KADINLARIN NORMAL DOĞUM SÜRECİNDE VAJİNAL MUAYENEYE İLİŞKİN DENEYİMLERİ VE ETKİLEYEN FAKTÖRLER: NİTEL BİR ARAŞTIRMA

Amaç: Bu çalışma kadınların doğum sırasında vajinal muayeneye ilişkin deneyimlerini ve etkileyen faktörleri nitel olarak belirlemek amacıyla yapılmıştır.Yöntem: Çalışma Türkiye'de bir ildeki iki devlet hastanesinde normal doğum yapan 20 kadın ile yapılmıştır. Veriler kişisel bilgi formu, yarı yapılandırılmış görüşme formu ve görüşmeci gözlem formu ile toplanmıştır. Veriler içerik analizi kullanılarak analiz edilmiştir.Bulgular: Kadınların yaş ortalaması 34.60±6.40 olup, %75'i (n: 15) multipardı. Çalışmada vajinal muayene deneyimine ilişkin “vajinal muayene kavramı” ve “vajinal muayeneye ilişkin deneyim ve duygusal tepkiler” olarak iki tema belirlenmiştir. Vajinal muayene deneyimini etkileyen faktörlere ilişkin temalar ise “yaşantıyı etkileyenler” ve “vajinal muayene ile ilgili beklentiler” olarak belirlenmiştir. Katılımcılar sıklıkla muayenenin doğumun ilerleyişini değerlendirmek için yapıldığını ifade etmişlerdir. Kadınlar aynı zamanda muayene sürecinde sağlık çalışanlarından yeterli bilgi almadıklarını, sağlık profesyonellerinin mahremiyetlerine yeterince dikkat etmediklerini, gereksiz ve sık vajinal muayeneye maruz kaldıklarını söylemişlerdir. Çalışma sonucuna göre, kadınların vajinal muayene deneyimlerinin çoğunlukla olumsuz olduğu görülmüştür (özellikle utanma, ağrı ve yalnızlık hissi). Katılımcılar sağlık profesyonellerinden öncelikle güler yüzlü ve bilgilendirici olmalarını beklerken, muayene ortamının ise ergonomik açıdan uygun olmasını beklediklerini ifade etmişlerdir.Sonuç: Kadınlar vajinal muayene sırasında fiziksel ve psiko-sosyal bakım gereksinimlerinin karşılanmasına önem verilmesini beklemektedir.

Anahtar Kelimeler:

Doğum, jinekolojik muayene, hemşirelik bakımı, kadın sağlığı

WOMEN'S EXPERIENCES OF VAGINAL EXAMINATION DURING NORMAL CHILDBIRTH AND AFFECTING FACTORS: A QUALITATIVE STUDY

Aim: This study aims to determine qualitatively experiences and affecting factors of the women related to vaginal examination during labor.Methods: The study was conducted with 20 normal birth giving women at two state hospitals in a province in Turkey. The data were collected by personal information form, semi-structured interview form and interviewer observation form. The data were analyzed by the content analysis.Results: The average age of women was 34.60 ± 6.40, and 75% (n: 15) of them were multiparous. Two themes were identified as “vaginal examination concept” and “experience and emotional reactions related to the vaginal examination.” The themes affecting the vaginal examination experience were also determined as “affecting life” and “expectations on vaginal examination.” The participants often declared that the examination was performed to assess the progression of childbirth. They also stated that they did not get enough information from the healthcare professionals during the examination process. They declared that the professionals did not pay enough attention to their privacy, and they were exposed to unnecessary and frequent vaginal examinations. According to the results, most of their experiences were negative (especially feelings of shame, pain and loneliness). The healthcare professionals were expected to be friendly and informative. The examination environment was expected to be appropriate in terms of ergonomics.Conclusion: Women expect special attention for their physical and psycho-social care needs during vaginal examination.

Keywords:

Birth, gynecological examination, nursing care, women’s health,

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