Sürdürülebilir Kalkınma Amaçları
Yazarlar
- Uzun, Sevda(5)
- Akay, Gamze(3)
- Oğuzhan, Hatice(3)
- Aydin, Aydanur(2)
- Coşar, Dilan Aktepe(2)
- Demirağ, Hatice(2)
- Gül, Uğur(2)
- Kulakaç, Nurşen(2)
- Menekşeoğlu, Ahmet Kıvanç(2)
- AKSOY, Bahar(1)
- Aksoy, Bahar(1)
- Apaydin Cirik, Vildan(1)
- Aslan, Kübra(1)
- Aydın, Esra(1)
- Aytekin Ozdemir, Aynur(1)
- Ayyıldız, Neşe Işcan(1)
- BORAN, Serpil(1)
- Bektaş, Murat(1)
- Bulut, Elif(1)
- Canbolat, Özlem(1)
- Cilingir, Dilek(1)
- Cin, Aynur(1)
- Dal Sevim, Şura(1)
- Demir Imamoglu, Zeynep(1)
- Dilaver, İrem(1)
- EFE, Emine(1)
- Ediz, Çiçek(1)
- Efe, Emine(1)
- Erdaş, Mehmed Burak(1)
- Ertürk, Engin(1)
- Goger, Berrin(1)
- GÖGER, Berrin(1)
- Güdücü Tüfekci, Fatma(1)
- Güner, Yasemin(1)
- Hintistan, Sevilay(1)
- KAHRIMAN, Ilknur(1)
- KANDAZ, Ufuk(1)
- KIRBAŞ, Zila Özlem(1)
- Kahriman, İlknur(1)
- Karakaya, Dudu(1)
Yayınlar
- MakaleYalnız künye2026The effect of acupressure on symptom management in children: A meta-analysis of randomized controlled trials
Akay, Gamze; Yıldız, Muhammed; Oğuzhan, Hatice; Uzun, Sevda
Purpose Pediatric patients often experience distress, pain, and nausea during medical procedures. This meta-analysis aimed to synthesize current evidence on the potential efficacy of acupressure on symptom management among pediatric patients aged 0–19 years. Design and methods This study was designed as a meta-analysis of randomized controlled trials . The literature search was conducted in PubMed, Web of Science, Scopus, EBSCOhost, Google Scholar, and the YÖK Thesis Center in January 2025 and updated in August 2026, with no restriction on publication year. After the reviews, 17 studies were included in the study. The data were synthesized by meta-analysis and narrative methods. Results The pooled analysis indicated that acupressure was associated with statistically significant reductions in reported anxiety (SMD = −1.021, p < 0.001), pain (SMD = −1.397, p < 0.001), and nausea (SMD = −0.388, p = 0.006). However, substantial statistical heterogeneity was observed for anxiety (I2 = 78.8%) and pain (I2 = 94.4%), and the number of studies available for each outcome was limited (anxiety: n = 6; pain: n = 9; nausea: n = 4). Conclusions and practice implications Current evidence suggests that acupressure may be a promising complementary approach for managing anxiety, pain, and nausea in pediatric patients. However, given the small number of studies per outcome, small sample sizes, and high statistical heterogeneity, these findings should be interpreted with caution. Further rigorous, well-designed RCTs are required to confirm these observations before routine clinical implementation can be recommended.
