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Yayın Bebeklerde (3-6 ay) Periferik İntravenöz Kateterizasyon Uygulaması Sırasında Kullanılan Müzikli Dönencenin Ağrı Algısına Etkisi(2021) Akay, Nagihan; Ekici, Behice; Kuğuoğlu, SemaAmaç: Bu araştırma, 3-6 ay arası bebeklerde, periferik intravenözkateterizasyon uygulaması sırasında kullanılan müzikli dönenceninağrı algısına etkisini belirlemek amacıyla gerçekleştirilmiştir.Gereç ve Yöntem: Yarı deneysel olarak 3-6 ay arası toplam 112bebek ile yürütülen çalışma 2.11.2017 ve 31.01.2018 tarihlerindebir hastanenin çocuk servisinde gerçekleştirilmiştir. Deneygrubunda intravenöz kateterizasyon işlemi sırasında müziklidönence kullanılırken, kontrol grubuna sadece kateterizasyonuygulanmıştır. Bebek Tanıtıcı Bilgi Formu ve Face Legs Activity CryConsolability (FLACC) Ağrı Ölçeği ile veriler toplanmıştır. Her ikigrupta işlem öncesi, işlem sırası ve işlem sonrasında birbirindenbağımsız iki gözlemci eş zamanlı ağrı ölçeğini puanlamıştır.Bulgular: Araştırma kapsamına alınan bebeklerin %52.7’si (n=59)kız, %47.3’ü (n=53) erkektir. Bebeklere ilişkin genel özelliklerin (yaş,tartı, boy) deney ve kontrol grupları arasında benzerlik gösterdiğisaptanmıştır. İşlem öncesi (p:0.011; p< 0.05), işlem sırası (p:0.001;p< 0.01) ve işlem sonrasında (p:0.001; p<0.01) kontrol grubununFLACC ağrı puanları, deney grubu FLACC ağrı puanlarına göreistatistiksel olarak anlamlı düzeyde yüksek bulunmuştur.Sonuç: Periferik intravenöz kateterizasyon uygulaması sırasındaağrı algısının azaltılmasında müzikli dönence etkili bulunmuştur vegüvenle kullanılabilirYayın Development of hospital perception scale for healthy children (HPSHC) and investigation of its psychometric properties(Children, 2023) Ekici, BehiceAim: The aim of the study was to develop and analyze the psychometric properties of a hospital perception scale for healthy children aged 8 to 10 years. (2) Methods: A methodological design was employed. The scale’s validity was investigated using the approaches of content validity, face validity, item analysis, and construct validity. The scale’s reliability was evaluated utilizing the approaches of internal consistency reliability, measurer reliability, and measurement invariance. (3) Results: In total, 330 children took part in this study. The scale is composed of six factors. Factor loads range from 0.42 to 0.79. The item–total score correlation coefficients were 0.42 and 0.79, respectively, while the Cronbach alpha reliability coefficient was 0.87. (4) Conclusions: The HPSHC is a valid and reliable tool. It can be used to determine how healthy or sick children in their middle childhood are perceived when going to the hospital and being hospitalized.Yayın Effect of illuminated musical mobile on sleep quality of children hospitalized in pediatric emergency departments(Elsevier Science Inc, 2022) Topsakal, Sinem; Ekici, BehicePurpose: The aim of this study is to evaluate the effect of an illuminated musical mobile on the sleep quality of children hospitalized in a pediatric emergency department. Design and methods: In this randomized controlled study, 124 children presenting to a pediatric emergency department who met the inclusion criteria were included in the study. Patients were randomized into two equal groups. In the intervention group, an illuminated musical mobile was used to help facilitate sleep. In the control group, routine sleep routines were continued. Groups were compared according to sleep quality as evaluated by mothers' observations. Evaluation was performed twice (before intervention - 1st day of hospitalization and on the intervention day - 2nd day of hospitalization). Results: Average age of children was 1.86 +/- 0.78 years. On the intervention day, nighttime sleep duration was longer in the intervention group (p < .0001). Also, the frequency of spontaneous awakening (p < .0001), time to fall asleep after spontaneous awakening (p < .0001) and sleep time problems (p < .0001) were less in the intervention group. Conclusions: An illuminated musical mobile was used for the first time in the pediatric emergency department andwas found to be effective in improving the sleep quality of hospitalized children aged between 1 and 3 years. Practice implications: During hospitalization, children's sleep quality can be increased by using methods and objects suitable for the child's developmental level. (c) 2022 Published by Elsevier Inc.Yayın The Effect of Incubator Cover on Newborn Vital Signs: The Design of Repeated Measurements in Two Separate Groups with No Control Group(Mdpi, 2023) Çetin, Kenan; Ekici, Behice(1) Background: During their stays in neonatal intensive care units (NICU), newborns are exposed to many stimuli that disrupt their physiological indicators. The aim of this study was to investigate the impact of the light-dark cycle created with and without an incubator cover on the vital signs of term and preterm newborns. (2) Methods: A repeated measures design was used in the study utilizing two separate groups, without a control group. The study included 91 neonates hospitalized in a NICU (44 term and 47 preterm). With and without an incubator cover, the newborns' vital signs (heart rate (HR), respiratory rate (RR), oxygen saturation (SpO(2)), and body temperature (BT)) were measured. Three separate measurements were taken. (3) Results: The mean age of the newborns was 37.0 weeks. There was no significant difference between the HR and RR medians of the term and preterms in the incubator undraped and clad measurements (p > 0.05). At the first measurement, the SpO(2) medians of the incubator-covered term and preterms were significantly higher than those of the incubator-covered