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    Child delirium assessment scale: Validity and reliability study
    (Kare Publishing, 2024) Turan, Engin; Manav, Gülay; Baran, Gülbeyaz
    Objectives: This study aims to develop the child delirium assessment scale to determine the factor structure and to determine its validity and reliability. Methods: The sample of the methodological type study consists of 105 children who were admitted to the third-level pediatric intensive care unit of a public hospital in a province in eastern Türkiye between February and May 2019 and met the inclusion criteria. Content and construct validity and reliability analyses of the items created using the Delphi technique were performed. Results: In the exploratory factor analysis of 28 items obtained with the Delphi technique, a one-dimensional structure consisting of 28 items explaining 49.99% of the total variance was obtained. In confirmatory factor analysis, it was determined that the scale structure had sufficient fit indices. The Cronbach’s alpha value was 0.96, and the test half value was 0.91. There was a strong correlation between them and the Cornell Pediatric Delirium Scale used as a parallel test (r=0.957, p<0.05). Conclusion: This study determined that the child delirium assessment scale is a valid and reliable measurement tool for nurses in determining delirium in children hospitalized in the intensive care unit.
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    Delirium determination form for children: A delphi method study
    (Kare Publ., 2021) Turan, Engin; Manav, Gülay; Baran, Gülbeyaz
    INTRODUCTION: This study aims to develop a form capable of identifying delirium in children. METHODS: To develop this form, the Delphi method was used in this study and involved the participation of specialists who have conducted scientific studies and health professionals who have previously worked in the field of pediatrics intensive care. A total of 47 items were selected from the responses given in the first stage, and these items were then prepared in the form of a five-point Likert-type questionnaire for the second stage and delivered to 46 people who participated in the first stage. The second stage was completed with 38 respondents. After the completion of the second stage, the items underwent statistical analysis and were delivered to the same 38 people. Central tendency measures, including percentage, mean, standard deviation, median, first quarter and third quarter, and range were used to evaluate the data. Median, First Quarter (Q1), Third Quarter (Q3) and Width (Q3-Q1) are the statistical measures used to identify compromised items in the analysis of data collected by the Delphi method. RESULTS: According to the results from the Delphi method, the participants agreed on 32 items for delirium determination in children. The most important diagnostic criteria for delirium in children was defined by the consensus derived from the Delphi method. DISCUSSION AND CONCLUSION: It was concluded that the delirium diagnosis form for children that was developed using the Delphi method may be suitable for nurses working in intensive care units. As this study was strictly qualitative in nature, it is recommended that the form this study developed based on the opinions of experts, be quantitatively analyzed to further confirm its suitability for the diagnosis of delirium, which is difficult for nurses to diagnose in pediatric patients hospitalized in intensive care units.
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    EVALUATION OF INITIAL FINDINGS, PAIN AND ACTIVITIES OF DAILY LIVING IN CHILDREN HOSPITALIZED IN THE PEDIATRIC INTENSIVE CARE UNIT WITH DIABETIC KETOACIDOSIS
    (Ondokuz Mayıs Üniversitesi, 2023) Baran, Gülbeyaz; Turan, Engin; Turan, Mensure
    Aim: This study was conducted to determine the initial findings and evaluation of Daily, their pain,living activities of children hospitalized in the pediatric intensive care unit with the diagnosis of diabetic ketoacidosis. Method: It was carried out in the Pediatric Intensive Care Clinic of the Pediatrics Hospital of the Training and Research Hospital between October and December 2021. The research is cross-sectional, relationship-seeking descriptive type. The sample of this study consists of 54 children hospitalized with diabetic ketoacidosis. Wong Baker Pain Rating Scale, Glasgow Coma Scale and Katz Activities of Daily Living (ADL) index were used to collect data. In the analysis of research data; The percentage was used to determine the descriptive characteristics of children and their parents, the mean was used to evaluate the first evaluation findings of the children at the time they came to the hospital, and the correlation analysis test was used to determine the relationship between the scales. Results: There is a moderate negative correlation (r=-.321) between ADL index and VAS, a good positive correlation (r=.540) between ADL index and GCS, and a moderate negative correlation between VAS and GCS (r=-. 416) appears to be a relationship. Conclusions and Suggestions: While children's activities of daily living worsen, children's pain increases. As a result of the improvement in daily living activities, it was found that there was an improvement in the state of consciousness due to the increase in the quality of life of the children.
