Browsing by Author "Atak, Meryem"
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Item Bilgisayar temelli oyunun çocuklarda kabızlık yönetimine etkisi(Bursa Uludağ Üniversitesi, 2024-06-10) Atak, Meryem; Özyazıcıoğlu, Nurcan; Bursa Uludağ Üniversitesi / Sağlık Bilimleri Enstitüsü / Hemşirelik Anabilim Dalı; 0000-0002-8387-9959Çocuklarda fonksiyonel kabızlık tedavisinde ilk adım farmakolojik olmayan yöntemlerdir. Bu yöntemler diyet önerileri, sıvı alımı, fiziksel aktivite ve oğru tuvalet alışkanlığı kazandırmaya yönelik tavsiyeler gibi eğitim ve davranış değişikliğini içerir. Bu çalışma, 5- 8 yaş arasında kabızlık tanısı alan çocuklarda bilgisayar temelli oyununun kabızlık yönetiminde dışkılama sayısı ve tipi, fiziksel aktivite, diyet lif alımı ve sıvı alımına etkisini değerlendirmek amacıyla, randomize kontrollü olarak yapılmıştır. Çalışmanın evrenini, Şubat 2021- Mart 2024 tarihleri arasında bir devlet hastanesinin Çocuk Gastroenteroloji polikliniğine gelen ve 5-8 yaş grubu kabızlık tanısı alan hastalar oluşturdu. Çalışmanın örneklemini ise örneklem seçim kriterlerine uyan ve araştırmaya katılmayı gönüllü olarak kabul eden 23 müdahale, 23 kontrol grubu olmak üzere 46 çocuk oluşturdu. Her iki grupta bulunan çocukların anneleri çocuklarının 6 hafta boyunca yedikleri, içtikleri ve orta- şiddetli egzersiz sürelerini kayıt altına aldı. Her iki gruba da kabızlık eğitim broşürü verildi. Müdahale grubuna atanan çocuklar bilgisayar temelli oluşturulmuş oyunu oynadılar. Bilgisayar temelli oyun müdahalesinin kabızlığı olan çocuklarda dışkılama sayısı ve tipi, diyet lif alımı ve sıvı alımına istatistiksel olarak anlamlı derecede etkisi bulundu (p<0,05). Fiziksel aktivite süresinde anlamlı bir fark bulunmadı. Kabızlığı olan çocuklarda bilgisayar temelli oyun müdahalesi çocuklarda sağlık eğitiminde alternatif bir araç olabilir. Pediatri hemşireleri sağlık eğitimlerinde bilgisayar temelli oyun yaklaşımını kullanabilir.Publication Efficacy of buzzy(r)on pain and anxiety during catheterization in children(Wiley, 2020-09-09) Duygulu, Şengül; Demirtaş, Zeliha; Yılmaz, Dilek; YILMAZ, DİLEK; Özyazıcıoğlu, Nurcan; ÖZYAZICIOĞLU, NURCAN; Çıtak Tunç, Gülseren; ÇITAK TUNÇ, GÜLSEREN; Aydın, Ayla İrem; AYDIN, AYLA İREM; Atak, Meryem; ATAK, MERYEM; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Meslek Yüksek Okulu.; 0000-0001-7269-8493; 0000-0001-9645-7221; AAE-2648-2019; HJZ-4896-2023; AAG-2640-2021; ADO-4343-2022; AAI-6835-2021Background: The use of a peripheral intravenous cannula is a common clinical practice, and it is known to be a major source of pain and anxiety in children. The aim of this study was to examine the effect of the use of the Buzzy(R)on pain and anxiety in children during peripheral cannula application.Methods: The research sample consisted of 60 children between the ages of 8 and 16. For children in the experimental group, external cold and vibration were applied by means of the Buzzy(R)device. Before and during the peripheral intravenous cannula procedure, the levels of fear and anxiety relating to the procedure of the child patients in both the experimental and control groups were assessed by the children themselves and by an independent observer. Immediately after the vein entry procedure had been carried out, the level of pain felt by the children was determined.Results: The results of the statistical analysis showed no statistically significant difference between the anxiety levels of the groups before and after the procedure (P> 0.05). The results of the statistical analysis also showed no statistically significant difference between the postprocedural mean pain scores of the children as reported by the children themselves and by the observer (P> 0.05).Conclusions: In this study, unlike most studies in the literature, the conclusion was reached that the use of the Buzzy(R)to reduce pain and anxiety during the application of a peripheral intravenous cannula in children was not effective.Publication Evaluation of breastfeeding success and self-efficacy in mothers giving birth via vaginal delivery or cesarean section: A cross-sectional study(Routledge Journals, Taylor & Francis Ltd, 2022-11-21) Buran, Gonca; BURAN, GONCA; ÖZYAZICIOĞLU, NURCAN; Atak, Meryem; ATAK, MERYEM; Aydın, Ayla İrem; AYDIN, AYLA İREM; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Hemşirelik Bölümü.