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Öğe Attitudes and Barriers of Diabetes Health Care Professionals on Sexual Health(SPRINGER, 2011) Sahin, Nevin Hotun; Ozcan, Seyda; Yilmaz, Sema Dereli; Bilgic, DilekIt is known that diabetes might cause some reproductive and sexual health problems in a wide area. Diabetes Health Care Professionals (DHCPs) should be aware of prevention and early diagnosis of reproductive and sexual health (RSH) problems in women with diabetes. The aim of the descriptive study was to evaluate views and attitudes and barriers of DHCPs related to RSH problems in women with diabetes. The study comprised of 286 DHCPs. Data was collected by the self-administered form. Study results showed the barriers on sufficient RHS care in diabetes practice such as low awareness of DHCPs, lack of certain approaches for prevention and early diagnosis, concerns about privacy of RSH problems. It was found that DHCPs did not have sufficient approaches and attitudes on RSH problems in women with diabetes although they believed the importance of RSH in diabetes management. For giving optimal care, DHCPs should evaluate and manage to RSH problems in women with diabetes.Öğe The attitudes of refugee women in Turkey towards family planning(WILEY, 2019) Dikmen, Hacer Alan; Cankaya, Seyhan; Yilmaz, Sema DereliObjectives: This study was conducted to determine refugee women's attitudes towards family planning and related factors. Design and Sample: Designed in descriptive and cross-sectional type, the study involved 555 voluntary Syrian refugee women in Turkey. Measures: A questionnaire and the Family Planning Attitude Scale (FPAS) were used. Independent Sample T test, ANOVA test, and Pearson's correlation analysis were used for data analysis. Results: A significant association was found between the average FPAS scores with educational status, income level, social security, use of FP methods, spousal support for FP, and training for FP in Syria. Conclusions: It was determined that the attitudes of women towards family planning were at the medium level, nearly half of them used a kind of family planning and received its training, and that their attitudes towards family planning were affected by their and their husband's educational level, their income level, the availability of social security, the type of family planning, the utilization of family planning, and spousal support. Based on our study findings, refugee women and their partners/husbands should be informed on FP and their attitudes towards and the barriers against FP should be investigated by further studies.Öğe Does the Diabetes of Type 2 Affect the Sexual Functions of Women?(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2015) Bal, Meltem Demirgoz; Yilmaz, Sema Dereli; Celik, Selda Gedik; Dincag, Nevin; Beji, Nezihe Kizilkaya; Yalcin, OnayThis study aimed to investigate female sexual dysfunction in patients with type 2 diabetes. Using the Index of Female Sexual Function, the authors compared the sexual function of type 2 diabetic women with that of nondiabetic women. Participants were 76 sexually active women with type 2 diabetes (study group) and 100 sexually active nondiabetic women (control group); all women were 24-47years of age and had similar backgrounds. The participants with type 2 diabetes were selected from those women who applied to the Diabetes Polyclinic of the Istanbul University. Results were analyzed using chi-square and Student's t test. The prevalence of sexual dysfunction was significantly higher among the study group than in the control group. The authors found that if HbA1c, body mass index, and duration of diabetes increase, the prevalence of sexual dysfunction also increases. The authors of this article conclude that all diabetic patients should be considered to have sexuality, and patients with sexual dysfunction should be referred to appropriate medical centers.