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Investigation of Psychosoial Symptoms of Children in Hospital in Terms of Children's VariablesAim: This research was conducted to examine the psychosocial symptoms of children aged 6-12 who were hospitalized in the pediatric and pediatric surgical services of a University Hospital. Method: June-July 2019, 50 children in the 6-12 age group who had been in bed at a University Hospital for less than three days, diagnosed with an acute or chronic disease, admitted to participate in the study. "Personal Information Form" and "psychosocial symptoms diagnostic scale for hospitalized children" were used to collect the data. The data were evaluated in the SPSS program and found to have no normal distribution based on Skewness, kurtosis values and Shapiro-wilk results. According to these results, the data were used for descriptive analyses, Mann Whitney U test and Kruskal Wallis analysis. Results: 54% of the children with a mean age of 8.922.23 were girls and 46% were between 10-12 years of age. The scale used in the study has five sub-dimensions: anxiety, despair, communication difficulties, angeraggression, and regression. A significant association was observed when the relationship between anxiety and sex, anger and aggression with hospitalization experience and regression with the duration of the disease was examined. Conclusions: According to the results of the study, factors that cause the appearance of psychosocial symptoms in the child were observed. In our study, the importance of psychosocial evaluation of children receiving inpatient treatment is emphasized.

Background:Childhood cancers are fatal diseases which cause intense stress and traumatic situations for the ones who experience those diseases. This kind of an emotionally hard life may create some hardships for developing self-concept. The aim of the study is to put forth the self-exposure of a school-age child by using plays.Materials and Methods:Six play sessions had been carried out in June-August 2011. As a searching pattern, interpretive case study method was used. The research consisted of six children with cancer, aged between 9 and 12 years. The research was conducted in a public hospital in children oncology service.Results:The assessment of data was realized in two stages. The first one was examining the data; the other stage was the content analysis that has been constructed after the play sessions as Nursing Intervention: Play Model. In the newly formed model, nine themes had been found: (a) expressing good memories, (b) control, (c) problem-solving ability, (d) relations, (e) aggressive behaviors, (f) regression, (g) good-bad, (h) trauma, and (i) anxiety.Conclusions:The self-concept of the school-age child needs to be supported. It has been submitted that the themes can be supportive for the prospective nursing models concerning child's self-exposure. It has been suggested that the themes produced by Nursing Intervention: Play Model can be used while planning, implementation, and assessment of the nursing care.

Kalp hastalığı olan down sendromlu çocukların ebeveynlerinin umutsuzluk düzeylerine aile merkezli hemşirelik yaklaşımı Amaç: Araştırma kalp hastalığı olan down sendromlu çocuklara sahip ebeveynlerin umutsuzluk düzeylerine aile merkezli hemşirelik yaklaşımın etkisini değerlendirmek amacıyla deneysel olarak gerçekleştirilmiştir. Yöntem: İstanbul'da bir devlet hastanesinde Mart-Mayıs 2013 tarihleri arasında yapılan çalışma; çocuk kardiyoloji ve kardiyovasküler cerrahi servisinde yatan veya poliklinik kontrolüne gelen kalp hastalığı olan down sendromlu çocuğa sahip 40 ebeveyn deney, 37 ebeveyn kontrol grubu olmak üzere 77 ebeveyn ile birlikte yapılmıştır. Araştırmada 'aile tanılama formu' ve 'Beck Umutsuzluk Ölçeği' kullanılmıştır. Araştırmacı tarafından geliştirilen 'Down Sendromlu Eğitim Kitapçığı' ile deney grubunda yer alan ebeveynlere eğitim verilmiştir. Araştırmanın verileri bilgisayar ortamında analiz edilmiştir. Verilerin değerlendirilmesinde; ki-kare, iki grup arasındaki farkı t-testi, grup içi tekrarlı ölçümlerin karşılaştırılmasında eşleşmiş grup t-testi kullanılmıştır. Bulgular: Çocuğun yaşamında ve bakımında ailenin merkezi bir rol oynadığını kabul eden aile merkezi yaklaşımla eğitim alan ebeveynlerin umutsuzluk önce puan ortalaması (x±8.37), umutsuzluk sonra ortalamasından (x±4.10) yüksek bulunmuş olup umutsuzluk azalmıştır (p<0.001). Eğitim almayan ebeveynlerin ise umutsuzluk önce puan ortalaması (x±8.75), umutsuzluk sonra puan ortalamasından (x±11.37) düşük bulunmuş olup umutsuzluk artmıştır (p=0.006). Aile merkezli eğitim alan ebeveynlerin umutsuzluk düzeyleri incelendiğinde, eğitim öncesi ve sonrasındaki umutsuzluk puanları arasındaki fark istatiksel olarak anlamlı bulunmuştur. Sonuç: Çalışmanın sonucunda, Kalp Hastalığı olan Down Sendromlu bir çocuğun ebeveynlerinin yaşayacakları umutsuzlukla baş etmelerinde aile merkezli hemşirelik yaklaşımın önemini ön plana çıkartmaktadır. Anahtar sözcükler: Aile merkezli hemşirelik, down sendromu, ebeveyn umutsuzluğu, kalp hastalığı olan çocuk, özürlü ABS TRACTFamily-oriented nursery approach to despair levels of the parents of children with cardiac disease and down syndrome Objective: This experimental research was carried out in order to assess the effect of "family oriented nursery approach to despair levels of the parents of children with cardiac disease and Down syndrome. " Methods: The research was conducted with 77 parents having a child both with Down syndrome and cardiac disease in cardiology and cardiovascular surgery department or policlinics in a public hospital in Istanbul between March and May 2013: 40 of them as experimental group and 37 others as research control group. In this study, 'family identification form' and 'Beck Desperation Scale' were used. Parents in the research group were trained through 'Education Booklet for Children with Down Syndrome' developed by the researcher. The data of the research were analyzed in computer environment. Regarding the data analysis; chi-square, t-test for the difference between two groups, and matched gro...

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