Browsing by Author "Duzkaya, Duygu Sonmez"

Now showing 1 - 13 of 13

Citation Count: 1
Awareness of child abuse and neglect among students
(Kare Publ, 2022) Uysal, Gulzade; Bozkurt, Gulcin; Duzkaya, Duygu Sonmez
Objectives: This descriptive study was conducted to determine the level of awareness of child abuse and neglect (CAN) among students at a private university in Istanbul, Turkey. Methods: The study sample comprised 1533 students from all faculties and colleges of the university selected using the stratified sampling method. A demographic information form and the Child Abuse and Neglect Awareness Scale (CANAS) were used to collect the study data. Results:The findings revealed that 30.5% of the students had received some instruction about CAN and 72.9% indicated that they wanted lectures on CAN to be added to the curriculum. The mean total score of the CANAS and the mean scores of the physical abuse, emotional abuse, and neglect subscales were statistically significantly higher among female students (p<0.05). The physical abuse and neglect subscale scores of students who had formal education on abuse were higher than those of students who had not (p<0.05). Conclusion:The female students and those who had received instruction about abuse had greater awareness of abuse and neglect. Broader coverage in the curriculum may increase the awareness of all students and help to enhance public understanding.
Citation Count: 17
Chlorhexidine-Impregnated Dressings and Prevention of Catheter-Associated Bloodstream Infections in a Pediatric Intensive Care Unit
(Amer Assoc Critical Care Nurses, 2016) Duzkaya, Duygu Sonmez; Sahiner, Nejla Canbulat; Uysal, Gulzade; Yakut, Tulay; Citak, Agop
[No Abstract Available]
Citation Count: 1
Development of Oral Mucositis in Patients in The Pediatric Intensive Care Unit
(Istanbul Univ, Fac Nursing, 2017) Duzkaya, Duygu Sonmez; Uysal, Gulzade; Bozkurt, Gulcin; Yakut, Tulay
Aim: To evaluate the development of oral mucositis in patients admitted in the pediatric intensive care unit. Method: Descriptive research was carried out by retrospectively scanning files of 181 children, who were admitted to the pediatric intensive care unit (ICU) of a university hospital in Istanbul between January and December, 2015. Rather than sampling, the whole population was included in the research. The data was extracted from patient files by the researchers. Results: The mean age of the patients was 48.69 +/- 3.29 months, 37.5% of the patients were treated in ICU because of respiratory system diseases, 92.2% could not manage oral feeding, 86.1% received oxygen therapy, and 77.3% received steroid treatment. Oral mucositis developed in 2.7% of patients, three patients fully recovered from oral mucositis before discharge from the ICU, and two patients were discharged with phase 1 oral mucositis. Conclusion: Although risk factors are prevalent in the ICU, the rate of oral mucositis was low among our patients.
Citation Count: 18
THE EFFECT OF A CARTOON AND AN INFORMATION VIDEO ABOUT INTRAVENOUS INSERTION ON PAIN AND FEAR IN CHILDREN AGED 6 TO 12 YEARS IN THE PEDIATRIC EMERGENCY UNIT: A RANDOMIZED CONTROLLED TRIAL
(Elsevier Science inc, 2021) Duzkaya, Duygu Sonmez; Bozkurt, Gulcin; Ulupinar, Sevim; Uysal, Gulzade; Ucar, Serpil; Uysalol, Metin
Introduction: Intravenous insertion is the most common invasive procedure made for administering intravascular fluid and medicine. Peripheral venous catheterization may cause pain, fear, and stress in children. This study aimed to compare the effects of watching a cartoon and an information video about intravenous insertion on the pain and fear levels of children aged 6-12 years. Methods: The study was an experimental, randomized controlled clinical trial. It was conducted with 477 children aged 6-12 years randomized into 3 groups: the informative animated video group, the cartoon group, and the control group. Fear and pain perception were evaluated on the basis of the feedback from the child, observer nurse, and parents. The Children's Fear Scale was used to evaluate the fear level and the Wong-Baker FACES Scale was used to assess pain levels. Data were analyzed using one-way analysis of variance, the chi-square test, and the intraclass correlation coefficient test. Results: The children who watched the information video before the intravenous insertion procedure and those who watched a cartoon during the procedure had lower mean pain and fear scores as evaluated by the child (pain: F = 278.67, P = 0.001; fear: F = 294.88, P = 0.001), parent (pain: F = 279.53, P = 0.001; fear: F = 294.47, P = 0.001), and nurse (pain: F = 286.88, P = 0.001; fear: F = 300.81, P = 0.001) than children in the control group. Discussion: This study showed that watching an animation video or a cartoon was effective in lowering children's perceived level of pain and fear during an intravenous insertion intervention.
