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Öğe Determination of Spatial Distribution of Children Treated in Children Oncology Clinic with the Aid of Geographic Information Systems(Springer, 2016) Topan, Aysel; Bayram, Dilek; Ozendi, Mustafa; Cam, Ali; Ozturk, Ozlem; Ayyildiz, Tulay Kuzlu; Kulakci, HulyaThe main objective of this research is to examine child cancer cases in Zonguldak/Turkey descriptively in epidemiological aspect with the help of GIS. Universe of the study is composed of 60 children between 1 and 19 years old who were treated in Children Oncology Clinic with a diagnosis of cancer. Whole universe was reached without selecting a sample in the study. Data were collected by using a form prepared by obtaining expert advice and they were applied to children and their parents at study dates. Results were expressed as percentages. Chi-Square test was used in intergroup comparisons, results were assessed within 95 % confidence interval and p < 0.05 was considered as statistically significant. Variables that were used in the study were assessed, recorded in prepared data collection form and distribution maps were produced. When disease diagnosis of the children participated in the study were evaluated, the most observed three types are ALL with 33.3 % (n = 20), Medullablastoma with 13.3 % (n = 8) and Hodgkinnon-Hodgkin Lymphoma with 11.7%(n = 7). Kdz. Eregli with 31.7 % (n = 19), Center with 31.7 % (n = 19), and Caycuma with 18.3 % (n = 11) are the first-three counties where the cases were mostly observed. Statistically significant difference was found (p = 0.016) comparing disease diagnosis with living place, and distribution maps of the number of cancer cases were produced.Öğe 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 KuzluIntroduction 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.Öğe 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, YelizObjective: 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.Öğe 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 OzturkObjective: 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.Öğe Evaluation of factors affecting body mass index of children with intellectual disability(Sage Publications Ltd, 2024) Sahin, Ozlem Ozturk; Topan, Aysel; Akozlu, Zeynep; Kolukisa, TugceThis 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.Öğe 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, AyselIn 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.Öğe Investigation of the Fear of 7-18-Year-Old Hospitalized Children for Illness and Hospital(Springer, 2019) Sahin, Ozlem Orturk; Topan, AyselIllness and hospitalization are conditions leading to negative effects in children's lives regardless of their age. This study was performed descriptively in order to examine the fears of hospitalized children for illness and hospital. The study was descriptive and sectional and performed in Karabuk University (Turkey) Training and Research Hospital between February 1 and May 1, 2015. Sample of the study was composed of 144 children who were hospitalized due to an acute illness and their parents who approved to participate in the study. Participant information form and an information form that was prepared to evaluate the fears of children for illness and hospital were used as data collection tools. Data were collected by face-to-face interview technique. Statistical analyses were used to assess data. It was found that 56.2% of children in the study were males and were between 7 and 10years of age; 42.4% were scared of getting illness. 39.5% of 86 children who were previously hospitalized have stated that they experienced fear due to hospitalization; injections were in the first place among causes of fear by 64.7%. When the causes of children's fear for illness and hospital were examined, it was determined that undergoing an operation (3.21 +/- 1.13), staying away from the family during hospitalization (3.11 +/- 0.96) and worrying the family when he/she gets an illness (3.02 +/- 1.05) were in the first three ones. When the relationship between some characteristics of the children and their parents and children's status of fear for illness was investigated, it was detected that there was a significant difference between their previous fear of hospitalization and their current status of fear for getting illness (p=0.003). It was observed that children in the study experienced fear for illness and hospitalization and the percentage of children with fears was found to be high. It was also determined that undergoing an operation, staying away from the family during hospitalization and worrying the family when he/she gets an illness were among the first causes of their fears.Öğe Moral Distress and Its Relating Factors Among Pediatric Emergency Department Nurses(Lippincott Williams & Wilkins, 2023) Topan, Aysel; Tasdelen, Yeliz; Yigit, Derya; Terzi, Sevinc; Ustuner Top, FadimeObjectives: Emergency services are patient circulation units that require chaos, trauma, and high tension. It was aimed to determine the moral distress levels of pediatric nurses in pediatric emergency and emergency departments and relevant factors.Methods: This study is a descriptive and cross-sectional study. It consists of 255 nurses with their data. The Participant Information Form and the Moral Distress Scale-Revised for Pediatric Nurses (MDS-R) were used to collect data.Results: In the study, the mean score of MDS-R frequency was found to be 27.36 +/- 13.16, the mean score of MDS-R intensity to be 37.65 +/- 17.53, and the mean total score of MDS-R to be 58.96 +/- 39.40. It was determined that 93.7% of the nurses received training on moral distress, and education level was effective on moral distress levels of the nurses. The nurses working in the pediatric emergency service had higher moral distress levels than the nurses serving pediatric patients in the emergency department (P(total MDS-R) = 0.02, P(frequency of MDS-R) = 0.008). Job satisfaction ( P(total MDS-R) = 0.003, P(frequency of MDS-R) < 0.001, P(intensity of MDS-R) < 0.001) and frequency of thinking about changing working unit ( P(frequency of MDS-R) = 0.02, P(intensityof MDS-R) = 0.01) were found to be effective on the level of moral distress. It was determined that the type of emergency service, the working time in the emergency service, and the level of job satisfaction significantly affected the total moral distress scores of the nurses ( P < 0.001, R-2 = 0.09).Conclusions: It was found in the study that nurses had low levels of moral distress; however, many factors relevant to working conditions were associated with moral distress. The pediatric emergency service nurses were determined to experience a higher moral distress compared with the emergency department nurses serving pediatric patients.