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Öğe Effects of Procedural Information, Buzzy, and Multiple Interventions on Pain in Children Undergoing Venipuncture: A Randomized Controlled Trial(Lippincott Williams & Wilkins, 2024) Kahriman, Ilknur; Meral, Buket; Colak, Bahar; Bektas, Meral; Kirbas, Zila Ozlem; Arici, Yeliz KaskoBackgroundNeedle-related procedures are commonly performed in childhood and lead to considerable pain. PurposeThis randomized controlled study was conducted to compare the effects on venipuncture pain of the Buzzy, an informational animated video, multiple interventions, and standard care in children aged 6-12 years. MethodsOne hundred eighty children were assigned to the groups using a computerized randomization program. Pain level was evaluated by the children, parents, and their nurses using the Wong-Baker Faces Pain Scale. The level of agreement among the nurse, parents, and children's pain reports was evaluated. Multivariable regression analysis was performed to identify the factors significantly associated with pain score. ResultsThe participants in the Buzzy, video watching, and multiple intervention groups reported lower mean pain scores (child: KW = 28.24, p < .001; parent: KW = 18.51, p < .001; nurse: KW = 44.4, p < .001) than their peers in the control group. Moreover, age was identified as a risk factor affecting pain level (OR = 1.375, 95% CI [1.086, 1.740]; p = .008). ConclusionsBuzzy and informational videos are potentially effective methods to facilitate venipuncture-related pain management in children. The use of pain management methods during venipuncture is recommended, especially in children younger than 10 years old.Öğe Emotion regulation skills, brain-derived neurotrophic factor, cortisol hormone levels in primary school students in Turkiye: a cross-sectional and correlational analysis study(Bmc, 2025) Kirbas, Zila Ozlem; Bayraktar, Bulent; Aktas, Elif OdabasiBackground Hormones are molecules that contribute significantly to mental and physical health due to their role in emotion regulation (ER) processes. However, the role and effect of hormones on the ER has not yet been fully elucidated. In this study, it was aimed to examine the salivary Brain-derived neurotrophic factor (BDNF) and cortisol hormone response to support ERS in primary school students depending on some parameters. Method This cross-sectional and correlational study was conducted in the Eastern Black Sea Region of Turkiye between April 2023 and June 2023. In the sample selection, after the number of students was determined in proportional stratification, the sample selection method was made by simple random selection from each class list, first according to the school and then the grade level of each school. A total of 177 healthy students between the ages of 8 and 10 who attended these schools, were allowed to participate in the research by their families, and were volunteers, were included in the study. Data were collected using the Personal Information Form and the Emotion Regulation Scale for Children and saliva collection cups. Human-specific Brain-derived neurotrophic factor ELISA Kit (BT LAB, Cat.No E1302Hu, CHINA) for measuring BDNF levels in saliva; In measuring the level of cortisol hormone in saliva, Human Cortisol ELISA Kit (BT LAB, Cat.No E 1 003Hu, CHINA) was used in accordance with the procedure specified in the manufacturer's catalogue. Data were evaluated using the SPSS 26.0 for Windows (SPSS, Chicago, Il, USA) package program. Independent Samples Test and One-Way ANOVA test, correlation and Multiple Linear Regression analysis were used to evaluate the data. P <.01 and p <.05 significance levels were used as statistical significance values. Results A statistically significant correlation was found between the mean total score of the Emotion Regulation Skills Scale for Children and the mean level of salivary BDNF, and a negative correlation between the mean level of salivary cortisol (p<0.01). Conclusions Within the scope of the data obtained in our current study, BDNF levels were found to be high and cortisol hormone levels to be low in children with high ERS.Öğe Evaluation of nurses' attitudes and behaviors regarding narcotic drug safety and addiction: a descriptive cross-sectional study(Bmc, 2024) Kaya, Ayten; Kirbas, Zila Ozlem; Medin, Suhule TepeBackground By evaluating nurses' attitudes and behaviors regarding narcotic drug safety and addiction, effective strategies need to be developed for combating addiction in healthcare institutions. This study, aimed at providing an insight into patient and staff safety issues through the formulation of health policies, aimed to evaluate nurses' attitudes and behaviors regarding narcotic drug safety and addiction. Methods The study was conducted in a descriptive cross-sectional design. It was carried out with 191 nurses in a public hospital between March 2023 and August 2023. Data were collected through face-to-face interviews, gathering socio-demographic information and utilizing the Addictive Substance Attitude Scale. The data