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    Juvenile brides: Domestic violence in pregnancy
    (Tehran University of Medical Sciences, 2017) Baran, Gülbeyaz; Gümüş, Funda
    Background: Juvenile marriage is a violation of human rights. Previous studies state that female children are both subjected to more problems compared to male children and are at more risk in terms of mortality and morbidity. Violence towards woman is a universal problem that iscommonin every culture and society in the world. It has been reported that domestic violence is higher in juvenile marriages and that it continues during pregnancy. However, there was no study in the literature that researched domestic violence towards married juveniles who are pregnant. Objectives: To assess situation regarding domestic violence towards married pregnant juveniles. Methods: This research was conducted a sectional, descriptive study. The population of the research was formed of females who were pregnant, between the ages of 10 and 19 between January and July 2016, and had married as juveniles. The population of the research consisted of pregnant girls who were between the ages of 10 and 19 between January and July 2016 and who had entered into a juvenile marriage. We planned to reach the entire population without sampling in this study. The research was formed of 79 pregnant juvenile brides in total; (n = 54) registered in twenty family health centers (ASM’s) in the Yenisehir, Kayapinar, Baglar and Sur provinces of Diyarbakir and (n = 25) of them were not registered. percentages, averages, the Fisher exact test and Pearson chi-square tests were used in the analysis of the data. Results: The average age of the pregnant married girls/adolescents who were included within the research was 17.86 ± 1.00. It was found that 26.0% of the pregnant juveniles had been subjected to violence during their pregnancy. They stated that they were subjected, respectively, to verbal (51.9%), physical (26.6%), emotional (27.8%), sexual (11.4%) and economic (11.4%) violence. It was established that exposure to violence was affected by whether the marriage was involuntary or voluntary (P = 0.011) and whether they perceived their relationship status to be good or bad (P = 0.00). Conclusions: Nurses, who encounter individuals face-to-face more than other workers because of the very nature of their roles, have a significant responsibility in this regard.
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    Pediatri Hemşirelerinin Empatik Eğilim,Duygusal Emek Davranışları veTükenmişlik Düzeyleri Arasındaki İlişki
    (2019) Yılmaz, Gamze; Baran, Gülbeyaz
    Amaç: Çalışma pediatri hemşirelerinin empatik eğilim, duygusal emek davranışları ve tükenmişlik düzeyleri arasındaki ilişkinin belirlenmesi amacıyla tanımlayıcı tipte gerçekleştirilmiştir.Gereç ve Yöntem: Araştırma, herhangi bir örneklem seçimine gidilmeden, Ağrı il merkezi ve pediatri servisi bulunan ilçe hastanelerinde çalışan ve araştırmaya katılmayı kabul eden 66 pediatri hemşiresi ile yürütülmüştür. Araştırmada veri toplama aracı olarak “Tanıtıcı Bilgi Formu”, “Empatik Eğilim Ölçeği”, “Duygusal Emek Ölçeği” ve “Maslach Tükenmişlik Ölçeği” kullanılmıştır. Bulgular: Pediatri hemşirelerinin yaş ortalaması 28.36±6.13 dür. Hemşirelerin %54.5’inin kadın, %60.6’sının evli, %62.1’inin lisans mezunu olduğu, %43.9’unun 2-5 yıldır pediatri hemşiresi olduğu bulunmuştur. Pediatri hemşirelerinin orta düzeyde empatik eğilime sahip olduğu; duygusal emek ölçeğinde duygusal çaba ve yüzeysel davranış alt boyutlarının daha çok kullandığı; duygusal tükenme ve duyarsızlaşma alt boyutunda orta düzeyde, kişisel başarı boyutunda ise yüksek düzeyde tükenmişlik yaşadığı belirlenmiştir. Hemşirelerin empatik eğilim ve tükenmişlik puan ortalamaları arasında ve yüzeysel davranış ile duygusal tükenme arasında istatistiksel olarak anlamlı düzeyde negatif yönde bir ilişki olduğu saptanmıştır (p<0.05). Sonuç: Yüksek empatik eğilimin ve yüzeysel davranış göstermenin pediatri hemşirelerinin tükenmişlik düzeylerini azalttığı sonucuna ulaşılmıştır.
