Hemşire ve Ebelerin Kadınlara Pelvik Kas Egzersizi Öğretimine Yönelik Uygulamaları

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.

Anahtar Kelimeler:

Ebe, hemşire;, pelvik kas egzersizi

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

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,

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