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Öğe Effect of Prone Position, Pacifier and Smelling Breast Milk on Pain and Stress Parameters Among Term Neonates Undergoing Venipuncture: A Randomized Controlled Trail(Galenos Yayincilik, 2022) Ozdemir, Fuat; Evgin, Derya; Beser, Nalan GordelesAim: This study was conducted to examine the effect of three different methods for reducing pain and stress among term neonates undergoing venipuncture. Materials and Methods: The research sample comprised 80 term neonates with hyperbilirubinemia who were being treated at the Neonatal Intensive Care Unit. The term neonates were allocated, according to the randomization method, into a smelling breast milk group (n=20), a pacifier/dummy group (n=20), a prone position group (n=20), and a control group (n=20). Results: It was determined that there was a statistically significant correlation between the pain and stress score averages of the breast milk, prone position, and pacifier/dummy groups according to all measurements taken before, during, and after the procedure (p<0.001). It was discovered that there was a difference between the Premature Infant Pain Profile-Revised form (PIPP-R) and the mean stress scores of the control group and the breast milk, prone position, and pacifier/dummy groups after the procedure (p<0.001). Conclusion: In study, it was concluded that the breast milk smell, prone position, and giving a pacifier made of sterile gloves are effective in reducing the pain and stress of newborns during the venipuncture procedure. Non-pharmacological methods such as smelling breast milk, prone position, and giving a pacifier/dummy are recommended to reduce pain and stress among term neonates during interventional procedures.Öğe Evaluating the Social Anxiety Depression Levels and Accompanying Psychosocial Problems in Children Diagnosed with Enuresis(Springernature, 2022) Oztorun, Zeynep Yilmaz; Beser, Nalan Gordeles; Oztorun, Kenan; Arabaci, Leyla BaysanIntroduction: This study was conducted to evaluate the accompanying psychosocial problems in enuresis as well as the social anxiety-depression levels in children diagnosed with enuresis. Methods: This descriptive study investigating depression and social anxiety levels of children diagnosed with enuresis was carried out with 167 children who were followed up for at least six months following their enuresis diagnosis. All participating children had no other physical or mental illnesses and were aged five years or older. Data were collected using three measurement tools and evaluated using descriptive. correlational analyzes. Results: In this study, 69.4% of the children diagnosed with enuresis were aged 7-12 years. 38.3% of their parents used reward, while 37.1% preferred punishment as a method for toilet training their children. The children's depression and social anxiety mean scores were 21.48 +/- 7.29 and 54.58 +/- 8.84, respectively. A strong positive correlation was found between the children's mean depression and social anxiety scores (r=0.677, p<0.001). The median depression scores of children were found to be statistically significantly different according to the children's type of family, night sleep characteristics, type of enuresis, school success, and family life (p<0.05). Those with fragmented families (p=0.049). who did not sleep deeply at night (p=0.031), who slept for about 5-7 hours a day (p<0.01), and those whose school success was negatively affected by enuresis (p=0.021) and those who were exposed to negative family life (p=0.034) all obtained statistically significantly higher median depression scores. Conclusion: Children with enuresis had low depression and moderate social anxiety and their depression increased as their social anxiety increased. The children experienced psychosocial difficulties due to enuresis. When treating children with enuresis, it is necessary to consider both the affected child and their families through the adoption of a holistic approach, and also to evaluate the children both physically and psychosocially.Öğe Evaluation of Sexual Functions of the Pregnant Women(WILEY-BLACKWELL, 2014) Guleroglu, Funda Tosun; Beser, Nalan GordelesIntroduction Pregnant women may avoid sexual intercourse or may unavoidably undergo problems in their sexual lives because of various complaints they suffer from. Aim The study aims to evaluate sexual functions of the pregnant women and to determine the factors that negatively affect their sexual health. Methods This is a descriptive research study conducted to evaluate sexual functions of pregnant women. Three hundred six pregnant women admitted to the Women Birth Polyclinics within the Women Birth and Children's Hospital between October 1, 2010 and March 31, 2011 were included in the study. The data were gathered using a personal information form and the Female Sexual Function Index (FSFI). Kruskall-Wallis variance analysis and Mann-Whitney U-tests were used for the statistical analysis. Main Outcomes Measures The main outcome is an assessment of the FSFI domains in pregnancy and relationships between pregnancy complaints and sexual functions. Results The results indicated that the mean age of the pregnant women was 25.6 +/- 5.4 and their length of marriage was 5.93 +/- 5.4 years. The study revealed that 88.9% of the pregnant women had sexual desire disorders, 86.9% had sexual arousal disorder, 42.8% had lubrication disorders, 69.6% had orgasm disorders, and 48% had sexual satisfaction disorders. Statistically significant differences were found in correlations between FSFI medians and the characteristics of the pregnant women in terms of age, educational level, length and type of marriage, and gestational week. There were also statistically significant differences in correlations between the pregnancy characteristics in terms of backache, constipation, respiratory difficulty, leg ache, and cramp problems (P<0.05). Conclusions It was determined that the sexual lives of the pregnant women were negatively affected not only by factors such as old age, low educational status, arranged marriages lasting for more than 10 years, undesired pregnancy, and gestational week but also by health problems such as backache, constipation, respiratory difficulty, leg ache, and cramp problems.