- MakaleYalnız künye2026Effects of a puppet-assisted house-tree-person test on fear and anxiety in children receiving chemotherapy and associated influencing factors: A projective, quasi-experimental study
KAHRIMAN, Ilknur; AKSOY, Bahar; KANDAZ, Ufuk; BORAN, Serpil; GÖGER, Berrin; KIRBAŞ, Zila Özlem
Objectives This study investigated the effect of the puppet-assisted House-Tree-Person Test (HTP-T) on fear and anxiety levels in children undergoing chemotherapy treatment and the factors influencing these outcomes. Methods The study employed a one-group pretest–posttest quasi-experimental design combined with HTP-T analysis. The study was conducted with 29 children aged 5–12 years receiving chemotherapy at the pediatric hematology-oncology outpatient clinics of a university hospital in the Eastern Black Sea Region of Türkiye during the 2022–2024 years. Data were collected using “the Demographic Information Form for Children and Parents, the Children's State Anxiety Scale (CSA), the Children's Fear Scale (CFS), and HTP-T". Data analysis was performed using descriptive statistics, repeated measures ANOVA, and HTP-T analysis. Results Statistically significant differences were observed in children's mean CSA (F = 3.898, p = 0.026, η2 = 0.122) and CFS (F = 5.313, p = 0.008, η2 = 0.159) scores across the pre-treatment, during-treatment, and post-treatment measurements. The HTP-T analysis revealed that children had difficulty regulating anxiety and fear, expressed concerns about family and environmental events, reported feelings of loneliness, and exhibited strong emotional attachment to their families. Conclusion The study demonstrated that incorporating puppet-assisted HTP-T during chemotherapy contributed to reducing children's fear and anxiety and offered a useful approach for identifying influencing factors. Implications for nursing practice HTP-T, a therapeutic play technique incorporating puppetry and projective methods, may be effective in reducing fear and anxiety among children undergoing chemotherapy.
- MakaleYalnız künye2026The Effect of Parrot Therapy on During Venipuncture Pain in Chronic Patients
Demirağ, Hatice; Tuç, Adile
Objective There are no randomized controlled trial (RCT) in the current literature comparing live, robotic, and visual animal-based therapies. This single-blind randomized controlled trial was conducted to comparatively evaluate the effectiveness of live parrot, robotic parrot, and parrot picture therapies on pain during venipuncture in adults with chronic illness. Methods The study included 240 patients randomized into four groups. Groups interacted with live parrots, robotic parrots, or parrot pictures during venipuncture. The control group received no intervention. Pain levels were assessed before and after the procedure using the "Visual Analog Scale (VAS)." Analysis was performed using Chi-Square test, One-way ANOVA and paired samples t-test. Results There was no difference in pre-procedure pain scores between the groups (p ' .05). After the procedure, the VAS score for the live parrot group was 2.01 ± 1.35, for the robotic parrot group 2.03 ± 1.46, for the parrot picture group 2.08 ± 1.62, and for the control group 4.91 ± 1.88. Again, after the procedure, pain scores in all experimental groups were found to be significantly lower than in the control group (p ' .001). Live parrot therapy was found to be the most effective pet therapy, followed by robotic parrot and parrot picture therapy. The reduction in pain in the live parrot group was statistically more significant than in the picture group. Conclusion The research findings revealed that pet therapy applied during venipuncture, especially live animal interaction, may be a potentially effective, safe, and non-pharmacological method for reducing pain. Robotic animals, on the other hand, can be considered a promising alternative when the use of live animals is not possible. It is recommended that these distraction strategies be considered and integration into routine nursing practices be developed as part of patient-centered care.
- MakaleYalnız künye2026The relationship between compassion fatigue and levels of depression, anxiety, and stress in nurses: A multicenter cross-sectional study
Coşar, Dilan Aktepe; Ayyıldız, Neşe Işcan; Şimşekli, Derya
Aim This study aimed to investigate the relationship between compassion fatigue and depression, anxiety, and stress levels in nurses. Method This research is a multicenter, cross-sectional study. The study was conducted with 283 nurses in three state hospitals in northeastern Turkey using a purposive sampling method. Research data were collected by the researchers using a Demographic Form, the Compassion Fatigue Scale (CFS), and the Depression, Anxiety, Stress Scale (DASS-21). Descriptive statistics, normality assessment, one-way ANOVA, t -tests, Pearson correlation and multiple linear regression analysis were performed using SPSS 26 software. Results A total of 283 nurses participated in the study. The mean CFS score was 83.97 ± 13.76, while the mean DASS-21 scores were 8.05 ± 4.10 for depression, 4.89 ± 2.97 for anxiety, and 9.22 ± 4.32 for stress. Correlation and regression analyses revealed a strong positive correlation between compassion fatigue and depression (r = 0.574, p < 0.001), a moderate positive correlation with anxiety (0.349, p < 0.001), and a strong positive correlation with stress (0.583, p < 0.001). Multiple regression analysis revealed that depression, stress, male gender, working as a nursing education specialist, and job dissatisfaction were variables significantly associated with compassion fatigue. Conclusion Based on these results, it is necessary to evaluate compassion fatigue in nurses in conjunction with psychological factors as well as individual and professional characteristics. Furthermore, it is important to support nurses' psychological health, develop strategies to address compassion fatigue, and increase individual resilience.
