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Comparison of Childbirth Self-Efficacy Levels in Risky and Non-Risky Pregnancies

Year 2024, Volume: 6 Issue: 3, 480 - 490, 25.12.2024

Abstract

The research aimed to assess the childbirth self-efficacy perceptions among pregnant women in both risky and non-risky pregnancies. The study's sample comprised pregnant women attending a maternity hospital in Erzurum, eastern Turkey, for prenatal check-ups between February 15, 2017, and April 30, 2017. Research data were collected using a questionnaire form and a short version of the Birth Self-Efficacy Inventory (CBSEI). The SPSS 20.0 statistical package program was employed for coding, statistical analysis, and data evaluation. Results indicated that risky pregnant women had a mean score of 110.04 ± 24.31 on the Expectation for Outcome subscale, 87.91 ± 22.52 on the Expectation of Proficiency subscale, and a total mean score of 197.96 ± 32.60 on the CBSEI. In comparison, risk-free pregnant women scored 115.71 ± 25.23 on the Expectation for Outcome subscale, 93.43 ± 21.55 on the Expectation of Proficiency subscale, and a total mean score of 209.14 ± 38.00 on the CBSEI. The comparison of mean scores between the two groups revealed statistically significant differences across all subscales and the total score of the CBSEI (p<0.05). In conclusion, the childbirth self-efficacy levels differ between risky and non-risky pregnancies, with risky pregnant women exhibiting lower birth self-efficacy levels compared to their risk-free counterparts.

