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Öğe Does the Post-Feeding Position Affect Gastric Residue in Preterm Infants?(Mary Ann Liebert, Inc, 2018) Yayan, Emriye Hilal; Kucukoglu, Sibel; Dag, Yeliz Suna; Boyraz, Nazli KarsavuranBackground: Body position affects the gastric emptying rate and hence the amount of gastric residue. Objective: This study aims to analyze the effect of the post-feeding position of preterm infants on gastric residue. Materials and Methods: This experimental study was conducted in the neonatal intensive care unit (NICU) of a university hospital (nonu University Turgut ozal Medical Center) in Eastern Turkey. The study included 40 preterm infants weighing less than 2,000g, who were fed orogastrically. The preterm infants were sequentially placed in four positions and were fed before each change of position. The infants were sequentially placed in the right lateral, left lateral, supine, and prone positions; their gastric residues were measured with a nasogastric tube. The gastric residue was recorded in percentages at 30, 60, 120, and 180 minutes. Ethical principles were applied in all phases of the study. Results: The lowest mean gastric residue level was observed in the right lateral position at 30 minutes (58.1612.71%) and 60 minutes (33.97 +/- 15.00%). The prone position showed the lowest mean gastric residue level (1.74 +/- 1.08%), followed by the right lateral (3.06 +/- 1.97%), supine (3.53 +/- 2.18%), and left lateral position (5.14 +/- 1.85%) at 120 minutes. The final measurements were taken at 180 minutes with the right lateral position showing the lowest mean gastric residue level (0.38 +/- 0.34%). Conclusion: The premature infants had similar lower levels of gastric residue in the right lateral and prone positions and higher levels of gastric residue in left lateral and supine positions. The gastric emptying rate was found to be highest in the right lateral position at 30, 60, and 180 minutes and in the prone position at 120 minutes.Öğe Earthquake From the Perspectives of Amputee Children and Their Parents/Caregivers: A Phenomenological Study(Sage Publications Inc, 2025) Dag, Yeliz Suna; Zengin, Murside; Yayan, Emriye Hilal; Suna, ErdoganBackground Earthquakes cause significant psychological and physical trauma in children, especially when leading to amputations, as they disrupt physical, emotional, and social well-being.Aim This study was conducted phenomenologically to explore the experiences of children amputated in the Kahramanmara & scedil; earthquake and their parents/caregivers.Method This study was conducted as a phenomenological study with children who were amputated in the Kahramanmara & scedil; earthquake and their parents/caregivers between August and October 2023. The sample of the study consisted of seven children and their parents/caregivers who met the inclusion criteria and volunteered to participate in the study through purposive sampling method. Data were collected through in-depth interviews using an introductory information form and a semistructured interview form developed by the researcher.Results It was found that 57.2% of the children who participated in our study were male and their mean age was 11.25 +/- 4.02 years. It was found that all the children's houses were destroyed in the earthquake, they were trapped under the debris, and they experienced losses in their family members and relatives. As a result of data analysis, nine themes were identified as apocalypse, pain, fear, and hopelessness for children and apocalypse, helplessness, pain, anger, and hopelessness for parents/caregivers.Conclusions: This study found that earthquake-affected amputee children perceived the earthquake as an apocalypse, experienced prolonged pain during hospitalization, continued to fear the earthquake, and felt hopeless about the future. The children's parents/caregivers also reported that they perceived the earthquake as an apocalypse, that they felt helpless and hopeless for themselves and the children, and that the children had angry/irritable behavior with pain after the disaster.Öğe 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 IlknurPurpose: 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.Öğe The effect of facilitated tucking and white noise on stress and sleep of newborns receiving nasal continuous positive airway pressure(Elsevier Science Inc, 2024) Dag, Yeliz Suna; Yayan, Emriye HilalObjective: To investigate the effects of facilitated tucking and white noise on stress and sleep in neonates receiving nasal continuous positive airway pressure (CPAP). Method: This study was conducted as a randomised controlled experimental study of neonates receiving nasal CPAP in neonatal intensive care units. The study sample consisted of 108 newborns (facilitated tucking (n = 36), white noise (n = 36) and control (n = 36)) receiving nasal CPAP support in the NICU. The neonates' sleep parameters were recorded by actigraphy for 24 h. Data were collected using the Neonatal Descriptive Information Form, the Sleep Tracking Form and the Neonatal Stress Scale. Percentage, mean, chi -squared and one-way ANOVA were used for data analysis. Results: It was found that 50.9% of the newborns were female, their mean gestational age was 33.54 +/- 3.38, their mean height was 43.56 +/- 5.12, and their mean weight was 2139.23 +/- 827.82. The total sleep time of the neonates in the facilitated tucking and white noise group increased by 3 h, their sleep efficiency increased by 20% and their mean stress scores decreased ( p < 0.05). Conclusion: Facilitated tucking and white noise each showed a similar improvement in sleep duration and sleep efficiency and a reduction in stress scores in neonates receiving nasal CPAP. Close monitoring of sleep in this population and supportive care practices are recommended. Practice implications: The findings of this study may help to reduce sleep problems and stress levels in the clinical care of neonates in the NICU through developmental nursing practices. (c) 2024 Elsevier Inc. All rights reserved.