- MakaleYalnız künye2026Evaluation of family-centered care from the perspectives of pediatric nurses, nursing students and parents: A mixed-methods study
Çolak, Bahar; Güner, Yasemin; Goger, Berrin; Kahriman, İlknur; Dal Sevim, Şura
Introduction This study aimed to evaluate family-centered care (FCC) practices in pediatric units from the perspectives of pediatric nurses, nursing students, and parents. Methods A convergent parallel mixed-methods design was employed. Quantitative data were collected using a cross-sectional design, while qualitative data were obtained through a case study approach. The sample consisted of 338 parents, 221 nursing students, and 10 pediatric nurses. Parents completed the FCC Assessment Scale and the PedsQL Healthcare Satisfaction Module, nursing students completed the Caring Behaviors Inventory, and pediatric nurses participated in semi-structured interviews. Results Parents reported high scores in the FCC dimensions of “support,” “collaboration,” and “respect,” which significantly predicted parental satisfaction. The “support” dimension was the strongest predictor of satisfaction with information, family participation, and technical skills. Nursing students rated pediatric nurses' caring behaviors highly. Qualitative analysis identified five major themes: (1) Perception of FCC, (2) Role of the Nurse, (3) Role of the Physician, (4) Benefits of FCC, and (5) Barriers to FCC. These themes highlighted the importance of family participation, the nurse's leadership role, gaps in physician communication, the multifaceted benefits of FCC at the child, family, and system levels, and barriers including workload, physical environment limitations, and family-related challenges. Conclusion Perceived FCC practices significantly predicted parental satisfaction. However, improvements are needed in information sharing, family participation, and physical environment conditions. Implications to practice These findings provide valuable insights for developing educational, clinical, and policy strategies to strengthen the implementation of FCC in pediatric nursing practice.
- MakaleYalnız künye2026Effects of an Immersive Virtual Reality-Based Exercise-Rest on Mobilization in Knee Surgery Patients: A Single-Blind, Randomized Controlled Trial
Aydin, Aydanur; Menekşeoğlu, Ahmet Kıvanç; Dilaver, İrem; Taş, Süleyman Kasım
Purpose This study aimed to evaluate the impact of immersive virtual reality (IVR) interventions on enhancing mobilization in patients undergoing total knee arthroplasty. Design A randomized, single-blinded, two-arm, parallel-group controlled trial. Methods A randomized controlled trial was conducted on 30 patients who underwent total knee arthroplasty for the first time. Participants were divided into two groups: the intervention and control groups. The primary outcome, mobilization distance, was measured at the first postoperative mobilization using validated scales. Before mobilization, patients in the intervention group experienced a simulated walk through a tranquil forest accompanied by birdsong and meditation music via IVR goggles. Results All surgeries were performed by the same surgeon, and postoperative medical care was standardized across both groups. The intervention group demonstrated significantly greater mobilization distances and shorter initial walking times than the control group. Moreover, patients in the intervention group reported reduced postmobilization pain and expressed high satisfaction with the IVR experience. Conclusions The findings indicate that patients who experienced IVR intervention exhibited reduced postmobilization pain, increased mobilization distance, and higher satisfaction. This innovative technique has the potential to serve as a practical solution to enhance clinical improvement in various healthcare settings. Clinical Implications This study demonstrated the effectiveness of IVR-assisted mobilization in enhancing walking distance among patients undergoing knee surgery. The use of IVR presents an innovative and engaging approach to support postoperative mobilization in this patient population. Further research in this area may contribute to the development of more comprehensive and effective IVR interventions.