References

  • Abdollahi, S., Faramarzi, M., Delavar, M. A., Bakouei, F., Chehrazi, M., & Gholinia, H. (2020) Effect of psychotherapy on reduction of fear of childbirth and pregnancy stress: A Randomized Controlled Trial. Frontiers in Psychology, 11(787), 1-12. https://doi.org/10.3389/fpsyg.2020.00787
  • Aksoy, A. N. (2015). Fear of childbirth: Review of the literature. ODU Medical Journal, 2(3), 161-165. https://dergipark.org.tr/en/pub/odutip/issue/16306/170937
  • Arslantas, H., Coban, A., Dereboy, F., Sari, E., Sahbaz, M., & Kurnaz, D. (2020). Factors effecting delivery fear in last trimester pregnant women and its relationship with postpartum depression and maternal attachment. Cukurova Medical Journal, 45 (1), 239-250. https://doi.org/10.17826/cumj.647253
  • Atasever, I., & Celik, A. S. (2018). Effect of prenatal stress on maternal- child health. Anatolian Journal of Nursing and Health Sciences, 21 (1), 60-68. https://dergipark.org.tr/en/pub/ataunihem/issue/36782/301056
  • Ayers, S. (2017). Birth trauma and post-traumatic stress disorder: the importance of risk and resilience. Journal of Reproductive and Infant Psychology, 35(5), 427–430. https://doi.org/10.1080/02646838.2017.1386874
  • Baltaci, N., & Baser, M. (2020). Anxiety, prenatal attachment and nurses’ role in risky pregnancies. Dokuz Eylul University Faculty of Nursing Electronic Journal, 13(3), 206-212. https://doi.org/10.46483/deuhfed.565338
  • Bandura, A. (1997). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215. https://doi.org/10.1037/0033-295X.84.2.191
  • Baran, G. K., Sahin, S., Oztas, D., Demir, P., & Desticioglu, R. (2020). Assessment of perceived stress levels and stress factors in pregnant women. Cukurova Medical Journal, 45(1), 170-180. https://doi.org/10.17826/cumj.633534
  • Barut, S., & Ucar, T. (2018). Relationship between childbirth self-efficacy and fear of childbirth. Mersin University Journal of Health Sciences, 11(2), 107-115. https://doi.org/10.26559/mersinsbd.331077 Bostan, F. S & Kabukcuoglu, K. (2022). Factors relating to childbirth self efficacy among pregnant women: a CHAID analysis. Journal of Obstetrics and Gynaecology, 42(7), 2805-2812. https://doi.org/10.1080/01443615.2022.2109412
  • Cicek, O., & Okumus, H. (2017). Self-efficacy perception at birth: its importance and effective factors. International Refereed Journal of Gynaecological Diseases and Maternal Child Health, 10, 35-49. https://doi.org/10.17367/JACSD.2017.2.3
  • Cincioglu, E., Durat, G., Ozturk, S., & Akbas, H. (2020). Mental states and coping styles with stress of women in high-risk pregnancy. Health and Society, 3(30), 148-157. https://ssyv.org.tr/wp-content/uploads/2020/12/17-Riskli-Gebeliklerde-Gebelerin-Ruhsal-Durumlari-ve-Stresle-Basa-Cikma-Bicimleri.pdf
  • Coban, A., Arslantas, H., Dereboy, F., Sarı, E., Sahbaz, M., & Kurnaz, D. (2020). Does you have a predıctıve bırth related characterıstıcs of the postpartum depression and the maternal attachment? Life Sciences (NWSALS), 15(3), 32-40. https://doi.org/10.12739/NWSA.2020.15.3.4B0034
  • Dahlerup, B. R., Egsmose, E. L., Siersma, V., Mortensen, E. L., Hedegaard, M., Knudsen, L. E., & Mathiesen, L. (2018). Maternal stress and placental function, a study using questionnaires and biomarkers at birth. Plos One, 13(11), 1-18. https://doi.org/10.1371/journal.pone.0207184
  • Darsareh, F., Aghamolaei, T., Rajaei, M., & Madani, A. (2018). Exploring first-time pregnant women’s motivations for planning vaginal delivery: A Qualitative Study. Iranian Journal of Nursing and Midwifery Research, 23(6), 465-470. https://doi.org/10.4103%2Fijnmr.IJNMR_175_17
  • Duncan, L. G., Cohn, M. A., Chao, M. T., Cook, J. G., Riccobono, J., & Bardacke, N. (2017). Benefits of preparing for childbirth with mindfulness training: a randomized controlled trial with active comparison. BMC Pregnancy and Childbirth, 17, 1–11. https://doi.org/10.1186/s12884-017-1319-3
  • Ersoy, Y. (2011). Validity and reliability study of self-efficacy scale in labor. [Master’s thesis, Akdeniz Univesity]. Akdeniz Univesity Digital Archive. https://l24.im/NOChHJ7
  • Gumusdas, M., Apay, S. E., & Ozorhan, E. (2014). Comparison of psycho-social health in pregnant women with and without risk. Archives of Health Science and Research, 1(2), 32-42. https://doi.org/10.17681/hsp.80013
  • Helbig, A., Kaasen, A., Malt, U. F., & Haugen., G. (2013). Does antenatal maternal psychological distress affect placental circulation in the third trimester? PloS One, 8(2), e57071. https://doi.org/10.1371/journal.pone.0057071
