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Öğe A COMPARISON OF TWO DIFFERENT TACTILE STIMULUS METHODS ON REDUCING PAIN OF CHILDREN DURING INTRAMUSCULAR INJECTION: A RANDOMIZED CONTROLLED STUDY(Elsevier Science Inc, 2022) Zengin, Murside; Yayan, Emriye HilalIntroduction: Pediatric patients in the emergency department often require intramuscular injection procedures, which may lead to pain, fear, and anxiety. The purpose of this study was to test a novel nonpharmacological intervention to reduce needle-related pain in the pediatric emergency department. Methods: The study was conducted as a parallel-group, randomized controlled design. The study population consisted of 159 children aged 7 to 10 years cared for in the emergency department who received an intramuscular injection of ampicillin/sulbactam. The children were randomly assigned to Palm Stimulator, ShotBlocker, or control groups. The children's preprocedure fear levels were evaluated using the Children's Fear Scale, and their perceived pain levels during the procedure were evaluated using the Faces Pain Scale-Revised and Visual Analog Scale. Parents and observers also completed the pain level scores. Results: According to all raters (child, parent, and observer), the Palm Stimulator group had the lowest mean Faces Pain Scale-Revised score averages (P < .001). The Visual Analog Scale score averages of the children in the Palm Stimulator group (Visual Analog Scale: M = 27.94, standard deviation = 19.13) were statistically significantly lower than the ShotBlocker (Visual Analog Scale: M = 46.07, standard deviation = 24.96) and control group (Visual Analog Scale: M = 53.43, standard deviation = 29.01) score averages (F = 14.94, eta(2) = 0.16, P= .001). Discussion: The results of this study support the effectiveness of the Palm Stimulator to reduce perceived pain in children during intramuscular injection administration in the pediatric emergency department.Öğe Dif ficulties Experienced by Turkish Parents and Their Coping Strategies: Children With Mucopolysaccharidosis(Elsevier Science Inc, 2020) Zengin, Murside; Yayan, Emriye Hilal; Akinci, AysehanPurpose: The purpose of this study is to determine the parents' lived experiences whose children have Mucopolysaccharidosis (MPS) by using Husserl's phenomenology. Design and methods: A phenomenology method was used as a qualitative research design in the study. The study included parents of 10 children who received weekly enzyme replacement therapy at a university hospital's paediatric endocrinology clinic. The data were collected using an in-depth interview method including an introductory information form and a semi-structured interview form. The interviews were recorded on a voice recorder and converted into written documents after the interview. Results: The average age of the children was 8.8 +/- 1.8; the average age of the mothers was 32.6 +/- 3.6; and the average age of the fathers was 36.0 +/- 3.5. The data analysis identi fied the following three main themes: (1) difficulties, (2) concerns, and (3) coping. Conclusions: This study determined that parents of children with an MPS diagnosis had many dif ficulties related to multi-systemic problems (orthopaedic problems, vision and hearing problems, speech disorders, cardiac problems) caused by the disease. Practice implications: Parents should receive support from healthcare professionals to develop coping strategies that are appropriate for the physical and psychological dif ficulties experienced and to comply with the disease. (c) 2020 Elsevier Inc. All rights reserved.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 online solution-focused support program on parents with high level of anxiety in the COVID-19 pandemic: A randomised controlled study(Wiley-Hindawi, 2021) Zengin, Murside; Basogul, Ceyda; Yayan, Emriye HilalAim The aim of this study was to determine the anxiety levels of parents with children aged 3-6 years because of the Coronavirus Disease 2019 (COVID-19) pandemic and to examine the effects of Solution-Focused Support Program (SFSP) applied to parents with a high level of anxiety. Methods The study was conducted as a parallel-group, randomised controlled design. The sample of the study consisted of 77 parents who were randomly assigned to the experimental and control groups (control group n = 40; intervention group n = 37). One session of online SFSP was applied to the intervention group each week and 4 sessions were applied in total. No intervention was applied to the control group. The data were collected using introductory information form and State-Trait Anxiety Inventory (STAI). Statistical Package for the Social Sciences (SPSS) programme and Analysis of Moment Structures (AMOS) 23 application were used in the analysis of the data. Structural Equation Modeling (SEM) was used to examine a hypothesised model that SFSP has both direct and indirect effects on the anxiety levels of parents. Results The state and trait anxiety mean scores of the intervention group decreased compared with the pre-intervention mean scores after the implemented programme. While this difference between state anxiety scores was statistically significant (P <= .001), the difference between trait anxiety scores was not statistically significant (P > .05). There was no statistically significant difference between the pre-test and post-test STAI total scores of the control group. Conclusions In the study, it has been found that SFSP applied to parents with a high level of anxiety is an effective method in reducing the state anxiety levels of parents.