Sürdürülebilir Kalkınma Amaçları

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• MakaleAçık Erişim2026Scopus SJRQ3/r/munzur/1091
  Neuro-linguistic programming for postoperative pain management: A randomized controlled trial

  Dal, Nursel Alp; Beydağ, Kerime D.; Doğan, Aysel

  Effective control of pain after cesarean delivery is essential, as poorly managed postoperative pain is a common complication that can impair maternal recovery and early infant care. This prospective, randomized, single-blind controlled trial, conducted in the postpartum unit of Kocaeli University Hospital, Kocaeli, Türkiye, between March 2021 and June 2022, compared the effect of a single neuro-linguistic programming (NLP) session added to standard postoperative care against standard care alone. Seventy-six consenting women were randomized in equal numbers to the intervention (standard care plus NLP) or control (standard care only) group. The primary outcome was pain intensity, measured with the Visual Analogue Scale (VAS) before and after the intervention period. Mean follow-up pain scores were significantly lower in the intervention group (2.37±1.792) than in the control group (6.68±2.068; p<0.001), while baseline pain scores and maternal demographic and obstetric characteristics did not differ significantly between groups. Adding a single NLP session to standard postoperative care effectively reduced pain after cesarean delivery, supporting its use as a non-pharmacological adjunct in postoperative nursing and midwifery practice. African Journal of Reproductive Health © 2026.; Une prise en charge efficace de la douleur après une césarienne est essentielle, car une douleur postopératoire mal gérée constitue une complication fréquente susceptible de nuire au rétablissement de la mère et aux premiers soins prodigués au nourrisson. Cet essai prospectif, randomisé, contrôlé en simple aveugle, mené dans l’unité post-partum de l’hôpital universitaire de Kocaeli, à Kocaeli, en Turquie, entre mars 2021 et juin 2022, a comparé l’effet d’une seule séance de programmation neurolinguistique (PNL) ajoutée aux soins postopératoires standard à celui des soins standard seuls. Soixante-seize femmes ayant donné leur consentement ont été randomisées en nombre égal dans le groupe d’intervention (soins standard plus PNL) ou dans le groupe témoin (soins standard uniquement). Le critère d’évaluation principal était l’intensité de la douleur, mesurée à l’aide de l’échelle visuelle analogique (EVA) avant et après la période d’intervention. Les scores moyens de douleur observés lors du suivi étaient significativement plus faibles dans le groupe d’intervention (2,37 ± 1,792) que dans le groupe témoin (6,68 ± 2,068 ; p < 0,001), tandis que les scores de douleur initiaux ainsi que les caractéristiques démographiques et obstétricales des mères ne présentaient pas de différence significative entre les groupes. L’ajout d’une seule séance de PNL aux soins postopératoires standard a permis de réduire efficacement la douleur après une césarienne, ce qui plaide en faveur de son utilisation comme complément non pharmacologique dans la pratique infirmière et obstétricale postopératoire.

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• MakaleAçık Erişim2026Scopus SJRQ4/r/munzur/923
  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.

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• MakaleAçık Erişim2025/r/munzur/6152
  The Relationship between COVID-19 Phobia and Fear of Death among Women: A Web-Based Correlational Descriptive Study from Türkiye

  Taşçı Beydağ, Kerime Derya; Dal, Nursel Alp; Gumussoy, Sureyya

  Objective: This study was conducted to determine the COVID-19 phobia and fear of death levels in women during the COVID-19 pandemic period. Methods: This descriptive-correlational study was carried out using the snowball sampling method by sharing questionnaires through social media sites and social networks, with 2040 women in Türkiye who agreed to participate in the study. Results: The data were obtained with the COVID-19 Phobia Scale (C19P-S) and the "one's own death" subscale of the Collett-Lester Fear of Death Scale (CL-FODS). A moderate, positive, significant linear relationship was observed between the participants’ fear of death and COVID-19 phobia scores. Conclusions: As a result of this study, it was determined that fear of death increased as COVID-19 phobia increased, and the participants who knew individuals in their immediate environment who had experienced the disease or died of it were affected more negatively by the pandemic period.