were analyzed using independent sample t-tests, one-way ANOVA tests, and regression analysis (P < .001 and p < .05). Results The average age of the participants was determined to be 36.58 +/- 8.40. It was reported by 85.3% of nurses that narcotic drug follow-ups in their units were conducted according to procedures. In the study, it was found that 63.9% of nurses did not know the procedure to be followed towards a healthcare professional identified as a narcotic substance addict. The total mean score of the Addictive Substance Attitude Scale of nurses participating in the study was 74.27 +/- 14.70. A significant difference was found between the total scores of the scale and the level of education of nurses, the follow-up status of the drugs in the unit where they work, their status of receiving narcotic drug addiction training, and their routine use of the half-dose drug disposal form (p < .05). Conclusions The findings of this study underscore the importance of evaluating nurses' attitudes and behaviors regarding narcotic drug safety and addiction. These results indicate the need for nursing administrators, particularly in terms of patient and staff safety, to adopt more effective policies and strategies.Öğe Investigation of emotion regulation skills, salivary apelin, and serotonin levels in children in Turkiye: a cross-sectional study(Taylor & Francis Ltd, 2024) Kirbas, Zila Ozlem; Bayraktar, Bulent; Aktas, Elif OdabasiPurpose: Little is known about the relationship between apelin and serotonin in emotion regulation. This study aimed to examine children's emotional regulation skills and salivary apelin and serotonin levels. Methods: This is a cross-sectional study performed in Turkiye. The research was completed with the participation of 146 children, 8-10 years old, from the general population. Emotion Regulation Skills Scale for Children (CERS) was used to assess children's levels of emotion regulation skills. Apelin and serotonin levels were examined by ELISA technique in saliva samples obtained from children. Results: A statistically significant correlation was found between the mean total score of the CERS and the mean apelin and serotonin levels (p < .01). We found that females had higher emotion regulation skills compared to males, older higher than younger ones (p < .01). The regression analysis results show that age and gender together explain 50.5% of the variance in CERS scores, while apelin and serotonin together explain 35.8% of the variance. When all four variables (age, gender, apelin, and serotonin) are included in the model, they explain 51.3% of the variance in CERS scores. Conclusion: Older age and female gender explained most of emotion regulations skills.Öğe The relationship between parental awareness of sexual abuse and children's skills to say ?no?(Ediciones Doyma S A, 2024) Kirbas, Zila Ozlem; Sahin, EmelIntroduction: Child sexual abuse is a global and multidimensional social problem and causes devastating and permanent psychological, emotional, cognitive, behavioural, physical, sexual and interpersonal sequelae. This study examines the relationship between the ability to say << no >> and parental awareness of sexual abuse in 4th grade primary school students. Methods: The study was conducted between April 2022 and June 2022 in primary schools in the central district of a province in north-eastern Turkey. The sample consisted of 310 students enrolled in 4th grade and their parents. We collected the data through a personal information form, the ability to say << no >> scale for children and the sexual abuse awareness scale for parents. Results: There was a weak positive correlation between the mean maternal scores of sexual abuse awareness and the mean scores of refusal and resistance in children (P < .05), as well as a weak positive correlation between the mean paternal scores of sexual abuse awareness and the mean scores of refusal and resistance in children (P < .05). Conclusion: As mothers' and fathers' awareness of sexual abuse myths and of teachings and actions to combat sexual abuse increased, the refusal of children also increased. Also, as fathers' awareness of the signs of sexual abuse increased, children's refusal increased. (c) 2024 Asociaci & oacute;n Espa & ntilde;ola de Pediatr & iacute;a. Published by Elsevier Espa & ntilde;a, S.L.U. This is an open access article under the CC BY -NC -ND license (http://creativecommons.org/licenses/by-nc-nd/ 4.0/).