Öğe Profiles of the Patient Who Had Compulsory Hospitalization in a District Psychiatric Hospital(W B Saunders Co-Elsevier Inc, 2017) Beser, Nalan Gordeles; Arabaci, Leyla Baysan; Bozkurt, Sati; Uzunoglu, Gulcin; Tas, GulsenayOBJECTIVE: It aims to examine the profiles of patients who were treated with compulsory hospitalization between 2011 and 2015 in a district psychiatric hospital. METHOD: In this retrospective and cohort study, hospital records gathered from 202 adult patients who were treated with compulsory hospitalization in units with a bed between 2011 and 2015 in a district psychiatric hospital were examined. In this study, profiles and socio-demographic features of the patients with compulsory hospitalization were evaluated by 23 closed-end and open-ended questions prepared by researchers. In data analysis, Monte Carlo Chi-square test and number-percentage distribution were used. FINDINGS: 57.4% of examined cases was female and mean average was 38.88 +/- 13.06. Of examined cases, 18.8% was people graduated from high school or university and it was detected that 81.7% didn't have any regular job during the compulsory hospitalization. Of which 55.9% has not gotten married and 12.4% was divorced, 48.0% of the population has been living with their parents, sibling or/and their relatives and 17.8% has been living alone or in the nursing home. Of which 59.9% of the cases which were diagnosed with psychosis, 38.1% with psychotic relapse, 22.8% with medication regulation, 22.8% with excitation (expansiveness) and 15.8% having the risk of self mutilation and damage his/her environment were admitted to compulsory hospitalization. Of these cases, the relative or custodian of 74.2%, employee of nursing home of 9.4%, law-enforcement officers of 5.4% and medical staff of 4.0% gave hospitalization approval. While not having any history for alcohol-substance abuse, it was established that 10.9% of the population had a problematic juridical records. Of the cases, hospitalization of 75.7% came to end with recovery/discharge and 20.3% was over with the demand of his/her relative/custodian, 1.5% of the cases escaped from the hospital. CONCLUSION: Patients whose majority was female, person who has never gotten married or was divorced and has low educational level don't have any regular job and live with their relatives. In addition, their relatives made the majority of these patients admit to hospital because of the history of psychotic diagnose and psychotic relapses. According to these results, it is recommended that patients will receive an effective treatment in order to protect the right to decide their own treatment. (C) 2017 Elsevier Inc. All rights reserved.Öğe Relationship bullying in adolescent period with family functionalities and child behaviors(Wiley, 2021) Bozan, Kezban; Eygin, Derya; Beser, Nalan GordelesThis descriptive study determined the relationship of peer bullying in the early adolescent period to family functions and children's behavior. The cohort for the research consisted of 320 students and parents who were selected by a simple random method from a middle school. The data were collected using the student and parent questionnaires, Traditional Peer Bullying Scale, Family Assessment Scale, and Assessment of Child and Adolescent Behavior Scale. In evaluating the data: descriptive statistics, chi(2), Mann-Whitney U, Kruskal-Wallis tests, and Spearman correlation analysis were used. It has been determined that verbal and physical bullying was high in the older age group (p < 0.05), in seventh-grade students (p < 0.05), and that those who do not like school tend to bully others at a higher rate (p < 0.001). Students who were separated from their parents, who witnessed the violence among the family members, and who stated that the violence was applied by family members were more frequent in the bullying cycle (p < 0.05). There was a high-level positive relationship between the anxiety/depression subscale and social problems subscale (p < 0.001). This study confirms that peer bullying is a problem that is highly correlated with family functionalities and child behaviors.Öğe Sleep quality, coping, and related depression: A cross-sectional study of Turkish nurses(Wiley, 2024) Kilincarslan, Gulseda Topal; Algul, Aysegul Ozcan; Beser, Nalan GordelesBackgroundThe sleep quality of nurses affects both their health and standard of nursing care. Working conditions, depression, and coping potential can also lead to sleep problems.IntroductionSleep plays a crucial role in overall health at every stage of life. The purpose of this study is to determine the effect of sleep quality, depression, and coping mechanisms on the performance of nurses, whose sleep quality is strongly affected due to shift-based work.MethodsThe sample of this descriptive correlational study consisted of 133 healthcare workers. Data were collected using the Personal Information Form, Beck Depression Inventory (BDI), Coping Response Inventory (CRI), Pittsburgh Sleep Quality Index (PSQI), and Epworth Sleepiness Scale (ESS) and evaluated using the t test, Mann-Whitney U test, one-way ANOVA, Enter method, and linear regression.FindingsOne in three nurses reported having poor-quality sleep, and one in two nurses said they felt sleepy during the day. With declining sleep quality, the nurses' ability to cope with stress diminished, and their degree of depression increased.DiscussionThe nurses' financial situation and level of depression were key factors that influenced their quality of sleep and capacity to handle stress. To improve nurses' sleep, the shift pattern needs to change.ConclusionTo increase the quantity of sleep and enhance mental health, changes should be made to the shift schedules of nurses to allow for appropriate rest and reduce daytime sleepiness.Implications for nursing practice and policiesImproved working conditions for nurses and updated nursing standards are required to improve nurses health and wellbeng.