APPLICATIONS OF NURSES AND MIDWIVES FOR TEACHING PELVIC MUSCLE EXERCISE TO WOMEN

Year 2023, Volume: 8 Issue: 1, 157 - 170, 29.04.2023

Cansu Karadeniz Benli Nedime Gül Doğan Özdemir Özen Kulakaç

https://doi.org/10.47115/jshs.1134942

Abstract

Aim: The study aims to determine whether midwives and nurses working in
obstetrics clinics teach and practice Pelvic Muscle Exercise (PME) as an intervention
according to Nursing Intervention Classification (NIC).
Method: The research was conducted as descriptive. The universe of the study
consisted of 73 nurses and midwives working in the obstetrics clinics of a state and
university hospitals in a province in the Black Sea region. Sample selection was not
made in the study, the entire universe was included in the study.. Personal Information
Form and NIC’s Pelvic Muscle Exercise Activities Form were used to collect
research data. In the study, the data were expressed as numbers and percentages.
Results: According to NIC’s PME Activities Form, the rate of nurses and midwives
applying PME interventions to women varies between 4.1 and 72.6%. In the
form, “I inform the individual about determining the state of being able to notice
the discharge pressure.” intervention was the highest (80.8%) and “I inform women
that by placing a finger in the vagina and squeezing it, they can notice the Levator
ani and urogenital muscles.” has the lowest application rate (27.4%) stated.
Conclusions and Suggestions: As an important result of the study, the rate of
nurses and midwives applying the intervention steps of PME to women is quite
low, except for two items. The implementation of PME initiatives according to the
NIC will contribute to the achievement of international practice standards and
the creation of a common language in this field. At the same time, the use of these
initiatives will help improve women’s health and improve women’s quality of life.

Keywords

Midwife, Nurse, Pelvic Muscle Exercise

Hemşire ve Ebelerin Kadınlara Pelvik Kas Egzersizi Öğretimine Yönelik Uygulamaları

Abstract

Amaç: Çalışma, kadın doğum kliniklerinde çalışmakta olan ebe ve hemşirelerin
Pelvik Kas Egzersizi (PKE)’ni bir girişim olarak Hemşirelik Girişimleri Sınıflaması
(Nursing Intervention Classification-NIC)’na göre öğretme ve uygulatma
durumunu belirlemeyi amaçlamaktadır.
Yöntem: Araştırma tanımlayıcı olarak yapılmıştır. Çalışmanın evrenini, Karadeniz
bölgesinde yer alan bir ilin devlet ve üniversite hastanelerinin kadın doğum
kliniklerinde çalışmakta olan 73 hemşire ve ebe oluşturmuştur. Çalışmada örneklem
seçimine gidilmemiş, evrenin tamamı çalışmaya alınmıştır. Araştırmada veriler
Kişisel Bilgi Formu ve NIC’in Pelvik Kas Egzersizi Aktiviteleri Formu kullanılarak
toplanmıştır. Araştırmada veriler sayı ve yüzde olarak ifade edilmiştir.
Bulgular: NIC’in PKE Aktiviteleri Formuna göre hemşire ve ebelerin kadınlara
PKE girişimlerini uygulanma oranları %4.1-72.6 arasında değişmektedir. Formda
yer alan “Boşaltım baskısını fark edebilme durumunu belirleme hakkında bireyi
bilgilendiririm.” girişimi belirtilen en yüksek (%80.8) ve “Kadınları, bir parmaklarını
vajinaya koyarak ve sıkarak, Levator ani ve ürogenital kaslarını fark edebilecekleri
konusunda bilgilendiririm.” ise belirtilen en düşük (%27.4) uygulanma
oranına sahiptir.
Sonuçlar ve Öneriler: Araştırmanın önemli bir sonucu olarak hemşire ve ebelerin
PKE’nin girişim basamaklarını kadınlara uygulama oranları iki madde dışında
oldukça düşüktür. PKE girişimlerinin NIC’e göre uygulanması, uluslararası
uygulama standartlarına ulaşılmasına ve bu alanda ortak bir dil oluşturulmasına
katkı sağlayacaktır. Aynı zamanda bu girişimlerin kullanılması kadın sağlığının
geliştirilmesine ve kadınların yaşam kalitesinin artırılmasına yardımcı olacaktır.

Keywords

Ebe, hemşire;, pelvik kas egzersizi

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