Sürdürülebilir Kalkınma Amaçları

Yazarlar

  • MakaleYalnız künye2026Scopus SJRQ1
    Enhancing waiting time performance of clinical laboratories for pregnant patients with seasonal respiratory diseases: a simulation-based Lean Six Sigma approach

    Ortíz-Barrios, Miguel; Celani de Souza, Helder Jose; Petrillo, Antonella; Gul, Muhammet; Yücesan, Melih; Navarro-Jiménez, Eduardo; Alfaro-Saíz, Juan-José; Ariza-Ortíz, Andrés

    Purpose – Clinical laboratory performance is critical in managing seasonal respiratory diseases (SRDs); however, prolonged waiting times can lead to patient dissatisfaction and nonquality costs. This challenge is particularly acute for pregnant patients, who face increased health risks from diagnostic delays. This study aims to improve waiting times before sample collection in clinical laboratories serving pregnant patients with SRDs by integrating Lean Six Sigma (LSS) and Discrete-Event Simulation (DES). Design/methodology/approach – The proposed framework was validated in a public clinical laboratory using the DMAIC (Define–Measure–Analyze–Improve–Control) methodology. DES was embedded within the Analyze and Improve phases to model patient flow and assess improvement scenarios before implementation. Findings – The integrated LSS–DES approach resulted in a significant reduction in waiting times. During SRD peak periods, waiting time before sample collection for pregnant patients decreased from 1.01 to 0.10 h per patient. These results demonstrate the framework's effectiveness and practical usefulness for decision-makers seeking performance improvements in resource-constrained healthcare environments. Originality/value – This study enhances existing literature by integrating LSS and DES to address laboratory performance challenges associated with SRDs. The combined LSS-DES used for pregnant patients during outbreak periods is novel. The study offers contextual innovation for a vulnerable population, methodological advancement through embedding DES within the DMAIC cycle, and practical laboratory validation. The framework is particularly valuable for low- and middle-income countries (LMICs), where scalable solutions are essential.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2026Scopus SJRQ4
    Prevalence of Depression and Associated Factors in Pregnant Women Attending the Emergency Obstetrics Clinic; [Acil Kadın Doğum Polikliniğine Başvuran Gebelerde Depresyon Sıklığı ve Etkileyen Faktörler]

    Ak, Öznur; Beydağ, Kerime Derya; Dal, Nursel Alp

    The goal of this descriptive study was to assess the prevalence of depression among pregnant women attending the emergency obstetrics clinic and to evaluate the relationship between sociodemographic, obstetric, and social-life characteristics and depression levels. The study was conducted at the University of Health Sciences Sarıyer Hamidiye Etfal Training and Research Hospital between June 6, 2025, and August 1, 2025. The study population comprised 720 pregnant women, and the sample consisted of 251 volunteer pregnant women selected at random. Data were collected using a researcher-developed questionnaire and the Beck Depression Inventory (BDI). The mean BDI score was 10.65 ± 7.02. The vast majority of pregnant women exhibited mild depressive symptoms. While no significant differences were found between depression and educational level, attendance at childbirth preparation courses, or number of pregnancies, significant associations were identified between depression and economic status, type of marriage, whether the pregnancy was planned, the belief that social life would be restricted, a perceived negative impact on sexual life, deterioration in relationships with the spouse, and exposure to verbal violence (p < 0.05). Depression during pregnancy is a major public health problem and is shaped by multifactorial influences. It is recommended that psychosocial assessments be integrated into antenatal follow-up, that at-risk groups be identified early, and that appropriate counseling services be provided. Depression screening should be conducted during routine obstetric follow-ups, and pregnant women in high-risk groups should receive psychosocial support and social service support.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2025Scopus SJRQ4
    Is There a Difference Between Postpartum Depression and Mother-baby Bonding in Pregnant Women Who Had and Did Not Have COVID-19? A Comparative and Cross-sectional Study; [COVID-19 Geçiren ve Geçirmeyen Gebelerde Doğum Sonrası Depresyon ve Anne-bebek Bağlanması Arasında Fark Var mıdır? Karşılaştırmalı ve Kesitsel Bir Çalışma]

