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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 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 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.
