Sürdürülebilir Kalkınma Amaçları
Yazarlar
- Uzun, Sevda(5)
- Akay, Gamze(3)
- Aksoy, Bahar(3)
- Oğuzhan, Hatice(3)
- Bulut, Elif(2)
- Kurudirek, Fatma(2)
- Ustuner Top, Fadime(2)
- AKSOY, Bahar(1)
- Akpinar, Damla(1)
- Apaydin Cirik, Vildan(1)
- Apaydın Cırık, Vildan(1)
- BORAN, Serpil(1)
- Bayrak, Nurten Gulsum(1)
- Cirik, Vildan Apaydin(1)
- Delice, Orhan(1)
- Demir İmamoğlu, Zeynep(1)
- Demir Barbak, Zülbiye(1)
- Demir İmamoğlu, Zeynep(1)
- Efe, Emine(1)
- Ekici, Sümeyye(1)
- Emirza, Elif Güzide(1)
- GÖGER, Berrin(1)
- Göger, Berrin(1)
- Güdücü Tüfekci, Fatma(1)
- KAHRIMAN, Ilknur(1)
- KANDAZ, Ufuk(1)
- KIRBAŞ, Zila Özlem(1)
- Kahriman, Ilknur(1)
- Kahriman, İlknur(1)
- Koç, Elif Simay(1)
- Kulakaç, Nurşen(1)
- Top, Fadime Ustuner(1)
- Velipaşaoğlu, Sevtap(1)
- Yıldız, Muhammed(1)
- Çiftci, Kamile(1)
- Çolak, Bahar(1)
Yayınlar
- MakaleYalnız künye2026Scopus SJRQ1The 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 künye2026Scopus SJRQ1Effects 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.
AtıfScopus1WoS1OpenAlex1İncele - MakaleAçık Erişim2025Scopus SJRQ4First Aid Self-efficacy in Mothers of Children Aged 0-4 Years: The Gümüşhane Example
Göger, Berrin; Kahriman, Ilknur; Çolak, Bahar
Introduction: The high relationship between the effective application of first aid after home accidents and survival determines the priorities in first aid. Childcare is mostly the responsibility of mothers, and their knowledge and practices regarding the management of home injuries are crucial in reducing morbidity and mortality associated with home accidents. This study aimed to examine the first aid self-efficacy of mothers with children aged 0-4 years to manage their children's home accidents. Methods: This cross-sectional study, focusing on the first aid self-efficacy of mothers with children aged 0-4 for home accidents, was conducted with 266 mothers at a district government hospital affiliated with the Ministry of Health in the Eastern Black Sea Region between January 1, 2023, and August 1, 2023. Data were collected through a demographic information form and the first aid self-efficacy scale for home accidents. Results: The mean score of the first aid self-efficacy scale in home accidents was found to be 2.15 +/- 0.95 and significant differences were found according to the mother's level of education, number of children, income status, caregiver of the child and mothers' first aid status. Conclusion: In conclusion, the findings of the study showed that first aid self-efficacy is not based solely on demographic factors, but instead may be shaped more by education, experience and the general approach of parents as parents, although mothers' knowledge of first aid was below average.
AtıfOpenAlex3TR Dizin2İncele - MakaleAçık Erişim2025Scopus SJRQ1The Effect of Audio-Visual Methods on Preoperative Anxiety in Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Kulakaç, Nurşen; Ustuner Top, Fadime
Background: Children presenting to hospitals during the preoperative period are often exposed to procedures that cause significant stress. Through preoperative interventions, nurses play an important role in relieving the anxiety of children and their parents. Objective: This study was conducted to determine the effect of audio-visual methods on preoperative anxiety levels in children. Methods: PubMed (including MEDLINE), Cochrane, EBSCOHost, Web of Science, YÖK National Thesis Center, and Google Scholar databases of randomized controlled studies published in the last 10 years were searched for this meta-analysis. 32 studies were included in the meta-analysis, and the total sample size was 2795. Results: Q According to the results of the meta-analysis using the random-effects model, audio-visual methods had a positive effect on reducing anxiety (SMD: -1.312, %95 CI -1,666-(0,958), Z=-7,260, p < 0,001, Q-value = 556,572 I2 = 94.519). The moderator analysis demonstrated that cartoons (SMD:-1.645, p < 0.001), games (SMD:-1.931, p = 0.001), music (SMD:-0.534, p < 0.001), video showings (SMD:-1.363, p = 0.001), and virtual reality (SMD:-1.782, p < 0.001) reduced preoperative anxiety in children. Conclusions: Audio-visual methods are effective in reducing preoperative anxiety in children. The results of this study may provide pediatric perioperative nurses with additional information to help them decrease anxiety for patients and their families.