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Kadın Hastalıkları ve Doğum Anabilim Dalı.; 0000-0001-9082-553X; 0000-0001-9645-7221; AAH-6269-2021; AAE-2648-2019This cross-sectional observational study was conducted to compare breastfeeding success and breastfeeding self-efficacy levels of mothers who gave birth via vaginal delivery (spontaneous or via epidural analgesia) or cesarean section (under general or spinal anesthesia). The study was conducted between September 2019 and February 2020 in the obstetric clinic. Data were collected using a Data Collection Form, the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), and the LATCH Breastfeeding Evaluation Tool. Throughout the study, we followed the STROBE Checklist. Mothers who gave birth via spontaneous vaginal delivery had a statistically higher mean Breastfeeding Self-Efficacy score (54.92 +/- 7.72; p < .001) than those who gave birth under spinal anesthesia (43.21 +/- 10.04; p < .001) and then those who gave birth via cesarean section under general anesthesia (37.39 +/- 10.64; p < .001). The difference between the delivery modes in terms of breastfeeding self-efficacy and breastfeeding success scores was statistically significant (respectively, KW = 40.168, p < .001 and KW = 52.420, p < .001). In order to increase the breastfeeding success of mothers who give birth via cesarean section under general anesthesia or spinal anesthesia, lactation nurses need to strengthen the perception of breastfeeding self-efficacy and provide more breastfeeding support to them compared to mothers who give birth via SVD.Item Farklı işitsel dikkat dağıtma yöntemlerinin çocuklarda ameliyat sonrası ağrı ve anksiyete üzerine etkisi(Uludağ Üniversitesi, 2018-06-11) Atak, Meryem; Özyazıcığlu, Nurcan; Uludağ Üniversitesi/Sağlık Bilimleri Enstitüsü/Hemşirelik Anabilim Dalı.Araştırma farklı işitsel dikkat dağıtma yöntemlerinin çocuklarda ameliyat sonrası ağrı ve anksiyete üzerine etkisini belirlemek amacıyla deneysel olarak yapıldı. Araştırmanın evrenini Bursa Dörtçelik Çocuk Hastalıkları Hastanesi çocuk cerrahi kliniklerinde Ocak-Ekim 2017 tarihleri arası ameliyat olan 7-14 yaş grubundaki çocuklar oluşturdu. Araştırmanın örnekleminde ise örneklem seçim kriterlerine uyan toplam 90 çocuk (klasik müzik=30,Türk müziği=30, öykü dinleme=30) yer aldı. Araştırmanın verileri çocuk ve ebeveyn sosyo-demografik veri toplama formu, Görsel Analog Skala (VAS), Wong-Baker Yüzler Ağrı Ölçeği (WBFPS) ve Çocuklar için Durumluk-Sürekli Kaygı Envanteri (ÇDSKE) kullanılarak toplandı. Gruplardaki çocuklara ameliyat sonrası dönemde klasik müzik, Türk müziği ve öykü dinletisi yapıldı. Araştırmanın istatistiksel analizleri için Shapiro Wilk, Kruskal Wallis, Mann Whitney U, Bonferroni, Wilcoxon, Pearson Ki-kare testi ve Fisher-Freeman-Halton testleri kullanıldı. Araştırma grupları ağrı ve anksiyete düzeyini etkileyebilecek cinsiyet, yaş, ameliyat işlemine ilişkin özellikler gibi değişkenler açısından benzerdi (p>0,05). Çalışmada üç grupta yer alan çocuklara dinletilen klasik müzik, Türk müziği ve öykü dinletisi yöntemlerinin ameliyat sonrası ağrı ve anksiyete durumluluk düzeylerini azaltmada etkili olduğu saptandı (p<0,05). Sonuç olarak, farklı işitsel dikkat dağıtma yöntemlerinin çocuklarda ameliyat sonrası ağrı ve anksiyete üzerine azaltıcı etkisi olduğu belirlendi.Publication Hand dermatitis among nurses during the COVID-19 pandemic: Frequency and factors(Lippincott Williams & Wilkins, 2021-12-01) Aydın, Ayla İrem; Atak, Meryem; Özyazıcıoğlu, Nurcan; Dalkızan, Vahit; AYDIN, AYLA İREM; Özyazıcıoğlu, Nurcan; Atak, Meryem; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Çocuk Sağlığı ve Hastalıkları Hemşireliği; 0000-0001-9645-7221; 