    Karatay, Gülnaz; Gürarslan Baş, Nazan; Yüksekol, Aslı

    Objective: This study was conducted to examine the effect of being diagnosed with coronavirus disease-2019 (COVID-19) during pregnancy on postpartum depressive symptoms and infant-mother bonding. Method: This comparative cross-sectional study was conducted in a city in southeastern Turkey. Using the purposeful sampling method, 210 postpartum women (106 had COVID during pregnancy, 104 did not) constituted the sample of the study. The data were collected through face-to-face interviews between 15 March and 30 May 2022. Data were collected using the mother introductory information form, mother-infant bonding scale, and Edinburgh postnatal depression scale. The obtained data were analyzed using percentages, means, t-test, chi-square, Mann-Whitney U, and regression analysis. Results: According to the findings of the study, a significant relationship has been observed between contracting COVID-19 and both the birth weight of the baby and the week of birth. Moreover, having COVID-19 negatively affected infant-mother bonding and increased postpartum depressive symptoms. Conclusion: According to the findings of the study: it was observed that the babies of mothers who had COVID-19 had lower birth weight, were born before the full term, mother-baby bonding was lower, and postpartum depression was higher in mothers.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleYalnız künye2025Scopus SJRQ2
    The Trends and Hotspots of Research on Adolescent Pregnancy: A Bibliometric Analysis

    Pehlivanoğlu, Şeyma; Çelik, Osman Tayyar; Tok, Yasin; Sağlam, Mehmet

    This bibliometric study aims to contribute to the literature on adolescent pregnancy by exploring gaps, research trends, contributing countries and journals, collaboration networks, and subject themes, offering a macro perspective on the field’s development and future directions. This study employed a bibliometric research methodology. Publications containing the keywords adolescent, adolescence, youth, teenager, puberty, juvenile, pregnancy, and pregnant were retrieved from the Web of Science (WoS) database (1980–April 24, 2024) and analyzed using VOSviewer and the open-source R bibliometric package, adhering to predefined inclusion/exclusion criteria. The concept of adolescent pregnancy has been studied annually from 1980 to the present, peaking in 2022. Key research topics include sexual and reproductive health, contraception, and depression. According to Lotka’s Law, 84.7% of authors in this field have published only once. Recent studies have focused on birth weight and pregnancy risks. The most cited publication globally and locally is by Ganchimeg et al., while the Journal of Adolescent Health is the most productive platform. The United States, Brazil, the United Kingdom, South Africa, Canada, and Turkey are the most productive countries in this field. The results of this study highlight that adolescent pregnancy remains a global public health issue, as evidenced by its consistent presence in annual research. Key research gaps and trends include social and emotional challenges faced by pregnant adolescents, physical development and health during adolescent pregnancy, causes and prevalence trends, preventive education services, and psychosocial interventions. Further research is essential to develop effective interventions for preventing adolescent pregnancy and safeguarding the best interests of children.

    AtıfScopus3WoS3OpenAlex4
    ScopusWeb of SciencePubMedİncele
  • MakaleYalnız künye2024Scopus SJRQ1
    Investigation of Sexual Distress in Pregnant Women: A Turkish Multi-center Study

    Koç, Emine; Baltacı, Nazlı; Yüksekol, Özlem Doğan; Gürel, Reyyan; Ulucan, Mihriban

