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Öğe A Comparison of Caregiving Burden and Social Support Levels of Parents of Children Undergoing Liver Transplant(Elsevier Science Inc, 2019) Yayan, Emriye Hilal; Duken, Mehmet EminPurpose: This study was conducted to compare caregiving burden and social support levels of parents of children who have undergone a liver transplant. Designs and methods: This study utilized a descriptive, cross-sectional research design. Data were collected using a parent information form, the Zarit Burden Interview, and the Multidimensional Scale of Perceived Social Support. Data were collected via face-to-face interview after written consent was obtained from the parents of children who had received a liver transplant. Results: Parent participants were found to have a high caregiving burden and low levels of social support from their surroundings. Parents who experienced change in their work life, social and family relationships, and had economic problems post-transplant, had a higher caregiving burden and may have lower social support. Parents whose children had a transplant from a cadaveric donor and continued to attend school were found to have a lower caregiving burden. There was a negative correlation between parent caregiving burden and social support scores; that is, caregiving burden (R-2= 0.57, p < 0.01) was significantly affected by social support (B = -0.682, beta=-0.757). Conclusions: This study concluded that parents receiving social support may have a lower caregiving burden, and some of their socio-demographic characteristics may have a positive effect on social support and caregiving burden. Practice implications: Health professionals need to pay special attention to the social support and caregiving burden of parents whose children have had an organ transplant. (C) 2019 Elsevier Inc. All rights reserved.Öğe Comparison of Quality of Life and Caregiving Burden of 2-to 4-Year-Old Children Post Liver Transplant and Their Parents(Lippincott Williams & Wilkins, 2020) Yayan, Emriye Hilal; Duken, Mehmet EminA literature search determined there are no studies on children between 2 and 4 years of age who have had a liver transplant and their parents. For this reason, this study aimed to compare the quality of life of children between 2 and 4 years of age who have had a liver transplant, and the caregiving burden of their parents. The study was carried out as a descriptive cross-sectional study on 47 children who visited Inonu University Liver Transplant Institute outpatient clinic between March 2017 and March 2018. This study found that 59.6% of the children with transplants were male and 38.3% had their organ donated by their mother. There was a positive relationship between the quality of life of the parents and the quality of life and subdimensions of the children. There was a negative relationship between parental quality of life and care burden. This study found that the quality of life of children with liver transplants and their parents was low and, as the quality of life of children was impaired, the caregiving burden of parents increased. Healthcare professionals' awareness of the effect of caregivers' care load on quality of life after liver transplantation can positively affect the healing process.Öğe Determination of psychosocial conditions of refugee children living in society(Wiley, 2019) Yayan, Emriye Hilal; Duken, Mehmet EminPurpose This study aims to determine the psychosocial conditions of refugee children living in society. Designs and Methods This descriptive cross-sectional research which used the Socio-demographic Information Form for Children, Child Posttraumatic Stress Reaction Index (CPTS-RI), and Children's Depression Inventory (CDI) included 738 children. Results Social factors like the educational levels and professions of their parents, as well as economic status could affect the children's level of posttraumatic stress disorder, depression, and anxiety. The regression analysis revealed that depression and anxiety explained 72% of posttraumatic stress disorder in the children studied. Practice Implications Nurses should be aware that the effects of trauma on children who were exposed to war and migration can continue even after much time has passed since the war started.