Publications by authors named "Ayfer Acikgoz"

9 Publications

  • Page 1 of 1

The evaluation of urinary incontinence in secondary school children and risk factors: An epidemiological study.

Int J Clin Pract 2021 Oct 4;75(10):e14657. Epub 2021 Aug 4.

Faculty of Medicine, Department of Paediatric Surgery, Osmangazi University, Eskisehir, Turkey.

Aim: Urinary incontinence is an important problem that can arise due to neurogenic or functional reasons and negatively affect the psychological, social and personality development of children. This study was conducted on secondary school students to determine the prevalence and risk factors of urinary incontinence at night and/or in the daytime.

Methods: The study universe included all secondary school students attending public elementary schools in the city centre of Eskişehir (N = 34 000). Ethics Committee and Provincial Directorate of National Education approvals were obtained before conducting the study. A data collection form prepared by the researchers and a consent form were delivered in a sealed envelope to the parents via the students. The study data were collected over the period 09 May 2018-30 May 2018. A total of 6957 questionnaires that were fully completed among the 7370 surveys were taken into consideration. The statistical analysis was carried out using the SPSS software package.

Results: The number of children found to have urinary incontinence was 215 (3.1%). It was seen that 33 children had urinary incontinence only in the daytime, 61 children experienced it both at night and during the day and 121 children at night. It was observed that 56% of the children suffering from urinary incontinence had not applied to any health facility for treatment prior to the study. It was found that among the risk factors for urinary incontinence were young age, late start of toilet training and presence of a family history of urinary incontinence.

Conclusions: Children with urinary incontinence and their families need medical information and support to reach the root of the problem and seek solutions. Accompanying pathologies in detected cases can be determined in the early period by means of school screenings, and medical evaluation and support can prevent adverse effects on children's psychosocial and personality development.
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http://dx.doi.org/10.1111/ijcp.14657DOI Listing
October 2021

A Randomized Controlled Trial: The Effect of Own Mother's Breast Milk Odor and Another Mother's Breast Milk Odor on Pain Level of Newborn Infants.

Breastfeed Med 2021 01 20;16(1):75-81. Epub 2020 Oct 20.

Department of Child Health and Disease Nursing, Faculty of Health Sciences, Eskisehir Osmangazi University, Eskisehir, Turkey.

Our research was conducted empirically to determine whether another mother's breast milk could be used to reduce the pain of newborns who were not able to access their own mother's milk for any reason. The sample group of the research included 90 newborns [smell of own mother's milk (30), smell of another mother's milk (30), and the control group (30)] hospitalized in the unit. A neonatal information form was used as the data collection tool, the Neonatal Pain, Agitation, and Sedation Scale (N-PASS) was used to assess the newborn's pain, and an evaluation form prepared by the researcher was used to record the findings. The group which was exposed to their own mother's milk had a significantly lower N-PASS mean score compared to other groups and the group which was exposed to another mother's milk was observed to have a significantly lower N-PASS mean score compared to the control group ( < 0.05). While the median values for the total time spent crying of the "own mother's milk" group and the "another mother's milk" group were similar; the total time spent crying of the control group had a significantly higher median value. Our research determined that, while the most effective method for reducing pain in newborns was the smell of their own mother's breast milk, for newborns who were not able to access their own mother's breast milk, the smell of breast milk from a different mother could also be used.
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http://dx.doi.org/10.1089/bfm.2020.0222DOI Listing
January 2021

Application of Machine Learning Techniques for Enuresis Prediction in Children.

Eur J Pediatr Surg 2021 Oct 20;31(5):414-419. Epub 2020 Aug 20.

Department of Pediatric Nursing, Eskisehir Osmangazi University, Eskisehir, Turkey.

Introduction:  As a subset of artificial intelligence, machine learning techniques (MLTs) may evaluate very large and raw datasets. In this study, the aim is to establish a model by MLT for the prediction of enuresis in children.

Materials And Methods:  The study included 8,071 elementary school students. A total of 704 children had enuresis. For analysis of data with MLT, another group including 704 nonenuretic children was structured with stratified sampling. Out of 34 independent variables, 14 with high feature values significantly affecting enuresis were selected. A model of estimation was created by training the data.

Results:  Fourteen independent variables in order of feature importance value were starting age of toilet training, having urinary urgency, holding maneuvers to prevent voiding, frequency of defecation, history of enuresis in mother and father, having child's own room, parent's education level, history of enuresis in siblings, consanguineous marriage, incomplete bladder emptying, frequent voiding, gender, history of urinary tract infection, and surgery in the past. The best MLT algorithm for the prediction of enuresis was determined as logistic regression algorithm. The total accuracy rate of the model in prediction was 81.3%.

Conclusion:  MLT might provide a faster and easier evaluation process for studies on enuresis with a large dataset. The model in this study may suggest that selected variables with high feature values could be preferred with priority in any screening studies for enuresis. MLT may prevent clinical errors due to human cognitive biases and may help the physicians to be proactive in diagnosis and treatment of enuresis.
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http://dx.doi.org/10.1055/s-0040-1715655DOI Listing
October 2021

Influence of internal mammary artery retractor on postoperative patient comfort and quality of life.