term and preterms (p = 0.001). (4) Conclusions: The vital signs of the neonates demonstrated variable responses in the measurements when their incubators were covered vs. when they were not covered. However, more research on the effect of the light-dark cycle on their vital signs is required.Yayın Effects of an Asthma Training and Monitoring Program on Children's Disease Management and Quality of Life(AVES, 2015) Ekici, Behice; Cimete, GuelerOBJECTIVES: To determine the effects of an asthma training and monitoring program on children's disease management and quality of life. MATERIAL AND METHODS: The sample consisted of 120 children and their parents. Data were collected during, at the beginning, and at the end of the 3-month monitoring period using four forms and a quality of life scale. After an initial evaluation, approaches to control symptoms and asthma triggers and measures that might be taken for them were taught to the children and parents. The children recorded the conditions of trigger exposure, experience of disease symptoms, their effects on daily activities, and therapeutic implementations on a daily basis. RESULTS: During the 3-month monitoring period, the number of days when the children were exposed to triggers (p=0.000) and experienced disease symptoms decreased to a statistically significant level (p=0.006). Majority of domestic triggers disappeared, but those stemming from the structure of the house and non-domestic triggers indicated no change (p>0.05). Moreover, 30.8% of the children applied to a physician/hospital/emergency service, 4.2% of the children were hospitalized, and 30% of them could not go to school. The number of times when the children applied to a physician/hospital/emergency (p=0.013), the number of times they used medicines (p=0.050), and the number of days they could not go to school (p=0.002) decreased at a statistically significant level, and their quality of life increased (p=0.001). CONCLUSION: Asthma training and monitoring program decreased children's rate of experiencing asthma symptoms and implementations of therapeutic purposes and increased their life quality.Yayın Lise öğrencilerinin ailelerinden aldıkları sosyal destek düzeyinin belirlenmesi(Maltepe Üniversitesi, Sağlık Bilimleri Enstitüsü, 2017) Güllü, Kocaman; Ekici, BehiceBu araştırma, lise öğrencilerinin ailelerinden aldıkları sosyal destek düzeyinin belirlenmesi amacıyla yapılmıştır. Araştırmanın örneklemini 385 lise öğrencisi oluşturmuştur. Araştırmanın verileri “Çocukları ve Ailelerini Tanıtıcı Bilgi Formu” ve “Algılanan Sosyal Destek Ölçeği / Aile” ölçeği kullanılarak toplanmıştır. Araştırmada tanımlayıcı özellikler ve kategorik veriler n ve % değerleri ile sürekli veriler ortalama ± standart sapma değerleriyle incelenmiştir. Kategorik verilerin karşılaştırılmasında; T testi ve Tek Yönlü Anova testi kullanılmıştır. İstatistiksel anlamlılık için alfa hata düzeyi %5 kabul edilmiştir. Lise öğrencilerinin aileden algıladıkları sosyal destek ölçeğinin puan ortalamasının 10,9 ± 3,1 puan olduğu belirlenmiştir. Lise öğrencilerin yaşı, cinsiyeti, ailedeki çocuk sırası, kardeş sayısı, ailenin tipi, engellilik durumu, kronik hastalığının varlığı, ebeveyn yaşı, eğitim düzeyi, ev dışında çalışma durumu, ebeveynlerin sağ kalımına göre aileden algılanan sosyal destek ölçek puanları arasında istatistiksel olarak anlamlı bir fark bulunmamıştır (p > 0,005). Lise öğrencilerinin, evde yaşayan üvey aile bireyinin olmasına ebeveyn tutumuna ve ebeveynle ilişki durumuna göre algılanan sosyal destek ölçek puanları arasında istatistiksel olarak anlamlı bir fark bulunmuştur (p < 0,05). Ebeveynlere, çocuklara verilmesi gereken sosyal destek ve sosyal desteğin önemi, sağlıklı ve doğru çocuk yetiştirme tutumları ve iletişim şekilleri konularında eğitim verilmeli, yeterli sosyal destek alamayan çocuklara rehber öğretmenleri ve hemşireler tarafından gerekli sosyal desteğin sağlanması, doğru ebeveyn tutumları ve sosyal desteğin çocuğun gelişiminde önemi konusunda kamu spotlarının, görsel-işitsel iletişim araçlarının kullanılması önerilmiştir.Yayın Maintaining skin integrity in neonates with sunflower seed oil and liquid vaseline: a prospective randomized controlled study(Ovid Technologies (Wolters Kluwer Health), 2022) Karakoç, Ilgın Bahar; Ekici, BehiceOBJECTIVE: To test the effectiveness of sunflower seed oil (SSO) and liquid Vaseline (LV) in maintaining skin integrity in term and preterm neonates in the neonatal ICU. Because the skin of the neonate is still immature, disruption of skin integrity is a commonly observed problem. METHODS: In this randomized controlled study, 90 preterm and term neonates in the neonatal ICU of a state hospital were equally divided into three groups. The skin condition of the neonates in all three groups was assessed using the Neonatal Skin Condition Score (NSCS); assessments were made a total of nine times at 48-hour intervals. The skin of the neonates in the first group was moisturized with SSO, and the second group was moisturized with LV, once a day, a total of 16 times. Moisturizer was not applied to the skin of the third group of neonates (the control group). RESULTS: The median gestational age was 37.0 weeks (range, 36.0–38.0 weeks). After the third evaluation, the median NSCS scores for the neonates in the SSO and LV groups were significantly lower than for those in the control group (P < .001). The control group’s median NSCS scores did not change throughout the period of the study. CONCLUSIONS: Both SSO and LV are harmless to the skin of neonates and can be used to maintain their skin integrity. More advanced studies are needed to evaluate the effects of topical oils on maintaining skin integrity.