Öğe Domestic Violence Awareness and Prevention among Married Women in Central Anatolia(SPRINGER/PLENUM PUBLISHERS, 2016) Alan, Hacer; Yilmaz, Sema Dereli; Filiz, Emel; Arioz, AytenThis study examines domestic violence and aims at increasing women's awareness of it. The authors collected data from 1039 married women at 12 Family Health Centers (FHCs) in Konya, Turkey. Of all women, 39.9 % reported the type of violence given by their husbands as verbal, 31.7 % as emotional, 23.9 % as physical, 13.5 % as sexual and economic violence. While 33 % cited jealousy as a reason for domestic violence, 10.4 % reported to apply to a police station, and 12.2 % to a health center. After experiencing violence, 40 % were found to know how to apply to a state agency while only 1 % reported to know about183, the violence hotline in Turkey. Furthermore, only 9 % were detected to know about legal regulations protecting women and families, 6.2 % to be aware of the Turkish penal code, and 3.5 % to know about the Turkish civil code. However, only 2 % of participants responded correctly, but incompletely to the items in the questionnaire regarding legal changes.Öğe The Effects of Fibromyalgia Syndrome on Female Sexual Function(SPRINGER, 2012) Yilmaz, Halim; Yilmaz, Sema Dereli; Erkin, GultenThe objective of the study was to investigate the effects of fibromyalgia syndrome (FMS) on female sexual function. Sexuality is a complex aspect in lives of humans and means more than intercourse alone. Normal sexual function consists of sexual activity via stages, including desire, arousal, orgasm and relaxation and with a feeling of pleasure, fulfillment and satisfaction. Studies evaluated show that FMS is associated with sexual dysfunction in women. The major findings are as follows: decreased sexual desire, arousal, orgasm and increased pain with intercourse. In FMS, sexual dysfunction and depression are suggested to be linked to depressive mood involved in desire and arousal problems. Further, the threshold where sensory input becomes painful in FMS patients is lower than normal, which can explain pain on intercourse. Additional studies are needed to evaluate the casual relationship and mechanism of association between FMS and sexual dysfunction in women.Öğe The Effects of Fibromyalgia Syndrome on Female Sexuality: A Controlled Study(ELSEVIER SCI LTD, 2012) Yilmaz, Halim; Yilmaz, Sema Dereli; Polat, Halime Almula Demir; Salli, Ali; Erkin, Gulten; Ugurlu, HaticeIntroduction. Fibromyalgia may have negative effects on sexual function in women. Aims. To evaluate the sexuality of women with fibromyalgia and healthy control subjects, and to investigate the relation between sexuality and clinical parameters of fibromyalgia. Main Outcome Measures. Female Sexual Function Index (FSFI), Tender Points Count (TPC), Beck Depression Inventory (BDI), Fibromyalgia Impact Questionnaire (FIQ), and Visual Analog Scale (VAS). Methods. Clinical evaluation and surveys were done with 126 women with fibromyalgia and 132 healthy women. Results. Patients with fibromyalgia had higher BDI scores and lower frequency of sexual intercourse than control subjects. The mean FSFI scores (total and all domains) were significantly lower in patients with fibromyalgia than control subjects. Mean FSFI scores (total and most domains) were significantly lower in patients with fibromyalgia who had BDI score >= 17 than those who had BDI score < 17. In women with fibromyalgia, a significant negative correlation was noted between total FSFI score, and both FIQ and BDI scores. Conclusions. Fibromyalgia has negative effects on female sexual function that are aggravated by depression. Yilmaz H, Yilmaz SD, Polat HAD, Salli A, Erkin G, and Ugurlu H. The effects of fibromyalgia syndrome on female sexuality: a controlled study. J Sex Med 2012; 9: 779-785.Öğe Effects of perinatal loss on current pregnancy in Turkey(ELSEVIER SCI LTD, 2013) Yilmaz, Sema Dereli; Beji, Nezihe KizilkayaObjective: to evaluate how a history of pregnancy loss in the perinatal period (from 20 weeks of gestation to seven days post partum) affects women during subsequent pregnancies. Design: cross-sectional, descriptive study. Setting: Istanbul Medical School, Istanbul University between January and October 2009. Participants: 128 pregnant women with a history of pregnancy loss and 214 pregnant women without a history of pregnancy loss. Measurements and findings: in all women, antenatal attachment was measured using the Prenatal Attachment Inventory, depression was measured using the Center for Epidemiologic Studies' Depression Scale, and coping with stress was measured using the Scale of Ways of Coping with Stress. The rates of undergoing tests (other than routine tests) (p < 0.001), calling medical professionals (p < 0.001) and visiting an obstetrician more than once per month (p < 0.001) were higher in women with a history of pregnancy loss compared with women without a history of pregnancy loss. No difference was found between the groups in terms of coping with stress (p > 0.05) and antenatal attachment (p=0.384). However, depressive symptoms were higher in women with a history of pregnancy loss (p=0.008). Key conclusions and implications for practice: levels of depression, antenatal attachment and coping with stress should be evaluated meticulously in women with a history of pregnancy loss, and appropriate interventions should be performed. (c) 2012 Elsevier Ltd. All rights reserved.