Öğe Salivary apelin hormone response and dysfunctional attitudes in adolescents in Türkiye: a relational screening model(Springernature, 2024) Kirbas, Zila Ozlem; Bayraktar, Bulent; Aktas, Elif OdabasiBackgroundAdolescence is the period in which physical and emotional changes occur through hormones, the individual acquires gender characteristics and prepares for the adult role psychologically and physically. Dysfunctional attitudes are beliefs and attitudes that can lead to depression by causing negative thoughts about oneself, others, and the future.Dysfunctional attitudes negatively affect children's mental health. Hormones have a significant impact on human behavior and cognitive functions. However, little is known about the role and influence of hormones on dysfunctional attitudes. Apelin is a hormone responsible for controlling emotions by regulating emotional behavior. The level of dysfunctional attitudes is one of the important issues in nursing practice in terms of protecting and improving children's mental health. However, little is known about the role and impact of hormones on dysfunctional attitudes.This study aimed to examine adolescents' dysfunctional attitudes and salivary apelin hormone levels in terms of sociodemographic variables.MethodsThe study was conducted in a relational screening model with 151 adolescents aged 9-14 years who were reported to be clinically healthy in Turkiye. Apelin hormone levels were analyzed by ELISA technique in the saliva samples of the participants. In the evaluation of dysfunctional attitudes, the relationship between the score obtained from the dysfunctional attitude scale and salivary hormone levels was evaluated.ResultsIn the study, a negative, strong and statistically significant correlation was found between the average salivary apelin hormone level and dysfunctional attitudes of adolescents (p =.000). Mean salivary hormone levels of apelin in adolescent girls and boys were 0.696 (SD 0.052) ng/ml, respectively; while 0.671 (SD 0.047) ng/ml was determined (p =.002), dysfunctional attitudes scale scores were 52.95 (SD 14.43); it was determined as 59.04 (SD 14.22) (p =.006). On the other hand, the highest average salivary apelin hormone level (p =.038). and the lowest level of dysfunctional attitudes were determined in adolescent girls aged 13-14 years (p =.028).ConclusionsIn our study, we found that while the salivary apelin hormone levels of adolescents decreased, their dysfunctional attitudes increased. We found that adolescents' dysfunctional attitudes decreased with age. In contrast, apelin hormone levels increased with age. Our study revealed the relationship between the hormone apelin and dysfunctional attitudes in adolescents.The level of dysfunctional attitudes that play a role in the development of depression is lower in female adolescents than in male adolescents.Apelin level recommended to be used in the treatment of depression is higher in female adolescents than male adolescents.Apelin levels increase with age in adolescents, and dysfunctional attitude levels decrease.Öğe salivary apelin hormone response and dysfunctional attitudes in adolescents in Türkiye: a relational screening model (vol 12, 64, 2024)(Springernature, 2024) Kirbas, Zila Ozlem; Bayraktar, Bulent; Aktas, Elif Odabasi[Abstract Not Available]Öğe Validity and reliability of the Turkish version of the transition of primiparas becoming mothers scale(Bmc, 2024) Kirbas, Zila Ozlem; Aktas, Elif Odabasi; Ozkan, HavaBackground The transition to motherhood is an important life event in a woman's life and represents an important developmental process that brings physical, psychological and social changes to gain a new role. However, research on the transition to motherhood in Turkish society is scarce. There is a need for a comprehensive, practical and reliable tool to evaluate the transition to motherhood in primiparous mothers. This study evaluated the reliability and validity of the Turkish version of the Transition of Primiparous Becoming Mothers Scale (TMP-S) to evaluate the transition process of primiparous mothers to motherhood. Methods This methodological research was carried out in obstetrics and gynecology outpatient clinics, pediatric outpatient clinics, and family health centers of a hospital in Turkiye. The sample consisted of primiparous mothers of 0 to 6- month-old babies who visited clinics and family health centers for routine postnatal examinations (n = 305). After evaluating the language equivalence and content validity of the scale, test-retest reliability, internal consistency and construct validity were examined. Factor analysis, Pearson's correlation, retest reliability, and Cronbach's alpha were employed to evaluate structural validity and reliability. Results The final TPM-S had two dimensions with 25 items. Exploratory factor analysis revealed a two-factor solution, which accounted for 59.276% of the variance. Confirmatory factor analysis showed that the model fit of the two-factor model also reached a satisfactory model ft after modification. The comparative fit index was 0.894, the Tucker-Lewis index was 0.882, and the root mean square error of approximation was 0.079. The content validity index of the scale ranged from 0.56 similar to 0.77. The Cronbach's alpha coefficient was 0.93 for the total scale, and the test-retest reliability was 0.96. Conclusions It is a valid and reliable tool for evaluating the transition to motherhood among primiparous mothers of 0 to 6 month-old babies in Turkiye. Turkish researchers and healthcare professionals can routinely apply this measurement tool to primiparous mothers in the first six months after birth to evaluate their transition to motherhood.
