in February-August 2021 within the internal medicine outpatient clinic of a training and research hospital located in the Southeastern Anatolia Region of Turkey. Individual Descriptive Questionnaire and Spielberger State-Trait Anxiety Inventory forms were used to collect data. The mean state anxiety score of the participants was 46.40±10.46, and the mean trait anxiety score was 49.56±9.33. The trait anxiety mean scores of the participants who have a good relationship with the family and whose health status was not affected during the pandemic was found to lower statistically significant (p<0.05). The trait anxiety mean scores of the participants who have poor economic status was found to higher statistically significant (p<0.05). It was determined that women with chronic diseases had moderate anxiety and were negatively affected by the pandemic process. In line with this information, it comes to the fore that women with chronic diseases need more psychosocial support due to their increased anxiety and they are a group that should be handled with care. It is recommended that more descriptive studies be carried out on this subject.
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    EXAMINATION OF MEANING AND PURPOSE OF LIFE IN WOMEN WITH PREMENSTRUAL SYNDROME
    (2023) Gül, Sidar
    Women's coping behaviors with premenstrual syndrome symptoms can be affected by various factors. Among these factors, the meaning and purpose of life is an important health factor associated with reducing many negative health outcomes. This study was conducted to examine the life purpose and meaning-making tendencies of women with premenstrual syndrome. The sample of this descriptive-correlational study consisted of 384 participants. The study was conducted in March-September 2021 within a province located in the Southeastern Anatolia Region of Turkey. The data were collected by using the Descriptive Questionnaire, the Premenstrual Syndrome Scale, and the Meaning and Purpose of Life Scale. The mean Premenstrual Syndrome Scale scores of the participants were determined as 135.02±25.02 and the mean Scale of Meaning and Purpose of Life was 46.77±7.40. The effect of the meaning and purpose of life was found to be effective on decrease of premenstrual syndrome (p<0.001). The total meaning and purpose of life score explained 21.9% of the total variance in the dependent variable of premenstrual syndrome. In order to make the lives of women diagnosed with premenstrual syndrome more meaningful, it is recommended to organize multi-sectoral collaborative programs in which women's health nurses take an active role.
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    Milk Sharing and Human Milk Banking Among Lactating Women Living in the Southeastern Anatolia Region of Turkey: Knowledge, Opinions, and Practices
    (2023) Gül, Sidar; Zengın, Mürşide
    Objective: We aimed to determine the knowledge, opinions, and practices among lactating women in Turkey with regard to milk sharing and human milk banking. Methods: The research was conducted from November 2021 to April 2022 in a province in the southeastern Anatolia region of Turkey. A mixed-methods approach was applied in this study. Data were collected from 415 surveys and 19 participant interviews. Results: Of the participants, 84.1% knew about the concept of wet nursing, 30.1% had had a wet nurse, and 34.9% had wet-nursed a baby. Of the participants, 57.6% did not know about human milk banking, 33.5% did not want to donate milk to human milk banks, and 32.8% did not want to feed their babies human milk that had been banked. According to the qualitative findings of the study, while their husband’s approval played an active role in shaping the opinions of the participants toward human milk banking, religious concerns, commercial gain, hygiene, and decreased nutritional value were also found to be significant factors. Conclusion: Lactating women’s knowledge, opinions, and concerns about human milk banking should be considered in educational programs planned by health professionals to correct negative thoughts toward human milk banking.
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    "Our Disease of No Hope”: A Qualitative Study on The Supportive Care Needs of Women Under Treatment For Gynecological Cancer
    (2024) Gül, Sidar
    Background/Purpose: Identifying and managing unmet supportive care needs while caring for a patient with gynecological cancer is an important component of healthcare. The purpose of this study is to determine the supportive care needs of women receiving gynecological cancer treatment. Methods: This study, using a qualitative research design, was conducted with 15 women diagnosed with gynecological cancer. Face-to-face interviews were conducted with the participants determined by the purposive sampling method until reached the saturation point. The interviews were held between January and May 2022. Results: The mean age of the participants was 53.5±11.14, five of them were primary school graduates, nine of them had a medium income and 10 were married. Seven of the participants had tanus endometrial cancer and the mean diagnosis period was 10.4±2.5 months. As a result of the analysis of the data, five themes were determined. These themes; the continuity of the need for care, lack of social support, lack of sense of control, the desire to cope with uncertainty, and the lack of communication in the health institution. Conclusion: It was determined that women who were treated for gynecological cancer had care needs that were not met and needed to be supported due to individual, economic, social and medical reasons. Supportive care needs of women receiving gynecological cancer treatment should be evaluated within the framework of a multidisciplinary team approach, and counseling and rehabilitation programs including symptom management and psychosocial support should be organized in order to improve coping methods with their diseases.