Öğe Evaluation of Sexual Dysfunction in Women with Rheumatoid Arthritis: A Controlled Study(ELSEVIER SCI LTD, 2012) Yilmaz, Halim; Polat, Halime Almula Demir; Yilmaz, Sema Dereli; Erkin, Gulten; Kucuksen, Sami; Salli, Ali; Ugurlu, HaticeObjective. To evaluate sexual function in women with rheumatoid arthritis (RA) and compare them with healthy controls. Materials and Methods. Ninety-five patients with RA and 108 healthy controls were included in the study. Depression levels and sexual functions of all participants were evaluated by the Beck Depression Inventory (BDI) and Index of Female Sexual Function (IFSF), respectively. Morning stiffness in women with RA, pain (Visual Analog ScaleVAS), disability rate (Health Assessment QuestionnaireHAQ), and disease activity score (DAS-28) were defined. Results. Total IFSF and mean of IFSF subgroup scores and significance of sexual life score were lower in patients with RA than controls, whereas mean BDI score was higher. The mean of the total IFSF scores was significantly lower in patients with RA with BDI =17 than that of patients with BDI <17. The mean of the total IFSF score decreased as disease severity increased. There was a strong negative correlation between total IFSF and DAS-28 scores, a moderate negative correlation between total IFSF score and HAQ, BDI, VAS score, age, and morning stiffness, and weak negative correlation between total IFSF and body mass index. Conclusion. RA is observed to have negative effects on sexual functions of women. Presence of depressive symptoms with RA and increased disease severity increase the degree of sexual dysfunction. Women patients with RA should also be asked about their sexual lives while being evaluated. Yilmaz H, Polat HAD, Yilmaz SD, Erkin G, Kucuksen S, Salli A, and Ugurlu H. Evaluation of sexual dysfunction in women with rheumatoid arthritis: A controlled study. J Sex Med **;**:****.Öğe Evaluation of Sexual Function in Patients with Gynecologic Cancer and Evidence-Based Nursing Interventions(SPRINGER, 2011) Oskay, Umran Yesiltepe; Beji, Nezihe Kizilkaya; Bal, Meltem Demirgoz; Yilmaz, Sema DereliSexual health is the integrity of somatic, intellectual, mental, emotional and social aspects of any individual. The cancer causes higher rates of sexuality related problems than other chronic diseases. Both the cancer diagnosis and the methods of treatment such as organ excision, radiotherapy, chemotherapy, the usage of hormones and cytostatic negatively affect the women's sexuality. Some models are used for diagnosing sexual dysfunction. These models are ALARM model, Kaplan model, Triphasic model, PLISSIT model, IMB model and BETTER model. It is important to evaluate the cancer patient's sexual function and utilize evidence-based nursing intervention. The aim of present review is to examine the models which were used to determine the effect of gynaecologic cancers on sexual life. Moreover, it is aimed to evaluate the evidence-based nursing interventions to identify problems.Öğe Is Sexual Dysfunction Associated with Diabetes Control and Related Factors in Women with Diabetes?(SPRINGER, 2011) Ozcan, Seyda; Sahin, Nevin Hotun; Bilgic, Dilek; Yilmaz, Sema DereliThis study was performed to evaluate the sexual dysfunction (SD) in women with diabetes and to correlate SD with the factors related to diabetes and its control. The study was conducted in 310 non-pregnant women with diabetes, 19 years and over. Socio-demographic characteristics and other factors related to diabetes were evaluated using Participant Information Form. The Arizona Sexual Experience Scale was used to evaluate sexual function. Rate of SD was found as 46.7%. SD was frequent in sexual desire(36.8%), satisfaction from orgasm(25.5%) and orgasm(24.8%). Type of diabetes and treatment, blood pressure, cholesterol levels, BMI were not associated with SD (P > 0.05). SD increased with age, HbA(1c), high number of diabetic complications and poor education (P < 0.05). An one unit increase in HbA(1c) value caused 19.1% of dysfunction increase on sexual dysfunction, 23.2% on drive, 20.7% on satisfaction from orgasm and 17.5% on orgasm(P < 0.05). Increasing HbA(1c), number of diabetic complications and low literacy should be considered as risk factors of SD and evaluated in routine clinical care of women with diabetes.