- MakaleYalnız künye2026Nurses' artificial intelligence anxiety levels, their attitudes towards artificial intelligence, and their skills in acting humanistically in nursing practices
Cin, Aynur; Coşar, Dilan Aktepe; Demirağ, Hatice
Aim This study aims to investigate the levels of artificial intelligence-related anxiety among nurses, their attitudes towards the use of AI in clinical settings, their ability to maintain humanistic approaches in nursing care, and the interrelationships among these variables. Design This study was designed as a descriptive and cross-sectional pilot study. Method The sample of the descriptive study consisted of 267 nurses working in X and Y hospitals in Gümüşhane province. The data of the research was collected between December 2023 and May 2024 using the “Nurse Introduction Form”, “Artificial Intelligence Anxiety Scale”, “General Attitude Scale towards Artificial Intelligence” and “Humanistic Practice Ability of Nursing”. Results Total “Artificial Intelligence Anxiety Scale” mean scores were found to be higher in nurses who were women, and had more than five years of working experience ( p < 0.05). It was determined that the total “General Attitude Scale Towards Artificial Intelligence” score averages of nurses working in surgical clinics were higher than those working in pediatric clinics ( p < 0.05). Positive “General Attitude Scale Towards Artificial Intelligence” mean scores were higher in nurses who had a postgraduate degree, worked in a surgical clinic, and had five years or less experience ( p < 0.05). Again, the total mean of the “ Humanistic Practice Ability of Nursing “ was higher in nurses who had a bachelor's degree or less, and worked in management and surgery clinics ( p < 0.05). Conclusion It was found that nurses' artificial intelligence anxiety, general attitudes towards artificial intelligence, and ability to act humanistally varied according to some sociodemographic characteristics.
- MakaleYalnız künye2026Intensive care nurses' perspectives on the quality of nurse-patient communication in the prevention and management of delirium: A qualitative study
Şengün Inan, Figen; Canbolat, Özlem; Aslan, Kübra; Tuncer, Gülsüm Zekiye
Background Nurses play a key role in the care of patients with delirium; however, there is a lack of research exploring intensive care nurses' communication-related experiences in this context. Purpose This qualitative study aims to explore nurses' experiences related to communication in the prevention and management of delirium in intensive care settings. Methods This descriptive qualitative study was conducted with nurses working in the intensive care unit of a university hospital in Türkiye. Data were collected through semi-structured individual interviews. The sample consisted of 15 nurses. To ensure the analysis of the data, the content analysis method was used. Results Findings were categorized into five themes: (1) perceptions, (2) elements of effective communication, (3) obstacles to effective communication, (4) results of effective communication, and (5) results of ineffective communication. Conclusion The results revealed that nurses perceived communication in delirium management as an important therapeutic component of nursing care. In their view, effective communication supported patient care and family cooperation. Beyond individual efforts, organizational leaders may play a crucial role in improving delirium care by allocating adequate time and resources to structured educational programs that enhance communication competencies and delirium-specific knowledge.
- MakaleYalnız künye2026Development and psychometric evaluation of the healthy internet use scale for adolescents
Özparlak, Arif; Gül, Uğur; Karakaya, Dudu; Efe, Emine
Objective The aim of this study was to develop the Healthy Internet Use Scale for Adolescents (HIUS-A) and examine its psychometric properties in order to evaluate healthy internet use (HIU) among adolescents. Methods The study was conducted according to a methodological, correlational and cross-sectional design. Data was collected between September and December 2025 at three middle schools and three high schools in the province of Antalya, Türkiye. The study used a stratified sampling method, and it was completed with 516 adolescents. The scale's content validity was examined through expert evaluation, and its construct validity was tested through exploratory and confirmatory factor analyses. The reliability of the scale was assessed using Cronbach's alpha coefficient, split-half reliability, and item-total correlations. Results The analyses revealed that HIUS-A exhibited a two-factor structure explaining 49.1% of the total variance. These factors were named “self-control” and “conscious use”. Confirmatory factor analysis findings revealed that the model showed a good level of fit (χ2/sd = 1.450; RMSEA = 0.042; SRMR = 0.039; CFI = 0.981). The internal consistency coefficient was calculated as 0.864 for the total scale, 0.855 for the “self-control” subscale, and 0.711 for the “conscious use” subscale. Conclusion HIUS-A is a valid and reliable ten-item assessment tool for evaluating healthy internet use in adolescents. Implications for practice The scale may be used by nurses and other healthcare professionals to determine HIU levels in adolescents and to evaluate the effectiveness of intervention studies relating to HIU.