Citation Count: 11
The Effect of Oral Care Using an Oral Health Care Guide on Preventing Mucositis in Pediatric Intensive Care
(Elsevier Science inc, 2017) Duzkaya, Duygu Sonmez; Uysal, Gulzade; Bozkurt, Gulcin; Yakut, Tulay
Objectives: To evaluate the effectiveness of standard-of-care oral care guides developed specifically for children in intensive care to prevent mucositis. Design and Methods: This prospective, interventional and single-group study design was performed in the pediatric intensive care unit of a university hospital in Istanbul between January and December 2014. Daily oral care was implemented to pediatric patients in the study group in line with an oral care guide developed by the researchers. Data were collected using the data collection form and oral mucositis assessment scale published by the World Health Organization (WHO). Results: Oral mucositis occurred in 16(5.2%) patients in the pre-intervention group and 7 (2.5%) in the post-intervention group, 10 patients had grade 1, and 6 patients had grade 2 oral mucositis in the pre-intervention group, and in the post-intervention group, three patients had grade 1, and four patients had grade 2 oral mucositis. Although more patients in the pre-intervention group had mucositis than in the post-intervention group, the differences were not statistically significant (P = 0.067). Conclusions: Oral mucositis can be reduced through the practice of administering oral care in accordance with oral healthcare guidelines. Practice Implications: Oral care implemented in line with an evidence-based oral care guide and frequent observation of patients are the most important steps in preventing oral mucositis. (C) 2017 Elsevier Inc. All rights reserved.
Citation Count: 2
Effect of Two Bathing Methods on Physiologic Parameters in Pediatric Intensive Care
(Sage Publications inc, 2022) Oz, Ozgul; Uysal, Gulzade; Duzkaya, Duygu Sonmez
To determine the effect of traditional and disposable bed baths performed in the pediatric intensive care unit (PICU) on the physiologic parameters of children. This research was conducted as a randomized controlled trial with children who were monitored in the PICU. It was found that the pulse and blood pressure immediately after the bath were higher for both bath applications and was the lowest 30 minutes after the bath (p < .05). Children who used traditional baths had a lower body temperature than those who used the disposable bed bath after bathing for the second day. Oxygen saturation averages were found that within the group to be the highest 30 minutes after bathing methods (p < .05). Both bathing methods applied in the PICU had a positive effect on physiologic parameters. It may be recommended to regularly perform the most appropriate bathing for patients with stable hemodynamics in PICUs.
Citation Count: 7
The Effects of Bundles on Catheter-Associated Urinary Tract Infections in the Pediatric Intensive Care Unit
(Lippincott Williams & Wilkins, 2016) Duzkaya, Duygu Sonmez; Bozkurt, Gulcin; Uysal, Gulzade; Yakut, Tulay
Background: There are few studies in the literature from developing countries regarding the rates of catheter-associated urinary tract infection (CAUTI), which is frequently encountered in pediatric intensive care units (PICUs). Aim: The aim of this study is to evaluate the 2-year rates of CAUTI in a PICU where a CAUTI Prevention Bundle was implemented. Design: This was an interventional prospective study. Methods: The study was conducted with 390 patients in the PICU of Istanbul Faculty of Medicine, Turkey, from July 2013 to July 2015. The patients were selected based on the diagnostic criteria of the Centers for Disease Control and Prevention. Results: Urinary colonization occurred in 8 (2.2%) patients in the prebundle group and 3 (0.8%) patients in the postbundle group, and contamination occurred in 10 (2.8%) patients in the prebundle group and 6 (1.5%) patients in the postbundle group. The CAUTI incidence and rates were 5.8% and 6.1 per 1000 urinary catheter days and 1.5% and 1.8 per 1000 urinary catheter days prebundle and postbundle, respectively. There was a statistically significant difference between the prebundle and postbundle CAUTI rates. Conclusion: Our findings support that clinical nurse specialists in developing countries should consider the use of CAUTI bundles to prevent CAUTIs.
