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    The effect of simulative heartbeat nest used in preterm new-borns on vital signs, pain, and comfort in Turkey: A randomized controlled study
    (Elsevier Science Inc, 2022) Karadag, Ozge Eda; Yildiz, Gizem Kerimoglu; Akdogan, Ridvan; Yildiz, Suzan; Toptan, Handan Hakyemez
    Background: Creating a womb-like environment for the preterm infant is vital to reduce the stress caused by stimuli and facilitate optimal neurological-behavioral development. Purpose: This randomized-controlled study aimed to determine the effect of simulative heartbeat nest use on vital signs, pain level, and comfort in preterms. Methods: The study population consisted of 52 (experiment: 25, control: 27) preterms hospitalized in a university hospitals neonatal intensive care unit between May-November 2018. Before the application, preterms in both groups were evaluated with PIPP and Comfort scales. The experiment group was monitored in the nest with a heart beating device for 15 min. The control group was observed in the nest without the device for 15 min. Their heartbeats and oxygen saturation were recorded. After the application, preterms in both groups were re-evaluated with PIPP and Comfort scale. Results: There was no statistically significant difference between the groups in terms of gestation week, age, birth weight and height, HB, SaO2, PIPP, and Comfort Scale total scores before and after the application (p >.05). However, the mean SaO2 increased significantly during the application (p < .003) in the experiment group; and that the PIPP total score decreased statistically significantly (p: 0.001) after the application. The comfort scale total score averages of the preterms in both groups decreased statistically significantly after the application (experiment:p <.01; control:p < .05). Implications for practice and research: Preterms in both groups had similar indicators. The nests that create heartbeat provide positive outcomes, such as the standard nests. (c) 2021 Elsevier Inc. All rights reserved.
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    The Effect of Sunflower Seed and Almond Oil on Preterm Infant Skin: A Randomized Controlled Trial
    (Lippincott Williams & Wilkins, 2020) Caglar, Seda; Yildiz, Gizem Kerimoglu; Bakoglu, Ilkay; Salihoglu, Ozgul
    OBJECTIVE: To investigate the effect of sunflower seed oil (SSO) and almond oil (AO) on stratum corneum hydration and Neonatal Skin Condition Scores (NSCSs) of preterm infants. METHODS: This randomized controlled trial recruited 90 preterm infants whose gestational ages were between 32 and 37 weeks in the neonatal ICU. Infants were randomly assigned to three groups (SSO, AO, or control). The oils were applied to the whole body of each infant except for the head and face by a nurse researcher four times a day (4 mL/kg) for 5 days. MAIN OUTCOME MEASURES: Skin condition of the infants as evaluated with the NSCS; hydration as measured by a skin moisture meter before and after application. MAIN RESULTS: When average stratum corneum hydration was compared, infants in the SSO and AO groups had better hydration than infants in the control group. The NSCS scores in the control group were significantly higher than in the intervention groups, but there was no difference between the SSO and AO groups. CONCLUSIONS: Neither SSO nor AO has harmful effects on the skin, and their use may improve stratum corneum hydration. These oils can be used by nurses to hydrate the skin of preterm infants. Further studies are needed to evaluate the efficacy of natural oils on infant skin.
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    Parental opinions and anxiety levels regarding the effects of coronavirus disease (COVID-19) on their children
    (Routledge Journals, Taylor & Francis Ltd, 2023) Yildiz, Gizem Kerimoglu; Azak, Merve
    This study aimed to determine the anxiety levels of 540 parents, based on their COVID-19 experiences and views, and their effects on their children on online platforms between February and May 2021. The anxiety score of parents who had contracted COVID-19 or whose children had contracted COVID-19 was higher than that of parents whose children had not contracted. The parents' main concerns were related to whether they, their child, or a family member would experience COVID-19 complications if their children contracted COVID-19, hospitalization during the pandemic, transmission of the virus to children, and the long-term impact of the pandemic on children. Protecting parents' mental health is essential because of its effects on children's mental health. Therefore, focusing on prevention methods and providing accurate information during and after the pandemic to improve parents' knowledge is essential.
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    Predictors of caregiver burden in mothers of children with leukemia and cerebral palsy
    (Routledge Journals, Taylor & Francis Ltd, 2019) Boztepe, Handan; Cinar, Sevil; Ay, Ayse; Yildiz, Gizem Kerimoglu; Kilic, Cengiz
    Objective: Caring for a sick child can lead to considerable burden in the caregiver. Comparative studies of burden in mothers of children with different types of disorders are rare. Methods: We assessed levels of and risk factors for burden in mothers of children with leukemia (n: 70) or with cerebral palsy (CP) (n: 69). Subjects were recruited from two hospitals in Ankara. Results: Levels of burden or depression were not different between groups. Burden was predicted by the presence of depression in the mother and severity of illness in both groups. In the leukemia group, mothers reported higher burden if the child was male or younger; no such relationship was observed in the CP group. Conclusion: Our results show that type of illness has an effect on levels of burden. Mothers of children with leukemia should receive more attention, especially if their child is male or younger, to take preventive measures against burden.
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    A tablet game or training booklet? Two methods for evaluating symptom management and quality-of-life of children receiving chemotherapy
    (Elsevier Sci Ltd, 2022) Yildiz, Gizem Kerimoglu; Yildiz, Suzan; Yoruk, Mustafa Asim; Sevgen, Selcuk
    Purpose: In chemotherapy process, the innovative and educational roles of nurses come to the forefront so that children can manage the symptoms they will encounter and thus increase their quality-of-life. Therefore, a tablet game was developed by the authors of this study to evaluate the effect of training children aged 10-16 who receive chemotherapy by a tablet game and a booklet on symptom management and quality-of-life.Methods: This was a non-randomized pre and post-test control group study. The study sample consisted of 50 children (game: 25; booklet: 25) who met the inclusion criteria and hospitalized between February 2017-July 2018 in two hospitals' Paediatric Haematology-Oncology Units. Data collection tools consisted of a child eval-uation form, Memorial Symptom Assessment Scale, KINDL-Cancer Module, a tablet game, and booklet.Results: When groups were evaluated within themselves after the intervention, the decrease of disturbance level of symptoms at the game group was higher than the booklet group (p:.004). Before the intervention, there was not any difference in the quality-of-life mean between groups (p < .05). After the intervention quality-of-life total (p:.000), mental (p:.030), and treatment (p:.009) subscale means were statistically significantly less at game group than booklet group. Conclusions: Both interventions were effective for symptom management, and they were not superior to each other, but the quality-of-life was higher in the game group.