- Derleme MakaleYalnız künye2026Effectiveness of ShotBlocker for Pain in Adult Needle-Related Procedures: Systematic Review and Meta-Analysis
Korkmaz, Emine; Uzun, Sevda; Aydın, Esra
Objectives This study was conducted to evaluate the effect of ShotBlocker use on pain levels during needle-related procedures in adults. Design Systematic review and meta-analysis. Data sources Studies were searched in the PubMed, Web of Science, ScienceDirect, Google Scholar, and Higher Education Council (YÖK) Thesis Center databases without any year restrictions. Review/Analysis methods The search and study selection were conducted in accordance with the PRISMA 2020 guidelines, and 18 studies meeting the inclusion criteria were included in the analysis. Data extraction and methodological quality assessment were performed using the Joanna Briggs Institute (JBI) critical appraisal tools. Findings were evaluated using meta-analysis and narrative synthesis methods. Results In this systematic review and meta-analysis, ShotBlocker was found to be effective in reducing pain levels in adults (SMD = −1,011; 95% CI: −1.390 to −0.631; Z = −5,221; p < .001; I² = 91.4%). However, substantial heterogeneity was observed among the included studies (I² = 91.4%). Conclusions This study demonstrates that ShotBlocker may be an effective nonpharmacological method for reducing pain levels during needle-related procedures in adults. However, the results should be interpreted with caution because of the substantial heterogeneity among the included studies.
- Derleme MakaleAçık Erişim2025The Effect of storybook use in pediatric health services on children's fear and anxiety levels: A meta-analysis study
Akay, Gamze; Uzun, Sevda; Oğuzhan, Hatice; Güdücü Tüfekci, Fatma
Background: Invasive procedures are commonly used in pediatric healthcare, and storybooks can be used as an adjunct analgesic method. Objectives: This study was conducted to evaluate the effectiveness of using storybooks as a distraction technique to reduce fear and anxiety in pediatric healthcare. This study was conducted with the aim of revealing the level of effect of storybook use on children's fear and anxiety level in pediatric health services. Methods: For this meta-analysis study, the studies were obtained by searching PubMed, Web of Scıence, Scopus, EBSCOhost, Google Scholar and YÖK Thesis Center databases in April–June 2024 without any year limitation. After the reviews, 15 studies were included in the study. The data were synthesized by meta-analysis and narrative methods. Findings: In this meta-analysis, it was found that storybook use in pediatric health services was effective on children's anxiety (SMD: −4.412, 95 % CI: −7.727 to −1.097; Z = −2.608, p = 0.009; I2 = 99.890 %) and fear (SMD: −1.13, 95 % CI: −1.71 to −0.54; Z = −3.78, p = 0.000; I2 = 83.065 %) levels. In addition, it was determined that the characteristics of the intervention group, age group, the characteristics and content of the storybook, the duration of the intervention and the time of the intervention played a role in the effectiveness of the storybook use intervention in pediatric health services on children's anxiety and fear levels. Conclusion: The use of story books in children's health services reduces the level of fear and anxiety in children.
- MakaleAçık Erişim2025The First Surgery Experienced Through Virtual Reality: A Knee Surgery Case Report
Aydin, Aydanur; Menekşeoğlu, Ahmet Kıvanç; Öner, Kerim; Ertürk, Engin
The decision to undergo surgery and the significance of the operating theater environment are influenced by several factors, which vary from person to person. Negative perceptions of the operating room environment can influence the decision to undergo surgery and the process of treatment. Virtual reality (VR) technology offers the potential to alter individuals' environmental encounters through the provision of diverse environmental perceptions. This case study evaluates the results of a VR simulation applied during surgery to an individual with no previous surgical experience. A male patient scheduled for arthroscopic meniscus surgery was the subject of a VR simulation. The patient's perception of the simulated environment was transmitted through VR goggles from the time he entered the operating room until he left. However, the VR application was terminated during the administration of anesthesia, and no premedication was administered to the patient. The VR application included nature walks in various regions, including forests, lakeshores, and meadows, accompanied by the sound of birds. Data were collected using a visual analog scale to assess pain levels and a walking test form. The patient, a 35-year-old male, is a high school graduate and is undergoing his first surgical procedure. The patient expressed concerns and fears regarding the decision to undergo surgery. The patient's preoperative anxiety was rated at 9 out of 10 but subsequently decreased to 1 out of 10 following the surgical procedure. The patient rated his satisfaction with the surgical experience as 9 out of 10. The patient did not require sedatives or analgesics during the intraoperative period or for the first 10 hours following the operation. The patient was successfully mobilized at the 15-hour mark following surgery. The patient was highly satisfied with the application. The utilization of VR during surgical procedures has the potential to reduce the necessity for premedication and enhance postoperative compliance among patients.
