Background & objectives:Patients frequently experience pain of moderate to severe degree during gynaecologic procedures. This prospective, randomized, placebo-controlled trial was aimed to investigate the analgesic efficacy of preoperative oral dexketoprofen trometamol, intravenous paracetamol, lidocaine spray, pethidine and diclofenac sodium on fractional curettage procedure.Methods:A total of 144 mutiparous women were randomly allocated to one of the six groups. The first group (control group) consisted of 22 participants and they did not receive any treatment. The second group had 26 participants receiving oral 25 mg dexketoprofen trometamol. The 23 participants of the third group received two puff lidocaine sprays on cervical mucosa. The forth group consisted of 25 participants receiving 100 mg pethidine. In the fifth group, the 23 participants received 1000 mg intravenous paracetamol and the sixth group consisted of 25 participants receiving diclofenac sodium.Results:Pethidine was the best choice for reducing pain score during curettage procedure (t2:intra-operative). All analgesic procedures were significantly effective in reducing pain during postoperative period (t3). Significant pain reduction was achieved for both intra- and postoperative period by using analgesics.Interpretation & conclusions: The results of our study showed that lidocaine puffs provided the best pain relief than the other analgesics used. Therefore, lidocaine may be considered as the first choice analgesic in fractional curettage (NCT ID: 01993589).

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Background: Perineal trauma that may occur during labor may pose a critical risk both for mother’s health and her quality of life. Childbirth and puerperium are of the most important periods in women’s lives and can affect different aspects of their lives. Aims and objectives: To determine the effect of perineal massage in the second stage of labor with olive oil on perineal lacerations, episiotomy, and perineum tears in multiparous women. Design: A randomized controlled trial. Method: Among women who applied to Maternity Hospital in Turkey 350 pregnant women were assigned to massage group while other 350 were to control group. The participants were selected through convenience sampling, and randomly assigned to two groups: intervention and control groups. The intervention group received perineal massage with olive oil during second stage of labor. Subsequently, we analyzed perineal laceration, episiotomy, and perineal tear among the two groups. All of them were taught about postpartum perineal tear and its severity, and the researcher followed them up 4 hours, and 1 days after childbirth. The data were analyzed using SPSS version 18. We used descriptive statistics and analytical statistics, including t test, Chi-square test, One-Simple Kolmogorov Smirnov test. Findings: Frequency of episiotomy was 34.3% in the intervention group and 48.6% in the control group, and the difference was statistically significant (p<0.05) Tear appeared in 17.7% of the massage group while in 38.0% of the controls. Percentage of tear formation in the massage group significantly decreased (p<0.05) No statistically significant difference was found between the second period of the delivery of massage and control group Conclusion: Regarding the results of this study and those of other studies, perineal massage during the second stage of labor can reduce the need for episiotomy, and avoid perineal injuries, and perineal pain.