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    THE EFFECTS OF DIFFERENT POSITIONS ON PHYSIOLOGICAL MEASUREMENT AND PERFUSION INDEX IN PEDIATRIC INTUBATED PATIENTS
    (Rojan GÜMÜŞ, 2023) Turan, Mensure; Turan, Engin; Baran, Gülbeyaz
    The aim of this study is to determine the effects of four different body positions applied to paediatric intubated patients on physiological variables and perfusion index.The sample of this study, which was conducted as a quasi-experimental study in a single group in a paediatric intensive care unit, consisted of 44 intubated and monitored patients. The patients were given supine, right-lateral, left-lateral and Semi Fowler positions at intervals of two hours, and each position’s measurements were evaluated separately. In the analysis of data, number, percentage, mean, standard deviation, ANOVA, and post-hoc (Tukey HSD) tests were used. Fifty per cent of the patients were under 1 year old, 56.8% were male, and the mean patient age was 20.61±21.72 months. Peripheral oxygen saturation, systolic blood pressure and perfusion index mean values in the supine and Semi Fowler positions given to the patient were found to be statistically significant (p
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    Yenikapı Sağlık Ocağı bölgesinde 0-18 yaşındaki çocuklarda özürlülük sıklığı ve etkileyen faktörler=
    (2015) Baran, Gülbeyaz
    Özürlüler toplumun sağlığın korunması ve geliştirilmesi açısından önemli bir risk grubudur. Toplumda önemli bir paya sahip olmaları, özel sorunları olmaları nedeniyle öncelikli hizmet gereksinimleri vardır. Ülkemizde çocuklarda özürlülük prevalansı %1,54 ? %1,96 arasında verilmekle beraber Diyarbakır'da bu konuda yapılmış çalışma bulunmamaktadır. Bu çalışmanın amacı Diyarbakır il merkezinde Yenikapı Sağlık Ocağı bölgesinde 0?18 yaş grubu çocuklarda, özürlülük sıklığı, etkileyen faktörleri ve özürlülerin sorunlarını araştırmaktır. Araştırma kesitseldir. Yenikapı Sağlık Ocağı bölgesinde sistematik örneklem yöntemi ile seçilen 359 hanedeki 1159 çocuk araştırma kapsamına alınmıştır. Anket formu eşliğinde aileleriyle görüşülmüştür. Veriler bilgisayar ortamında SPSS 10,0, Epi Info 2000 paket programlarında değerlendirilmiştir. İstatistiksel olarak yüzde, ortalama, standart sapma değerleri kullanılmıştır. Khi-kare ve Eğimde Khi-kare analizleri yapılmıştır. Çocukların %47,5'i kız, %52,5'i erkek, yaş ortalaması 8,9 idi. Çocukların annelerinin %67,4'ü, babalarının %28,7'si okuryazar değildi. Babaların %88,0'i işsiz veya geçici işlerde çalışmaktaydı. 1, ve 2, derece akraba evliliği sıklığı %38,4 olarak saptandı. Araştırmada özürlülük prevalansı %4,4 olarak bulunmuştur. Kız çocuklarının %3,3, erkek çocukların %5,4'ünün özürlü olduğu bulunmuştur. Özürlülük sıklığı 0?4 yaş grubunda %3,4, 15?18 yaş grubunda %7,1 idi. Özürlülük nedenlerinin % 50,9'nun doğum sonrası, % 42,9'nun doğum öncesi olduğu saptanmıştır. Doğum öncesi dönemde akrabalık (%21,3), doğum sonrası dönemde hastalıklar (%39,2) anneler tarafından en önemli nedenler olarak ifade edildi. Doğumunda güçlük çıkanlarda özürlülük oranı %6,4 iken diğerlerinde %3,7 idi. Çocukların %23,5'i ortopedik, %25,5'i zihinsel, %17,6'sı konuşma, %11,8'i görme, %7,8'i işitme, %13,7'si birden çok özüre sahipti. Özürlü çocukların %14,2'sinin özel okulda eğitim v aldığı, %37,2'sinin günlük yaşam aktivitelerinde bağımsız olduğu , %47'1'inin tedavi olduğu saptanmıştır. Diyarbakır kentinde, sosyoekonomik düzeyi düşük bir bölgede, çocuklarda özürlülüğün yaygın olduğu, cinsiyetin, yaşın, anne-baba akrabalığının, doğumda güçlük çıkmasının özürlülüğü etkileyebilecek faktörler olduğu, özürlülüğün yarısının doğum sonrası dönemde oluştuğu, özürlü çocukların eğitim ve sağlık hizmetlerinden yeterince yararlanamadıkları sonucuna varılmıştır. Özürlüğün önlenmesi için birincil ve ikincil koruma etkin olmalıdır. Özürlülük sıklığının düşürülmesi için halkın eğitim ve sosyo ekonomik düzeyinin yükseltilmesi gerekir. Anahtar kelimeler: Özürlülük, prevalans, çocuklar, Diyarbakır