Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Evli Kadınların Genital Hijyen Davranışlarının Ürogenital Semptomlar ile İlişkisi
Married Women's Genital Hygiene Behaviors' Relations with Urogenital Symptoms
Seyhan ÇANKAYAa, Emel EGEb
aEbelik Bölümü, Selçuk Üniversitesi Sağlık Bilimleri Fakültesi,
bHemşirelik Bölümü, Konya Necmettin Erbakan Üniversitesi Sağlık Bilimleri Fakültesi, Konya
Turkiye Klinikleri J Nurs Sci. 2014;6(2):94-101
Article Language: TR
Full Text
ÖZET
Amaç: Kadınların doğurganlık özellikleri aynı zamanda jinekolojik problemlerin de kaynağı olabilmektedir. Kadınların jinekoloji polikliniklerine en sık başvurma nedenleri arasında; üreme organlarının yapı ve fonksiyonlarının bozulması ile ilgili sorunlar ilk sırada yer almaktadır. Bu sorunlar içerisinde de genital enfeksiyonlar en sık yaşanan sorundur. Bu sebeplerden dolayı bu araştırma, kadınlarda görülen ürogenital enfeksiyonların genital hijyen davranışları ile ilişkisini incelemek amacıyla yapılmıştır. Gereç ve Yöntemler: Çalışma, 1-31 Haziran 2011 tarihleri arasında jinekoloji polikliniğine başvuran 126 kadın üzerinde yapılmıştır, örnek büyüklüğünün belirlenmesinde, Ege ve Eryılmaz'ın yaptığı çalışmanın bulgusundan yararlanılmış, ''Genital Hijyen Davranışları Envanteri (GHDE)'' puanı (73,5±12,2) dikkate alınarak hesaplanmıştır. Verilerin toplanmasında; kadınların sosyo demografik özellikleri, obstetrik özellikleri ve vajinal enfeksiyon şikâyetine yönelik, araştırmacılar tarafından literatürden yararlanılarak geliştirilen toplam 24 soruluk ''birey tanıtım formu'' ile Türkiye'de geçerlilik ve güvenirliliği 2005 yılında Ege ve Eryılmaz tarafından yapılan ''Genital Hijyen Davranışları Envanteri (GHDE)'' kullanılmıştır. Veriler; t-testi, one way anova ve Pearson's korelasyon analizi ile değerlendirilmiştir. Bulgular: Kadınların yaş ortalamasının 33,6±8,2 yıl olduğu, %48,4'ünün ilkokul mezunu, %75,4'ünün çalışmadığı saptanmıştır. Kadınların, öğrenim ve çalışma durumları, eşlerinin öğrenim düzeyi, aile gelir durumları, aile tipleri gibi sosyodemografik özellikleri ile GHDE arasında istatistiksel olarak anlamlı fark saptanmıştır (p<0,05). Kötü kokulu akıntı şikâyeti olan, cinsel ilişkide ağrı hisseden, vajinal duş yapan ve vajinal enfeksiyon tanısı alan kadınların genital hijyen davranışları envanteri puan ortalamaları daha düşük bulunmuştur (p<0,05). Sonuç: Araştırma sonucunda, kadınların bazı genital hijyen alışkanlıklarında yanlış uygulamalar olduğu saptanmış ve bu konuda eğitim desteğine ihtiyaçlarının olduğu sonucuna varılmıştır. Ebe/hemşirelerin, kadınların genital hijyen davranışlarını sorgulayarak doğru bilgilendirmeye yönelik eğitimler vermesinin uygun olduğu söylenebilir.

Anahtar Kelimeler: Genital hastalıklar, kadın; kadın sağlığı; vajinal hastalıklar; vajinal akıntı
ABSTRACT
Objective: Women's fertility characteristics also can be a source of gynecologic problems. Women's gynecology outpatient clinic of the most common reasons, the deterioration of the structure and function of the reproductive organs of problems with the first ranks. These problems in the genital infection is the most common problems. Because of these reasons the study was conducted in order to determine the relationship between genital hygiene behaviors and urogenital infections in women. Material and Methods: The study population was comprised of 126 womens who admitted gynecology outpatient clinic, were included into the study between the dates of June 1-31, 2011. Sample size determination, Ege and Eryılmaz (2006)'s findings of his study utilizing ''Genital Hygiene Behavior Inventory (GHBI)'' score (73.5±12.2) is calculated considering. To collect data, developed by researchers benefiting from literature, women socio-demographic characteristics, obstetric characteristics and vaginal injection, of 24 questions assessing the complaint ''individual identification form'' and the reliability and validity in Turkey in 2005 by Ege and Eryılmaz ''Genital Hygiene Behaviors Inventory (GHBI)'' was used. In the analysis of data t-test, one way anova and Pearson's correlation analysis was used. Results: The mean age of the women in the study group was 33.6±8.2. A total of 48.4% were elementary school graduates and a total of 75.4% were unemployed. The differences between GHBI and women's socio demographic characteristics such as level of education, employment status, their husbands' level of education, family income status and family types were found to be statistically significant (p<0.05). The differences between GHBI and women'' suffering from foul-smelling discharge, feeling pain during sexual intercourse, vaginal douches habits and status of receiving the diagnosis of vaginal infection were found significantly lower (p<0.05). Conclusion: As a result, women were found to be improper practices of some genital hygiene habits and concluded that this issue needs educational support. Midwifes/nurses can be said is that appropriate training programs to questioned and informed the women about the genital hygiene behaviors.

Keywords: Genital diseases, female; women's health; vaginal diseases; vaginal discharge

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