EZGİ AGADAYI

and 6 more

Background: To determine the frequency of breastfeeding of mothers working in primary care, the differences between different employment groups, and the effective factors. Methods: This descriptive research study was conducted with a self-report online survey design. The snowball sampling method was used for the sample selection, and 151 family physicians and 126 family health professionals were included in the study during the research period (June 2019-December 2019). A 35-item survey was used to collect data. The response rate was 44.9% (49.5% family physicians/40.3% family health professionals). Results: The mean duration of exclusive breastfeeding was 3.9 ± 2.0 months, and the mean duration of total breastfeeding was 16.7 ± 8.5 months. There was no significant difference between the family physicians and family health professionals in terms of exclusive breastfeeding (P = 0.580) and total breastfeeding (P = 0.325) durations. The most common reasons for weaning was reduced milk supply (25.6%) and not being able to use breastfeeding leave (23.1%) due to problems at work. Of the sample, 41.3% had problems with their co-workers and 41.9% had problems related to patient care when taking breastfeeding leave. Working in a baby-friendly center (P = 0.010), prolonged exclusive breastfeeding (P < 0.001), and increased hours of breastfeeding leave taken (P = 0.001) had a positive effect on breastfeeding for ≥24 months while experiencing problems with co-workers in taking breastfeeding leave (P = 0.023) had a negative effect on this variable. Conclusions: All of the factors that were determined to affect the continuation of breastfeeding for ≥24 months are modifiable. It is very important for relevant authorities to undertake necessary action to improve the conditions of working mothers based on these results. Health professional that can maintain the balance between family and work will work more efficiently.
ABSTRACT Purpose In our study, we aimed to evaluate the sleep disorders, sleep quality of the patients who applied to family health centers, to determine the situations that might be related with insomnia and to determine the insomnia rates of the general population in primary care. Methods This study is a descriptive research and conducted in Ankara Güdül, Antalya Değirmenözü, Bursa Sırameşeler, Gaziantep Family Health Center policlinics. The study population consisted of all patients over 18 years of age who were admitted to the family health centers for any reason. A 10-question questionnaire, Berlin questionnaire, Pittsburgh sleep quality index and insomnia severity scales were collected by the researchers from October to December 2017 using face-to-face interview method. Results 299 people participated in study and 54.5% of them were women. According to the results of Pittsburgh Sleep Quality Scale, it was found that 27.1% of the participants’ sleep quality was good and 72.9% of them were poor; according to the Berlin sleep questionnaire, 27.4% had high OSAS risk and 72.2% had a low OSAS risk. According to total Insomnia Severity Index, 27.1% had insomnia lower threshold, 15.4% had moderate insomnia, 3.7% severe insomnia was detected. Conclusions In this context, it will be very effective in terms of the quality of life of patients in order to determine the conditions that disrupt sleep hygiene and to perform the necessary interventions which can be intervened in the primary health care institutions and the other patients to be delivered to the related upper levels.