baun health sci j Balıkesir Sağlık Bilimleri Dergisi 2146-9601 2147-2238 Balıkesir University Obstetrics and Gynocology Nursing Doğum ve Kadın Hastalıkları Hemşireliği Doğum Yapmış ve Yapmamış Kadınlar Arasında Genital Öz İmaj, Kozmetik Cerrahi Kabulü ve Cinsel Yaşam Kalitesi Arasındaki İlişki: Karşılaştırmalı Bir Çalışma The relationship Between Genital Self-image, Acceptance of Cosmetic Surgery, and Quality of Sexual Life Among Women Who Have Given Birth and Those Who Have Not: A Comparative Study https://orcid.org/0000-0002-3421-9794 Küçükkaya Burcu ESKİŞEHİR OSMANGAZİ ÜNİVERSİTESİ, ESKİŞEHİR SAĞLIK YÜKSEKOKULU, HEMŞİRELİK BÖLÜMÜ, HEMŞİRELİK PR. https://orcid.org/0009-0006-9926-615X Temiz Mehtap Bartın Üniversitesi Sağlık Bilimleri Fakültesi 10 31 2025 14 3 761 771 04 08 2025 10 14 2025 Copyright © 2012, Balıkesir Sağlık Bilimleri Dergisi 2012 Balıkesir Sağlık Bilimleri Dergisi

Amaç: Bu çalışmada, doğum yapan ve yapmayan kadınların genital benlik imajı, kozmetik cerrahiyi kabulü ve cinsel yaşam kalitelerinin karşılaştırılması amaçlanmıştır. Gereç ve Yöntem: Kesitsel ve karşılaştırmalı özellikteki bu çalışma, 30.09.2024-10.02.2025 tarihleri arasında çevrimiçi anket aracılığıyla sosyal medya (Facebook, Instagram, X, Telegram vb.) ve forum sayfalarında paylaşılarak araştırmaya katılmaya gönüllü 153’ü doğum yapan ve 145’i doğum yapmayan olmak üzere toplam 298 kadın üzerinde uygulandı. Araştırmada Kişisel Bilgi Formu, Genital Benlik İmajı Ölçeği (GBİÖ), Cinsel Yaşam Kalitesi Ölçeği-Kadın (CYKÖ-K) ve Estetik Cerrahiyi Kabul Ölçeği (ECKÖ) kullanıldı. Bulgular: Doğum yapan kadınların KGBİAÖ, CYKÖ-K ve ECKÖ puan ortalamaları sırasıyla 21.38±4.28, 77.92±20.72 ve 54.49±23.29 iken doğum yapmayan kadınların GBİÖ, CYKÖ-K ve ECKÖ puan ortalamaları sırasıyla 21.39±4.08, 83.04±19.82 ve 54.10±19.70 olduğu belirlenirken, doğum yapan kadınların ECKÖ puan ortalamasının doğum yapmayan kadınlara kıyasla daha yüksek olduğu saptandı (p=0.007). Doğum yapan kadınların genital benlik imajı ile cinsel yaşam kalitesi (r=-0.011) ve kozmetik cerrahiyi kabul (r=0.029) düzeyleri arasında istatistiksel olarak anlamlı bir ilişki olmadığı saptandı (p>0.05). Doğum yapmayan kadınların genital benlik imajı ile cinsel yaşam kalitesi (r=-0.132) ve kozmetik cerrahiyi kabul (r=0.164) düzeyleri arasında istatistiksel olarak anlamlı bir ilişki olmadığı bulundu (p>0.05). Sonuç: Doğum yapma deneyimi, kadınların genital benlik imajını, cinsel yaşam kalitesini ya da kozmetik cerrahiye yönelik tutumlarını anlamlı şekilde etkilememektedir. Bu nedenle, kadın sağlığı ve hastalıkları hemşirelerinin, doğum yapma durumlarından bağımsız olarak, tüm kadınlarda bu algıları düzenli olarak değerlendirmeleri önemlidir. Hemşirelik bakım süreçleri; bu psikososyal boyutları dikkate alan bütüncül bir yaklaşımla planlanmalı, uygulanmalı ve değerlendirilmelidir.

Objective: In this study, it was aimed to compare the genital self-image, acceptance of plastic surgery and quality of sexual life of women who gave birth and women who did not give birth. Materials and Methods: This cross-sectional and comparative study was conducted between September 30, 2024, and February 10, 2025, through an online survey distributed via social media platforms (Facebook, Instagram, X, Telegram, etc.) and forums. A total of 298 women voluntarily participated in the study, including 153 who had given birth and 145 who had not. The study utilized a Personal Information Form, the Genital Self-Image Scale (GSIS), the Sexual Quality of Life-Female (SQoL-F), and the Acceptance of Cosmetic Surgery Scale (ACSS). Results: The GSIS, SQoL-F, and ACSS mean scores for women who had given birth were 21.38±4.28, 77.92±20.72, and 54.49±23.29, respectively, whereas the mean scores for those who had not given birth were 21.39±4.08, 83.04±19.82, and 54.10±19.70, respectively. Women who had given birth had significantly higher ACSS scores compared to those who had not (p=0.007). No statistically significant correlation was found between genital self-image (GSI) and sexual quality of life (SQoL) (r=-0.011) or acceptance of cosmetic surgery (r=0.029) among women who had given birth (p>0.05). Similarly, no statistically significant correlation was found between GSIS and SQoL-F (r=-0.132) or acceptance of cosmetic surgery (r=0.164) among women who had not given birth (p>0.05). Conclusion: The experience of childbirth does not significantly influence women's of their GSIS, SQoL-F, or attitudes toward cosmetic surgery. Therefore, it is essential that nurses specializing in women's health and diseases routinely assess these perceptions in all women, irrespective of their childbirth history. Nursing care should be planned, implemented, and evaluated with a comprehensive approach that considers these psychosocial dimensions, regardless of whether the individual has given birth.

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