Öğe The determination of parent attitude and childhood trauma in adolescent pushed into crime(Klinik Psikiyatri Dergisi, 2019) Beser, Nalan Gordeles; Arabaci, Leyla Baysan; Uzunoglu, Gulcin; Bilac, Oznur; Ozan, ErolObjective: This study was conducted to determine parent attitude and childhood traumas of adolescents pushed into crime who came to the policlinic of child and adolescent psychiatry for judicial evaluation. Method: Of this descriptive cross-sectional study sample was included 45 adolescents aged between 13 and 18 years, came with their parents to the psychiatric outpatient clinic of child, pushed into crime. Data were collected with Introductory Information Form, Childhood Trauma Questionnaire, Parents Attitude Research Instrument Scale. To evaluation of the data, descriptive statistics, Mann-Whitney-U, Kruskal Wallis Variance analysis and Pearson correlation analysis were used. Results: 84.4 % of adolescent who joined the research were 15-17 age, 60.0% of them were male and 57.8% of them were not unable to continue schooling. The mean of trauma questionnaire of adolescent was found 54.42 +/- 7.53 (middle). It was found that sexual abuse's median points of adolescent who were unable to continue schooling, had a poor commination with father, and physical abuse's median points of adolescent who lived with their family, and physical neglect's median points of adolescent who graduated from primary school, and emotional abuse's median points of adolescent whose father showed irrelevant attitude, and emotional neglects' median points of adolescent who have three or more sisters/brothers, whose mothers showed unbalanced and inconsistent attitude were higher than other's significantly (p<0.05). Discussion: Adolescent who pushed into crime experienced middle level childhood trauma. The repressive-irrelevant parental attitude, unable to continue schooling, poor communication with the father, being in the crowded family, having psychiatric diagnosis from childhood are predictors of childhood mental trauma.Öğe The levels of anxiety, depression and alexithymia in individuals diagnosed with diabetes and the affecting factors(Klinik Psikiyatri Dergisi, 2021) Degirmencioglu, Arife Zuhal; Arabaci, Leyla Baysan; Beser, Nalan GordelesObjective: This study aims to determine the levels of anxiety, depression and alexithymia in individuals diagnosed with diabetes and the affecting factors. Method: The study consisted of 208 patients aged 18 and over diagnosed with diabetes that have been receiving relevant treatment for at least 6 months and had no other chronic diseases. The patients had been registered in the internal medicine outpatient department of a training and research hospital for follow-up between January 15 and June 30, 2018 and had agreed to participate in the study. Results: In the study 61.1% of the patients were females, 57.7% were between 45-64 years old and 81.3% were married. A moderate-level of anxiety and alexithymia as well as a low-level of depression were found in the patients who reported adverse changes in their lives following the diagnosis of diabetes. A statistically significant relationship was found between the levels of anxiety, depression and alexithymia in the patients (p<0.001). Discussion: Patients diagnosed with diabetes should be regularly assessed for psychological distress such as anxiety, depression and alexithymia, as well as physical symptoms. Health professionals, especially nurses should support diabetic patients in developing strategies to cope with and manage these health problems.Öğe The Relationship Between Internet Addiction, Cyberbullying and Parental Attitudes(Galenos Publ House, 2022) Nurtan, Kismet Akkurt; Evgin, Derya; Beser, Nalan GordelesAim: This descriptive study was conducted in order to determine the relationship between internet addiction, cyberbullying, cyber victimization and parental attitudes towards them. Materials and Methods: The sample consisted of 550 students attending the ninth grade who volunteered to participate in this study. Consent from the ethical committee, institute and the parents were obtained for this study. Data were collected using the Student Individual Information form, Young's Internet Addiction Test-short form, Cyberbullying scale, Cyber Victimization scale and Parental Attitudes Scale. Results: It was determined that 47.1% of the students had a computer or a tablet and 99.5% of them had a smartphone; 44.9% of the students used a computer once a week, and 57.4% used a smartphone to watch videos or films or to follow social media. There was a positive relationship between Young's Internet Addiction test and the Cyberbullying scale while there was a negative relationship between Internet addiction and cyber victimization (p<0.05). Conclusion: According to these results, educational programs for adolescents and their parents should be developed related to Internet use in adolescents and the risks of addiction, and cyberbullying.