Öğe The effect of perceived social support on the psychosocial status of parents whose child had liver transplantation(Elsevier Science Inc, 2022) Duken, Mehmet Emin; Zengin, Murside; Yayan, Emriye HilalBackground: The aim of this study was to describe parental psychosocial outcomes following paediatric liver transplantation and the relationship between parental psychosocial outcomes and social support. Method: This is a correlational, descriptive study conducted between April 2021 and October 2021 in the paediatric hepatology polyclinics of the liver transplantation institute of a university hospital. The SPSS 25 and AMOS 23 package programmes were used to perform data analyses. Results: Data analysis revealed that the parents' social support level was low (44.6 +/- 14.8), while their levels of trait anxiety (51.5 +/- 4.8) and loneliness (485 +/- 5.4) were high, and their depression level was moderate (26.4 +/- 5.8). Established structural equation modelling demonstrated that the social support parents received had a significant effect on their levels of loneliness (beta= -0.88; p < 0.001), trait anxiety (beta= -0.37; p < 0.001), and depression (beta = -0.44; p < 0.001). Conclusion: The authors conclude that in parents of children who have had a liver transplant, increased levels of perceived social support result in decreased levels of anxiety, loneliness, and depression. Practice implications: The authors recommend that healthcare professionals can contribute to reducing the anxiety, loneliness and depression in parents of paediatric liver transplant recipients by strengthening their social support systems. (C) 2022 Elsevier Inc. All rights reserved.Öğe The Effects of a Therapeutic Play/Play Therapy Program on the Fear and Anxiety Levels of Hospitalized Children After Liver Transplantation(Elsevier Science Inc, 2021) Zengin, Murside; Yayan, Emriye Hilal; Duken, Mehmet EminPurpose: This study was conducted to analyze the effects of a therapeutic play/play therapy (TP/PT) program on anxiety levels and fear of medical procedures in children with liver transplant. Design: The study had a pretest-posttest quasi-experimental design. Methods: Sixty-five children aged between 6 and 12 years were included in this study. A children's information form, the State-Trait Anxiety Inventory for Children, and the Medical Procedure Fear Scale were used for data collection. Findings: The application of the TP/PT program resulted in a statistically significant decrease in the children's anxiety levels and fears about medical procedures (P = .001). Conclusions: The TP/PT program had a positive effect on the children's fear and anxiety levels regarding certain medical procedures. Pediatric nurses can use the TP/PT program to reduce children's anxiety and fears about medical procedures. (C) 2020 American Society of PeriAnesthesia Nurses. Published by Elsevier, Inc. All rights reserved.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 The effects of the posttraumatic stress and general health status on paediatric burns and their sleep habits(Elsevier Sci Ltd, 2023) Duken, Mehmet Emin; Yayan, Emriye Hilal; Zengin, Muerside; Sevgi, TekcanBackground: Burns are serious injuries that can require hospitalization and have physical and emotional sequelae. Sleep disturbance can occur after trauma as evidenced by posttraumatic stress symptoms such as re-experiencing of a trauma with repetitive dreams, memories and flashbacks. This area has been minimally examined with pediatric burn survivors; therefore, the aim of this study was to investigate the effects of posttraumatic stress and general health on sleep habits of pediatric burn survivors from. Method: This is a correlational descriptive study. Its sample included 7-18-year-old inpatients at the burn clinic of a university hospital from January to November 2019. This study used the Posttraumatic Stress Disorder Reaction Index, the General Health Questionnaire (12) and the Children ' s Sleep Habits Questionnaire for data collection. Results: Of the participants, 58.6% were male, 46.5% were primary school students, and 62.6% had no diseases other than their burns. 20.2% of the children had epilepsy, 14.2% had diabetes and 3% had pneumonia. Of the child burn victims, 45.5% were brought to the hospital because of contact with fire. All of them had first-degree burns, 59.6% had seconddegree burns, and 80.8% had third-degree burns. After their burns, infections developed in 20.2% during trauma and in 43.4% during burn treatment. A structural equation model indicated that the child burn victims ' general health perceptions did not significantly affect their sleep habits (p > 0.05). A significant correlation was found between the children's posttraumatic stress disorder and their sleep habits (p < 0.05). Posttraumatic stress disorder explained 7.2% of their sleep habits. A positive and significant correlation was found between the children ' s general health perceptions and posttraumatic stress disorder (r = 0.74, p < 0.05). Conclusion: Burns of any kind can cause posttraumatic stress, sleep disorders and impairment of health status in children.