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    Effectiveness of lavender inhalation aromatherapy on pain level and vital signs in children with burns: a randomized controlled trial
    (Churchill Livingstone, 2021) Akgul, Esra Ardahan; Karakul, Atiye; Altin, Asiye; Dogan, Pinar; Hosgor, Munevver; Oral, Akgun
    Background: Burns are a source of pain, which cannot be fully treated with medications. Objectives: This study aims is to test the effectiveness of lavender oil inhalation aromatherapy applied before dressing change on vital signs and pain levels of children with burns. Design: This randomized controlled study was held between May 2018 and May 2019. A total of 108 children who met the inclusion criteria were studied in three groups: Lavender-15 Group inhaled lavender oil for 15 min before dressing (n:36), Lavender-60 Group inhaled lavender oil for 60 min before dressing (n:36), and Control Group inhaled jojoba (placebo) oil for 15 min before dressing (n:36). Baseline pain levels and vital signs of the children were measured before inhalation. Pain levels and vital signs of the children were re-measured at the 1st and 30th minutes after dressing. Results: There was no significant difference between the groups in terms of pain levels (p = 0.750) and vital signs before dressing. In post-dressing measurements, the number of respiration (after 1 min p = 0.000, after 30 min p = 0.000), heart rate (after 1 min p = 0.000, after 30 min p = 0.000), mean arterial blood pressure (after 1 min p = 0.010, after 30 min p = 0.000) and pain levels (after 1 min p = 0.000, after 30 min p = 0.000) were lower in the Lavender groups compared to the placebo group. Discussion: The result of this research reveals that inhalation aromatherapy which applied before dressing in children with burns affects the reduction of pain levels and stabilization of vital signs.
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    Effectiveness of music during cardiac catheterization on children's pain, fear, anxiety and vital signs: A randomized, blind controlled trial
    (Elsevier Science Inc, 2022) Karakul, Atiye; Akgul, Esra Ardahan; Yaliniz, Reyhan; Mese, Timur
    Purpose: This study aims to examine the effectiveness of music during pediatric cardiac catheterization procedure on children's pain, fear, anxiety and vital signs. Design and methods: This randomized, blind controlled study was conducted with the guidelines of Consolidated Standards of Reporting Trials (CONSORT). The sample of children was allocated to the Control Group, the Classic Music Group, and the Self-Selected Group. Pain, fear, and anxiety levels were measured before and after the pediatric cardiac catheterization procedure. Vital signs were measured before, during, and after the pediatric cardiac catheterization procedure. Results: There was no significant difference between the groups in terms of demographic status, pain, fear, or anxiety levels and vital signs before the procedure. In post pediatric cardiac catheterization measurement in the recovery phase, pain, fear levels, anxiety levels, heart rate, systolic and diastolic blood pressure of children in the musical intervention groups were lower than the control group. No statistical difference was found in terms of pain, fear and anxiety levels of the children in groups Classic and Self-Selected. Conclusion and practice implications: The result of this research reveals that musical intervention applied during the pediatric cardiac catheterization procedure in children affects the reduction of pain, fear and anxiety levels and stabilization of vital signs. This intervention could be an effective nonpharmacological method to improve outcomes. Nurses can improve children's comfort by using musical interventions. (C) 2022 Elsevier Inc. All rights reserved.
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    Examination of social media and technology use of mothers in breastfeeding period in a region of Turkey
    (Elsevier Espana Slu, 2022) Dogan, Pinar; Karakul, Atiye; Akgul, Esra Ardahan; Oztornaci, Beste Ozguven; Sari, Hatice Yildirim
    Objective: The aim of this study is to examine the social media and technology use of mothers during breastfeeding. Method: Descriptive cross-sectional study. The study was carried out with mothers who brought their children for follow-up in the pediatric outpatient clinics of a public hospital, a university hospital and a private hospital located in Turkey. A questionnaire developed & laquo;ad hoc & raquo; was used for data collection. Results: The total sample consisted of 275 mothers (n = 275). Mothers participating in the study 89.8% of the mothers used social media, 86.5% sought on the reliability of the information on the internet, 73.8% used the medical information on the internet to decide on any case about breastfeeding and 66.9% of them used cell phone or computer during breastfeeding. A statistically significant difference was determined between the education level of the mothers and social media use (p < 0.05). It was determined that the mothers who were secondary school graduate and those with three or more children talked on a cell phone while breastfeeding. Conclusions: Most of the mothers used social media and technology at a level limiting their interaction with their children. It is recommended to protect mothers from digital addiction and improve their digital literacy levels. (c) 2022 Elsevier Espa & ntilde;a, S.L.U. All rights reserved.
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    The experiences of parents of children in pediatric palliative care: A qualitative study
    (Elsevier Science Inc, 2022) Karakul, Atiye; Kiratli, Didem; Akgul, Esra Ardahan; Celik, Tanju
    Purpose: This study aims to better understand the experiences of mothers of children receiving pediatric pallia-tive care.Design and methods: The qualitative phenomenological method was used to determine the mothers' experiences. The study sample included 15 mothers. Individual interviews, an introductory information form and a semi -structured interview form were used for data collection. The data were analyzed with Colaizzi's seven-step method. MAXQDA was used for coding and creating themes.Results: Three main themes of the interviews emerged; family experiences, social life and care in the palliative care unit. The mothers said that family relationships were affected, that they experience fear of loss, that they ex-perience depression, that all responsibility for treatment and care lies with the mothers, and that there is no social support. Mothers said that they are in the same place as mothers of children in similar situations and that they are happy and comfortable because they have single rooms. In addition, the mothers stated that they are very afraid of the COVID-19 virus infecting their children and therefore losing their children.Conclusions: The mothers experienced some problems such as fear of loss, depression, care burden, social support, exclusion, daily life, social relationships, feeling safe, and emotional effect. Practice implications: Pediatric nurses need to understand mothers' anxiety, grief, relationships with their children, and coping strategies to provide support.(c) 2022 Elsevier Inc. All rights reserved.