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    The effects of massage therapy and white noise application on premature infants' sleep
    (Elsevier Science Inc, 2024) Dueken, Mehmet Emin; Yayan, Emriye Hilal
    Aim: Sleep is vital to premature infants ' physical, social and emotional development. The significance of sleep duration, efficiency, and function in premature infants regarding growth development, behavior and neurological development has been increasing. Materials and methods: This study was conducted in a randomized controlled experimental design with three groups. Premature infants at 28 -37 weeks of gestation who were admitted to the Neonatal Intensive Care Unit of S , anl & imath;urfa Mehmet Akif I (center dot) nan Training and Research Hospital Haliliye Annex Building were the research population. The sample of the present study consisted of 120 premature infants in the massage therapy group (40), white noise group (40), and control group (40). Results: The sleep duration and sleep efficiency of the premature infants in the massage group increased compared to before the application, whereas the number of awakenings and WASO values decreased. The sleep duration of premature infants in the massaged group increased by some five hours. In the white noise group, the sleep duration increased by about two hours than the pre-treatment, and there was an increase in sleep efficiency. White noise application provided a significant decrease in the number of awakenings and WASO values in premature infants. Conclusion: In this experimental study, which was designed with three groups, it was revealed that massage and white noise application in premature infants were significant non -pharmacological methods to increase sleep duration and sleep efficiency. It was concluded that massage therapy and white noise application is one of the considerable interventions regarding sleep duration, efficiency and functions in premature infants who left the intrauterine period early.
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    Psychosocial conditions of children after liver transplant: Post-traumatic stress, depression, and anxiety
    (Elsevier Science Inc, 2024) Dueken, Mehmet Emin; Yayan, Emriye Hilal
    Aim: This study aimed to determine psychosocial conditions, post-traumatic stress, depression, and anxiety of children who underwent a liver transplant. Method: This is a relational descriptive study, which was conducted between March 2019 and December 2020 in the Inonu University Liver Transplantation Institute Pediatric Liver Transplant Clinic. The Child Information Form, Child Post-Traumatic Stress Reaction Index, State-Trait Anxiety Inventory for Children-Trait Form, and Children's Depression Inventory were used to collect data. The study was conducted with 71 children who had a previous liver transplant. Results: Of the participating children, 56.3% were girls, 63.4% continued their primary school education after the transplant, 32.5% were diagnosed with cirrhosis, 39.4% received the transplant in 2017, 32.4% received it from the mother, and 25.4% received it from a cadaveric donor. Although it had been at least 3 years since the transplant, 47.9% exhibited moderate and 43.7% severe post-traumatic stress responses. There was a significant negative relationship between the age of children with a liver transplant and trait anxiety and post-traumatic stress responses (path coefficients beta = -0.268, p = 0.002; beta = -0.166, p = 0.023, respectively). There was a significant positive relationship between anxiety and post-traumatic stress responses of the children after the transplant and there was a statistically significant relationship between the path coefficients (beta = 0.750; p < 0.001). Conclusion: Children who underwent a liver transplant had post-traumatic stress disorder, depression, and trait anxiety.