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    Determination of the Quality of Life of Parents with Children Treated in the Pediatric Oncology Clinic during the COVID-19 Pandemic and Affecting Factors
    (Thieme Medical Publ Inc, 2024) Topan, Aysel; Sahin, Ozlem Ozturk; Akozlu, Zeynep; Bayram, Dilek; Ayyildiz, Tulay Kuzlu
    Introduction Even in the absence of a pandemic, pediatric oncology patients have decreased immunological levels. This condition requires families to monitor their children's risk of infection on a frequent basis. The possibility of being exposed to coronavirus disease 2019 (COVID-19) in a hospital or community environment has created significant concern among cancer families.Objectives This study sought to ascertain the quality of life of parents who sought treatment for their children at a pediatric oncology clinic during the COVID-19 epidemic, as well as the factors that influenced it.Materials and Methods This cross-sectional study included 62 parents with children ages 0 to 19 who receive treatment for their children at the pediatric oncology clinic of an application and research center in Turkey's Western Black Sea area. The Participant Information Form and The Scale of Quality of Life-Family Version (QOL-FV) were used to collect data. The researchers used the face-to-face interview approach to obtain data. To investigate the differences in scale levels based on the descriptive characteristics of the parents, one-way analysis of variance, t -test, and post hoc (Tukey, least significant difference) analyses were used.Results The total mean score of the parents' QOL-FV was found to be 148.097 +/- 25.843 (87-258). In the study, it was determined that financial difficulties, difficulties in accessing the hospital during the treatment process, and changes in daily activity/behavior had negative effects on parents' quality of life.Conclusion Most of the parents who participated in our study stated that their quality of life got worse with the pandemic. It was determined that the COVID-19 pandemic had effects on the quality of life of parents of pediatric oncology patients in various ways.
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    Does Prebiotic Food Consumption Reduce Sleep Disorder Symptoms in Children With and Without Asthma? A Case-control Study
    (Galenos Publ House, 2024) Sahin, Ozlem Ozturk; Dogan, Erkan; Topan, Aysel; Demirer, Busra; Tasdelen, Yeliz
    Objective: This study aims to evaluate the impact of prebiotic food consumption on sleep disturbance symptoms in children with and without asthma. Method: This is a case -control study. Data were collected from 55 children with asthma and 70 children without asthma, aged 6 to 12 years. Data collection included the Sleep Disturbance Scale for Children (SDSC), Prebiotic Food Consumption Frequency Form, and Childhood Asthma Control Test. The asthma control level of children was determined by a pediatrician following the Global Initiative for Asthma's guidelines. Results: The average age of children with asthma was 9.16 +/- 3.11, while for children without asthma, it was 9.39 +/- 3.24. No significant differences were found between children with and without asthma in daytime napping, nighttime awakening, SDSC score, and daily prebiotic food consumption (p>0.05). It was observed that children with asthma used more prebiotic-enriched products than children without asthma (p<0.012). There was no significant difference in asthma control level, SDSC score, and prebiotic food consumption between children with and without asthma (p>0.05). Furthermore, no significant relationship was found between the SDSC score and prebiotic food consumption in children with and without asthma (p>0.05). Conclusion: Prebiotic food consumption's role in determining sleep disturbances and asthma control levels in children with asthma remains uncertain. Further research is needed on the use of prebiotics in children with asthma.