Öğe The effect on Bilirubin levels of massage, tub bath, and sponge bath in newborns with hyperbilirubinemia: A randomized controlled trial(Elsevier Science Inc, 2019) Dag, Yeliz Suna; Yayan, Emriye HilalIntroduction: Neonatal jaundice is a common condition in newborns. Neonatal jaundice is usually treatable, but it may cause kernicterus that leads to bilirubin encephalopathy The aim of this study was to examine the effect of massage, tub bath and sponge bath on bilirubin levels of newborn infants with hyperbilirubinemia. Methods: This is a randomized controlled experimental study. This study was conducted with 140 newborns in the 34th and following weeks of gestation who were receiving phototherapy in the neonatal intensive care unit of a university hospital in eastern Turkey. The newborns were given a either massage (n = 35), a tub bath (n = 35) or a sponge bath (n = 35) by the researcher. Except for routine clinical procedures, no other procedures were administered to the newborns in the control group (n = 35). The total bilirubin values of the newborns were measured using non-invasive bilirubin device before the procedures, and six hours and 12 h after. Results: This study found that there was a significant difference between the bilirubin levels in massage (3.82 +/- 1.78; p = 0.000), sponge bath (4.42 +/- 1.30; p = 0.000), tub bath (3.63 +/- 1.50; p = 0.000) and control groups (7.62 +/- 2.54; p = 0.000). A similar case was observed in the duration of receiving phototherapy mean scores in massage (13.60 +/- 2.45; p = 0.000), sponge bath (20.05 +/- 0.72; p = 0.000), tub bath (16.97 +/- 1.75; p = 0.000) and control groups (32.05 +/- 9.03; p = 0.000). Conclusions: In this study, the bilirubin levels and the duration of phototherapy treatment of newborns decreased most rapidly in the massage group, followed by tub bath group and sponge bath group.Öğe The effects of technology use on working young loneliness and social relationships(Wiley, 2019) Yayan, Emriye Hilal; Dag, Yeliz Suna; Duken, Mehmet EminPurpose This study was conducted to investigate the effects of technology use on working young loneliness and social relationships. Designs and Methods The relational descriptive study was conducted with 1,312 young using a young information form, the Internet Addiction Scale, the Peer Relationship Scale, and the Smart Phone Addiction Scale. Conclusion It was determined that young, who are exposed to violence, smoke, and work as unskilled labor force have a high dependence on the Internet and smartphones. Young with the Internet and smartphone addiction were found to have high levels of loneliness and poor social relations. Practice Implications It has been determined that young who are weak in the social aspect fill these deficiencies by using the Internet and telephone.Öğe Reducing Children's Pain and Parents' Anxiety in the Postoperative Period: A Therapeutic Model in Turkish Sample(Elsevier Science Inc, 2020) Yayan, Emriye Hilal; Zengin, Murside; Duken, Mehmet Emin; Dag, Yeliz SunaPurpose: This study was conducted to determine the effect of a new therapeutic model (a therapeutic play/play therapy (TP/PT) program) on alleviating pain in children receiving inpatient treatment in paediatric surgery units and parents' anxiety levels in the post-operative period. Design and methods: The study was designed as a semi-experimental model using the TP/PT program. Four measurements (pre-test, two interim tests and post-test) for children and two measurements (pre-test and post-test) for parents were performed. The data were collected using the Child and Parent Information Form, the Wong-Baker Faces Pain (WBFP) Rating Scale and the State-Trait Anxiety Inventory (STAI). Results: The mean pain score for children after TP/PT decreased in each measurement, and a significant difference was found between these measurements. The mean state anxiety score for parents significantly decreased after the TP/PT program, and a statistically significant difference was found between these measurements (p = 0.000). Conclusions: This study determined that the post-operative TP/PT program was an effective method to reduce acute post-operative pain in children. Parental anxiety levels were found to correlate with levels of pre- and post-operative pain in children. (C) 2019 Elsevier Inc. All rights reserved.