<b><i>Background:</i></b> Protection of perineum and reduction of perineal pain is important in the second stage of labor. <b><i>Aim:</i></b> The aim of this study was to determine the effect of perineal warm application on perineal pain, perineal integrity, and postnatal comfort in the second stage of labor. <b><i>Methods:</i></b> A single blind randomized and controlled experimental study was conducted with a total of 100 primiparous pregnant women in the warm application (<i>n</i> = 50) and control groups (<i>n</i> = 50). The warm application group was given a damp and warm application to the perineal region during the second stage of labor and only the standard midwifery care was given to the control group. Pregnant Introductory Form was used in the collection of data. Perineal pain level was measured prior to and after the intervention, after delivery, and 2 h from delivery by means of Visual Analogue Scale. In the postpartum period, the perineal condition was evaluated by the midwife with Questionnaire to Determine the Perineal Condition. Two hours from the delivery, Postpartum Comfort Questionnaire was used to determine the comfort level of the women. <b><i>Results:</i></b> It was found that there was a decrease in the pain levels of the warm application group compared to pre-intervention pain levels (<i>p</i> &#x3c; 0.0001). When the warm application and control groups were compared, we found statistically significant differences between the pain levels immediately after the intervention (perineal pain: 8.54 ± 1.38 vs. 9.56 ± 0.57, <i>p</i> &#x3c; 0.0001), after delivery (perineal pain: 2.20 ± 1.72 vs. 3.64 ± 2.07, <i>p</i> &#x3c; 0.0001), and 2 h after delivery (perineal pain: 0.30 ± 0.78 vs. 0.68 ± 0.98, <i>p</i> = 0.028). In the study, the intactness of perineum was found to be significantly higher in the warm application group compared to the control group (<i>p</i> = 0.003). The suture need for perinea was significantly higher in the control group than in the warm application group (<i>p</i> = 0.016). In the study, the physical comfort level of the warm application group was found to be significantly higher than the control group (56.06 ± 4.61 vs. 54.30 ± 4.73, <i>p</i> = 0.012). <b><i>Conclusions:</i></b> In the second stage of labor, it was found that the application of warmth decreases perineal pain, maintains the perineal integrity, and improves postpartum comfort.

Comportamentos de estilo de vida saudável de estudantes universitários e fatores relacionados Healthy lifestyle behaviors of university students and related factors Comportamientos de estilo de vida saludable de estudiantes universitarios y factores relacionados

This randomized controlled experimental study was conducted with an intervention group ( n = 61) and a control group ( n = 63) consisting of primipara pregnant women. The pregnant women in the intervention group were asked to focus their attention on Maryam’s flower opening its leaf buds and imagine the labor’s progress during the course of their labor. The VAS was administered to each group at specific times (at 4–5 cm, 6–7 cm, 8–9 cm cervical dilatation) to determine their level of labor pain. A statistically significant difference was found between the groups’ mean pain scores at 4–5 cm, 6–7 cm, and 8–9 cm cervical dilatation ( p < .05). The labor duration of the pregnant women in the intervention group was significantly shorter than that of the pregnant women in the control group ( p = .017). The physical comfort level of the intervention group was significantly higher than that of the control group at 8–9 cm cervical dilatation ( p = .039).

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Aim: This study was conducted to determine knowledge levels and the factors affecting of  senior nursing students about epilepsy.Method: The study was conducted descriptively and cross-sectional between 17-27 January 2017 with 168 nursing senior students who agreed to participate in the study. The data was collected on social media with questionnaire which was composed of the literature review by the researchers. 15 of the questions were about socio-demographic characteristics and 20 of questions were about epilepsy. Analysing of data were carried out in a computer program by using percentage, Mann-Whitney U and Kruskal Wallis-H test.Results: It was determined that mean score of the students' knowledge level about epilepsy is 81,10±7,27. There was a statistically significant relationship between where they got the information about epilepsy, care a patient previously had a seizure and mean scores of epilepsy knowledge level (p<0,05). It was determined that students ,who got information about epilepsy from the health personnel and those who care a patient previously had a seizure, had high mean scores.Conclusion: In the study, ıt was determined that nursing senior students’ knowledge level about the epilepsy is high; where they got the information about epilepsy, care a patient previously had a seizure affects epilepsy knowledge.Extended English abstract is in the end of PDF (TURKISH) file. ÖzetAmaç: Bu çalışma, hemşirelik son sınıf öğrencilerinin epilepsi hakkındaki bilgi düzeylerini ve etkileyen faktörleri belirlemek amacıyla yapıldı.Gereç ve Yöntem: Çalışma, 17-27 Ocak 2017 tarihleri arasında çalışmaya katılmayı kabul eden 168 hemşirelik son sınıf öğrencisiyle tanımlayıcı ve kesitsel olarak yapıldı. Çalışmanın verileri sosyal medya aracılığı ile toplandı. Verilerin toplanmasında araştırmacılar tarafından literatür taranarak oluşturulan, 15’i sosyo-demogrofik özellikleri, 20’si epilepsi hakkında bilgi durumlarını ölçmeye yönelik sorudan oluşan soru formu kullanıldı. Veriler; bilgisayar ortamında, yüzdelik, Mann-Whitney U ve Kruskal Wallis-H testleri kullanılarak değerlendirildi.Bulgular: Öğrencilerin epilepsi bilgi düzeyleri toplam puan ortalamalarının 81,10±7,27 olduğu belirlendi. Öğrencilerin epilepsi hakkında bilgiyi nereden aldığı ve daha önce nöbet geçiren hastaya bakma durumları ile epilepsi bilgi düzeyi toplam puan ortalamaları arasında istatiksel olarak anlamlı ilişki olduğu saptandı (p<0,05). Sonuç: Çalışmada hemşirelik son sınıf öğrencilerinin epilepsi hakkındaki bilgi düzeylerinin yüksek olduğu; epilepsi hakkında bilgiyi nereden aldığı ve daha önce nöbet geçiren hastaya bakım vermenin epilepsi bilgi durumunu etkilediği belirlendi.