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    Effect of Puppet Show on Children's anxiety and pain levels during the circumcision operation: A randomized controlled trial
    (Elsevier Sci Ltd, 2020) Suzan, Ozge Karakaya; Sahin, Ozlem Ozturk; Baran, Ozer
    Introduction Surgical procedures are the most common causes of anxiety and pain in hospitalized children. One of the most common surgical procedures for children is circumcision. Surgical procedures such as circumcision in hospitals are the most common causes of pain, fear, and anxiety in children. Therapeutic play methods as non-pharmacological applications are being developed recently for children who use analgesics in the treatment of pain and anxiety. Nurses can use the game in three areas such as a care strategy for hospitalized children during daily routine practices, surgery, and invasive or painful treatment procedures. An extensive literature review revealed that there were therapeutic game plays performed before and after the surgical procedure. Nonetheless, no therapeutic game play performed during the surgical procedure were reported. In addition, no reported study of puppet show which is one of the therapeutic game methods were found. Objective The aim of this study was to investigate the effect of the puppet show demonstrated to 7-11 years old children during circumcision on the anxiety and pain level of children. Design The study was designed as a randomized controlled experiment. Materials and methods The population of the study was the children between 7 and 11 years of old and being circumcised in the urology clinic at Research and Training Hospital in Karabuk Turkey between 1 May and 1 September 2017. A total of 81 (experimental group: 40, control group: 41) children were included in the study. Participant Information Form, Wong Baker Faces Pain Rating Scale and State-Trait Anxiety Inventory for Children were used as implemented in the literature. Results The median pain score of the experimental group during and after the procedure was statistically lower than the control group. The level of anxiety during and after the procedure in the experimental group showed a statistically significant decrease compared to the pre-treatment level and the level of anxiety after the procedure showed a statistically significant decrease compared to the procedure. In the control group, while the level of anxiety during the procedure showed a statistically significant increase compared to the pre-treatment level, the level of anxiety after the procedure showed a statistically significant decrease compared to the one during the procedure. Conclusion It was concluded that the puppet show performed during the circumcision procedure was effective in reducing the pain and anxiety that developed during the circumcision and continued after the procedure. [GRAPHICS]
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    Effect of therapeutic play based training program on pre- and post-operative anxiety and fear: A study on circumcision surgery in Turkish Muslim children
    (Elsevier Sci Ltd, 2023) Ayan, Gulbahar; Sahin, Ozlem Ozturk
    Introduction Developmentally appropriate pre-surgical educa-tional programs can help alleviate the anxiety of both children and parents. As one of the most common pediatric surgical procedures is circumci-sion; and they may experience anxiety and fear before and after this surgical procedure, this study is considered to make an important contribution to the literature.Objective This study aimed to examine the effect of thera-peutic play based training program on pre-and post -operative anxiety and fear levels of children aged 8-11 years who would undergo circumcision.Study design This was a quasi-experimental study that consisted of a pre-and post-intervention and control groups; and concluded with 60 children aged 8-11 years (intervention group: 30 and no intervention/control group: 30). Child and Parent Information Form, Childhood Anxiety Sensitivity Index (CASI) and Fear for Medical Procedures Scale (FMPS) were used as data collection tools. Children in the intervention group applied a therapeutic play-based training program 2 h before they underwent circumcision surgery. Therapeutic toys used in the educational program has designed by researchers.Results After the training program, children in the inter-vention group obtained lower CASI (preop t = 6.383, p < .001; postop t = 8.763, p < .001) and FMPS (preop t = 6.331, p < .001; postop t = 9.366, p < .001) total mean scores than those in the control group.Discussion This study was concluded that the therapeutic play based training program used to prepare children for circumcision surgery was effective in reducing their pre-and post-operative anxiety and medical fears. Considering that male circumcision is a religious and cultural necessity in Turkey, further studies can also examine whether the anxiety and medical fear scores differ in study groups that include children who are not Muslim or live in a different country, and whether the training program will be effective in reducing their anxiety and medical fears.Conclusions A therapeutic play based training program can be used to prepare children for circumcision in the preoperative period.
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    Evaluation of efficiency of puppet show in decreasing fears of school-age children against medical procedures in Zonguldak (Turkey)
    (Pakistan Medical Assoc, 2019) Topan, Aysel; Sahin, Ozlem Ozturk
    Objective: To determine children's medical fears and to evaluate the effectiveness of puppet show to decrease such fears. Methods: The quasi-experimental study was conducted from February 1 to May 31, 2016, in Zonguldak, Turkey, and comprised primary school students. Descriptive Information Form and Medical Operations Fear Scale were used to collect data. Those found to be 'very afraid' subsequently underwent a puppet show. The Scale was applied post-intervention o track changes. SPSS 18 was used for data analysis. Results: There were 617 children with a mean age of 8.86 +/- 0.96 years and studying in second third and fourth grades. Of them, 316(51.2%) were boys. The mean score on the fear scale was 43.9 +/- 1.03 (range: 29-87); 58(9.4%) were terrified of medical procedures. There was a significant difference between the scores of children with respect to the year of education (p=0.001), age (p=0.0001), previous hospitalisations (p=0.0001), previous fears related to hospitalisations (p=0.0021) and fear of being sick (p=0.0001). Two sessions of puppet shows were performed for 44(76%) of the terrified students. There was a significant difference between baseline and post-intervention scores (p=0.0001). Conclusion: Age, previous negative experiences of hospitalisations and the fear of being sick were factors that shaped children's medical fears. Puppet show effectively decreased such fears.