  • Hunt, W. C., Wilder, B., Steele, M. M., Grant, J. S., Pryor, E. R., & Moneyham, L. (2012). Relationships among self-efficacy, social support, social problem solving, and self-management in a rural sample living with type 2 diabetes mellitus. Research and Theory For Nursing Practice, 26(2), 126-141. https://doi.org/10.1891/1541-6577.26.2.126
  • Ip, W. Y., Chan, D., & Chien, W. T. (2005). Chinese version of the childbirth self‐efficacy inventory. Journal of Advanced Nursing, 51(6), 625-633. https://doi.org/10.1111/j.1365-2648.2005.03548.x
  • Isbir, G. G., İnci, F., Önal, H., & Yıldız, P. D. (2016). The effects of antenatal education on fear of childbirth, maternal self-efficacy and post-traumatic stress disorder (PTSD) symptoms following childbirth: an experimental study. Applied Nursing Research, 32, 227–232. https://doi.org/10.1016/j.apnr.2016.07.013
  • Lazoglu, M., & Apay, S. E. (2018). Does Fear of Giving Birth Impact the Self-Efficacy Perceptions of a Pregnant Woman? Eastern Journal of Medical Sciences, 3(4), 70-75. https://doi.org/10.32677/EJMS.2018.v03.i04.004
  • Lowe, N. K. (1993). Maternal confidence for labor: Development of the childbirth self‐efficacy inventory. Research in Nursing & Health, 16 (2), 141-149. https://doi.org/10.1002/nur.4770160209
  • Maxson, J. P., Edwards, Valentiner, E. M., & Miranda, M. L. (2016). A multidimensional approach to characterizing psychosocial health during pregnancy. Maternal and Child Health Journal, 20, 1103-1113. https://doi.org/10.1007/s10995-015-1872-1
  • Munkhondya, B. M. J., Munkhondya, T. E., Chirwa, E., & Wang, H. (2020). Efficacy of companion-integrated childbirth preparation for childbirth fear, self-efficacy, and maternal support in primigravid women in Malawi. BMC Pregnancy and Childbirth, 20(48), 1-12. https://doi.org/10.1186/s12884-019-2717-5
  • Olcer, Z., & Oskay, U. (2015). Stress in high-risk pregnancies and coping methods. Journal of Nursıng Educatıon and Research, 12 (2):85-92. https://doi.org/10.5222/HEAD.2015.085
  • Olcer, Z., Bakır, N., & Oskay, U. (2016). Perceptions of social support and self-sufficiency in high-risk pregnancies. Journal of Anatolia Nursing and Health Sciences, 19(1), 25-33. https://doi.org/10.17049/ahsbd.27714
  • Ozcetin, Y. S. U, & Erkan, M. (2019). Resilience, perceived stress and psychosocial health of high-risk pregnant women. Cukurova Medical Journal, 44(3),1017-1026. https://doi.org/10.17826/cumj.502989 Razurel, C., Barbara Kaiser, B., Antonietti, J. P., Epiney, M., & Sellenet, C. (2017). Relationship between perceived perinatal stress and depressive symptoms, anxiety, and parental self-efficacy in primiparous mothers and the role of social support. Women & Health, 57(2), 154-172. https://doi.org/10.1080/03630242.2016.1157125
  • Sercekus, P., & Baskale, H. (2016). Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. Midwifery, 34, 166–172. https://doi.org/10.1016/j.midw.2015.11.016 Sogukpinar, N., Akmese, Z. B., Hadımlı, A., Balcik, M., & Akin, B. (2018). Risky pregnancy profile in maternity hospitals: Sample of Izmir province. Journal of Academic Research in Nursing, 4(1), 37-44. https://doi.org/10.5222/jaren.2018.037
  • Soh, Y. X., Razak, N. K. B. A., Cheng, L. J., & Lau, Y. (2020). Determinants of childbirth self-efficacy among multi-ethnic pregnant women in Singapore: A structural equation modelling approach. Midwifery, 87, 1-8. https://doi.org/10.1016/j.midw.2020.102716
  • Sun, N., Yin, X., Qiu, L., Yang, Q., Shi, X., Chang, J., Feng, L., & Gong, Y. (2020). Factors associated with Chinese pregnant women’s preference for a cesarean section based on the theory of planned behaviour. Tropical Medicine & International Health, 25(2), 209–215. https://doi.org/10.1111/tmi.13323
  • Taskin, L. (Ed). (2016). Obstetrics and Women's Health Nursing. Ozyurt Puplishing.
  • Vehmeijer F. O. L., Guxens, M., Duijts, L., & El Marroun, H. (2019). Maternal psychological distress during pregnancy and childhood health outcomes: a narrative review. Journal of Developmental Origins of Health and Disease, 10(3), 274-285. https://doi.org/10.1017/S2040174418000557
  • Zhaoa, Y, Wu, J., Yang, H., Yin, X., Li, D., Qiu, L., Sun, N., & Gong, Y. (2021). Factors associated with childbirth self-efficacy: a multicenter cross-sectional study in China. Midwifery, 93, 102883. https://doi.org/10.1016/j.midw.2020.102883

