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            <front>

                <journal-meta>
                                    <journal-id></journal-id>
            <journal-title-group>
                                                                                    <journal-title>Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2687-2145</issn>
                                                                                            <publisher>
                    <publisher-name>Bandırma Onyedi Eylül Üniversitesi</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.46413/boneyusbad.1485275</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Pediatric Health and Illnesses Nursing</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Çocuk Sağlığı ve Hastalıkları Hemşireliği</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <trans-title-group xml:lang="en">
                                    <trans-title>Evidence-Based Practices to Improve Sleep Quality in Pediatric Oncology Patients: A Systematic Review</trans-title>
                                </trans-title-group>
                                                                                                                                                                                                <article-title>Pediatrik Onkoloji Hastalarında Uyku Kalitesini Artırmaya Yönelik Yapılan Kanıta Dayalı Uygulamalar: Sistematik Derleme</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-2343-8673</contrib-id>
                                                                <name>
                                    <surname>Oğuzhan</surname>
                                    <given-names>Hatice</given-names>
                                </name>
                                                                    <aff>GÜMÜŞHANE ÜNİVERSİTESİ, GÜMÜŞHANE SAĞLIK HİZMETLERİ MESLEK YÜKSEKOKULU</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-1706-2489</contrib-id>
                                                                <name>
                                    <surname>Akay</surname>
                                    <given-names>Gamze</given-names>
                                </name>
                                                                    <aff>ARTVİN ÇORUH ÜNİVERSİTESİ, SAĞLIK HİZMETLERİ MESLEK YÜKSEKOKULU</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-2419-4845</contrib-id>
                                                                <name>
                                    <surname>Güdücü Tüfekci</surname>
                                    <given-names>Fatma</given-names>
                                </name>
                                                                    <aff>ATATÜRK ÜNİVERSİTESİ, HEMŞİRELİK FAKÜLTESİ</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20250421">
                    <day>04</day>
                    <month>21</month>
                    <year>2025</year>
                </pub-date>
                                        <volume>7</volume>
                                        <issue>1</issue>
                                        <fpage>265</fpage>
                                        <lpage>278</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20240516">
                        <day>05</day>
                        <month>16</month>
                        <year>2024</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20250220">
                        <day>02</day>
                        <month>20</month>
                        <year>2025</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2019, Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi</copyright-statement>
                    <copyright-year>2019</copyright-year>
                    <copyright-holder>Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi</copyright-holder>
                </permissions>
            
                                                                                                <trans-abstract xml:lang="en">
                            <p>Aim: The aim of this systematic review is to systematically examine the data from published studies on evidence-based practices to improve sleep quality in peediatric oncology patients. Material and Method: Databases including Google Scholar, ScienceDirect, PubMed, Web of Science, Cochrane, Scopus, and the Multidisciplinary Digital Publishing Institute (MDPI) were searched between 1 January 2019 and 30 April 2024, yielding a total of 17,995 articles. Following an assessment for eligibility, 12 articles were ultimately included in the study. Exclusion criteria comprised abstracts, letters to the editor, review articles, systematic reviews, dissertations, and conference proceedings. Data analysis was conducted in accordance with PRISMA 2020 guidelines.Results: The review included six randomised controlled trials, five quasi-experimental studies, and one systematic review with meta-analysis. The studies included in the review found a positive improvement in sleep problems in children who received exercise, a significant reduction in sleep problems in children who received sleep hygiene training, an increase in quality of life and elimination of sleep problems in children who received sleep therapy, and a significant increase in sleep quality in children who received music therapy and aromatherapy. Conclusion: Evidence-based practices to improve sleep quality in paediatric oncology patients have shown positive results. However, the number of studies is limited. Therefore, the number of studies that include evidence-based practices to improve sleep quality in paediatric oncology patients should be increased. At the same time, nurses working in clinics should be trained and supported in evidence-based practice.</p></trans-abstract>
                                                                                                                                    <abstract><p>Amaç: Pediatrik onkoloji hastalarında uyku kalitesini artırmaya yönelik yapılan kanıta dayalı uygulamalar ile ilgili yayımlanmış çalışmaların gözden geçirilerek elde edilen verilerin sistematik bir biçimde incelenmesi amaçlanmaktadır. Yöntem: Google Scholar, Science Direct, PubMed, Web of Science, Cochrane, Scopus ve MDPI  veri tabanları 01 Ocak 2019 ve 30 Nisan 2024 yıl sınırlandırılması yapılarak taranmıştır. Araştırmaya altı randomize kontrollü, beş yarı deneysel ve bir sistematik derleme ve meta analiz olmak üzere toplam 12 çalışma dâhil edilmiştir. Bulgular: Araştırmaya alınan çalışmalarda; egzersiz yaptırılan çocukların uyku problemlerinde olumlu anlamda iyileşme, uyku hijyeni eğitimi verilen çocukların uyku bozukluklarında anlamlı derecede azalma olduğu, uyku terapisi alan çocukların yaşam kalitesinin artarak uyku sorunlarının giderildiği, müzik terapi ve aromaterapi uygulanan çocukların ise uyku kalitesinin önemli derecede arttığı tespit edilmiştir. Sonuç: Pediatrik onkoloji hastalarında uyku kalitesini artırmaya yönelik kanıta dayalı uygulamalar olumlu yönde sonuçlanmıştır. Fakat bu çalışmalar sınırlı sayıdadır. Bu yüzden pediatrik onkoloji hastalarında uyku kalitesini artırmaya yönelik kanıta dayalı uygulamaları içeren çalışmaların sayısı artırılmalıdır. Aynı zamanda kliniklerde çalışan hemşireler kanıta dayalı uygulamalar konusunda eğitilerek, desteklenmelidir.</p></abstract>
                                                            