Arch Med Sci Atheroscler Dis 2018 20;3:e174-e178. Epub 2018 Dec 20.

Department of Orthopedy, Halic University, Istanbul, Turkey.

Introduction: Patients experience muscle, joint and shoulder pain after heart surgery. We aimed to compare quality of life in 2 groups of patients, one group having an internal mammary artery (IMA) retractor during surgery, the second group undergoing non-coronary heart surgery.

Material And Methods: Group 1 was composed of 39 patients receiving an IMA retractor whereas in group 2 there were 29 patients. Patients in groups were compared for postoperative quality of life, shoulder pain, functional status, strength and patient satisfaction.

Results: Visual analog scale (VAS) assessment, pain localization, quality of life SF-36 form, and University of California at Los Angeles (UCLA) functional shoulder scoring were applied in both groups. Mean VAS score in group 1 was significantly higher than in group 2. Only the vitality measure mean score was not significantly different in SF-36 assessment; however, in group 2 physical function and mental health scale mean scores were higher and the pain scale mean score was lower than in group 1. The total UCLA score and UCLA subgroups of pain, function, active flexion angle and strength revealed a statistically significant difference between groups.

Conclusions: Patients in whom an IMA retractor was not utilized during surgery exhibited better results in physical functions, emotional status, and shoulder pain in the postoperative period.
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http://dx.doi.org/10.5114/amsad.2018.81086DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374559PMC
December 2018

Effectiveness of Two Different Methods for Pain Reduction During Insulin Injection in Children With Type 1 Diabetes: Buzzy and ShotBlocker.

Worldviews Evid Based Nurs 2018 Dec 11;15(6):464-470. Epub 2018 Oct 11.

Child Endocrinology Department, Medical Faculty, Eskisehir Osmangazi University, Eskisehir, Turkey; Birgul Kirel.

Background: Repeated injections may prevent children from performing insulin administration (skip dosing) and may cause anxiety.

Aims: To compare the effect of ShotBlocker and the combination of vibration and cold application (Buzzy) in reducing pain during insulin administration in children.

Methods: This research was designed as a randomized controlled experimental study. The study sample consisted of 60 children aged between 6 and 12 years who were diagnosed as having type 1 diabetes and received insulin from the Child Endocrinology Department of the medical faculty in Eskisehir Osmangazi University between May 2015 and June 2017. The children were randomized into the Buzzy (n = 20), ShotBlocker (n = 20), and control (n = 20) groups. Three instruments were used to obtain the research data: Interview and Observation Form, Children's Anxiety and Pain Scale (CAPS), and Faces Pain Scale-Revised (FPS-R).

Results: The mean age of the children was 9.43 ± 2.18 years (range 6-12 years). There were no significant differences among preprocedural anxiety levels of the study groups in terms of self-, parent-, and observer-reported levels (p = .935, p = .374, and p = .680, respectively). Children in the control group had higher levels of pain than children in the Buzzy and ShotBlocker groups (p = .008, p = .007, and p > .001, respectively). There was a significant difference between the groups with procedural anxiety levels reported by the family and observer (p = .006 and p = .002, respectively), favoring the intervention groups.

Linking Evidence To Action: Nurses should be aware of pain during insulin injection and use methods for pain relief accordingly. ShotBlocker is recommended as a helpful option in cases where a pain control method is required.
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http://dx.doi.org/10.1111/wvn.12325DOI Listing
December 2018

Educational Study to Increase Breast Cancer Knowledge Level and Scanning Participation among Women Working at a University.

Eur J Breast Health 2017 Jul 1;13(3):113-116. Epub 2017 Jul 1.

Department of Obstetrics and Gynecology, Eskisehir Osmangazi University School of Medicine, Eskişehir, Turkey.

Objective: The aim of the study is to increase the participation level of women in screening programs by increasing the level of knowledge about early diagnosis and screening methods for breast cancer (BC).

Materials And Methods: This was a pretest-posttest one group design study held in Eskişehir Osmangazi University, Turkey. The sample consisted of 405 women in all departments of the University. Data were collected using socio-demographic forms and questionnaires. Training about BC was provided for participants. The questionnaire used prior to the training to measure levels of knowledge about BC was re-administered 3 weeks after the training.

Results: The women were most commonly aware of the breast self-examination (68.1%). The ratio of women who had had mammography in the previous year was 11.4%. The BC knowledge level significantly increased after the training (p=0.001).

Conclusion: This study determined that the level of knowledge about BC in terms of early detection and screening was low and that the percentage of participation in screening was also low.
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http://dx.doi.org/10.5152/ejbh.2017.3457DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5544143PMC
July 2017

Anxiety levels of mothers with newborns in a Neonatal Intensive Care Unit in Turkey.