- MakaleAçık Erişim2025Suicide attempts history and affecting psychosocial challenges in individuals with substance use disorders: A qualitative study from a rural region of Türkiye
Uzun, Sevda; Ediz, Çiçek; Torun, Serap; Erdaş, Mehmed Burak
Objective: This study aimed to evaluate the suicide attempts histories and affecting psychosocial challenges in individuals with substance use disorders (SUD). Methods: This study was conducted between August and October 2023 using an inductive qualitative design. Purposive sampling method was used to reach the sample group. The study included individuals with substance use disorders who had attempted suicide at least once. They were being treated at an Alcohol and Substance Addiction Treatment Center in the eastern region of Türkiye. Interviews continued until data saturation was achieved with 13 participants. All interviews were audio recorded and then transcribed. The research adhered to the COREQ checklist. Results: Three main themes (etiological factors in SUD, challenges in coping with SUD and suicide) and ten sub-themes (family-based factors, environmental factors, traumatic experiences, personal factors, psychological, physical, and social factors, the causes and methods of substance use, and emotions) emerged in the analysis of the data. Conclusion: Given the connection between substance use and suicide, it is crucial to recognize and comprehend the increased risk of suicide among individuals with SUD and identify potential comorbid disorders and accompanying mental health issues. Psychiatric and mental health nurses can use effective psychosocial interventions to impart knowledge related to SUD management, organize grouptherapy (i.e., peer support), perform to ensure continuity of treatment and improve individuals' self-management skills.
- MakaleAçık Erişim2025Development and psychometric evaluation of the father-preterm infant bonding scale
Gül, Uğur; EFE, Emine; Bektaş, Murat
Objective: The purpose of this study is to describe the development process of the Father-Preterm Infant Bonding Scale (F-PIBS) and to report the results of its psychometric evaluation. Methods: A methodological, correlational, comparative, and cross-sectional design was employed. The study was conducted between June 2023 and September 2024 and included 182 fathers with preterm infants hospitalized in the Neonatal Intensive Care Unit (NICU). Exploratory and confirmatory factor analyses were performed to evaluate the reliability of the scale, and validity was tested using Cronbach's alpha reliability coefficient, split-half reliability, item-total correlations, and Hotelling's T-squared test. Results: The scale comprises 10 items distributed across two sub-dimensions. The content validity ratios of the scale items ranged from 0.80 to 1.00. Cronbach's alpha values for the total scale and sub-dimensions were 0.878, 0.796, and 0.845, respectively. Conclusion: F-PIBS is reliable, valid, and appropriate for evaluating father-preterm newborn bonding levels in the NICU.
- MakaleAçık Erişim2025Mandala coloring reduces anxiety and pain in circumcised children: A randomized controlled trial
Akay, Gamze; Koç, Elif Simay; Oğuzhan, Hatice
Background: Boys often experience significant fear and anxiety before the circumcision procedure, and postoperative pain is linked to increased fear and anxiety in children. Objectives: The aim of this study was to determine the effect of mandala coloring on fear, anxiety, emotional symptoms and postoperative pain of circumcised children. Methods: This randomized controlled trial was conducted in the pediatric clinic of a state hospital in eastern Turkey. Children were divided into two groups using a computer program: Group 1 (control) included children with no intervention (n = 40), and Group 2 (mandala coloring) included children who received mandala coloring (n = 38). Statistical analyses were performed using the Kolmogorov-Smirnov test to assess the normality of the data, the chi-squared test to compare categorical variables between groups, the paired samples t-test for within-group comparisons, the independent samples t-test for between-group comparisons, and mixed model repeated measures ANOVA (rANOVA) to evaluate the temporal changes in pain and anxiety scores across groups. Findings: Children's fear, anxiety, emotional symptom, and postoperative pain scores were similar in all groups before the nursing intervention, and the fear, anxiety, and emotional symptom scores of the mandala painting intervention group were statistically lower than the control group after the nur csing intervention. The pain scores of the children in the mandala coloring group were lower than the control group after surgery. Conclusion: Mandala coloring intervention can be used to reduce emotional symptoms, fear, anxiety and postoperative pain in children aged 6–12 years undergoing circumcision.
