Browsing by Author "Askan, Fahri"

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The Effect of Virtual Reality Headsets on Breast Milk Production and Anxiety in Mothers of Preterm Infants
(Bmc, 2025) Eker, Asli; Karadeniz, Ebru Yildiz; Askan, Fahri
Objective This study aimed to evaluate the effect of virtual reality (VR) headsets on breast milk production and anxiety levels in mothers of preterm infants admitted to the neonatal intensive care unit (NICU). Methods This quasi-experimental study included 30 mothers whose preterm infants (30-37 weeks of gestation) were admitted to the NICU at Van Yuzuncu Yil University Dursun Odabas Medical Center between November 2, 2023, and June 1, 2024. Mothers expressed their first milk of the day for three days, and the volume was recorded using the Breast Milk Quantity Monitoring Form. The State-Trait Anxiety Inventory (STAI) was administered before milking. After three days, mothers underwent VR relaxation sessions (10 min daily) for three consecutive days, followed by milk expression and volume recording. The STAI was re-administered on the final day. Results Post-VR anxiety scores were significantly lower than pre-VR scores (t = 5.487, p < 0.001). Breast milk volume increased significantly after VR sessions (z = 4.553, p < 0.001). A moderate negative correlation was found between anxiety and milk quantity (r = -0.394, p = 0.031). Multivariable analyses showed that prior breastfeeding experience and education level influenced milk volume. Conclusion VR headsets may reduce anxiety (p < 0.001) and enhance breast milk production (p < 0.001) in mothers of preterm infants in the NICU. Further research with larger samples and longer interventions is needed to confirm these findings and optimize VR's role in maternal health.
Effects of Mandala Art Therapy (Coloring) on Nausea, Vomiting, Pain and Anxiety in Children and Youth Receiving Outpatient Chemotherapy
(Elsevier Science Inc, 2026) Yuruk, Emel; Todil, Tugba; Askan, Fahri; Kara, Mustafa; Hacisalihoglu, Aslihan
Purpose: This study was designed as a randomized controlled trial (RCT) with a pretest-posttest design to investigate the effects of mandala art therapy on nausea, vomiting, pain, and anxiety in children and youth undergoing outpatient chemotherapy. Method: This study was conducted between April 15 and October 15, 2024, at the Pediatric Outpatient Chemotherapy Unit of a hospital. The study included children and youth aged 9-17 diagnosed with hematological malignancies, solid tumors, or hematological disorders accompanied by oncological conditions. The experimental group received mandala art therapy, while the control group continued with the standard protocol. The study utilized the Personal Information Form, Nausea-Vomiting Thermometer, Wong-Baker Faces Pain Rating Scale, and the State-Trait Anxiety Inventory for Children (STAIC). Data were summarized using descriptive statistics and normality was assessed using the Shapiro-Wilk test. For data that did not follow a normal distribution, the Mann-Whitney U and Wilcoxon Signed Rank tests were applied. Results: Significant differences were observed between the experimental and control groups in the of nausea, vomiting, pain, and anxiety levels post-treatment. In the experimental group, a significant reduction was observed in the nausea-vomiting and pain scores before and after the treatment (p < 0.01), while no change was noted in the control group (p > 0.05). Additionally, a significant decrease in the anxiety scores was found in the experimental group after treatment, whereas no significant difference was observed in the control group (p > 0.05). Conclusions: Mandala art therapy effectively reduces nausea, vomiting, pain, and anxiety in children undergoing outpatient chemotherapy and it appears to be a feasible and effective psychosocial intervention that could be integrated into routine supportive care in pediatric oncology. Future studies should investigate its long-term effects and in different pediatric age groups. (c) 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
The Effect of Hand Massage on Preoperative Anxiety Level and Hemodynamic Variables in Children: a Randomized Controlled Trial
(Elsevier Science inc, 2023) Askan, Fahri; Bakar, Digdem Lafci