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• MakaleAçık Erişim2025/r/munzur/6053
  Ebe ve Hemşirelerin Mizah Algıları ile Problem Çözme Becerileri Arasındaki İlişkinin İncelenmesi: Kesitsel Çalışma

  Şeker, Sevda Arslan; Alp Dal, Nursel

  Amaç: Bu araştırmanın amacı, katılımcıların kullandıkları mizah tarzlarının ve problem çözme becerilerinin sosyodemografik özellikler açı- sından farkl ılıkları ile bu iki de ğişken aras ındaki ili şkiyi incelemektir. Gereç ve Yöntemler: Kesitsel tanımlayıcı nitelikteki bu araştırmanın ve- rileri 95 ebe ve hemşire ile Tanıtıcı Özellikler Formu, Mizah Tarzları Öl- çeği ve Problem Çözme Envanteri (PÇE) kullanılarak toplanmıştır. Veriler, araştırmacılar tarafından Temmuz-Aralık 2019 tarihleri arasında yüz yüze toplanmıştır. Verilerin de ğerlendirilmesinde Kolmogorov-Smirnov nor- mallik testi, Mann-Whitney U Analizi, Kruskal-Wallis Testi, Spearman’s Rho Korelasyon Analizi kullan ılmıştır. Bulgular: Katılımcıların mizah tarzları sırasıyla Katılımcı Mizah (39,96±8,65), Kendini Geliştirici Mizah (36,62±9,36), Kendini Y ıkıcı Mizah (25,46±8,78) ve Sald ırgan Mizah (18,38±5,66) alt boyutlar ı şeklinde sıralanmıştır. Problem çözme stilleri açısından, PÇE puan ortalaması 83,14±17,47’dir. PÇE toplam puanı ve De- ğerlendirici Yakla şım alt boyutu puan ortalamas ı ile Kat ılımcı Mizah (r=-0,270, p=0,008) ve Kendini Geli ştirici Mizah (r=-0,281, p=0,006) alt boyutları arasında anlamlı negatif ilişki bulunmuştur. Düşünen Yaklaşım ve Kendine Güvenli Yaklaşım alt boyut puanları ile Kendini Geliştirici Mizah arasında negatif yönde dü şük düzeyde ili şki (r=-0,273, p=0,008) saptan- mıştır. Aceleci Yaklaşım alt boyutu ile Katılımcı Mizah (r=0,205, p=0,046) arasında pozitif yönde düşük düzeyde anlamlı bir ilişki olduğu tespit edil- miştir. Sonuç: Araştırmada, katılımcıların daha sık olumlu mizah tarzları kullandığı, olumsuz mizah tarzlar ını ise orta düzeyde kulland ıkları gö- rülmüştür. Ayrıca, olumlu mizah tarzlar ını daha fazla kullanan bireylerin problem çözme becerilerinin daha yüksek oldu ğu belirlenmiştir. Bu bul- gular, mizahın problem çözme becerilerini geliştirme açısından önemli bir rol oynayabileceğini göstermektedir. Sağlık profesyonellerinin iletişim ve problem çözme becerilerini güçlendirmeleri için olumlu mizah tarzlar ını destekleyici stratejiler geliştirilmesi önerilmektedir.

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• MakaleAçık Erişim2025Scopus SJRQ1/r/munzur/1567
  Life satisfaction around the world: Measurement invariance of the Satisfaction With Life Scale (SWLS) across 65 nations, 40 languages, gender identities, and age groups

  Swami, Viren; Stieger, Stefan; Voracek, Martin; Aavik, Toivo; Ranjbar, Hamed Abdollahpour; Adebayo, Sulaiman Olanrewaju; Afhami, Reza; Ahmed, Oli; Aimé, Annie; Akel, Marwan

  The Satisfaction With Life Scale (SWLS) is a widely used self-report measure of subjective well-being, but studies of its measurement invariance across a large number of nations remain limited. Here, we utilised the Body Image in Nature (BINS) dataset–with data collected between 2020 and 2022 –to assess measurement invariance of the SWLS across 65 nations, 40 languages, gender identities, and age groups (N = 56,968). All participants completed the SWLS under largely uniform conditions. Multi-group confirmatory factor analysis indicated that configural and metric invariance was upheld across all nations, languages, gender identities, and age groups, suggesting that the unidimensional SWLS model has universal applicability. Full scalar invariance was achieved across gender identities and age groups. Based on alignment optimisation methods, partial scalar invariance was achieved across all but three national groups and across all languages represented in the BINS. There were large differences in latent SWLS means across nations and languages, but negligible-to-small differences across gender identities and age groups. Across nations, greater life satisfaction was significantly associated with greater financial security and being in a committed relationship or married. The results of this study suggest that the SWLS largely assesses a common unidimensional construct of life satisfaction irrespective of respondent characteristics (i.e., national group, gender identities, and age group) or survey presentation (i.e., survey language). This has important implications for the assessment of life satisfaction across nations and provides information that will be useful for practitioners aiming to promote subjective well-being internationally. Copyright:

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  AtıfScopus35·OpenAlex37

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• MakaleAçık Erişim2025Scopus SJRQ3/r/munzur/1556
  Period poverty among women after the 2023 Kahramanmaraş Earthquake in Turkey – a cross-sectional study

  Alp Dal, Nursel; Kurt, Nuray; Derya Beydağ, Kerime; Aruser, Ulkin Gunduz; Nagórska, Anna; Nagórska, Małgorzata

  Introduction and Objective. Menstrual poverty lies at the intersection of poverty, sustainability, reproductive rights, and gender inequality. The study investigates menstrual poverty among women affected by the 2023 earthquake in Turkey. Materials and Method. A descriptive cross-sectional study was conducted between 24 April – 24 May 2023 with 400 women impacted by the earthquake. Data were collected via social media using a survey form. Chi-square tests, Bonferroni test, and binary logistic regression model were used for statistical analysis. Results. The mean age of participants was 27.27 ± 8.40 years; 69.5% had higher education, 57.0% lived in urban areas, and 90.5% had no chronic disease. A significant relationship was found between access to menstrual products and basic needs (clean water, toilet paper, soap, safe toilet access, and healthcare) during menstruation after the earthquake (p<0.05). A significant correlation was also observed between disruptions to the menstrual cycle and the following variables: lack of privacy, perception that lack of privacy affected menstruation, healthcare access, and difficulty obtaining menstrual products (p<0.05). Conclusions. Most participants faced difficulties accessing menstrual products, water, hygiene supplies, privacy, and healthcare. Those living in tents or containers reported greater challenges. These barriers contributed to menstrual poverty and impacted women’s cycles. As menstrual health and hygiene are basic needs and human rights, menstrual poverty must be addressed globally.

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• MakaleAçık Erişim2025Scopus SJRQ1/r/munzur/1256
  Effect of neuro-linguistic programming on comfort after cesarean: a randomized controlled trial neuro-linguistic programming comfort level cesarean

  Doğan, Aysel; Dal, Nursel Alp; Beydag, Kerime Derya

  Background: Due to the deterioration in comfort experienced after cesarean section, mothers go through troubled hours, have problems with breastfeeding, and cannot even meet their own and their baby’s needs. This study was conducted to determine the effect of neuro-linguistic programming on mothers’ comfort levels following cesarean section in the postpartum period. Methods: This study was performed from 1 January to 1 September 2023 as a prospective randomized controlled single-blind clinical trial with 100 participants (50 experimental, 50 control). The research data were collected using the Personal Information Form and the Postpartum Comfort Scale. The dependent samples t test and independent samples t test were used in the analysis of research data as well as numbers, percentages, and means. Analysis of covariance (ANCOVA) was used to evaluate the effect of the NLP more accurately by controlling the pre-test scores. Results: There were statistically significant differences between the mean pretest and posttest postpartum comfort scale scores, physical comfort scores, psycho-spiritual comfort scores, and sociocultural comfort scores of mothers in the intervention group. In this regard, mothers in the intervention group had higher mean postpartum comfort scale scores, physical comfort scores, psycho-spiritual comfort scores, and sociocultural comfort scores in the posttest phase than in the pretest phase. Conclusions: This study revealed that neuro-linguistic programming enhanced the postpartum comfort levels of mothers who underwent cesarean delivery. In this context, it is recommended that nurses and midwives enhance participants’ comfort through the use of neuro-linguistic programming techniques in care processes. Trial registration: NCT05646537.