AtıfScopus4WoS3OpenAlex4İncele - Derleme MakaleAçık Erişim2025Scopus SJRQ1The 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 Erişim2025Scopus SJRQ1The Effect of Music on Fear and Anxiety of Children During Tomography: A Randomized Controlled Double-Blind Study
Kurudirek, Fatma; Demir Barbak, Zülbiye; Demir İmamoğlu, Zeynep; Çiftci, Kamile; Delice, Orhan
Aim: This study was conducted to determine the effect of a musical intervention during computed tomography (CT) on fear, anxiety and vital signs of children. Method: This randomized, double-blind controlled trial was conducted according to the Consolidated Standards of Reporting Studies (CONSORT) guidelines. The study sample included children aged between 6 and 10 years who met the inclusion criteria and underwent CT scan in the emergency department of a public hospital in eastern Turkey between 18 April and 20 May 2023. The research was completed with a total of 60 children, randomized to one of two groups. The nursing intervention of the study was playing music. Data were collected through face-to-face interviews using the Child and Family Information Form, the Children's Fear Scale (CFS), Children's Anxiety Meter-State (CAM-S) and the Vital Signs Monitoring Form (pulse, blood pressure and oxygen saturation). Ethical principles were followed in the research. Results: The level of fear, anxiety, pulse rate and respiratory rate of the children in the musical intervention group during CT scanning were lower than in the control group (p < 0.05). No difference was found between the groups in terms of oxygen saturation (p < 0.05). Conclusion and Recommendations for Implementation: The results of this study suggest that musical intervention during CT scanning in children is effective in reducing the level of fear and anxiety and stabilizing vital signs. By using such nonpharmacologic methods, nurses can provide support to children and alleviate emotional difficulties during procedures. Trial Registration: NCT06086509. Summary: What is already known about this topic? Music therapy is recognized as an effective nonpharmacologic intervention to reduce fear and anxiety in paediatric patients undergoing medical procedures. Previous studies have shown that musical intervention during CT scans can calm children, potentially reducing the need for sedation and improving compliance. Knowledge gaps remain regarding the specific effects of music on physiological parameters like pulse and respiratory rates during paediatric CT scans. What this paper adds? This study demonstrates that musical intervention during CT scans significantly reduces fear and anxiety levels in children aged 6–10 years. The research findings show that music intervention can also stabilize vital signs, such as pulse and respiratory rates, during CT scans, suggesting a relaxed physiological state. The results support the idea that incorporating music into paediatric imaging procedures can enhance patient comfort and improve the quality of the imaging process by encouraging children to remain still. The implications of this paper: Incorporating music therapy into routine paediatric imaging procedures can reduce anxiety, improve patient cooperation and potentially reduce the need for sedatives. Future research could explore the optimal types of music, volume levels and delivery methods to maximize the calming effects on children during various medical procedures. Training programs for paediatric healthcare providers can include education on the benefits of nonpharmacologic interventions, like music therapy, to reduce anxiety and improve patient outcomes in clinical settings.
AtıfScopus3WoS2OpenAlex3İncele - MakaleAçık Erişim2025Scopus SJRQ1Mandala 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.
AtıfScopus8WoS6OpenAlex8İncele - MakaleAçık Erişim2024Scopus SJRQ1Psychosocial dimensions of being a child in women’s shelters: A phenomenological study on the experiences of battered women – A case study from Türkiye’s Northern Region
Uzun, Sevda; Emirza, Elif Güzide
Background: Violence against women has numerous devastating effects. Exposure to violence not only impacts women but also affects their children both physically and psychosocially. Aims: The study aimed to evaluate the psychosocial problems of children living with their mothers in women’s shelters from the mothers’ perspective with a phenomenological approach. Methods: Utilizing the phenomenological research method, semi-structured in-depth interviews were conducted with 14 individuals in a women’s shelter in a province in northern Türkiye. The criterion sampling method, a purposive sampling technique, was employed to select participants. Interviews continued until data saturation was achieved. All interviews were audio recorded and then transcribed, and thematic analysis was applied to analyze the data. The study adhered to the COREQ checklist for reporting. Results: The data analysis revealed four main categories (effects of violence on the mother, actions taken to protect children from violence, effects of violence and staying in a shelter on the child, and psychosocial needs for the protection of the child’s mental health in the shelter) and 10 sub-themes (psychological effects, physical effects, social effects, domestic actions, organizational actions, psychological effects, physical effects, social effects, support system, and coping). Conclusion: The study concluded that violence significantly impacted the mental, physical, and social well-being of both women and children, posing challenges to their ability to cope with the aftermath. Women exerted considerable effort in protecting their children from violence, and they needed psychosocial support to ensure the well-being of their children’s mental health during their stay in shelters.