Öğe Lower Urinary Tract Symptoms in Women With Type 2 Diabetes Mellitus(LIPPINCOTT WILLIAMS & WILKINS, 2016) Yilmaz, Sema Dereli; Bal, Meltem Demirgoz; Celik, Selda; Rathfisch, Gulay; Beji, Nezihe Kizilkaya; Dinccag, Nevin; Yalcin, OnayPURPOSE: The aim of the study was to compare lower urinary tract symptoms (LUTS) in women with and without type 2 diabetes mellitus (DM). SUBJECTS AND SETTING: The sample was drawn from community-dwelling women in the province of Istanbul who were cared for in the diabetes outpatient clinic of Istanbul Medical School between January and June 2012. Two hundred forty-nine women with DM were compared to 255 women without DM cared for in the obstetrics and gynecology department of the same university hospital. The mean ages of the groups were 55.1 and 53.7 years, respectively. METHODS: Participants completed a questionnaire that queried sociodemographic and clinical characteristics; the Bristol Female Lower Urinary Tract Symptoms-Short Form (BFLUTS-SF) was used to evaluate LUTS. The questionnaire required 10 to 15 minutes to complete; participants completed the questionnaire in a private room of each of the respective outpatient clinics. RESULTS: No statistically significant differences were found when groups (women with and without DM) were compared based on age and cigarette smoking (P > .05). In contrast, BMI scores were significantly higher in the women with DM (P < .001). The cumulative BFLUTS scores and the filling and incontinence symptoms subscale sores (P < .001) were significantly higher in women with DM. No differences were observed in voiding symptoms (P = .347), sexual function (P = .380), and health-related quality of life (P = .142) subscale scores. The prevalence of storage symptoms nocturia, voiding frequency, urge incontinence, stress incontinence, frequency of incontinent episodes were higher among women with DM. In addition, women with DM were more likely to report the need to change clothing because of urinary leakage, effect of incontinence on daily tasks, and overall interference with daily activities of living. CONCLUSIONS: Women with type 2 DM are more likely to experience LUTS as compared to women without DM. Women with type 2 DM should routinely be assessed for LUTS.Öğe Sexual Health in Patients with Gynecological Cancer: A Qualitative Study(SPRINGER, 2013) Bal, Meltem Demirgoz; Yilmaz, Sema Dereli; Beji, Nezihe KizilkayaThe sexual problems of patients with gynecological cancer were investigated. This qualitative study was conducted among eleven Turkish women who were treated in the gynecologic oncology clinic and aged between 30 and 55 years old. Data was collected using a semi-structured questionnaire. Of the cases, 55 % had been diagnosed with ovarian cancer, 27 % with cervical cancer and 18 % with endometrial cancer. The participants had been affected in terms of body image, sexual functioning, wifehood and motherhood and reproductive ability. Most of the participants reported severe decreases in such features as sexual desire, arousal, the frequency of intercourse and orgasm. In addition, all participants reported that they wanted information from health care professionals (preferably female) and to be able to share problems with them. Sexuality remains a problem that is ignored by healthcare professionals in Turkey. As a vital component in terms of quality of life, healthcare professionals should utilize a more sensitive and personalized approach to sexuality with patients.