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• MakaleAçık Erişim2025Scopus SJRQ4/r/munzur/853
  The Effects of Mandala on the Hope Levels of Women Diagnosed with Gynecologic Cancers: A Randomized-Controlled Study; [Jinekolojik Kanserli Kadınlarda Mandala Aktivitesinin Umut Düzeyine Etkisi: Randomize Kontrollü Çalışma]

  Beydağ, Kerime Derya; Dal, Nursel Alp

  Gynecologic cancers, which are a highly stressful and negative experience that affects womanhood, fertility, and the sex life of a woman, also cause multiple negative effects on women’s health. This study was conducted to determine the effects of mandala practice on the hope levels of women diagnosed with gynaecological cancers. This randomized controlled trial was conducted between March 1 and September 1, 2021, and involved 90 inpatients in the oncology department of a private hospital in western Turkey. The study included patients diagnosed with gynaecological cancer who could read and write Turkish and had a diagnosis period of at least three months. The data were collected using the Personal Information Form and the Herth Hope Index. In the analysis of the data, the t-test for independent groups was used for numbers, percentages, means, standard deviations, and comparisons between groups. There was no significant difference between the pretest Herth Hope Index (HHI) scores of the patients in the intervention and control groups (p>0.05). In contrast, the posttest scores of the intervention group were significantly higher than those of the control group. While the HHI scores of the intervention group significantly increased from the pretest to the posttest, the control group scores significantly decreased from the pretest to the posttest (p<0.05). In this study, mandala activity was found to be effective in increasing the hope levels of women diagnosed with gynecological cancers.

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• MakaleAçık Erişim2025Scopus SJRQ1/r/munzur/716
  Self-Compassion Around the World: Measurement Invariance of the Short Form of the Self-Compassion Scale (SCS-SF) Across 65 Nations, 40 Languages, Gender Identities, and Age Groups

  Swami, Viren; Tran, Ulrich S.; Voracek, Martin; Aavik, Toivo; Ranjbar, Hamed Abdollahpour; Adebayo, Sulaiman Olanrewaju; Afhami, Reza; Ahmed, Oli; Aimé, Annie; Akel, Marwan

  Objectives: The 12-item Self-Compassion Scale–Short Form (SCS–SF) is a widely used instrument for the assessment of self-compassion. To date, there have been few examinations of this instrument’s psychometric properties, particularly across nations and languages. Therefore, we used data from the Body Image in Nature Survey (BINS) to assess measurement invariance of the SCS–SF across nations, languages, gender identities, and age groups. Methods: Participants (N = 56,968) from 65 nations completed the SCS–SF in 40 languages. Using these data, we tested various hypothesised models of the SCS–SF in the total sample and, using multi-group confirmatory factor analysis, tested for invariance of the optimal model across national groups, languages, gender identities, and age groups. Results: In the total dataset, we found that an 11-item, 2-factor model (i.e., SCS-11) provided best fit to the data, with the two factors tapping distinct constructs of compassionate and uncompassionate self-responding. The SCS-11 was found to be partially scalar invariant across national groups and languages, and fully scalar invariant across gender identities and age groups. There was wide variation in latent means for the two factors, particularly across national groups and languages. Further analyses showed negligible associations between the two factors and sociodemographic variables, including marital status, financial security, and urbanicity. Conclusions: Our results suggest that it may be possible to derive a stable 2-factor model of the SCS–SF for use in cross-cultural research, but also highlight the likelihood of cross-national and cross-linguistic variations in the way that self-compassion is understood.

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• MakaleAçık Erişim2024/r/munzur/4043
  Effect ofthe Practice of Guided Imagery on the Perceived Stress Level in High-Risk Pregnancies

  Dal, Nursel Alp; Beydag, Kerime Derya; Dogan, Aysel

  Objective: This research was conducted to identify the effect of the practice of Guided Imagery on the perceived stress level in high-risk pregnancies. Methods: The study was designed as a prospective, randomized, and single-blind study. The research was performed with the participation of a total of 128 women (64 in the experimental group, 64 in the control group) who had high-risk pregnancies between February-May, 2021. The data were evaluated with the Perceived Stress Scale. Results: The experimental group obtained a lower mean of post -test scores (26.36 +/- 5.96) from the Perceived Stress Scale than the control group (30.48 +/- 3.93), and this difference was statistically significant (p<.05). Also, the experimental group obtained lower mean scores from the Perceived Stress Scale in the post -test phase than the one in the pretest phase, and this difference was statistically significant (p<.05). Conclusion: Nurses and midwives should include the practice of Guided Imagery in the care processes to reduce the stress levels of women with high-risk pregnancies.

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