Öğe The relationship between the care burden and quality of life of parents who have children with hematological problems and their perceived social support(Elsevier Science Inc, 2022) Yildirim, Maksude; Yayan, Emriye Hilal; Dag, Yeliz Suna; Sulun, Ayse; Akyay, ArzuPurpose: The purpose of this study was to examine the interrelationship of the caregiver burden, perceived social support, and quality of life of parents who have children with hematological problems. Design and methods: The design and methods included a descriptive study with 141 parents of children with hematological problems. The introductory information form, the Zarit Burden Interview (ZBI), multidimensional scale of perceived social support (MSPSS), and the EUROHIS-QOL.8 (WHOQOL-8) scale were used as data collection tools. The data obtained were analyzed using descriptive statistics and structural equation models. Results: As a result of the conducted correlation analysis, it was determined that there was a positive correlation between parents' perceptions of social support and their quality of life, and a negative correlation between their perceptions of social support and the caregiver burden (p < 0.05). As a result of the structural equation model, it was determined that the social support received by the parents had a significant effect on their caregiver burden (beta = -0.40; p < 0.05), and their quality of life (beta = 0.42; p < 0.05). Conclusions: The conclusion formed was that it can be said that parents' perceptions of social support affect their caregiver burden and quality of life. Parents with high perceptions of social support perceive the burden of caregiver to be low and their quality of life to be high. Practice implications: The practice implications are that healthcare professionals can contribute to reducing the caregiver burden and improving the quality of life of parents, by strengthening the social support systems of parents with sick children. (C) 2021 Published by Elsevier Inc.Öğe The Difficulties Experienced by Children with Celiac Disease in the Kahramanmaras Centered Earthquake in Turkey: A Qualitative Research(Elsevier Science Inc, 2025) Dag, Yeliz Suna; Zengin, Murside; Yayan, Emriye Hilal; Gulec, GulseIntroduction: In natural disasters, children encounter serious health problems. Method: This qualitative phenomenological study investigated the problems encountered by children with a diagnosis of celiac disease who lived in the earthquake region of Kahramahmaras in Turkey. Colaizzi method, a phenomenological research method, was used in the study. Data collection involved in-depth interviews conducted with the 'Introductory Information Form' and 'Semi-structured Interview Form,' both developed by the researchers. Results: This study was conducted with 17 children diagnosed with celiac disease living in the Kahramanmaras earthquake region of Turkey. Four main themes emerged from the data: (1) nutrition security and access problems, (2) dietary noncompliance, (3) psychological effects, and (4) difficulties in accessing health services. Conclusions: The earthquake not only disrupted the physical and emotional well-being of children with celiac disease but also highlighted systemic vulnerabilities in disaster preparedness and response for individuals with special dietary needs. J Pediatr Health Care. (2025) 39, 387-395Öğe Understanding the impact of natural disasters on children within fist hours and days after an event: A phenomenological study through the experience of nurses(Wiley, 2025) Dag, Yeliz Suna; Zengin, Murside; Yayan, Emriye Hilal; Dag, SerhatBackgroundChildren are a particularly vulnerable group in natural disasters such as earthquakes, and although they represent a difficult group to research in such situations, there appears to be a lack of literature investigating children's experiences in the immediate post-earthquake period. Experienced nurses can shed light on children's experiences.AimThis study was conducted to examine the experiences of nurses caring for children affected by the earthquake in Kahramanmara & scedil;, Turkey.MethodsThis phenomenological study was conducted with nurses who provided care to children during the Kahramanmara & scedil; earthquake between May and August 2023. The study sample consisted of 14 nurses selected using a purposive sampling technique. Data were collected through in-depth interviews by using the Introductory Information Form and Semi-structured Interview Form developed by the researchers. The interviews were subsequently analyzed using Colaizzi's method.ResultsThe results revealed five themes under two main themes. Under the main theme of nurse, there are subthemes of chaos, helplessness-incompetence, while under the main theme of child, there are subthemes of unresponsiveness, intertwined needs, empathy, and care. The study also highlights the chaotic environment in the immediate aftermath of the earthquake, characterized by a high number of pediatric casualties and psychological trauma, and the nurses' feelings of helplessness as a result of being separated from their families.ConclusionThis study found that nurses caring for children in the earthquake had difficulties in managing children's hospital processes and they demonstrated an empathic approach by trying to communicate with the children in their care. The nurses stated that children should be supported psychologically as well as having their basic needs such as water, food, and shelter met.Implications for nursing and health policyHealth policymakers should be aware that in the early stages of major disasters such as earthquakes, children are not only physically injured but also have basic needs such as water, shelter, and food, and are emotionally affected. It is recommended that disaster management plans be developed to address all children's needs and nurses be provided with psychological support and training to improve their knowledge and skills.