Purpose: The study was conducted to determine the effect of hand massage applied to preoperative children on anxiety level and hemodynamic variables. Design: This research study is a randomized controlled trial with control and study groups, pre-and posttests. Methods: This study was conducted between April and September 2017 with 84 children who were planned to receive an operation by applying general/local anesthesia in a province in the south of Turkey. The population of the research was composed of children between the ages 9 and 12 (study group = 42 and control group = 42). The data were collected through "Child and Parent Information Form," "State-Trait Anxiety Inventory for Children," "Physical Symptoms Follow-up Form for Anxiety," and "Satisfaction Evaluation Scale."Findings: The state-trait anxiety mean after hand massage was found to be 25.78 +/- 5.90 in the study group, and 31.80 +/- 6.51 in the control group (P < .05). There was a statistically significant difference (P < .05) between the systolic blood pressures and heart rate averages of the children in the study group after hand massage. There was a negative correlation between the satisfaction hand massage and state-trait anxiety means of the study group children (P < .05).Conclusions: Hand massage was found to have a positive effect on reducing anxiety, systolic blood pressure and heart rate. No effect was found on diastolic blood pressure, respiratory rate and SpO2. We recommend that more extensive studies on hand massage are performed.(c) 2023 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
E-Health Literacy of Nursing Students and Investigation of Factors Affecting E-Health Literacy During Covid-19 Pandemic Process: a Cross-Sectional Study
(Lippincott Williams & Wilkins, 2022) Cetinkaya, Senay; Askan, Fahri; Gunes, N. Ecem Oksal; Todil, Tugba; Yuruk, Emel
The lack of knowledge on health literacy affects all segments of society, particularly health workers. The objectives were to identify nursing students' means of accessing information during the coronavirus disease 2019 pandemic, their level of health literacy, and the factors that affect it. This cross-sectional study was conducted in Turkey among 398 nursing students of cukurova University and Van Yuzuncu Yil University between June 1 and June 30, 2020. As a data collection tool, E-Health Literacy Scale was used, with students' characteristics and personal information form related to Internet use. These forms were converted to the online format. The survey link was sent to the students' smartphones and/or e-mails to ask them to participate. Majority of participants were Van Yuzuncu Yil University nursing students (63.8%). E-SYO score average of all students was found to be 29.42 +/- 4.39 (min = 14, max = 40); it was is found be at a good level. They used the Internet as the first source of information about coronavirus disease 2019 (65.1%).Among the participants, 65.8% stated that it was important to access the health resource on the Internet and 19.1% of the participants thought that it was very important. It was found that Internet use was being used for >3 times a day (72.9%). The age, class, gender, family type, income level, high school from which they graduated from, and their working status significantly were statistically affecting their health literacy (P < .05). The health literacy scale scores were significant and higher than those who did not know the concept of health literacy, and those who perceived Internet skills well and very well than those who perceived them poorly (P < .05). Nursing students were found to have good average health literacy averages. Improving the health literacy is important for making individuals healthier.
The Effect of Moulage Supported Standardised Patient Simulation on Nursing Students' Self-Efficacy and Clinical Practice Attitudes Towards Pressure Injuries : A Randomised Controlled Study
(Elsevier Science Ltd, 2026) Sarpdagi, Yakup; Kaplan, Ebubekir; Sir, Ozkan; Askan, Fahri; Yildiz, Metin
Aim: The aim of this study was to investigate the effect of a moulage -supported standardised patient simulation (MSSPS) on nursing students' self-efficacy and clinical practice attitudes towards PIs. Background: Pressure injuries (PIs) are preventable yet remain a major global patient safety concern and an indicator of nursing care quality. Enhancing nursing students' knowledge and skills through simulation-based education is essential for PIs prevention. Design: Pre- and post-test, single-blind, randomised controlled trial (ClinicalTrials.gov ID: NCT06634095). Methods: This study was conducted with Nursing Department students at a university in eastern Turkey. The sample of the study was determined by power analysis method and consisted of 94 nursing students including 47 experimental and 47 control groups. The experimental group received pressure injury training based on a MSSPS. 'Descriptive Information Form', "Attitudes Towards Clinical Practice Scale for Nursing Students", "Pressure Injury Management Self-Efficacy Scale for Nurses", "Pressure Injury Knowledge Test", "Pressure Injury Skill Evaluation Form" and "Pressure Injury Assessment Form" were used to collect the data. Results: The experimental group demonstrated significant improvements in clinical practice attitudes, self-efficacy, PIs knowledge, skill performance and wound assessment scores compared with the control group (p < 0.05). Conclusion: MSSPS effectively enhanced nursing students' knowledge, self-efficacy, clinical attitudes and skills in PIs prevention and management.