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    Effect of parental depression level on children's quality of life after haematopoietic stem cell transplantation
    (Elsevier Sci Ltd, 2017) Sengul, Zeynep Kisecik; Altay, Naime
    Purpose: This descriptive cross-sectional study aimed to determine the impact of parental depression level on children's quality of life after haematopoietic stem cell transplantation (HSCT). Method: This study was conducted in a bone marrow transplantation unit of a children's hospital in Ankara, Turkey. The research sample consisted of 82 parents. Children aged 2-18 years and monitored in polyclinics 100 days after HSCT were included in the study. A sociodemographic data form, parent forms of the Pediatric Quality of Life Inventory, and the Beck Depression Inventory (BDI) were used. Results: Forty (48%) mothers and 42 (51.2%) fathers participated in the study. Of the children, 30 (36.6%) were female and 52 (63.4%) were male, and their mean age was 10.68 [standard deviation (SD) 4.80] years. Twenty-six children (31.7%) had been diagnosed with thalassaemia, and 29 children (35.4%) had undergone HSCT in the previous 25-36 months. The mean total scale score on the Pediatric Quality of Life Inventory was 61.37 (SD 21.85), and the mean parental BDI Score was 14.57 (SD 11.03). Fourteen (17.1%) parents had severe depression and 10 (12.2%) parents had moderate depression. Low statistical correlation was found between the parental BDI score and the total scale score on the Pediatric Quality of Life (r = -0.281; P = 0.011). Conclusion: Parental depression level affects children's quality of life after HSCT. Following transplantation, it is important to evaluate parental depression level and provide support. (C) 2017 Elsevier Ltd. All rights reserved.
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    Intergenerational exploration of traditional practices affecting child health: A phenomenological study
    (Elsevier Science Inc, 2023) Sengul, Zeynep Kisecik; Salik, Hava; Basaran, Fatma; Duru, Pinar
    Background: All over the world, various traditional practices affect child health. The aim of our research was to explore the changes in traditional practices that affect child health between generations and to investigate the life experiences of generations in depth. Methods: Using a phenomenological design, this study was conducted with semi-structured interviews with families of both generations (mothers and daughters). The study was written based on the COREQ checklist. Findings: Four themes (traditional practices and intergenerational differences, beliefs/emotions related to traditional practices, influence factors in traditional practices, traditional methods in child care) and fourteen sub-themes (change in practices between generations, intergenerational transmission of traditional practices, beliefs in perceived benefits, skepticism and disbelief attitude, emotional reactions and perceiving as unnecessary, mother/mother in-law, traditional knowledge from mothers and grandmothers, family elders, the role of the internet and social media, spiritual practices, use of herbal products, alternative applications to medicines, relaxing applications, health consequences of traditional practices) were generated from the data. Discussion: According to the findings, some harmless traditional practices are still relevant across generations, while harmful practices are mostly abandoned by new generations. The level of education and access to information has led the new generation to question traditional practices and show more interest in scientific knowledge-based methods. Application to practice: This research can contribute to advances in child health by helping us understand beliefs, feelings, and influencing factors related to traditional practices. Maternal education and community awarenessraising campaigns can be used to reduce harmful traditional practices.
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    Intervention Protocol: Technology-Based Psychosocial Motivation for Children with Cancer and Their Parents: A Randomized Trial
    (Wolters Kluwer Medknow Publications, 2020) Sengul, Zeynep Kisecik; Toruner, Ebru Kilicarslan
    Objective: This experimental randomized controlled trial will be to examine the impact of a technology-based psychosocial motivation program on children and families who are being followed up on a diagnosis of cancer. Methods: The research is based on the "Transactional Model of Stress and Coping." This study will be conducted on children with leukemia, aged 9-18 years, and their parents, who will be followed in the consolidation treatment phase in the hematology wards and outpatient clinic of a university hospital. Data collection will consist of the children's and parents' descriptive characteristic form, the Spielberger State Anxiety Inventory for Parents, the State-Trait Anxiety Inventory for Children, the Pediatric Cancer Coping Scale, the Pediatric Quality of Life Inventory, and process evaluation forms. A 10-week program will be implemented for the children in the intervention group through web-based training, coaching interviews and counseling via video mobile calls, mobile messages and children's stories, progressive muscle relaxation and breathing exercises, and imagination interventions. During the same period, parents will also receive web-based training, coaching sessions, counseling, mobile messages, and progressive muscle relaxation exercises. Results: It is thought that after the intervention the stress level of the child and the family will decrease, the coping skills of the children will improve, and their quality of life will increase. Conclusions: It is thought that the treatment process can be affected positively by providing psychosocial support to children and their families who receive cancer treatment.
