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Öğe 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 HakyemezBackground: 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.Öğe 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, SelcukPurpose: 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.