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 the COVID-19 pandemic on children's lifestyles and anxiety levels(Wiley, 2021) Zengin, Murside; Yayan, Emriye Hilal; Vicnelioglu, ElanurObjective: This study was conducted to determine the effects of the coronavirus disease 2019 (COVID-19) pandemic on children's lifestyles and anxiety levels. Methods: This study was designed as a descriptive, cross-sectional online questionnaire survey. Results: Of the children, 91.9% reported that the pandemic had an important effect on their lifestyle. Children stated that they experienced changes in terms of nutrition, sleep, television-internet use, social activity, coursework time, and school success due to the pandemic. Implication for Practice: It was determined that the COVID-19 pandemic caused changes in children's routines, and the children experienced moderate or high levels of anxiety. Primary healthcare providers should increase their attention to these issues to protect and improve children's mental health during the pandemic period.Öğe Hand Microbial Flora of Hospitalized Children at the Beginning of Hospitalization and Before Discharge: A Cross-Sectional Study(Jimma Univ, Ethiopia, 2020) Yayan, Emriye Hilal; Oner, Pinar Demirel; Simsek, Didem Coskun; Zengin, MursideBACKGROUND. Hospital infections in pediatric units increase the length of hospital stay and the use of antibiotics, and this causes exposure to more procedures. This study was aimed to determine the microorganisms represented in the hand flora of pediatric patients at the beginning of hospitalization and before discharge. METHODS: The study was designed as a prospective cross-sectional study. This prospective study was performed with 124 pediatric patients. After completion of the admission procedures, an initial sample was taken from the hands of the hospitalized patients. Another sample was taken from the patients just before discharging. RESULTS: Growth of coagulase-negative staphylococcus (CNS) was observed in the culture samples of 28 patients. Cultures from 23 patients showed different microorganisms such as Staphylococcus aureus, Escherichia coli, and S. epidermis. Examination of final discharge cultures showed CNS in 43 patients, S. aureus in 5 patients, E. coli in 8 patients, Acinetobacter baumannii in 11 patients, and Kocuria rhizophila, K. kristinae, Candida spp., Pseudomonas spp., and Enterococcus in 1 patient. CONCLUSION: The cultures from samples obtained at discharge showed the presence of antibiotic-resistant pathogenic microorganisms causing healthcare associated infection.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 quality of life and depression levels of young people with type I diabetes(Wiley, 2019) Yayan, Emriye Hilal; Zengin, Murside; Karabulut, Yesim Erden; Akinci, AysehanPurpose The aim of this study is to examine the relationship between the quality of life and depression levels of the youth with type I diabetes. Design and Methods The study was a cross-sectional descriptive study. Findings It was found that there is a negative correlation between participants' HbA1c levels and quality of life, and a positive correlation between HbA1c levels and depression. It was determined that quality of life and depression are significant predictors of HbA1c (R-2 = 0.72, P < 0.01). Practice Implications The depression levels of the young people with increased and their metabolic control was affected negatively as the quality of life levels decreased. Depression measurements should be made during the routine control of youth with diabetes who have difficulty in maintaining metabolic control.