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    Evaluation of factors affecting body mass index of children with intellectual disability
    (Sage Publications Ltd, 2024) Sahin, Ozlem Ozturk; Topan, Aysel; Akozlu, Zeynep; Kolukisa, Tugce
    This study was conducted to evaluate the BMI of the children with intellectual disability and the factors affecting their BMI. This descriptive and cross-sectional study was carried out between March 2016 and April 2016 in Turkey and consisted of 135 children. Children's anthropometric measurements were and their BMI values were calculated. Categorization of children by BMI percentile according to AAP reference values was performed. There was a significant difference between the BMI categories of the children (p < 0.05) and the education level of children's father (x( 2 ) = 8.960; p = 0.028), the degree of intellectual disability (x( 2 ) = 16.113; p = 0.008), the presence of other disabilities (x( 2 ) = 22.013; p = 0.000), type of disability (x( 2 ) = 21.359; p = 0.001), the nutrient intake (x( 2 ) = 38.935; p = 0.000) and the presence of nutritional problems (x( 2 ) = 7.687; p = 0.042). Father's education level, children's degree of disability, child's having presence of other disabilities, child's being dependent in the view of nutrient intake, and child's having nutritional problems were determined as factors affecting BMI.
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    Internet Addiction and Stressors Causing Internet Addiction in Primary School Children during the COVID-19 Pandemic: A Descriptive and Cross-Sectional Study from Turkey
    (Turkish Green Crescent Soc, 2021) Akozlu, Zeynep; Kolukisa, Tugce; Sahin, Ozlem Ozturk; Topan, Aysel
    In this study, we aimed to examine the status of internet addiction in children and the stress factors causing it during the coronavirus disease 2019 (COVID-19) pandemic. This study was a descriptive and cross-sectional study. The study sample included 154 parents of 7- to 10-year-old students. Participant information form and the Family-Child Internet Addiction Scale were used as data collection tools. The data of the study were collected with a questionnaire (via Google Forms) between July 15 and December 15, 2020. Of the children participating in the study, 90.3% (n=139) showed no symptoms and 9.7% (n=15) showed limited symptoms in terms of internet addiction. The total mean score that the children obtained from the scale was found to be 24.6 +/- 16.9. It was observed that the frequency of a child playing games with parents, the parents watching news about COVID-19 with the child, and the child being frequently warned about the COVID-19 precautions increased the children's internet addiction scores (p<0.05). This study demonstrated that if the pandemic process was prolonged, internet addiction in children could be further triggered.
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    Pediatric nursing students' self-efficacy regarding medication administration and clinical comfort and worry: A pre-posttest comparative study of nurse mentoring versus peer mentoring
    (Elsevier Sci Ltd, 2023) Sahin, Ozlem Ozturk; Akozlu, Zeynep; Tasdelen, Yeliz
    Aim: This study aimed to examine the effect of mentoring practice by graduate nursing students and clinical nurses on students' self-efficacy in pediatric medication administration, clinical comfort and worry levels of students taking pediatric nursing courses. Background: Children are a highly sensitive group against medication administration errors. Improving the selfefficacy of student nurses who will work with this group toward medication administration is essential. Mentoring programs can increase students' skills and self-efficacy by reducing their stress levels during clinical practice.Design: The research is a two-group pretest-posttest randomized controlled experimental research design.Settings: The study was conducted in the pediatric units of a training and research hospital located in the Western Black Sea region of Turkey between October 1, 2022 and December 30, 2022, as part of the clinical practice of the Pediatric Nursing course in the fall semester of 2022-2023.Participants: The study sample consisted of 143 students (peer mentoring group=73, nurse mentoring group=70) who were 3rd-year students taking the pediatric nursing course.Methods: Participant information form, Medication Administration Self-Efficacy Scale in Children for Nursing Students (MASSCNS) and Pediatric Nursing Students Clinical Comfort and Worry Tool (PNSCCWT) were administered to the students before the clinical practice. Then, the groups received mentoring practice in the clinical practice area for 14 weeks. At the end of the practice, MASSCNS and PNSCCWT were administered to the students again. Results: The groups were homogeneously distributed when compared according to descriptive characteristics (p > 0.05). The self-efficacy scores of the students in both groups after clinical practice were significantly different from those before clinical practice (tnurse=-4.724, pnurse=0.000 <0.05; tpeer=-3.742, ppeer=0.001 <0.05).Conclusions: This study's results indicate that nurse mentoring and peer mentoring effectively increase nursing students' self-efficacy during pediatric clinical practice. While nurse mentors decreased students' worry, peer mentors increased students' clinical comfort levels.