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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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    The effect of chemotherapy on symptoms and nutritional status in children with cancer
    (Elsevier Sci Ltd, 2022) Gerceker, Gulcin Ozalp; Yildirim, Busra Guliz; Sulun, Ayse Aricioglu; Bektas, Murat; Ozdemir, Hamiyet Hekimci; Malbora, Baris
    Purpose: This observational study carried out to determine the incidence of poor nutritional status and symptom burden in children undergoing chemotherapy treatment. Methods: The research data collected from 187 children between the ages of 7-18 at pediatric hematology -oncology units in Izmir. The data of the study collected with Screening Tool for Risk of impaired Nutritional Status and Growth (STRONGkids), and the Memorial Symptom Assessment Scale (MSAS). Results: Patients reported a mean (SD) of 14.1 (8.1; range, 1-30) symptoms, and 43.9% were underweight. According to the STRONGkids, 62% had a high risk for malnutrition. The incidence of all symptoms increased as the Z-score of the patients worsens. There was a significant positive correlation between mean symptoms and STRONGkids malnutrition risk score, and Z-score (p < .001). Conclusion: Most of the patients were at high risk of malnutrition. It observed that chemotherapy treatment led to malnutrition. The patients with high risk for malnutrition according to the STRONGkids and severe malnutrition according to the Z-score experienced more symptoms.
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    Effect of Neonatal Nurses' Attitudes to Death on Palliative Care
    (Galenos Publ House, 2021) Sulun, Ayse Aricioglu; Yayan, Emriye Hilal; Yildirim, Maksude
    Introduction: Neonatal palliative care is administered with compassion to minimize the suffering of the newborn and its family. Neonatal intensive care nurses are unable to provide adequate care to the patient by developing an attitude towards death and are able to experience a sense of failure. There is insufficient knowledge and experience about neonatal nurses' responses to death and the effect of these responses on applied palliative care. Based on these data, this study was conducted to determine the status of neonatal intensive care nurses' attitudes towards death affecting their palliative care.Methods: The sample of our research consists of five provinces selected by simple random sampling method. Ninety-six neonatal nurses participated in the study. The research data were collected using the neonatal palliative care attitude scale (NPAS), death attitude scale (DAS) and introductory features form prepared by the researcher. In the analysis of the data, descriptive statistics, t-test, Kruskal-Wallis test were used to evaluate continuous and counting variables.Results: As a result of the correlation analysis, there was a low negative correlation between the total score of NPAS and the total score of DAS and between the sub-dimension of NPAS organization and the sub-dimension of DAS escape acceptance. There is a significant relationship between nurses' palliative care practices and their marital status, infant loss status and diversity of institutions. Conclusion: There is a low association between the sub-dimension of escape acceptance associated with death related to neonatal palliative care and the sub-dimension of organization (r=-0.225). This result can be interpreted as nurses have difficulty in giving palliative care to babies when they develop a negative attitude towards death. The remarkable aspect of this finding is that the participants in our study were nurses working in the neonatal intensive care, which is a specific unit.