- MakaleYalnız künye2024The effect of a cognitive behavioural intervention package on peripheral venous cannulation pain, fear and anxiety in Paediatric patients: A randomised controlled trial
Demir Imamoglu, Zeynep; Aytekin Ozdemir, Aynur
Purpose: This study investigated the effect of a cognitive behavioural intervention package (CBIP) on peripheral venous cannulation (PVC) pain, fear and anxiety in paediatric patients aged 7–12 years. Design and methods: This randomised controlled trial included 77 paediatric patients (intervention: n = 39 and control: n = 38). The control group underwent a routine PVC procedure, whereas the intervention group attended the CBIP while undergoing a PVC procedure. Data were collected using a sociodemographic form, the Visual Analogue Scale (VAS), the Wong–Baker FACES (WB-FACES) Pain Rating Scale, the Children's Fear Scale (CFS) and the State–Trait Anxiety Inventory for Children–State Form (STAIC–State). The participants, their caregivers and the researcher scored PVC pain, fear and anxiety levels. The study was approved by an ethics committee. Informed consent was obtained from caregivers, and verbal consent was obtained from children. Results: No significant difference in pre-procedural CFS scores were noted between the CBIP and control groups (p > 0.05). However, the CBIP group had significantly lower mean procedural pain (VAS and WB-FACES), fear (CFS) and anxiety (STAIC–State) scores than the control group (p < 0.05). Conclusions: The CBIP helped children experience less PVC pain, fear and anxiety. Practice implications: Nurses can use the CBIP to help reduce PVC pain, fear and anxiety in children. Clinical trials registration: The study was registered at Clinical-Trials.gov (NCT06018909).
- MakaleYalnız künye2024Effect of Lavender Oil on Preoperative Anxiety: Systematic Review and Meta-analysis
Kulakaç, Nurşen; Sayılan, Aylin Aydın
Purpose: Surgical interventions are known to induce anxiety in patients due to the associated risks and potential complications. Various methods are employed to alleviate preoperative anxiety. This study aimed to investigate the impact of lavender oil application on the anxiety levels of patients scheduled for surgical procedures. Design: Systematic review and meta-analysis. Methods: Studies were accessed using the keywords “preoperative and lavender oil and stress” in Turkish and English between July 1 and 30, 2022, through PubMed (including MEDLINE), Cochrane, EBSCOhost, Web of Science, YÖK National Thesis Center, and Google Scholar. The standardized mean difference was calculated using random-effects models, and the Cochrane Collaboration tool was used to assess the risk of bias in each study. The study was prepared according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis checklist. Findings: Twenty studies were included in the analysis. The anxiety level of the experimental group to which lavender oil was applied before the surgical intervention was significantly lower than that of the control group (standardized mean difference:−5.40; 95% CI: −8.76 to −2.04). Conclusion: Preoperative lavender oil application was found to be an effective method for relieving patients’ anxiety. Lavender oil is thought to be a potential standalone treatment for preoperative anxiety.