    Introduction: During pregnancy, sexual distress is common, but its prevalence and underlying factors require elucidation. This study was performed to investigate sexual distress in pregnant women. Methods: This research was designed as a descriptive and multi-center study. The study included 2365 pregnant women from 6 geographical regions of Turkey between April 1, 2022, and February 1, 2023. Data was collected using the “Pregnant Information Form” and “Female Sexual Distress Scale-Revised (FDS-R).” Descriptive statistics, independent sample t-test, analysis of variance, and the Pearson correlation test were used for data analysis. Results: Herein, 46.1% of pregnant women experienced sexual distress, and the mean FDS-R score of the study participants was 14.49. Participants who were dissatisfied with their sexual life before and during pregnancy (p < 0.001), those who did not have sexual intercourse during pregnancy (p < 0.001), those who experienced decreased sexual desire during pregnancy (p < 0.001), those who did not receive sexual education during pregnancy (p < 0.001), and those who experienced problems when engaging in sexual intercourse during pregnancy (p < 0.001) experienced more sexual distress. Sexual distress increased when the mean age and the number of pregnancies and children increased, whereas it decreased when the gestational week increased. Conclusions: Approximately half of the pregnant women included in the study experienced sexual distress. The findings highlight the importance of midwives and nurses encouraging pregnant women to discuss their sexuality. Policy implications: The findings of this study show that sexual distress during pregnancy is common and affected by some factors related to personal and sexual life during pregnancy. This result provides evidence of the need to develop culturally appropriate interventions and policies that include sexual partners in the context of improving pregnant women's sexual distress, sexual health, good family relationships and mental health.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 5 · Toplumsal Cinsiyet Eşitliği
    AtıfScopus2WoS2OpenAlex2
    ScopusWeb of Scienceİncele
  • MakaleAçık Erişim2023
    Fear of Getting Pregnant Scale Development Study

    Dal, Nursel Alp; Beydag, Kerime Derya

    Objective: This study was carried out to develop a measurement tool that determines the factors that may be effective in women's fear of getting pregnant and to test its validity and reliability. Methods: The sample of the study, which was carried out with a methodological design, consisted of 240 sexually active women who presented to the obstetrics clinic of a hospital in the Anatolian side of Istanbul between February 1 and June 1, 2021. The draft of the Fear of Getting Pregnant Scale was created by the researchers. The item pool for the draft scale consisted of 22 items. After the validity and reliability analyses, the final form of the scale contained 18 items. The scale consisted of three dimensions: physical reasons (5 items), psychological reasons (6 items), and social reasons (7 items). After evaluating the content validity of the scale, its test-retest reliability, internal consistency, and construct validity were examined. Explanatory factor analysis, confirmatory factor analysis, Bartlett's test of sphericity, Cronbach's alpha test, and Shapiro-Wilk test were used in the development of the scale. Results: In the validity and reliability study of the Fear of Getting Pregnant Scale, the Content Validity Index (CVI) was found to be .83. The total Cronbach's alpha value of the scale was determined as .95, and the Cronbach's alpha values of the dimensions were .91 for physical reasons, .89 for psychological reasons, and .90 for social reasons. Conclusion: In line with these data, it was determined that the Fear of Getting Pregnant Scale is a valid and reliable scale.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfWoS1
    Web of ScienceTR Dizinİncele
  • MakaleAçık Erişim2023
    DETERMINATION OF ANXIETY LEVELS AND KNOWLEDGE LEVELS ABOUT COVID-19 DURING THE COVID-19 OUTBREAK OF PREGNANTS: SURVEY IN TURKEY

    Yüksekol, Ozlem Dogan; Nazik, Feyza; Baltaci, Nazli; Ulucan, Mihriban

    Purpose: To determine the anxiety and knowledge levels of pregnant women about outbreaks during the COVID-19 pandemic. Material and Methods: This study was conducted as a descriptive study with 276 pregnant women presenting to obstetrics and gynecology outpatient clinics of hospitals in eastern Turkey. The data were collected using a personal information form, a form for assessing the knowledge levels of the participants about COVID-19, and the COVID-19 Anxiety Scale. Results: It was found that 75.4% of the participants were worried that they would catch COVID-19 in the hospital during or after childbirth. The mean COVID-19 Anxiety Scale score of the participants was 6.7 & PLUSMN;2.4 (min: 5, max: 14). The anxiety levels of the participants who were in the last trimester of pregnancy, those who did not receive information about COVID-19, those who changed their mode of delivery due to the pandemic, those who received inadequate prenatal care, those whose social support decreased, and those who felt vulnerable were significantly higher. Conclusion: The results of this study revealed that anxiety in pregnant women is affected by various factors. It is important to provide care and support for these groups.