0000-0002-8387-9959; AAE-2648-2019; AAI-6835-2021; AAG-2640-2021OBJECTIVE: To determine the frequency of hand dermatitis among nurses during the COVID-19 pandemic and factors affecting its prevalence.METHODS: The research sample consisted of 175 nurses working in state hospitals. Research data were collected via Google survey between September and October 2020. The data were collected using a sociodemographic data collection form, and a self-assessment form was used to determine dermatologic symptoms.RESULTS: The frequency of hand dermatitis among nurses was 70.9%. A statistically significant difference was found between sex, allergy history, and increased frequency of handwashing and the frequency of hand dermatitis. No significant difference in terms of the frequency of hand dermatitis was found between nurses who provided care to patients who were COVID-19 positive versus nurses who provided care to patients who were COVID-19 negative. However, the frequency of washing hands and using hand disinfectants and hand creams was found to have increased significantly during the COVID-19 pandemic compared to the prepandemic period.CONCLUSIONS: The frequency of hand dermatitis increased among nurses during the pandemic. The increased frequency of handwashing during the pandemic poses a risk for hand dermatitis among nurses, although this should not discourage nurses from appropriate hygiene.Publication Hand dermatitis in nursing students(Lippincott Williams & Wilkins, 2020-04-01) Özyazıcıoglu, Nurcan; ÖZYAZICIOĞLU, NURCAN; Surenler, Semra; SÜRENLER, SEMRA; Aydin, Ayla Irem; AYDIN, AYLA İREM; Atak, Meryem; ATAK, MERYEM; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Hemşirelik Meslek Yüksek Okulu.; 0000-0001-9645-7221; HJZ-4896-2023; AAI-6835-2021; AAG-2640-2021; AAE-2648-2019OBJECTIVETo determine the frequency of self-reported hand dermatitis and the factors influencing its prevalence among nursing students.METHODSResearchers collected demographic data and used a self-assessment form to identify dermatologic symptoms. The questionnaires were distributed to the students and collected again after the students completed the forms.RESULTSHand dermatitis was present in 20.9% of nursing students. The most common symptoms were irritation/pruritus, redness/cracking, flaking/rash, swelling, and vesicles in hands. The grade of the student, the presence of allergy complaints, and medication used to treat dermatitis were statistically significantly associated with dermatitis prevalence. The use of gloves and cleansing agents used in handwashing were factors linked to hand dermatitis.CONCLUSIONSHand dermatitis increases in parallel with the increase of clinical practice hours among nursing students. Familial and environmental factors also increase the risk of hand dermatitis.Publication Individual hygiene behaviors during the COVID-19 pandemic(Univ Sao Paolo, 2022-01-01) Aydın, Ayla İrem; Doğan, Derya Akça; Serpici, Ayşe; Atak, Meryem; AYDIN, AYLA İREM; AKÇA DOĞAN, DERYA; ATAK, MERYEM; SERPİCİ, AYŞE; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Çocuk Sağlığı ve Hastalıkları Hemşireliği Bölümü.; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Hemşirelik Bölümü.; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Cerrahi Hemşireliği Bölümü.; 0000-0001-7040-2732; 0000-0002-9402-9861; 0000-0002-6789-5027; 0000-0002-8387-9959; AAE-2648-2019; AAI-6539-2021; AAG-2640-2021; HLR-3740-2023Objective: To investigate the hygiene behaviors of individuals during the Coronavirus Disease-2019 (COVID-19) pandemic.Method: During the pandemic (April 2021- September 2021), 439 adults were surveyed online via Google Forms, which assessed the individuals' introductory information and hygiene behaviors as determined by the COVID-19 Hygiene Scale.Results: Out of the participants, 71.3% were female and 68.3% were 18-33 years old. The mean COVID-19 Hygiene Scale score of the participants was 94.62 +/- 26.56. Individuals belonging to the 18-33 years age group had significantly higher hand hygiene scores