Yazar "Tokat, Merlinda Alus" seçeneğine göre listele

Listeleniyor 1 - 4 / 4
  • [ X ]
    Öğe
    Do demographic and obstetric characteristics affect fetal health locus of control among high-risk pregnancies? A Turkish sample
    (Ibn Sina Trust, 2024) Akbag, Nuran Nur Aypar; Tokat, Merlinda Alus; Ozozturk, Sevcan; Ugur, Gunseli
    Objectives Fetal health locus of control has been indicated to effect how mothers approach their health beliefs and health-related decisions. The purpose of this study was to determine the fetal health locus of control (FHLC) level in high -risk pregnancies and to evaluate the factors affecting FHLC in high -risk pregnancies. Materials and methods The descriptive cross-sectional study was conducted with highrisk pregnant women. A total of 221 participants were included. Results and Discussion It was shown that The Internality Locus of Control was low and The Chance-Based Locus of Control was high in high -risk pregnant women. The current age of women and the age of their first pregnancy had a positively relationship with Powerful Others Locus of Control (FHLC-P). Although FHLC scores of multigravidas were higher than primiparous, no significant difference was found. Besides, there was a significantly higher FHLC-C score in women who did not change their exercise habits during pregnancy (p=0.008). Although the FHLC-I score was higher in women, who made changes in nutrition habits, it was determined that it was not significant. Conclusion The results of fetal health locus of control in high -risk pregnancies will lead to women who have high -risk pregnancies taking responsibility for adapting to the treatment process, taking into account the controls and making lifestyle changes, rather than leaving the situation to fate.
  • Küçük Resim
    Öğe
    Effects of web-based gestational diabetes mellitus education on health management self-efficacy, treatment modality, and maternal-fetal-neonatal outcomes: A randomized controlled trial
    (Taylor & Francis Inc, 2025) Akbag, Nuran Nur Aypar; Tokat, Merlinda Alus
    The authors' purpose in this study was to examine the effects of web-based Gestational Diabetes Mellitus (GDM) education on person's health management self-efficacy, treatment modality, and maternal-fetal-neonatal outcomes. We conducted a randomized controlled trial design. The study was conducted in 65 pregnant women (intervention group: 31, control group: 34). The level of health management self-efficacy was significantly higher in pregnant women who received web-based education compared to the control group. In addition, fewer pregnant women transitioned from nutrition therapy to insulin compared the control group. Among pregnant women with GDM, web-based education proved to be an effective intervention strategy, enhancing self-efficacy, promoting healthier behaviors, and ultimately reducing maternal and neonatal complications.The clinical trial registration number: NCT05141929.
  • [ X ]
    Öğe
    IS THE OCCURRENCE OF GESTATIONAL DIABETES MELLITUS IN PREGNANCIES HIGHER FOLLOWING IN VITRO FERTILIZATION TREATMENT? WHY? A RETROSPECTIVE COHORT STUDY
    (Dokuz Eylul Univ Inst Health Sciences, 2024) Akbag, Nuran Nur Aypar; Tokat, Merlinda Alus; Ozozturk, Sevcan; Avdal, Elif Unsal; Okyay, Recep Emre; Dogan, Omer Erbil
    Purpose: This study aim to determine the occurrence of gestational diabetes mellitus (GDM) in pregnancies after IVF treatment and to evaluate the factors that reduce this risk. Material and Methods: This retrospective cohort study was conducted using the medical records of pregnant women who conceived following IVF at the in-vitro fertilization center between 2002-2019. The data were obtained from medical records and phone interviews. Univariate and multivariate logistic regression analyses were performed. Results: The incidence of GDM was found to be 16.7%. The regression model indicated that the risk of GDM was 4.57 times higher in the age group 36-40 at conception during the IVF cycle than the age group 31-35 (95% CI = 1.18-17.73, p = .028). Furthermore, women who conceived after the second IVF trial had a risk of GDM 3.464 times higher than those that conceived after their first IVF trial (95% CI = 1.07-11.23, p= .038). Conclusion: As age and number of IVF trials increase in infertile women, the risk of GDM increases after IVF treatment.
  • Küçük Resim
    Öğe
    The Use of International Web Blogs by Pregnant Women with Gestational Diabetes Mellitus in COVID-19 Pandemic: Thoughts, Emotions and Coping Strategies
    (Sage Publications India Pvt Ltd, 2025) Akbag, Nuran Nur Aypar; Tokat, Merlinda Alus; Ozberk, Hulya; Arbag, Esra
    The COVID-19 pandemic has walked into our lives as a source of social isolation. This study aims to determine, by using web blogs, the emotions, thoughts and coping strategies of pregnant women with gestational diabetes mellitus (GDM) during the COVID-19 pandemic, using the Transactional Model of Stress and Coping developed by Lazarus and Folkman. This study, which was designed as a descriptive qualitative study, uses international web blogs as the data source. The statements of 42 women determined between April and May 2021 were evaluated with the directed qualitative content analysis in accordance with the aim of the study. The themes of this study were determined as psychological changes, cognitive changes, changes in social life, changes in the diagnosis and treatment process and coping strategies. While some of the women interpret the pandemic process to be death-equivalent, lonely, helpless and worrying, others commentate that being at home is reassuring, they are satisfied with online health services and their relations with their partners are positively affected. It is thought that the online sharing platforms (blogs, forums and so forth) used during the pandemic process have an effect on sharing the feelings and thoughts, and coping strategies in GDM management.