Riskli ve Risksiz Gebeliklerde Doğum Öz-yeterlik Düzeylerinin Karşılaştırılması

Year 2024, Volume: 6 Issue: 3, 480 - 490, 25.12.2024

Abstract

Araştırma, riskli ve risksiz gebeliklerin doğum öz-yeterlik algılarını belirlemek amacıyla yapılmıştır.Araştırmanın örneklemini 15 Şubat 2017-30 Nisan 2017 tarihleri arasında Türkiye'nin doğusunda Erzurum’da bulunan doğum hastanesine doğum öncesi kontrol için gelen riskli ve risksiz gebeler oluşturmuştur. Araştırma verilerini toplamak için anket formu ve Doğum Öz-yeterlik Envanteri'nin (DÖE) kısa versiyonu kullanılmıştır. Verilerin kodlanması, istatistiksel analizi ve değerlendirilmesinde SPSS 20.0 istatistik paket programı kullanılmıştır. Riskli gebelerin; Ölçeğin Sonuç Beklentisi alt ölçeği puan ortalaması 110.04 ± 24.31, Yeterlilik Beklenti alt ölçeği puan ortalaması 87.91 ± 22.52 ve ölçeğin toplam puan ortalaması 197.96 ± 32.60'dır. Risksiz gebelerin; Sonuç Beklentisi alt ölçeği puan ortalaması 115.71 ± 25.23, Yeterlilik Beklentisi alt ölçeği puan ortalaması 93.43 ± 21.55 ve ölçeğin toplam puan ortalaması 209.14 ± 38.00'dir. Gebelerin DÖE'den aldıkları puan ortalamaları karşılaştırıldığında; tüm alt boyut puan ortalamaları ile DÖE toplam puan ortalamaları arasındaki farkın gruplar arasında istatistiksel olarak anlamlı olduğu bulunmuştur (p<0.05). Riskli ve risksiz gebelerin doğum özyeterlilik seviyeleri birbirinden farklıdır. Riskli gebelerin doğum özyeterlilik seviyeleri risksiz gebelerin doğum özyeterlilik seviyesinden daha düşüktür