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 The effect of an educational intervention for caregivers of children receiving palliative care: A quasi-experimental study(Elsevier Science Inc, 2026) Kenc, Irem; Yayan, Emriye Hilal; Zengin, MursidePurpose: The study examined the impact of an educational intervention delivered to caregivers of children receiving palliative care. Design and methods: This study was designed as a quasi-experimental single-group pretest-posttest study. The study was conducted on 57 caregivers of children followed up in the paediatric palliative care unit of a city hospital in the Central Anatolia region of T & uuml;rkiye. A demographic information form, PalliCare Needs Scale and PalliCare Management Scale were administered to the caregivers before the educational intervention. A post-test was administered to all participants after educational intervention. Results: The difference between the PalliCare Needs Scale pre-test and post-test scores of the participants was found to be statistically significant (p < 0.001). When the participants' PalliCare Management Scale scores were analysed, the pre-test median total score was 3.36, while the post-test median total score was 4.09, and a statistically significant difference was found between these scores (p < 0.001). Conclusions: It was observed that the educational intervention applied to caregivers of children in need of palliative care resulted in a significant improvement in the identification of care needs and care management. Practice implications: Training programmes for caregivers in the palliative care process should be expanded, standardised to improve the quality of care, and integrated into health policies. (c) 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.Öğe The effect of social support perceived by parents of child burn victims on their care burden and anxiety(Elsevier Sci Ltd, 2025) Duken, Mehmet Emin; Sulun, Ayse Aricioglu; Yayan, Emriye Hilal; Zengin, Murside; Sevgi, TekcanPurpose: The aim of this study is to examine the effect of perceived social support on the caregiving burden and anxiety of parents of children with burn injuries. Material and Methods: This is a correlational descriptive study. The study was conducted with parents of 52 children who were admitted and treated in a paediatric burn clinic at a university hospital between January and December, 2019. The Zarit Care Burden Scale, the Multidimensional Scale of Perceived Social Support, and the State Anxiety Scale were used in the study. Path analysis was performed with observed variables, and structural equation model (SEM) was constructed using Amos programme. Results: The mean age of the parents was 30.94 +/- 7.33 years. In the study, the cause of burns in 55.8 % of the children was contact with flame (oil, thinner, and gas) and it was found that 82.7 % of the children had third degree burns and 65.4 % had second degree burns. A positive significant correlation was found between anxiety and caregiving burden, but a negative correlation was found between anxiety and parental social support. Conclusions: The study found that the level of anxiety and caregiving burden of parents of children with burns increased as their social support decreased. In line with the results of our study, it is seen that health professionals (doctors, nurses, psychologists, social workers) working in paediatrics can involve parents in care interventions by assessing their social support, caregiving burden, and anxiety. Practice Implications: It has been observed that the care burden and anxiety levels of burned children increase as the social support they receive from their parents decreases. Healthcare professionals (doctors, nurses, psychologists, social workers) working in this clinic should provide social, emotional, and psychological support to parents and share the burden of care. It has been shown that as social support increases, caregiving and anxiety levels can improve significantly.Öğe The Experiences of Primary Caregivers of Children Receiving Palliative Care: A Qualitative Study(Lippincott Williams & Wilkins, 2026) Zengin, Murside; Yayan, Emriye Hilal; Kenc, IremPediatric palliative care presents a complex landscape for primary caregivers, who play a pivotal role in managing the care and well-being of children with life-limiting or life-threatening conditions. The present study aimed to explore the life experiences of primary caregivers of children receiving pediatric palliative care. This study used semistructured interviews that were audio recorded with 19 family caregivers of children who had received pediatric palliative care in the pediatric intensive care unit. Most of the primary caregivers included in the study were the children's mothers. The results of the study revealed 4 main themes with 13 subthemes: (1) adjusting to a new life; (2) primary caregivers' adaptation to the illness; (3) ongoing challenges; and (4) maintaining social networks. Primary caregivers of the children receiving palliative care have social and financial difficulties that will affect their life cycle, including their daily and social life. Strategies to support caregivers should be developed to create an environment in which the problems of caregivers of children receiving palliative care are refined, and necessary changes should be encouraged through the development of training programs.Öğe 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.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.
