Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
The Effect of Chicken Model on Satisfaction, Self-Confidence, and Anxiety in Teaching Episiotomy Repair: A Randomized Controlled Trial
Epizyotomi Onarımı Öğretiminde Tavuk Modelinin Memnuniyet, Özgüven ve Anksiyete Üzerine Etkisi: Randomize Kontrollü Çalışma
İlknur Münevver GÖNENÇa , Menekşe Nazlı AKERa , Hacer ALAN DİKMENb
aAnkara University Faculty of Nursing, Department of Midwifery, Ankara, Türkiye
bSelçuk University Faculty of Health Sciences, Department of Midwifery, Konya, Türkiye
Turkiye Klinikleri J Health Sci. 2025;10(3):647-57
doi: 10.5336/healthsci.2025-108536
Article Language: EN
Full Text
ABSTRACT
 Objective: Midwives' knowledge and skills in performing episiotomy are crucial for maternal care. This study aimed to evaluate the effect of episiotomy training using a chicken simulator on midwifery students' satisfaction, self-confidence, self-sufficiency, and anxiety levels. Material and Methods: A randomized controlled study was conducted with 73 midwifery students, assigned to a chicken simulator group (n=38) and a sponge simulator group (n=35). Data were collected using an Introductory Information Form, a Visual Analog Scale (VAS) for self-sufficiency, the State Anxiety Inventory (STAI-S), and the Student Satisfaction and Self-confidence in Learning Scale (SCLS). Results: Post-training VAS scores on self-sufficiency-including competence in episiotomy repair, identifying and suturing the apex, suturing muscle and skin, adjusting suture intervals and tightness, and using intermittent and continuous sutures-were significantly higher in the chicken simulator group compared to the sponge group (p<0.05). However, there was no significant difference in anxiety levels between groups (p>0.05). The chicken simulator group also reported significantly higher satisfaction and self-confidence scores (p<0.05). Conclusion: Training with a chicken simulator effectively enhances students' perceived competence, satisfaction, and self-confidence in episiotomy skills. Given its affordability, accessibility, ease of preparation, and ability to model both muscle and skin structures, the use of a whole chicken leg is recommended as a valuable tool in episiotomy education.

Keywords: Episiotomy; simulation; anxiety; self-confidence; satisfaction
ÖZET
 Amaç: Ebelerin epizyotomi uygulamasındaki bilgi ve becerileri doğum bakım kalitesi açısından kritik öneme sahiptir. Bu çalışmanın amacı, tavuk simülatörü kullanılarak verilen epizyotomi eğitiminin ebelik öğrencilerinin memnuniyet, öz güven, öz yeterlilik ve kaygı düzeylerine etkisini değerlendirmektir. Gereç ve Yöntemler: Randomize kontrollü bu çalışmaya 38'i tavuk simülatörü grubunda, 35'i sünger simülatörü grubunda olmak üzere toplam 73 ebelik öğrencisi dâhil edilmiştir. Veriler, Giriş Bilgi Formu, Görsel Analog Skala (VAS)-Öz Yeterlilik, Durumluk Kaygı Envanteri (STAI-S) ve Öğrenme ve Öz Güven Ölçeği (SCLS) ile toplanmıştır. Bulgular: Eğitim sonrası yapılan değerlendirmede, epizyotomiye ilişkin öz yeterlilik düzeyi tavuk simülatörü grubunda sünger simülatörü grubuna kıyasla anlamlı derecede yüksek bulunmuştur (p<0,05). Özellikle epizyotomi tepesini belirleme, kas ve cilt dikimi, dikiş aralığı ve sıkılığını ayarlama gibi becerilerde tavuk grubunun puanları daha yüksekti. Gruplar arasında kaygı düzeyleri açısından anlamlı fark saptanmamıştır (p>0,05). Öğrencilerin memnuniyet ve öz güven düzeyleri ise tavuk simülatörü grubunda anlamlı olarak daha yüksektir (p<0,05). Sonuç: Tavuk simülatörü, ebelik öğrencilerinin epizyotomi uygulamasına yönelik algılanan yeterlilik, özgüven ve memnuniyetlerini artırmada etkili bir eğitim materyalidir. Ekonomik, erişilebilir ve kas-deri yapısını gerçekçi biçimde modelleyebilme özelliğiyle epizyotomi eğitiminde bütün tavuk bacağının kullanımı önerilmektedir.

Anahtar Kelimeler: Epizyotomi; simülasyon; kaygı; özgüven; memnuniyet
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