Objective: This descriptive study was done with 302 nursing students of a university who accepted to participate in the study between the 15st and the 31st of May, 2016. As data collection tool; “Personal Information Form” and “Hendrick Sexual Attitudes Scale” were employed.Material and method: The questionnaire forms were filled with after face to face interviews done by the author. The data obtained in the study were analyzed using SPSS-21 statistical software, Mann Whitney U Test, One way variance analysis, Kruskal Wallis Test and Anova test.  Results were considered significant at p<0.05.Results: Average age of the students was 21.0±1.8, majority of them were single (95.7%) and 67.5% of them were female. Average score was 3.8±0.9 for “permissiveness”, 4.2±0.7 for “birth control”, 3.2±1.1 for “communion” and 3.1±0.8 for “instrumentality”. Cronbach alpha coefficients of the study varied from 0.77 to 0.90 in the subscales; which proved high reliability of the scale. It was found that male students’ “permissiveness” and “instrumentality” scores were significantly lower than female students (that is; male students permitted careless and inattentive sexual life and were engaged with a utilitarian sexual attitude) (p<0.05). It was identified that those who approved pre-marriage sexual relation (both sexes) were engaged with negligent sexual life, utilitarian sexual attitude and had sexual attitudes far away from ideal (p<0.001).Conclusion: In the study, it was seen that nursing students’ sexual attitudes were affected by such factors as age, birth place, sex, academic grades, receiving sexual training, presence of a sexual partner and opinions about pre-marriage sexual relation.  Extended English abstract is in the end of PDF (TURKISH) file. ÖzetAmaç: Bu çalışmada hemşirelik öğrencilerinin cinsel tutumları ve etkileyen faktörlerini belirlemek amaçlanmıştır.Materyal ve metod: Tanımlayıcı tipte olan bu araştırma 15–31 Mayıs 2016 tarihlerinde arasında bir üniversitenin hemşirelik bölümünde okuyan ve araştırmaya katılmayı kabul eden 302 öğrenciye ulaşılarak yürütülmüştür. Araştırmada veri toplama aracı olarak “Kişisel Bilgi Formu” ve “Hendrick Cinsel Tutum Ölçeği” (HCTÖ)  kullanılmıştır. Anket formu araştırmacı tarafından yüz yüze görüşülerek doldurulmuştur. Araştırmadan elde edilen veriler SPSS-21 istatistik paket programında Mann Whitney U Testi, Tek Yönlü Varyans Analizi, Kruskal Wallis Test ve Anova testleri ile analiz edilmiştir. p<0.05 değeri istatistiksel olarak anlamlı kabul edilmiştir.Bulgular: Büyük çoğunluğu  (%95.7) bekar olan öğrencilerin yaş ortalaması 21.0±1.8 ve % 67.5’i kadındır.  Öğrencilerin “onaylayıcılık” alt boyut puanı ortalamasının 3.8±0.9, “doğum kontrolü” alt boyut puanı ortalamasının 4.2±0.7, “paylaşım” alt boyut puanı ortalamasının 3.2±1.1 ve “araç olarak değerlendirme” alt boyut puanı ortalamasının 3.1±0.8 olduğu belirlenmiştir.  Çalışmamızda ölçeğin güvenirliğini gösteren Cronbach alfa katsayıları alt boyutlarda 0.77 ile 0.90 arasında değişmekte olup bu sonuçlar ölçeğin yüksek güvenilirlikte olduğunu göstermektedir. Erkek öğrencilerin “onaylayıcılık” ve “araç olarak değerlendirme” puanları kızlardan anlamlı olarak düşük olduğu (gelişigüzel cinsel yaşamı onayladıkları ve faydacı bir cinsel tutum sergiledikleri) belirlenmiştir(p<0.05). Evlilik öncesi cinsel ilişkiyi onaylayanların (her iki cinsiyette de)  gelişigüzel cinsel yaşamı onayladıkları, faydacı bir cinsel tutum sergiledikleri ve idealden uzak cinsel tutum içerisinde oldukları bulunmuştur (p<0.001)Sonuç: Hemşirelik bölümü öğrencilerinin cinsel tutumlarını yaş, doğum yeri, cinsiyet, sınıf, cinsel eğitim alma durumu, cinsel partner varlığı ve evlilik öncesi cinsel ilişkiye yönelik bakış açısı gibi faktörler etkilemektedir.

Aim: This descriptive and correlational study was conducted to determine the attitudes of the health care staff who work for the institutions providing primary health care services in Kayseri. Material and Methods:The study was conducted with 259 individuals who agreed to participate in the study. In the quantitative part of the study, a questionnaire form and the Ageism Attitude Scale were used. In the qualitative part of the research, indepth interviews were conducted with eight health care personnel who had the highest and lowest scores on the Ageism Attitude Scale and agreed to interview. Mann-Whitney U, Kruskal-Wallis, and chisquare tests were used to analyze the data. The statistical significance level was taken as 0.05 in all tests. Results: In the study, it was found that while male health care personnel wanted to live with the elderly, female health care personnel did not (p <0.05). In the mean score distribution of the ageism attitude scale, it was determined that physicians and health officers had higher positive discrimination scores towards the elderly. Nurses' and midwives' negative discrimination scores against the elderly were higher than the other groups (p<0.05). As the education level increased, the scores of positive discrimination against the elderly also increased. Conclusion:In the research, we can say that healthcare personnel discriminates elderly at different points. The important thing is to reveal the prejudices of the health personnel about the elderly and ensure that the health personnel serving the elderly are aware of these prejudices. We think that this research will give health care professionals an insight.