AtıfScopus1WoS1OpenAlex2İncele - MakaleYalnız künye2024Scopus SJRQ1Perspectives on the mental health of immigrant children in the pediatric emergency department: a phenomenological study
Uzun, Sevda; Ustuner Top, Fadime
The concept of immigration is a complex phenomenon that goes far beyond mere relocation and refers to the transition from one social environment to another or from one culture to another. Immigration and its effects on children are regarded as global and interdisciplinary problems. This study aims to reveal the opinions of nurses working in the pediatric emergency department about the mental health of immigrant children. In this qualitative research, a phenomenological research design was used (N = 19).Interviews were conducted using a semi-structured interview form. Colaizzi’s method was used to analyze the data manually. Four categories, eleven themes, and thirty-eight sub-themes emerged from the analysis of the data. The difficulties nurses experience with immigrant children and their relatives in providing care include communication problems, cultural problems, and economic problems. The causes of mental health problems in immigrant children include war, exposure to immigration traumas, cultural assimilation problems, loss/absence of parents, economic reasons/excessive role overload, and exposure to neglect and/or abuse. Education, economic aid, communication, non-stigmatization, and social support were identified as significant sub-themes for practices to protect/promote children’s mental health. The study showed that immigrant children experience physical and mental problems. Nurses struggle to treat immigrant children effectively but have difficulties due to insufficient facilities. It may be suggested to include cultural care models in patient care.
- MakaleAçık Erişim2023Studying the Relationship between the Attitude towards Gender Roles of Parents and the Quality of Parent-Child Relationship in Nurses
Cirik, Vildan Apaydin; Aksoy, Bahar; Bulut, Elif
Gender role attitudes show people's attitudes about appropriate role activities for women and men. Many family-related factors, including parents' beliefs and behavior, can affect how people view gender roles. Nurses as health care providers can play a role in helping to form health values and behaviors at different levels. The purpose of this study was to investigate the relationship between the attitude toward gender roles of parents and the quality of parent-child relationships in working female nurses. This study was correlational descriptive research that was conducted on 135 female nurses working in selected hospitals. Statistical analysis was done using SPSS version 23. The average age of the participants was 32.62 years, the average score of attitude towards gender roles in nurses was 170.47, and it was reported in the range of 139 to 185. The mean attitude score in the dimension of the femininity role was equal to 64.06, in the dimension of the masculinity role was equal to 54.78, and in the social desirability dimension was equal to 51.64. The average score of the parent-child relationship was 142.19. The results showed a direct and significant relationship between the score of attitude towards gender roles and parent-child relationships in female nurses (P < 0.05, R = 0.187). The results of this study can be used in various areas of education and awareness of parents and school parents to influence the quality of relationships, values, and attitudes of children and parents and to change the public opinion of society about the positive role of women and men in building society.
AtıfScopus14OpenAlex13İncele - MakaleAçık Erişim2023Scopus SJRQ1Attitudes 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.