- MakaleAçık Erişim2023Attitudes of parents in the role of a father in Turkey toward child sex education and their sexual communication with their children
Apaydin Cirik, Vildan; Aksoy, Bahar; Bulut, Elif
Background and purpose: The study aimed to evaluate the attitudes of parents in the role of a father in Turkey toward child sex education and their sexual communication with their children. Methods: This descriptive and cross-sectional study was conducted with the fathers of children in the pediatric outpatient clinic at a state hospital between December 30, 2021, and April 15, 2022. The study was reported based on STROBE. The data were collected from 297 fathers using the Descriptive Information Form, the Attitudes Scale Toward Sex education (ASTSE), and the Sexual Communication Scale for Parents(SCSP). Results: Sample statistics demonstrate that 67.7% of the participants did not receive sex education in their childhood, and 57.4% stated that their children received sex education only from their mothers. Higher attitudes toward sexual education were found in the fathers with a university or higher education degree (χ2 = 15.396; p < 0.01), and those giving sex education to their children (χ2 = 18.388;p < 0.001). Higher total scores were obtained on the sexual communication scale by fathers with university and higher education degrees (χ2 = 12.898;p < 0.01) and those who received sex education in their childhood (t = 2.330;p = 0.021). There is a highly significant positive correlation between the mean scores of the role of a parent subscale of the ASTSE and the mean total score of the SCSP (r = 0.81;p < 0.001). Conclusions: There is a positive correlation between fathers' parental role attitudes toward sex education and their sexual communication with their children. Practice implications: Supporting fathers' sexual communication with their children can positively affect fathers' attitudes and communication toward sex education.
- MakaleYalnız künye2023The Effect of Burnout and Moral Sensitivity Levels of Surgical Unit Nurses on Job Satisfaction
Kulakaç, Nurşen; Uzun, Sevda
Purpose: This study was carried out to determine the effect of burnout and moral sensitivity levels of surgical unit nurses on their job satisfaction. Design: A descriptive and correlational design study. Methods: The population consisted of 268 nurses working in health institutions in the Eastern Black Sea Region of Turkey. The data were collected online between 1 and 30 April, 2022 using a sociodemographic data form, the Maslach Burnout Inventory, the Minnesota Job Satisfaction Scale, and the Moral Sensitivity Scale. Pearson correlation analysis and logistic regression analysis were used to evaluate the data. Findings: The nurses' moral sensitivity scale mean score was 105.2 ± 18.8, and the Minnesota job satisfaction scale mean score was 3.3 ± 0.7. The participants' mean emotional exhaustion score was 25.4 ± 7.3, the depersonalization score average was 15.7 ± 4.6, and the personal accomplishment mean score was 20.5 ± 6.7. The factors affecting the job satisfaction of nurses were found to be moral sensitivity, personal accomplishment, and satisfaction with the unit they worked. Conclusions: Nurses had high levels of burnout due to emotional exhaustion, one of the subdimensions of burnout, and moderate levels of burnout due to depersonalization and personal accomplishment. The moral sensitivity and job satisfaction of nurses are moderate. As the nurses' accomplishment and ethical sensitivity levels increased and their emotional exhaustion levels decreased, their job satisfaction levels increased.
- MakaleYalnız künye2021The Effect of Progressive Muscle Relaxation Exercises on Pain on Patients with Sickle Cell Disease: Randomized Controlled Study
Kazak, Aysun; Ozkaraman, Ayse
Purpose: The study aimed to evaluate the effect of progressive muscle relaxation exercises on pain in patients with sickle cell disease. Materials-Method: This randomized controlled interventional study was conducted in a hospital in Mersin, Turkey between October 2017 and July 2018. The study sample comprised 58 patients who were aged >18 years, conscious, had sickle cell disease, reported pain, and were treated with non-opioid or weak opioid analgesic based on the physician's recommendation (treatment group = 29, control group = 29). Data were collected by the individual presentation form and visual analog scale. During the study, both groups were treated with analgesics prescribed by the physician for three days. In addition to the analgesics, the treatment group was performed progressive muscle relaxation exercises for 30 minutes whereas the control group was rested. Pain level of both groups was evaluated at three time points every day for three days. In the study, frequency distributions and descriptive statistics were presented for categorical and numerical variables, respectively. Chi-square analysis, independent samples t-test, Mann–Whitney U test, three-way ANOVA, and Sidak test were used to analyze the difference between the variables. Results: The mean age of the patients was 29.59 ± 6.94 years, and 53.4% of the patients were female and 69% were single. The mean pain score of the treatment group at the third time point on days 1, 2, and 3 was significantly lower than the control group (p <.05). There was no statistically significant difference between the two groups in terms of coping methods for pain, pain location, and complaints accompanying pain (p >.05). Conclusion: Progressive muscle relaxation exercises were found to be effective in the pain management of patients with sickle cell anemia.