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    Perception of opinion leaders on society's approach to early marriage: A phenomenological research
    (Pergamon-Elsevier Science Ltd, 2024) Salik, Hava; Basaran, Fatma; Duru, Pinar; Sengul, Zeynep Kisecik
    Introduction: Early marriage remains a significant social issue worldwide, particularly in regions where cultural, religious, and socioeconomic factors intersect. Understanding the perspectives of opinion leaders, such as neighborhood headmen, imams, and guidance counselors, can offer valuable insights into the prevailing attitudes and practices surrounding early marriage within societies. This study aims to investigate in depth the perception of opinion leaders (neighborhood headmen, imams, guidance counselors) regarding society's approach to early marriage. Methods: In this study, a phenomenological design from qualitative research methods was used. The study was conducted with five neighborhood headmen, seven imams, and six guidance counselors. The study's data were collected through an introductory information form, and a semi-structured interview form. Results: As a result of the synthesis of the interviews, three main themes emerged. In our study, although neighborhood headmen and imams stated that early marriages in the area where they work have decreased compared to the past and are not encountered today, guidance counselors had different opinions on this issue. Conclusion: The findings of this study may contribute to future studies by emphasizing that imams, neighborhood headmen, and counselors should be more proactive in preventing early marriage.
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    Reliability and validity of the Turkish version of the Paediatric Cancer Coping Scale (PCCS)
    (Wiley, 2022) Sengul, Zeynep Kisecik; Toruner, Ebru Kilicarslan; Ozbek, Namik Yasar
    Background To determine the validity and reliability of the Turkish version of the Paediatric Cancer Coping Scale, a scaling tool that has three subscales (cognitive coping, problem-oriented coping and defensive coping) and was developed to examine the coping strategies of children with a cancer diagnosis. Design This psychometric evaluation study focused on validity and reliability assessment of a scale between November 2018 and May 2019. Methods Study sample consisted of 165 children with cancer aged 7- to 18-years followed up in the outpatient clinics of a children's hospital. The retest sample consisted of 85 children. Data were collected using a Descriptive Characteristics Form and the Turkish version of the Paediatric Cancer Coping Scale. Cronbach's alpha coefficient and total item correlation were calculated for internal consistency reliability. Exploratory and confirmatory factor analyses were conducted to determine construct validity. Results The total Cronbach's alpha (alpha) of the Turkish version of the Paediatric Cancer Coping Scale was 0.77. According to exploratory factor analysis, the Paediatric Cancer Coping Scale has three subscales (cognitive coping, problem-oriented coping and defensive coping). Our results showed a positive and statistically significant correlation between the scale total, cognitive coping and problem-oriented coping scores (p < 0.01). Conclusion The Turkish version of the Paediatric Cancer Coping Scale is a valid and reliable measurement tool that can be used to assess coping styles in paediatric cancer patients. Summary statement What is already known about this topic? There is no measurement tool in Turkey to examine coping skills of children with a cancer diagnosis. The number of children diagnosed with cancer is increasing day by day. The children who use coping methods effectively during the disease may be better adapted to treatment. What this paper adds? This study is used to define coping skills of children diagnosed with cancer. Defining the level of children's coping with cancer can enable the child to be guided to receive psychosocial support. The implications of this paper Once the coping skills/levels of children can be measured, those who need help/assistance can be helped. This study will help nurses to identify coping levels of children with a cancer diagnosis. Nurses will be able to evaluate the psychosocial status of children using an objective measurement tool and make a care plan.
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    The experiences of mothers of children with food allergy: A qualitative study
    (Elsevier Science Inc, 2023) Ozturk, Cigdem Sari; Merter, Ozlem Selime; Sengul, Zeynep Kisecik
    Background: Food allergies adversely affect the quality of life of the child and family, as they require lifelong treatment and follow-up. This study aims to examine the experiences of mothers who have children with food allergies within the framework of the biopsychosocial-spiritual model. Methods: This study, using a qualitative research design, was carried out with mothers of children followed up with food allergy in the pediatric allergy outpatient clinic of a university hospital between December 15, 2022 and January 05, 2023. Purposive sampling method was used in the study and semi-structured interviews were conducted with 12 mothers. All interviews were audio recorded and transcribed. Inductive thematic analysis method was used. The study was written based on the COREQ checklist. Findings: Three themes, eight sub-themes, and 19 categories were identified: The effects of the disease on the physical health of the child and mother in the biological effects theme; psychosocial responses to disease, adaptation to treatment, future anxiety, coping strategies, and communication/interaction in the psychosocial effects theme; search for purpose-meaning in life and understanding belief/basic human values in the spiritual effects theme. Discussion: It has been concluded that food allergies affect maternal health extensively, especially in the psychosocial field, and that it affects family relationships, the time that mothers spare for themselves, and physical and spiritual health. Application to practice: The findings will be a guide for improving the quality of life of mothers followed up with food allergies and for the care and counseling support to be provided to mothers.