AtıfScopus14WoS11OpenAlex16İncele - MakaleAçık Erişim2023Scopus SJRQ4The Effect of a Musical Toy on Preschool Children’s Pain and Anxiety During Blood Collection; [Okul Öncesi Dönem Çocuklarında Kan Alma İşlemi Sırasında Işıklı Dönen Müzikli Oyuncağın Ağrı ve Anksiyeteye Etkisi]
Kurudirek, Fatma; Demir İmamoğlu, Zeynep; Ekici, Sümeyye
Objective: This study examined the effect of providing a lighted, rotating musical toy on preschool children’s pain and anxiety during a blood collection procedure. Methods: The randomized controlled study was conducted on a sample of children aged 4-6 years who applied to the blood collection unit of a state hospital in Turkey from July 1 through August 1, 2022. The data were obtained from 95 children who met the research criteria (48 in the control group and 47 in the intervention group). Stratification and block randomization methods were used to determine the experimental and control groups. The variables of gender and fear of interference were used in the stratification of the children. The Family and Child Information Form, Child Fear and Anxiety Inventory, and Wong–Baker Facial Expression Rating Scale were used to collect the data. Results: The pain scores of the children in the experimental group were found to be lower (1.42 ± 1.05) than those in the control group (2.81 ± 1.23), and the result was statistically significant (P < .001). During the procedure, the mean Child Fear and Anxiety Inventory score of the children in the experimental group (1.21 ± 0.97) was lower than that of the control group (2.72 ± 1.10), and the difference was statistically significant (P < .001). Conclusion: This study found that providing a lighted, rotating musical toy to children aged 4-6 during blood collection effectively reduced their pain and anxiety. In line with these results, it is recommended that nurses and parents use such a toy in blood collection units to reduce pain and anxiety in children.
AtıfScopus4WoS3OpenAlex2TR Dizin1İncele - MakaleAçık Erişim2022The Evaluation of Child Sexual Abuse: Child Advocacy Center Example
Bayrak, Nurten Gulsum; Akpinar, Damla; Top, Fadime Ustuner; Uzun, Sevda
Objective: The purpose of the research was to evaluate the child sexual abuse cases admitted to the Child Advocacy Center (CAC) in terms of the child, family, and abuser, and to identify the associated factors. Method: The data were collected retrospectively and descriptively from the cases in the CAC using the juridical reports, family interview reports Provincial Directorate of Family and Social Policies representative reports and the data collection form developed by the researchers. Results: Within the scope of the research, 175 child victims of sexual abuse were evaluated According to this; the mean age of the abused children was in the study was 13.33 +/- 3.33, 81.7% were girls, and 42.9% were high school students. According to the results of the study, 34.3% of the children were diagnosed with mental illness. Among the mothers and fathers included in the study, 76% of the mothers and 33.7% of the fathers are not working and also 85.1% of the mothers and 79.5% of the fathers are primary school graduates. In addition, 60% of families have a low income level. It was determined that 57.7% of the children were exposed to abuse many times and irregularly, 40.6% were exposed to sexual touching, 35.4% were exposed to penetration, and 44% medical examination. Conclusion: The study showed that family dynamics play a pivotal role in the sexual abuse of children, and low socio-economic/education level and being an adolescent girl is among the significant factors.
AtıfWoS2OpenAlex4İncele - Derleme MakaleAçık Erişim2022Scopus SJRQ4A Dimension of Child Emergency: Psychiatric Emergency and Nursing Approach; [Çocuk Acilin Bir Boyutu: Psikiyatrik Aciller ve Hemşirelik Yaklaşımı]
Aksoy, Bahar; Kahriman, İlknur
In recent years, there has been a significant increase in applications to pediatric emergency services. Psychiatric emergencies are one of the frequent applications made to pediatric emergency services. Psychiatric emergencies are the first places that children and families will go to, as a situation that applications urgent intervention. However, in cases that do not require emergency intervention, children and families should apply to psychiatry services, while most of the applications are made to emergency services. Psychiatric emergencies constitute 3-12% of the applications made to emergency services. Therefore, in this review, psychiatric emergencies, risk factors, incidence, identification and evaluation of psychiatric emergencies, specific psychiatric emergencies and nursing approach are discussed in this review.
AtıfScopus1WoS1OpenAlex1İncele - MakaleAçık Erişim2020Scopus SJRQ3Educating children through their parents to prevent child sexual abuse in Turkey
Apaydın Cırık, Vildan; Efe, Emine; Velipaşaoğlu, Sevtap
Purpose: The aims of this study were to train parents to recognize and prevent child sexual abuse (CSA); evaluate the problems encountered by parents; and evaluate the overall effectiveness of the CSA training program. Design and Methods: The study used a pretest/posttest design. The study was conducted with a sample of 58 children (aged 3-6 years) and 64 parents. Findings: Children who received CSA prevention education from their parents demonstrated improved knowledge about private parts and about what they should do if they suspect sexual abuse. The parents stated that they encountered some problems (other family members objected to the child being given such training). Practise Implications: Children's risk of abuse may be reduced if their parents teach them about CSA correctly.
AtıfScopus26WoS23OpenAlex36İncele