Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleAçık Erişim2026Üriner İnkontinansı Olan Kadınlarda İnkontinans Şiddetinin Sağlık Arama Davranışı ve Yaşam Kalitesi Üzerindeki Etkisinin İncelenmesi
Karakas, Sevda; Bülbül, Gülsüm Çeter
Amaç: Üriner inkontinans (Üİ) kadınlar tarafından genellikle göz ardı edilen, sağlık sorunu olarak görülmeyen bir durumdur. Bu çalışmanın amacı, Üİ’lı kadınlarda inkontinans şiddeti, yaşam kalitesi ve tedavi arama davranışı arasındaki ilişkinin incelenmesi amacıyla yapılmıştır. Yöntem: Bu çalışma ilişki arayıcı türde tasarlanan bir araştırmadır. Ocak 2023 – Temmuz 2023 tarihleri arasında 370 kadın ile yürütülmüştür. Veri toplama aşamasında demografik bilgi formu, Ürogenital Distres Envanteri, İnkontinans Şiddeti, Bristol Kadın Alt Üriner Sistem Semptomları İndeksi ve İnkontinans Etki soru formu kullanılmıştır. Bulgular: Kadınların % 63’ünün yaklaşık bir yıldan uzun süredir üriner inkontinans yaşadığı, % 75.1’inin doktora başvurmadığı, %37.3’ünün üriner inkontinansı önemsemediği belirlenmiştir. Kadınlarda inkontinans şiddeti ile doktora başvurma oranları ve yaşam kalitesi arasında anlamlı bir ilişki olduğu tespit edilmiştir (p<0.05). Sonuç: Çalışmamızda kadınlarda yaşam kalitesinin olumsuz etkilenmesine rağmen dört kadından üçünün doktora başvurmadığı tespit edildi. İnkontinans şiddeti arttıkça yaşam kalitesinin ciddi düzeyde olumsuz etkilendiği tespit edildi. Toplumda kadınlarda Üİ tanılanması, Üİ’a neden olabilecek risk faktörlerinin değerlendirilmesi ve Üİ’dan korunma konusunda kadınlarda bilinç ve farkındalık kazandırmada hemşirelere önemli sorumluluklar düşmektedir.
- MakaleAçık Erişim2026Scopus SJRQ2Rethinking sexual response: are erogenous zones—including nipple stimulation—more than secondary stimuli? A meta-analysis
Yildiz Karaahmet, Aysu; Karakas, Sevda; Bilgic, Fatma Sule
Objectives: The nipple, a key erogenous zone in female sexual response, is often insufficiently considered in clinical practice, and scientific studies on nipple stimulation are limited. The aim of this study was to conduct a systematic review and meta-analysis of studies examining the effect of nipple stimulation on sexual response and sexual satisfaction in young women. Methods: For this systematic review and meta-analysis, studies were identified through a search of the PubMed, Cochrane Library, EBSCOhost, Embase, Web of Science, PsycINFO, and Scopus databases without any year restrictions. Results: A total of nine studies (~1276 participants) were included in the systematic review. Of these, six studies (390 intervention, 441 control; n = 831) contributed to the meta-analysis of sexual response/orgasm outcomes, and six studies (655 intervention, 621 control; n = 1276) contributed to the meta-analysis of sexual satisfaction. Nipple stimulation significantly improved sexual response [standardized mean difference (SMD) = 0.51, P < .00001] and sexual satisfaction (SMD = 0.59, P = .005). Discussion: Nipple stimulation may be used as a supportive method to enhance sexual function and sexual satisfaction in young women. It may be considered as a complementary approach to sexual counseling and therapy, particularly for women experiencing sexual aversion, difficulty with arousal, and orgasm problems. This meta-analysis suggests that nipple stimulation may have a moderate positive effect on sexual response and sexual satisfaction in young women; however, the findings should be interpreted with caution due to the limited age range of the included population and the heterogeneity across studies.
- MakaleAçık Erişim2025Hemşirelerde Premenstrüel Sendrom ve Mental İyi Oluşluk Düzeyi Arasındaki İlişkinin Belirlenmesi
Karakas, Sevda; Erdoğan, Kübra
Bu araştırma, bir devlet hastanesinde çalışan premenstrüel sendrom yaşayan hemşirelerde, premenstrüel sendrom ile mental iyi oluşluk düzeyi arasındaki ilişkiyi belirlemek amacıyla yapılmıştır. Tanımlayıcı ve kesitsel nitelikte olan bu çalışma, Mayıs 2020- Haziran 2021 tarihleri arasında yürütülmüştür. Tekirdağ iline bağlı Çorlu Devlet Hastanesi’nde gerçekleşen çalışmanın örneklemini 18-55 yaş arasında 300 kadın hemşire oluşturmuştur. Verilerde; tanıtıcı bilgi formu, Premenstrüel Sendrom Ölçeği ve Warwick Edinburgh Mental İyi Oluşluk Ölçeği olmak üzere üç veri toplama aracı kullanılmıştır. Araştırmada elde edilen veriler Statistical Package for Social Sciences for Windows 22,0 programı kullanılarak analiz edilmiştir. Premenstrüel dönemde hemşirelerin iş hayatının (%75) ve sosyal hayatının (%80) olumsuz etkilendiği saptanmıştır. Araştırmada premenstrüel dönemde hemşirelerin kendilerini daha yorgun ve depresif hissettikleri, uyku kalitesinin düşük olduğu, mental iyi oluş düzeyinin azaldığı tespit edilmiştir. Menstrüasyon döneminde olan çalışan kadınlara yasal olarak izin hakkının verilmesi, çalışma koşullarının iyileştirilmesi ve bu konunun daha fazla üzerinde durulması önerilmektedir.
