Sağlık Bilimleri Fakültesi / Faculty of Health Sciences
Permanent URI for this collectionhttps://hdl.handle.net/11727/1402
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Item Determining the Factors Affecting Chemotherapy-Induced Nausea and in Children with Cancer(2023) Ay, Ayse; Boztepe, Handan; Ozbay, Sevil Cinar; Yilmaz, Pinar; Karadavut, Burcu; Burhanogullari, Dilek; Akyuz, Canan; 37845092Purpose: We evaluated the factors affecting chemotherapy-induced nausea and vomiting (CINV) in children with cancer.Design and methods: This cross-sectional study was conducted with 62 children aged 9 to 18 years old with a solid tumor who received chemotherapy for the first time, and their parents. Data were collected using a data collection form, the State-Trait Anxiety Inventory for Children, the Beck Anxiety Inventory, the Spielberger StateTrait Anxiety Inventory, and the Baxter Retching Faces Scale. Data were analyzed using Spearman's correlation and logistic regression analyses.Results: Risk factors related to the child, treatment, and parent were examined. Child-related factors were determined as diagnosis (odds ratio [OR] = 5.5), time since diagnosis (OR = 1.9, OR = 4.7), pretreatment anxiety of the child (r = 0.439, r = 0.422), and past experience of nausea and vomiting before treatment (OR = 1.2). Treatment-related factors involved anti-emetic prophylaxis (OR = 4.9, OR = 9.2). Parent-related factors included pretreatment anxiety of the parent (r = 0.271, r = 0.287), accommodation (OR = 5.5), not eating (OR = 1.2, OR = 1.3), and bad smell (OR = 1.2), which were described amongst parents' as factors that trigger CINV.Conclusions: The occurrence of CINV is significantly affected by child-, treatment-, and parent-related risk factors. Practice implications: Pediatric nurses should create an environment for children and their parents to reduce their anxiety and provide basic knowledge and skills about the management of CINV.Item The Effect of Poverty on Depression Among Turkish Children(2020) Yilmaz, Fikriye; Gungor Ozcan, Deniz; Gokoglu, Asena Gokce; Turkyilmaz, Dilara; 0000-0002-4884-3803; AAZ-4775-2020This study was conducted to determine the effect of poverty on depression among Turkish children. The data of the study were collected in 2019 by using a questionnaire. A total of 4276 children were selected by multi-stage cluster sampling in Ankara, Turkey. The questionnaire consisted of questions for determining the socio-demographic characteristics and health status of the children. It also included multidimensional poverty indicators (socioeconomic status of the family, Family Welfare Scale [FWS] and UNICEF Child Deprivation Index [U-CDI]) and Child Depression Inventory (CDI). The data were analyzed using descriptive statistics, Chi-Square Test and Binary Logistic Regression Analysis. Of the participants, 50.2% were girls, the average age was 12.94 +/- 1.17 years, and 86.1% lived in a family with a medium level of socio-economic status. FWS scores showed that 37.7% of them had poor economic status. According to U-CDI, 48.1% of the children were deprived. CDI scores indicated that 34.5% of the children were depressed. In this study, living in a single-parent family (OR = 1.470), having a poor or moderate perception of health (OR = 2.095), having any disease (OR = 1.485), deprivation according to CDI (OR = 1.382), going to bed or school hungry from time to time (OR = 1.930) and working to earn money (OR = 2.450) were identified as important risk factors for high depression (p < 0.05). The multiple deprivation status of children is a major determinant of their depression levels.