Pak J Med Sci 2015 Sep-Oct;31(5):1176-81

Dr. Ayfer Acikgoz, PhD. Assistant Professor, Eskisehir Osmangazi University, School of Health, Nursing Department, Turkey.

Objective: To compare the anxiety levels of mothers with newborns in a Neonatal Intensive Care Unit (NICU) and mothers with healthy newborns in a postpartum care service (PCS).

Methods: This descriptive study was conducted in state and medical school hospitals located in Eskisehir and Afyon, Turkey. The first 200 mothers, including mothers with newborns in a PCS (n=100) and mothers with newborns in a NICU (n=100); participants were followed starting March 1, 2014. Questionnaires to determine the characteristics of mothers and newborns were used as data collection tools, including the State-Trait Anxiety Inventory Scale (STAI TX-1 - STAI TX-2).

Results: Trait anxiety levels were not significantly different between mothers with newborns in the NICU and mothers with newborns in PCS (t=0.588, p=0.557), whereas state anxiety levels were significantly different between the two groups (t=-5.109, p=<0.001). The state anxiety levels of mothers whose infants were in the NICU were determined to be higher compared to those of mothers whose infants were in PCS.

Conclusion: Being a mother of a sick newborn can elevate anxiety and lead to in mothers. During this challenging time, the support of nurses can increase mothers' abilities to cope with the stress of a sick newborn.
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http://dx.doi.org/10.12669/pjms.315.7792DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4641278PMC
December 2015

The Effect of Preintervention Preparation on Pain and Anxiety Related to Peripheral Cannulation Procedures in Children.

Pain Manag Nurs 2015 Dec 17;16(6):846-54. Epub 2015 Aug 17.

Department of Nursing, Higher School of Health, Eskişehir Osmangazi University, Eskişehir, Turkey. Electronic address:

This study was performed to determine the effect of several preintervention preparation practices on pain and anxiety related to the peripheral cannulation procedure in children ages 9-12 years. The study included 60 Turkish children (28 female, 32 male, randomly selected by lot), 30 of whom were included in the intervention group and 30 of whom were included in the control group. The children's demographic data were collected by a data collection form prepared by the researcher. The children in the intervention group read the training manual before peripheral cannulation, and the procedure was demonstrated on a teddy bear. Their level of pain was assessed using the Wong-Baker Faces Rating Scale, and their level of anxiety was determined by the Spielberger State-Trait Anxiety Inventory for Children, before and during the procedure in both groups. Results showed that while anxiety and pain scores increased during the actual procedure compared to the preparatory procedure in the control group (anxiety t = -4.957, pain Z(a) = -4.048), anxiety and pain scores decreased during the actual procedure in the intervention group compared to the preparatory procedure (anxiety t = 7.896, pain t = 6.196). When the pain and anxiety scores were examined, it was found that both anxiety and pain scores in the intervention group were significantly lower than in the control group. In conclusion, children in this study experienced pain and situational anxiety during peripheral cannulation, and this pain can be reduced by preparing the child in advance of the procedure. It is suggested that children should be informed about and able to practice the procedure on a toy or model before peripheral cannulation. Preparation of the children to painful procedures in accordance with their cognitive development can reduce anxiety and pain.
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http://dx.doi.org/10.1016/j.pmn.2015.06.006DOI Listing
December 2015

Effects of Open and Closed Suctioning Systems on Pain in Newborns Treated with Mechanical Ventilation.

Pain Manag Nurs 2015 Oct 9;16(5):653-63. Epub 2015 Jul 9.

Nursing Department of Pediatrics, Istanbul University, Istanbul, Turkey.

This experimental study was conducted to compare the effects of open and closed suctioning systems on pain in newborns receiving ventilation support. The study sample consisted of 42 babies (23 female, 16 male) hospitalized in the unit between December 2010 and December 2011 who met the selection criteria established for the study. Using the random sampling method, 20 of the babies were included in the closed suctioning system group and the remaining 22 were analyzed in the open suctioning system group. The data collection tools of the study were intervention monitoring form, data collection form, and documentation of the personal information on the babies; and the Neonatal Pain, Agitation, and Sedation Scale (N-PASS) evaluated the babies' pain responses. The data were evaluated using SPSS 15 software. Most neonates were born preterm (≤37 weeks' gestation at birth; 69% [n = 29]). The mean (SD) birth weight, gestational age, and intensive care unit stay were 1.82 kg (1.1 kg), 31.9 (5.3) weeks, and 25.3 (2.9) calendar days, respectively. Results of the study revealed no statistically significant difference between the open suctioning and closed suctioning groups (p = .194). However, the N-PASS pain scores obtained before and during the suctioning processes were significantly different (p < .001). In conclusion, babies seem to experience pain during the suctioning process, according to N-PASS scores, and although not significant statistically, the level of pain felt during open suctioning was observed to be slightly higher compared with closed suctioning.
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http://dx.doi.org/10.1016/j.pmn.2015.01.002DOI Listing
October 2015
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