Öğe Sexual Life of Poststroke Women With Mild or No Disability: A Qualitative Study(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2015) Yilmaz, Sema Dereli; Gumus, Haluk; Yilmaz, HalimThe authors investigated the perspectives and experiences of poststroke women regarding sexual issues, as well as interactions in social life. A qualitative design was adopted for the study. Individual and audio-taped interviews were carried out with 16 poststroke women (18years of age and older) that were included into the study from the Konya Education and Research Hospital, Turkey. Transcribed semi-structured interviews were qualitatively and thematically analyzed using content data analysis to code and categorize emerging themes. The authors identified 4 principal themes: physical, emotional, and spiritual changes experienced after stroke; negative effects of changes on the roles of poststroke women as housewives and mothers; changes of sexual life experienced by women in poststroke period; and support from healthcare providers in coping with emotional and sexual challenges. Findings suggest that physical, social, and emotional challenges commonly influence sexual lives of poststroke women and that such women are in need of counseling and assistance.Öğe Ways of Coping With Stress and Perceived Social Support in Gynecologic Cancer Patients(LIPPINCOTT WILLIAMS & WILKINS, 2015) Yilmaz, Sema Dereli; Bal, Meltem Demirgoz; Beji, Nezihe Kizilkaya; Arvas, MacitBackground: Stress is commonly encountered among cancer patients and may be a challenge affecting immune system resistance. Social support may contribute positively to the health of cancer patients, playing a role in coping with stress. Objective: The aim of this study was to determine whether ways of coping are related to social support given to women with gynecologic cancer. Methods: The study was performed as a cross-sectional design in a university hospital in Istanbul, Turkey, with 221 women with gynecologic cancer; the data were collected via 3 questionnaires, the first with sociodemographic and clinical features, the second with multidimensional scale of perceived social support, and the third with the scale of ways of coping with stress. Results: Women with gynecologic cancer who were employed and declared their incomes as balanced and reported more years of education were more likely to perceive higher social support and to use the ineffective coping ways with stress at a lower rate (P < .05) than other participants. Based on correlational analysis, effective coping ways with stress increase as perceived social support from family, friends, significant other, and total increases (P < .05). Conclusions: Social support from family members is the mainstay of coping with stress by women with gynecologic cancer. Implications for Practice: Nurses are indispensable in increasing social support required by women with gynecologic cancer. Well-trained clinical nurses via in-service programs should be experienced and aware of women diagnosed with gynecologic cancer in need of social support during hospital visits and provide necessary guidance.Öğe Women's Preferences of Method of Delivery and Influencing Factors(KOWSAR PUBL, 2013) Yilmaz, Sema Dereli; Bal, Meltem Demirgoz; Beji, Nezihe Kizilkaya; Uludag, SeyfettinBackground: Currently, the rate of caesarean section has been substantially increased in developing and developed countries. To determine the factors causing such an increase, it is important to determine reasons for women to refuse vaginal delivery and preferring caesarean section. Objectives: To determine Turkish women's attitudes and basal knowledge regarding vaginal delivery and caesarean section, as well as factors causing women to prefer caesarean section even when a medical indication does not exist. Patients and Methods: This descriptive study consisted of 840 women, completing the questionnaire developed by the researchers. Results: Mean age rate of participants was 39.8 +/- 11.8 years. The most significant reasons of vaginal delivery preferred by participants (n = 685) were determined to be healthy and swift recovery period after delivery, whereas those preferred by participants (n = 155) for caesarean section were being safer for babies, easier than vaginal delivery and a less painful method. Higher educational status, pregnancy after infertility treatment and undergoing caesarean section for the last delivery were determined to be among important factors affecting to choose caesarean section. Conclusions: Information gained misleadingly and fears related to vaginal delivery were seen as factors affecting women's preferences for delivery. Thus, midwives are required to train both pregnant women during antenatal care and all women in society about methods of delivery and to give effective counseling.