References

  • Abdollahi, S., Faramarzi, M., Delavar, M. A., Bakouei, F., Chehrazi, M., & Gholinia, H. (2020) Effect of psychotherapy on reduction of fear of childbirth and pregnancy stress: A Randomized Controlled Trial. Frontiers in Psychology, 11(787), 1-12. https://doi.org/10.3389/fpsyg.2020.00787
  • Aksoy, A. N. (2015). Fear of childbirth: Review of the literature. ODU Medical Journal, 2(3), 161-165. https://dergipark.org.tr/en/pub/odutip/issue/16306/170937
  • Arslantas, H., Coban, A., Dereboy, F., Sari, E., Sahbaz, M., & Kurnaz, D. (2020). Factors effecting delivery fear in last trimester pregnant women and its relationship with postpartum depression and maternal attachment. Cukurova Medical Journal, 45 (1), 239-250. https://doi.org/10.17826/cumj.647253
  • Atasever, I., & Celik, A. S. (2018). Effect of prenatal stress on maternal- child health. Anatolian Journal of Nursing and Health Sciences, 21 (1), 60-68. https://dergipark.org.tr/en/pub/ataunihem/issue/36782/301056
  • Ayers, S. (2017). Birth trauma and post-traumatic stress disorder: the importance of risk and resilience. Journal of Reproductive and Infant Psychology, 35(5), 427–430. https://doi.org/10.1080/02646838.2017.1386874
  • Baltaci, N., & Baser, M. (2020). Anxiety, prenatal attachment and nurses’ role in risky pregnancies. Dokuz Eylul University Faculty of Nursing Electronic Journal, 13(3), 206-212. https://doi.org/10.46483/deuhfed.565338
  • Bandura, A. (1997). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215. https://doi.org/10.1037/0033-295X.84.2.191
  • Baran, G. K., Sahin, S., Oztas, D., Demir, P., & Desticioglu, R. (2020). Assessment of perceived stress levels and stress factors in pregnant women. Cukurova Medical Journal, 45(1), 170-180. https://doi.org/10.17826/cumj.633534
  • Barut, S., & Ucar, T. (2018). Relationship between childbirth self-efficacy and fear of childbirth. Mersin University Journal of Health Sciences, 11(2), 107-115. https://doi.org/10.26559/mersinsbd.331077 Bostan, F. S & Kabukcuoglu, K. (2022). Factors relating to childbirth self efficacy among pregnant women: a CHAID analysis. Journal of Obstetrics and Gynaecology, 42(7), 2805-2812. https://doi.org/10.1080/01443615.2022.2109412
  • Cicek, O., & Okumus, H. (2017). Self-efficacy perception at birth: its importance and effective factors. International Refereed Journal of Gynaecological Diseases and Maternal Child Health, 10, 35-49. https://doi.org/10.17367/JACSD.2017.2.3
  • Cincioglu, E., Durat, G., Ozturk, S., & Akbas, H. (2020). Mental states and coping styles with stress of women in high-risk pregnancy. Health and Society, 3(30), 148-157. https://ssyv.org.tr/wp-content/uploads/2020/12/17-Riskli-Gebeliklerde-Gebelerin-Ruhsal-Durumlari-ve-Stresle-Basa-Cikma-Bicimleri.pdf
  • Coban, A., Arslantas, H., Dereboy, F., Sarı, E., Sahbaz, M., & Kurnaz, D. (2020). Does you have a predıctıve bırth related characterıstıcs of the postpartum depression and the maternal attachment? Life Sciences (NWSALS), 15(3), 32-40. https://doi.org/10.12739/NWSA.2020.15.3.4B0034
  • Dahlerup, B. R., Egsmose, E. L., Siersma, V., Mortensen, E. L., Hedegaard, M., Knudsen, L. E., & Mathiesen, L. (2018). Maternal stress and placental function, a study using questionnaires and biomarkers at birth. Plos One, 13(11), 1-18. https://doi.org/10.1371/journal.pone.0207184
  • Darsareh, F., Aghamolaei, T., Rajaei, M., & Madani, A. (2018). Exploring first-time pregnant women’s motivations for planning vaginal delivery: A Qualitative Study. Iranian Journal of Nursing and Midwifery Research, 23(6), 465-470. https://doi.org/10.4103%2Fijnmr.IJNMR_175_17
  • Duncan, L. G., Cohn, M. A., Chao, M. T., Cook, J. G., Riccobono, J., & Bardacke, N. (2017). Benefits of preparing for childbirth with mindfulness training: a randomized controlled trial with active comparison. BMC Pregnancy and Childbirth, 17, 1–11. https://doi.org/10.1186/s12884-017-1319-3
  • Ersoy, Y. (2011). Validity and reliability study of self-efficacy scale in labor. [Master’s thesis, Akdeniz Univesity]. Akdeniz Univesity Digital Archive. https://l24.im/NOChHJ7
  • Gumusdas, M., Apay, S. E., & Ozorhan, E. (2014). Comparison of psycho-social health in pregnant women with and without risk. Archives of Health Science and Research, 1(2), 32-42. https://doi.org/10.17681/hsp.80013
  • Helbig, A., Kaasen, A., Malt, U. F., & Haugen., G. (2013). Does antenatal maternal psychological distress affect placental circulation in the third trimester? PloS One, 8(2), e57071. https://doi.org/10.1371/journal.pone.0057071
  • Hunt, W. C., Wilder, B., Steele, M. M., Grant, J. S., Pryor, E. R., & Moneyham, L. (2012). Relationships among self-efficacy, social support, social problem solving, and self-management in a rural sample living with type 2 diabetes mellitus. Research and Theory For Nursing Practice, 26(2), 126-141. https://doi.org/10.1891/1541-6577.26.2.126