- Derleme MakaleAçık Erişim2025The Role of Electronic Fetal Monitoring (EFM) in Obstetric Malpractice: An Evaluation from the Perspectives of Midwives, Nurses and Forensic Medicine
Doğan, Muzaffer Berna; Karakas, Sevda
This review aims to assess the significance of electronic fetal monitoring (EFM) in medical error claims in obstetrics from the perspectives of midwifery, nursing, and forensic medicine. One fundamental approach to preventing adverse events during labor is the early recognition of fetal distress. Midwives and nurses are responsible for applying, evaluating, and recording EFM tracings during labor, which are crucial evidence in forensic medical evaluations. In the absence of medical records, the follow-up, treatment, and medical practices become contentious during trials, leading to delays in the litigation process. This is because medical records are vital in evaluating medical malpractice claims, and expert witnesses play a key role in assessing the standard of care. Despite its widespread use, there is a need for greater clarity on the reliability, role, and benefits of EFM. Furthermore, expert witnesses in medical malpractice cases may interpret practices with controversial reliability differently. While the reliability of EFM is debated, it cannot be ignored that it is an essential tool for early recognition of fetal distress. Given its importance and the need for written evidence in the trial process, it is recommended that forensic nurses, midwives, and lawyers receive training on maintaining medical records according to standards.
- MakaleAçık Erişim2025Effect of Homeopathy Intervention on Depression in Women: Systematic Review and Meta-analysis of Randomized Controlled Trials
Karakas, Sevda; Karaahmet, Aysu Yıldız; Bilgiç, Fatma Şule
Background and Objectives: The aim of this study was to systematically review randomized controlled trials evaluating the effectiveness of homeopathy intervention given to women on depression and to conduct a meta-analysis of the available evidence. Materials and Methods: Systematic searches of Cochrane, PubMed, SCOPUS, WOS, EMBASE in five databases were conducted between February- March 2025. The risk of bias and the certainty of the evidence were assessed with the Cochrane bias risk tool ROB-2. Summary effect size measurements were calculated using random effects model estimation and reported as standardized mean differences and 95% confidence intervals. Reporting followed PRISMA guidelines. Results: A systematic literature review was conducted with 10 studies included in the analysis. A total of 636 people took part in the studies. Homeopathy intervention had a significant effect on depression (SMD:-0.44, 95% CI:-0.71 to -0.18, Z=3.26, p=0.001), and in the subgroup analysis, it was found to be more effective in women aged 40 years and older than in women aged 40 years (SMD:-0.47, 95% CI: -0.91 to -0.03, Z=2.08, p=0.004). In addition, it was found to have a significant effect on anxiety (SMD:-0.43, 95% CI:-0.69 to -0.17, Z=3.27, p=0.001) and fatigue (MD:-1.58, 95% CI: -2.78 to -0.39, Z=2.59, p=0.009). Conclusions: The study determined that homeopathic intervention in women was effective for depression; It was found that it provided a decrease in anxiety and depression levels. It is important to disseminate homeopathy treatment and ensure accessibility in solving psychological problems such as depression and anxiety that adversely affect women's health.
- MakaleYalnız künye2022Scopus SJRQ4Complementary and Alternative Medicine Used by Adolescents in Premenstrual Syndrome. A Cross-Sectional Study
Elkoca, Ayşe; Kahraman, Beliz Yekeler; Ozcan, Handan; Aydin, Muhammet Ali; Karakas, Sevda
Study Objectives: This study was conducted to determine the treatment methods used by adolescents with premenstrual syndrome. Premenstrual syndrome is a common disorder among women of childbearing age. It influences women’s quality of life and economic and social performance. In addition to the conventional treatments by modern medicine, women frequently prefer complementary and alternative medicine practices to cope with the problem. Methods: Quantitative and descriptive design study and 367 people were icluded in this study. A questionnaire consisting of three parts was used to collect the data. The first part includes sociodemographic characteristics and information about the menstrual cycle, the second part is the “Premenstrual Syndrome Scale”, the third part is the “Complementary and Alternative Medicine Scale (CAMS)”. Results: 43.3% of the participants had a family history of PMS, and 64.9% had regular menstrual cycles. 23.2% consulted a physician for their complaints, 10.9% used medication for their complaints. The most preferred complementary and alternative medicine herbal supplementary was green tea (49.5%), chamomile (32.5%), sage (23.8%), and thyme (18.6%). The most used mind-body practices are prayer (65.5%), exercise (54.4%), and namaz (32.4%). Conclusion: It is concluded that 73% of adolescents diagnosed with premenstrual syndrome used complementary and alternative medicine practices, so it is necessary to investigate their effectiveness.