Öğe Paediatric nurses' experiences of success and failure in first-time peripheral intravenous catheter insertion: A qualitative study(Elsevier Science Inc, 2024) Tasdelen, Yeliz; Topan, Aysel; Sahin, Ozlem OztuerkPurpose: To explore in-depth the thoughts, anxiety factors, and experiences of paediatric nurses regarding the success and failure of first-time peripheral intravenous catheter insertion.Design and methods: The study employed a qualitative research method using the phenomenology design. Face-to-face semi-structured in-depth interviews were conducted with nurses (N = 12) working in the paediatric service and neonatal intensive care unit of a teaching and research hospital. The transcripts were analysed using a phenomenological approach and an inductive process.Results: Four themes were identified: Peripheral Intravenous Catheter Insertion, Experience of Success on the First Attempt, Experience of Failure on the First Attempt, and Proposed Solutions. Nurses felt a sense of happiness when they successfully inserted a peripheral intravenous catheter on their first attempt in paediatric patients. Conversely, they experienced emotions such as sadness, worry, stress, and anxiety when they failed and had to make repeated attempts.Conclusion: Unsuccessful peripheral intravenous catheter insertions cause distress and anxiety for nurses, patients, and parents alike. Therefore, nurses' experiences of peripheral intravenous catheter insertions in healthcare settings should not be ignored and require improvement.Implications for clinical practice: Unsuccessful peripheral intravenous catheter insertions affect children, parents, and nurses negatively, thus reducing the success rate of repeated peripheral intravenous catheter insertions. Therefore, it is advisable for nurses conducting paediatric peripheral intravenous catheterisations to undergo periodic training. A specialised intervention team should be established for cases of initial failure, and a mentoring system between seasoned and new nurses is recommended.(c) 2023 Elsevier Inc. All rights reserved.Öğe The relationship between the nutritional literacy level and heart health attitudes of adolescents(Elsevier Science Inc, 2023) Topan, Aysel; Kurtuncu, Meltem; Tasdelen, YelizPurpose: It was aimed to evaluate the effect of adolescents' nutritional literacy level on their heart health attitudes.Methods: This is a descriptive and cross-sectional study. Data from 416 adolescents were obtained in the study. The Adolescent Nutrition Literacy Scale (ANLS) and the Cardiovascular Health Behavior Scale for Children (CHBSC) were completed by participants. The adolescents' demographic information, lifestyle, and diet habits were collected. The results were analyzed using descriptive statistics and multivariable regression.Results: The participants' mean scores of the ANLS and the CHBSC were as 68.30 +/- 8.68 and 67.55 +/- 8.45, respectively. It was determined that 88.7% of the adolescents had moderate attitudes towards heart health and that there was a weak and negative correlation between the ANLS and CHBSC scores (r = -0,207; p < 0.001). It was determined that there was a statistically significant difference in ANLS and CHBSC scores in terms of gender, Body Mass Index (BMI), fast food consumption frequency, what they primarily pay attention to in food, weekly exercise frequency, the amount of daily water consumption, general health status and reading the label of packaged products (p < 0.05). It was determined that exercising, general state of health, BMI, consumption of fast food, and reading the label of packaged products were key predictors of CHBSC scores. Additionally, exercising, consumption of fast food, and reading the label of packaged products were identified as key predictors of ANLS scores.Conclusions: Our analysis suggests that higher levels of nutritional literacy are related to more positive attitudes towards heart health in adolescents. Additionally, our analysis identifies key predictors of both nutrition literacy and heart health behaviors.(c) 2023 Elsevier Inc. All rights reserved.Öğe SPATIAL DISTRUBITON OF CHILDREN TREATED BY CANCER IN ZONGULDAK, TURKEY(Copernicus Gesellschaft Mbh, 2016) Topan, Aysel; Bayram, Dilek; Ozendi, Mustafa; Cam, Ali; Ozturk, Ozlem; Ayyildiz, Tulay Kuzlu; Kulakci, HulyaThis research is focused on the examination of child cancer cases in Zonguldak ( Turkey) descriptively in epidemiological aspect thanks to GIS. Universe of the study is composed of 60 children between 0-19 years old, treated in Children Oncology Clinic of Health Application and Research Center in BEU. Whole universe was reached without selecting a sample in the study. Data were collected by using a form prepared by obtaining expert advice and they were applied to children and their parents at study dates. Results were expressed as percentages. Chi-Square test was used in intergroup comparisons, results were assessed within 95% confidence interval and p < 0.05 was considered as statistically significant. Variables that were used in the study were assessed, recorded in prepared data collection form and distribution maps were produced. When disease diagnosis of the children participated in the study were evaluated, it was observed that 33.3% (n=20) were being treated for ALL, 13.3% (n=8) for Medullablastoma and 11.7% (n=7) for Hodgkin-nonHodgkin Lymphoma. It was detected that 31.7% (n=19) were in Eregli, 31.7% (n=19) were in Central district and 18.3% (n=11) were in Caycuma, when the places where children were living were evaluated. Statistically significant difference was found (p=0.016) comparing disease diagnosis with living place, and overall distribution map of the number of cancer cases was produced in this context. This is the first research subjecting the distribution of cancer cases for Zonguldak province.