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    The effect of anxiety and depression levels of children with celiac disease on quality of life
    (Elsevier Science Inc, 2023) Belpinar, Ayse; Dag, Yeliz Suna; Sulun, Ayse Aricioglu; Yayan, Emriye Hilal; Varol, Fatma Ilknur
    Purpose: This study was conducted to examine the effect of anxiety and depression levels on quality of life in children with celiac disease.Design and method: This descriptive and correlational study was conducted with 98 children diagnosed with celiac disease who applied to the pediatric outpatient clinic of a university hospital in Eastern Anatolia between September 2021 and August 2022. Data were collected using the State-Trait Anxiety Scale, Depression Scale, and Quality of Life Scale through face-to-face interviews conducted by the researchers. Percentage distribution, mean, independent samples t-test, Pearson correlation analysis and regression analysis were used to analyze the data.Results: It was found that 62% of the participant children were female and their mean age was 11.69 +/- 4.15 years. The mean scores of state anxiety, trait anxiety, depression and quality of life of children with celiac disease were 42.46 +/- 5.42 (high), 43.83 +/- 7.08 (high), 23.37 +/- 4.79 (high) and 43.67 +/- 19.67 (low), respectively. Regression analysis revealed that anxiety had a statistically significant relationship with quality of life.Conclusions: It was found that children with celiac disease experienced high levels of depression and anxiety along with physical functionality and psychosocial health problems and this negatively affected their quality of life. It is recommended that children with celiac disease should be followed up and supported psychosocially.Practice implications: That healthcare professionals can contribute to reducing the depression and axienty and improving the quality of life by strengthening the social support systems of childrens with celiac disease.
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    Effect of Yakson touch and mother's voice on pain and comfort level during nasal CPAP application in Turkey: A randomized controlled study
    (Elsevier Science Inc, 2023) Belpinar, Ayse; Yayan, Emriye Hilal
    Purpose: This study was conducted to evaluate the effects of Yakson touch and mother's voice on pain and comfort levels of preterm infants during nasal CPAP application. Design and methods: The study was conducted as a randomized experimental study with a control group. It included 124 premature infants (mother's voice group = 31, Yakson touch group = 31, mother's voice+ Yakson touch group= 31, control group = 31) of 28-37 weeks of age who had nasal CPAP application in the NICU of a state hospital in souteastern Turkey between April 2019 and August 2020. While the infants in the experimental group received mother's voice, Yakson touch, and mother's voice+ Yakson touch procedures before, during and after nasal CPAP application, the infants in the control group received nasal CPAP application without extra intervention. Newborn Infant Pain Scale (NIPS) and Premature Infant Comfort Scale (PICS) were used to collect data. Results: Further analysis revealed that the Yakson Touch was the most beneficial intervention for reducing NIPS scores and PICS scores during and after nasal CPAP application in the experimental groups, followed by mother's voice + Yakson touch and lastly mother's voice. Conclusion: Yakson touch and mother's voice+Yakson touch methods, are effective in neonatal pain and comfort management during and after the nasal CPAP application.