than the other age groups (p < 0.05). Women showed a higher mean total and subdomain scores in the COVID-19 Hygiene Scale than men. A significant difference between the social distance and mask use and hand hygiene subdomains was observed (p < 0.05).Conclusion: The hand hygiene scores of the individuals varied by age and gender, whereas the social distance and mask use scores varied by only gender. Based on the above mentioned results, the nurses should focus on the individuals' development of effective hygiene behaviors, and schedule and implement trainings according to the sociodemographic differences among the individuals.Publication Infantile colic in infants aged one-six months and the practices of mothers for colic(Galenos Yayincilik, 2020-09-01) Didisen, Nurdan Akcay; Yavuz, Betul; Gerceker, Gulcin Ozalp; Albayrak, Tugba; Basbakkal, Didar Zumrut; Atak, Meryem; ATAK, MERYEM; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Hemşirelik Meslek Yüksek Okulu.; 0000-0002-8387-9959; AAG-2640-2021Aim: The aims of this study were to explore the infantile colic in infants from 1-6 months of age, and the mother's practices to eliminate colic and the relationships between infantile colic scores and sample characteristics.Materials and Methods: This descriptive study included 232 mothers of infants who were admitted to the hospital for child monitoring at two university hospitals in the Aegean region. Information on demographics, colic characteristics, and practices of mothers to eliminate colic was collected.Results: According to reports of the mothers, 67.2% of the infants had colic, and 28.5% of the infants met all of the Wessel criteria. The average scale score of infantile colic was 65.2 +/- 12.6. To eliminate the colic, 67.6% of the mothers held their infants on their lap, 68.7% rocked them, 63.2% changed the position of their infants, 57.4% massaged the infants' bellies, and 37.1% stated that they used a warm application.Conclusion: One out of every three-four babies in the study met the diagnosis of infantile colic according to Wessel criteria's. The average score obtained from the infantile colic scale is quite high. Mothers usually use behavioral methods to prevent and reduce colic symptoms, they also use pharmacological and traditional methods in this study.Publication The effect of different audio distraction methods on children's postoperative pain and anxiety(Elsevier, 2021-01-29) Atak, Meryem; Özyazıcıoğlu, Nurcan; ATAK, MERYEM; ÖZYAZICIOĞLU, NURCAN; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Çocuk Sağlığı ve Hastalıkları Hemşireliği Bölümü; 0000-0001-9645-7221; 0000-0002-8387-9959; HJZ-4896-2023; AAG-2640-2021; AAI-6835-2021Purpose: The aim of the study was to determine the effect of different auditory methods of attention distraction on postoperative pain and anxiety in children. Design: The study was conducted as a pretest-posttest experimental study to determine the effect of classical music, Turkish music, and audiobook on the reduction of postoperative pain and anxiety in children. Methods: The patient population of the study comprised children who had undergone a surgical operation in the pediatric surgery clinics. A total of 90 children were included in the sample of the study. The data were collected using the Visual Analog Scale, the Wong-Baker Faces Pain Scale, and the State-Trait Anxiety Inventory for children, in addition to the sociodemographic data form of the child and the parent. Findings: Classical music, Turkish music, and audiobook methods played an effective role in decreasing postoperative pain and the anxiety state in children. Classical music listening was the most effective method in reducing the pain in children in the postoperative period in the three groups in the study. Conclusions: We demonstrated that different auditory attention distraction methods had a decreasing effect on postoperative pain and anxiety in children. ? 2020 American Society of PeriAnesthesia Nurses. Published by Elsevier, Inc. All rights reserved.