Citation Count: 33
Examination of Care Burden and Stress Coping Styles of Parents of Children with Autism Spectrum Disorder
(Elsevier Science inc, 2019) Bozkurt, Gulcin; Uysal, Gulzade; Duzkaya, Duygu Sonmez
Objective: The study was conducted to examine the caregiver burden and stress coping styles of parents of children with Autism Spectrum Disorder (ASD). Design and methods: This descriptive cross-sectional study was conducted with parents of 131 children with ASD who were enrolled in a private education practice center in Istanbul between August 2015 and August 2016. The data were collected using a questionnaire prepared by the researchers, and the "Caregiver Strain Index" and "Ways of Coping Questionnaire." Results: The mean age of the children in the sample group was 4.83 +/- 0.99 years; 63.4% were boys. Nearly 40% (38.2%) were diagnosed as having ASD at the age of 2 years. It was determined that the parents of children with ASD had a higher burden of care (CSI mean score: 7.68 +/- 4.30). The caregiver burden was significantly higher (p < 0.05) for parents of one child as compared to parents with more children, and parents with daughters compared to parents with sons. In addition, the mothers were found to have higher scores of 'submissive approach' and 'seeking social support' than fathers. Conclusion: Parents of children with ASD had a higher caregiver burden. Scores of approach types of self-confident, helpless, optimistic, and seeking social support were significant predictors of caregiver burden. (C) 2019 Elsevier Inc. All rights reserved.
Citation Count: 1
Knowledge and opinions of parents of children hospitalized in hematology/oncology units regarding complementary and alternative medicine
(E D P Sciences, 2017) Uysal, Gulzade; Duzkaya, Duygu Sonmez; Karakoc, Ayse
The current study aimed to determine the knowledge and opinions of parents who had children with cancer regarding complementary and alternative medicine. This descriptive study was performed with 145 parents. Data collection was implemented by means of a literature-based questionnaire. Of the parents who were enrolled into the study, 42.1% were aged 36 years or older and 57.2% had primary school education only. A total of 86.9% of the information was gathered from the mothers of the children. All parents preferred CAM therapies for their children's treatment; more than half used herbs as CAM, and 81.4% of the parents who used CAM with held this information from healthcare professionals. All parents had insufficient knowledge about complementary and alternative treatments, including those who had opted out of conventional medicine, but wanted to learn more about them. Therefore, healthcare professionals should improve their knowledge of CAM methods and be able to appropriately enlighten parents while providing an environment in which families can freely discuss information.
Citation Count: 8
Nursing perception of the children hospitalized in a university hospital
(Elsevier Science Bv, 2014) Duzkaya, Duygu Sonmez; Uysal, Gulzade; Akay, Hafize
The study was carried out in order to determine the nursing perception of children hospital patients between the ages 6-18.The descriptive cross-sectional study was realized between the dates of February 2013-Februaru 2014 with children hospital patients. No sample selection was made and a sample was created out of the 206 children who accepted to participate the study. The data collection was prepared in line with literature and expert opinion; and the data collecting form, consisting of children's socio-demographic characteristics and written and pictured questions about the nursing perception was used.51 % of the participating children were girls and their average of age was 12,22 +/- 3,22. 46,1 % of the children were hospital patients due to a chronic illness and 31,6 % mention that they have experienced hospitalization many times. When the children were asked about the responsibilities of the nurses; while 74,8 % gave the answer that they give an injection, 1,9 % responded that they play with us. When the perception of nurses shown to the children through facial expressions according to age groups were analysed; 68 % marked good-humoured, 25,2 % tired, 3,9 % sad and 2,9 % angry. In line with the findings of the study it was seen that the children percept the nurse as good-humoured and besides of that they are more interested in concrete interferences and rarely add play to care. In line with these results it can be recommended that the nurses increase and support applications regarding appropriate psychosocial care in order to decrease the stress of the hospitalized children due to the illness and treatment and to convert the crisis to a benefit. (C) 2014 The Authors. Published by Elsevier Ltd.