  • Ip, W. Y., Chan, D., & Chien, W. T. (2005). Chinese version of the childbirth self‐efficacy inventory. Journal of Advanced Nursing, 51(6), 625-633. https://doi.org/10.1111/j.1365-2648.2005.03548.x
  • Isbir, G. G., İnci, F., Önal, H., & Yıldız, P. D. (2016). The effects of antenatal education on fear of childbirth, maternal self-efficacy and post-traumatic stress disorder (PTSD) symptoms following childbirth: an experimental study. Applied Nursing Research, 32, 227–232. https://doi.org/10.1016/j.apnr.2016.07.013
  • Lazoglu, M., & Apay, S. E. (2018). Does Fear of Giving Birth Impact the Self-Efficacy Perceptions of a Pregnant Woman? Eastern Journal of Medical Sciences, 3(4), 70-75. https://doi.org/10.32677/EJMS.2018.v03.i04.004
  • Lowe, N. K. (1993). Maternal confidence for labor: Development of the childbirth self‐efficacy inventory. Research in Nursing & Health, 16 (2), 141-149. https://doi.org/10.1002/nur.4770160209
  • Maxson, J. P., Edwards, Valentiner, E. M., & Miranda, M. L. (2016). A multidimensional approach to characterizing psychosocial health during pregnancy. Maternal and Child Health Journal, 20, 1103-1113. https://doi.org/10.1007/s10995-015-1872-1
  • Munkhondya, B. M. J., Munkhondya, T. E., Chirwa, E., & Wang, H. (2020). Efficacy of companion-integrated childbirth preparation for childbirth fear, self-efficacy, and maternal support in primigravid women in Malawi. BMC Pregnancy and Childbirth, 20(48), 1-12. https://doi.org/10.1186/s12884-019-2717-5
  • Olcer, Z., & Oskay, U. (2015). Stress in high-risk pregnancies and coping methods. Journal of Nursıng Educatıon and Research, 12 (2):85-92. https://doi.org/10.5222/HEAD.2015.085
  • Olcer, Z., Bakır, N., & Oskay, U. (2016). Perceptions of social support and self-sufficiency in high-risk pregnancies. Journal of Anatolia Nursing and Health Sciences, 19(1), 25-33. https://doi.org/10.17049/ahsbd.27714
  • Ozcetin, Y. S. U, & Erkan, M. (2019). Resilience, perceived stress and psychosocial health of high-risk pregnant women. Cukurova Medical Journal, 44(3),1017-1026. https://doi.org/10.17826/cumj.502989 Razurel, C., Barbara Kaiser, B., Antonietti, J. P., Epiney, M., & Sellenet, C. (2017). Relationship between perceived perinatal stress and depressive symptoms, anxiety, and parental self-efficacy in primiparous mothers and the role of social support. Women & Health, 57(2), 154-172. https://doi.org/10.1080/03630242.2016.1157125
  • Sercekus, P., & Baskale, H. (2016). Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. Midwifery, 34, 166–172. https://doi.org/10.1016/j.midw.2015.11.016 Sogukpinar, N., Akmese, Z. B., Hadımlı, A., Balcik, M., & Akin, B. (2018). Risky pregnancy profile in maternity hospitals: Sample of Izmir province. Journal of Academic Research in Nursing, 4(1), 37-44. https://doi.org/10.5222/jaren.2018.037
  • Soh, Y. X., Razak, N. K. B. A., Cheng, L. J., & Lau, Y. (2020). Determinants of childbirth self-efficacy among multi-ethnic pregnant women in Singapore: A structural equation modelling approach. Midwifery, 87, 1-8. https://doi.org/10.1016/j.midw.2020.102716
  • Sun, N., Yin, X., Qiu, L., Yang, Q., Shi, X., Chang, J., Feng, L., & Gong, Y. (2020). Factors associated with Chinese pregnant women’s preference for a cesarean section based on the theory of planned behaviour. Tropical Medicine & International Health, 25(2), 209–215. https://doi.org/10.1111/tmi.13323
  • Taskin, L. (Ed). (2016). Obstetrics and Women's Health Nursing. Ozyurt Puplishing.
  • Vehmeijer F. O. L., Guxens, M., Duijts, L., & El Marroun, H. (2019). Maternal psychological distress during pregnancy and childhood health outcomes: a narrative review. Journal of Developmental Origins of Health and Disease, 10(3), 274-285. https://doi.org/10.1017/S2040174418000557
  • Zhaoa, Y, Wu, J., Yang, H., Yin, X., Li, D., Qiu, L., Sun, N., & Gong, Y. (2021). Factors associated with childbirth self-efficacy: a multicenter cross-sectional study in China. Midwifery, 93, 102883. https://doi.org/10.1016/j.midw.2020.102883
There are 34 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Research Articles
Authors

Özlem Koç 0000-0002-6751-1206

Serap Ejder Apay 0000-0003-0978-1993

Gülüzar Sade 0000-0002-8132-8811

Publication Date December 25, 2024
Submission Date August 23, 2023
Acceptance Date January 8, 2024
Published in Issue Year 2024 Volume: 6 Issue: 3

Cite

APA Koç, Ö., Ejder Apay, S., & Sade, G. (2024). Comparison of Childbirth Self-Efficacy Levels in Risky and Non-Risky Pregnancies. Genel Sağlık Bilimleri Dergisi, 6(3), 480-490.


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