Öğe A follow up study on the effects of massage on preterm infants: A randomized controlled research(Elsevier Science Inc, 2024) Duken, Mehmet Emin; Yayan, Emriye HilalBackground: Preterm infants who leave the intrauterine environment early are deprived of tactile stimuli. This affects the physical, emotional and social developments of infants and their physical growth parameters such as weight, height and head circumference negatively. Aim: This research was conducted to determine the effects of massage on the development of preterm infants. Material-Method: This research was conducted as randomized controlled research with two groups (massagecontrol). The infants in the intervention group received massage for 30 days. Height, weight and head circumference values of the infants were recorded on days 5, 10, 20 and 30. Amount of feeding was recorded before intervention, on day 15 after intervention and on day 30 after intervention. Discharge times of the infants were recorded according to groups. Results: A significant difference was found in height and weight of the preterm infants on days 20 and 30 when compared with the control group. Discharge time of the infants in the massage group was found to be 10 days shorter on average when compared with the control group. Significant difference was also found between day 15 and 30 in terms of amount of feeding. Conclusion: Massage was found to have significant effects on physical growth parameters such as height, weight and head circumference. It was found that massage increased amount of feeding and weight intake in infants and decreased discharge time. In this case, hospital cost per infant may be reduced.Öğe Mental Health Problems of Syrian Refugee Children: Post-Traumatic Stress, Depression and Anxiety(Elsevier Science Inc, 2020) Yayan, Emriye Hilal; Duken, Mehmet Emin; Ozdemir, Aynur Aytekin; Celebioglu, AydaPurpose: This study aims to examine the levels of post-traumatic stress, depression and anxiety in Syrian children who live in refugee camps. Designs and methods: This descriptive and correlational study was conducted using the Child Post-Traumatic Stress Reaction Index (CPTS-RI), the State-Trait Anxiety Inventory for Children-Trait Form (STAIC-Trait Form) and the Children's Depression Inventory (CDI). The study sample included 1115 Syrian refugee children. Results: The mean age of refugee children was 10.53 +/- 2.79 years. Of them, 52% were males and 38% had no diseases while 74% were smokers and smoked 8.39 +/- 6.85 cigarettes per day. The children's mean score on CPTS-RI, STAIC-Trait Form and CDI was found to be 60.59 +/- 14.50, 54.11 +/- 14.55 and 47.57 +/- 10.97, respectively. The regression analysis revealed that anxiety and depression had a statistically significant association with post-traumatic stress. Conclusions: The study findings revealed that refugee children have physical and psychosocial health problems and experience a high level of post-traumatic stress, depression and anxiety. (C) 2019 Elsevier Inc. All rights reserved.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 Vaccination Status of Children Hospitalized for Measles: Parental Vaccination Refusal and Related Factors(Galenos Yayincilik, 2022) Zengin, Murside; Yayan, Emriye Hilal; Duken, Mehmet EminAim: This study investigated the vaccination status of those children who received inpatient treatment due to measles and explored the beliefs and practices of their parents related to the refusal of childhood vaccines. Materials and Metkods: This study was a descriptive research performed at a training and research hospital in eastern Turkey. The study data were collected from the parents of children with measles who were receiving inpatient treatment. In this study, the introductory information form and the State-Trait Anxiety Inventory were used. Results: The results revealed that 61.8% of those children with measles had not been vaccinated against measles. Factors that played a role in the parents' vaccine refusal included family elders' unwillingness, negative media reports, the side effects of vaccines, and negative attitudes towards health care workers. Parents with poor socio-economic status, low educational status, and extended family types were found to have significantly higher rates of vaccine refusal. The parents had an average state anxiety score of 60.15 +/- 5.73 and an average trait anxiety score of 50.21 +/- 3.33. Conclusion: Many factors were found to influence the causes of parents not having their children vaccinated. Community-based training is needed to address the parents' misconceptions, concerns, and lack of knowledge about vaccinations. Renewing policies on vaccinations, establishing standards, and imposing legal sanctions can be effective in reducing vaccine refusal rates.