Citation Count: 0
Turkish validity and reliability of the universal mental health literacy scale for adolescents (10-14 years): A methodological study
(Wiley, 2024) Uysal, Guelzade; Semerci, Remziye; Sengun, Rukiye; Duzkaya, Duygu Sonmez
RationaleMental health literacy enables adolescents to acquire information that will accompany them in their future lives and to define their attitudes and behaviors.Aims and ObjectivesThis study evaluated the Turkish validity and reliability of the Universal Mental Health Literacy Scale for Adolescents (10-14 years).MethodsThis is a methodological, correlational, cross-sectional, and descriptive study. The study was conducted with 223 adolescents. Data were collected by 'Information Form' and 'Universal Mental Health Literacy Scale for Adolescents.' Exploratory Factor Analysis, Confirmatory Factor Analysis, and Pearson Correlation analysis were used to assess the validity and reliability of the UMHL-A.ResultsItem Content Validity Index (I-CVI) scores ranged from 0.94 to 0.96, while the Scale Content Validity Index (S-CVI) was 0.95. For 'Help-seeking and Stigma dimensions' chi 2/df = 3.347, NFI = 0.804, IFI = 0.854, TLI = 0.778, CFI = 0.849, RMSEA = 0.103. For 'Knowledge of Mental Health and Knowledge of Mental Illnesses dimensions' chi 2/df = 1.959, NFI = 0.731, IFI = 0.847, TLI = 0.774, CFI = 0.837, RMSEA = 0.066. The internal consistency and time stability were affirmed by a Hotelling T-square value of 15.241 and an F-test result of 27.793.ConclusionsThis study reveals that the Turkish validity and reliability of the Universal Mental Health Literacy Scale for Adolescents is a valid and reliable tool for assessing mental health literacy among adolescents. The UMHL-A scale is a valid tool to evaluate critical aspects of mental health literacy in adolescent populations and can be used in both research and clinical practice in mental health education and intervention. It is recommended that the Turkish version of the Universal Mental Health Literacy Scale should be used to determine resilience in adolescents.
Citation Count: 3
Umbilical Cord Care and Infection Rates in Turkey
(Elsevier Science inc, 2017) Uysal, Gulzade; Duzkaya, Duygu Sonmez
Objective: To compare the efficacy of umbilical cord sponging with 70% alcohol, sponging with 10% povidone-iodine, and dry care on the time to umbilical cord separation and bacterial colonization. Design: Prospective, interventional experimental study design. Setting: Three different family health centers in Istanbul, Turkey. Participants: In total, 194 newborns were enrolled in one of three study groups: Group 1, 70% alcohol (n = 67); Group 2, 10% povidone-iodine (n = 62); and Group 3, dry care (n = 65). Methods: Data were collected between January 2015 and July 2015. Umbilical separation time and umbilical cord bacterial colonization were considered as the study outcomes. Results: The most commonly isolated bacteria were Staphylococcus aureus, Escherichia coli, and enterococci. There was no significant difference among the groups for umbilical cord separation times (p > .05). Conclusion: Dry care may be perceived as an attractive option because of cost benefits and ease of application.
Citation Count: 1
Validity and Reliability of a Revised Northampton Neonatal Skin Assessment Tool in Turkish Language
(Kowsar Publ, 2017) Karakoc, Ayse; Duzkaya, Duygu Sonmez; Temizsoy, Ebru; Karaca, Semra; Uysal, Gulzade; Cangur, Sengul
Background: It is important to check the skin of neonates on a daily basis so that abnormal conditions and skin problems are identified. Objectives: This study aimed at testing the validity and reliability of a revised Northampton Neonatal skin assessment tool in Turkish; a review to determine whether it is valid and reliable in the care of neonates. Methods: The research had a cross-sectional and methodological design. The data for the study was collected between 1st of January 2015, and 20th of June 2015, at the neonatal intensive care unit (NICU) of a major training and research hospital in Istanbul/Turkey; 362 neonatal skin assessments were executed. The revised tool's language, face, content, construct validity, and reliability were evaluated. Results: The intra-class correlation coefficient, which indicates interrater reliability, was 1.00 in the study, representing 100% agreement. The Cronbach alpha internal consistency coefficient revealed that the tool's general reliability was at an acceptable level (C alpha = 0.71). Although the model was not found to be significant (Chi-square = 46.22, df = 17, and P < 0.001), the other model fit indices found RMSEA < 0.07, chi(2)/df < 3, and SRMR< 0.06, which meant that the data had an acceptable fit for the model. The model exhibited a good fit because the CFI, NFI, GFI, and AGFI indices were close to 1. When the model fit indices were evaluated in combination, the CFA model generally had a good fit. The most significant and most prominent effect on the tool was the impact of NNS9 (level of care) indicator (b(9) = 0.86, t value = 17.46 > 1.96). Conclusions: The Turkish version of the revised northampton neonatal skin assessment tool is an appropriate, valid, and reliable instrument to be used in the assessment of neonatal skin, especially of infants at the NICU. The tool may be recommended for use in the care of neonates.