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Öğe Sleep Quality in Pregnant Women Considering Maternal Age: A Cross-sectional Study(Galenos Publ House, 2022) Dolu, Ilknur; Sogut, Seda; Cangol, EdaObjective: This study aimed to determine the factors affecting the quality of sleep in pregnant women with respect to maternal age. Materials and Methods: This cross-sectional study was conducted in the Gynecology and Obstetrics Outpatient Clinic of Bartin State Hospital. The research data were collected using questionnaires Whooley questions, Pittsburg sleep quality index, and the 12-item short-form health survey. Results: This study included 135 pregnant women, of whom 43 were 35 years, 46 were 23-34 years, and 46 were <= 29 years old. The mean sleep quality score of the advanced maternal age group was 4.88 [standard deviation (SD), 2.27], which was lower than the maternal age group of 30-34 years (5.78; SD, 2.94) and <= 29 years (5.02; SD, 3.38). Of the total participants, 52.6% were poor sleepers. Approximately 65% of the participants were Whooley-positive. The mean of the physical and mental component summary was 43.04 (SD, 6.04) and 44.05 (SD, 6.03), respectively, for each maternal age group. No significant differences were found among the maternal age groups in terms of sleep quality, depression, and quality of life. Conclusion: The study results revealed similar characteristics among pregnant women of advanced and young maternal age concerning quality of life, sleep quality, and maternal depression.Öğe The Effect of a Breastfeeding Motivation Program Maintained During Pregnancy on Supporting Breastfeeding: A Randomized Controlled Trial(Mary Ann Liebert, Inc, 2017) Cangol, Eda; Sahin, Nevin HotunBackground: Exclusive breastfeeding is the recommended breastfeeding method for infants during the first 6 postnatal months. Objective: This study aimed to increase breastfeeding duration and frequency using a breastfeeding motivation program (BMP), which was structurally based on Pender's Health Promotion Model (HPM) and administered during pregnancy and the postnatal period. The study was also designed to determine the BMP effectiveness in supporting exclusive breastfeeding. Materials and Methods: The sample of this randomized controlled trial included 100 pregnant women (50 in the BMP, 50 in the control group) who applied to the pregnancy preparation course in a state hospital located in Usak, western Turkey. Participants in the study were allocated into either the BMP group or control group through systematic sampling and randomization. The BMP was structured based on the HPM and was carried out with the BMP study group four times: during the antenatal period, on the first postnatal day, between the fourth and sixth postnatal weeks, and during the fourth postnatal month. Data were analyzed using the descriptive statistical test, Pearson's chi-square test, independent samples t test, and ANOVA. Results: The mothers in the BMP group started breastfeeding earlier than the mothers in the control group (97.1%) and had fewer problems with their first breastfeeding experience. The average score of perceived self-efficacy in breastfeeding and the rate of first breastfeeding experience (70.6%) were higher in the BMP group by a statistically significant amount. Conclusion: BMP for breastfeeding, structurally based on Pender's HPM, can help in supporting and maintaining exclusive breastfeeding.Öğe The Relationship Between eHealth Literacy and Self-Efficacy Levels in Midwifery Students Receiving Distance Education During the COVID-19 Pandemic(Lippincott Williams & Wilkins, 2022) Sogut, Seda; Cangol, Eda; Dolu, IlknurBackground During the ongoing COVID-19 pandemic period, most university courses in Turkey have been taught via distance education. Beyond knowledge of digital technologies, self-efficacy is known to affect the learning motivation and learning goals of students. Purpose This study was conducted to determine the relationship between eHealth literacy and self-efficacy levels in midwifery students receiving distance education during the current COVID-19 pandemic. The research data were collected using a literature-based questionnaire developed by the researchers, the eHealth Literacy Scale for Adolescents, and the Online Technologies Self-Efficacy Scale. The data were analyzed using IBM SPSS Statistics 25.0, with values of p < .05 considered to be significant. Methods This cross-sectional study was carried out during the COVID-19 pandemic on a sample of 578 female midwifery students. Snowball sampling method was used for data collection using an online questionnaire. Results On the basis of the results, eHealth literacy and self-efficacy levels were relatively low in students who were 20 years old or below, who were in their first year, who were from low-income families, who spent less than an hour a day on the Internet, who had a low level of satisfaction with distance education, and who wanted to continue taking theoretical courses via distance education. In addition, self-efficacy related to online technologies was shown to be relatively low in students who found Internet services to be expensive, who had Internet connection problems, and who preferred asynchronous courses. Furthermore, a significant relationship was found between eHealth literacy and self-efficacy levels for online education. Conclusions/Implications for Practice In the context of distance education, integrating the teaching/promotion of self-efficacy with regard to eHealth literacy and online technologies into midwifery education curriculum should better enable midwives to increase the quality of healthcare they provide and improve patient safety.