            
                                                                                        <kwd-group>
                                                    <kwd>Hemşirelik Girişimleri</kwd>
                                                    <kwd>  Kanser</kwd>
                                                    <kwd>  Pediatri</kwd>
                                                    <kwd>  Uyku Kalitesi</kwd>
                                            </kwd-group>
                            
                                                <kwd-group xml:lang="en">
                                                    <kwd>Cancer</kwd>
                                                    <kwd>  Nursing interventions</kwd>
                                                    <kwd>  Pediatrics</kwd>
                                                    <kwd>  Sleep quality</kwd>
                                            </kwd-group>
                                                                                                                                    <funding-group specific-use="FundRef">
                    <award-group>
                                                    <funding-source>
                                <named-content content-type="funder_name">Çalışmayı maddi olarak destekleyen herhangi bir kişi veya kuruluş yoktur.</named-content>
                            </funding-source>
                                                                    </award-group>
                </funding-group>
                                </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">Albrecht, T. A., Taylor, A. G. (2012). Physical activity in patients with advanced-stage cancer: a systematic review of the literature. Clinical Journal of Oncology Nursing, 16(3), 293–300. doi:10.1188/12.CJON.293-300</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">Allenidekania, A., Nurachmah, E., Rustina, Y., Eryando, T. (2017). Implementation of fatigue management model to quality of life in children with cancer: Indonesia experience. In Abstracts of the MASCC/ISOO 2017 Annual Meeting (Vol. 25, No. S2, pp. 21–266). Washington, DC: Supportive Care in Cancer. doi:10.1007/s00520-017-3704-x</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">Altuntaş, M. (2016). Palyatif bakımda semptom yönetimi. Klinik Tıp Aile Hekimliği, 8 (3), 26-30.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">Andriastuti, M., Halim, P. G., Tunjungsari, E., Widodo, D. P. (2019). Home-based palliative ıntervention to ımprove 
quality of life in children with cancer: A randomized controlled trial. Asian Pacific Journal of Cancer Prevention: APJCP, 23(9), 3029–3034. doi:10.31557/APJCP.2022.23.9.3029</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">Arabacı Baysan, L. (2021). Temel hemşirelik esaslar, kavramlar, ilkeler, uygulamalar. M. Kaşıkçı Kara, E. Akın, (Ed). İstanbul, İstanbul Tıp Kitapevleri.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">Arbianingsih, A., Amal, A., Hidayah, N., Azhari, N., &amp; Tahir, T. (2020). Massage with lavender aromatherapy reduced sleep disturbances on infant. Enfermeria clinica, 30 Suppl 3, 62-65. doi: 10.1016/j.enfcli.2019.12.028.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">Aslan, F., Olgun, N., Uzun, Ö. (2020). Dahili ve cerrahi hastalıklarda bakım. Karadakovan A. (Ed). Ankara, Akademisyen Kitapevi.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">Bandyopadhyay, S. (2021). P9 A study to investigate the impact of the COVID-19 pandemic on paediatric cancer patients: an international, multicentre, observational cohort study (COVIDPaedsCancer). BJS Open, 5. doi: 10.1093/bjsopen/zrab032.008.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">Bilsin, E., Özalp, G. (2018). Çocukluk çağı kanserlerinde uyku bozukluğu. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 11(1), 61-64.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">Boehm, K., Büssing, A., Ostermann, T. (2012). Aromatherapy as an adjuvant treatment in cancer care--a descriptive systematic review. African Journal of Traditional, Complementary, and Alternative Medicines: AJTCAM, 9(4), 503–518.  doi:10.4314/ajtcam.v9i4.7</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">Bradt, J., Dileo, C., Magill, L., Teague, A. (2016). Music interventions for improving psychological and physical outcomes in cancer patients. The Cochrane Database of Systematic Reviews, (8), CD006911.  doi:10.1002/14651858.CD006911.pub3</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">da Silva Santa, I. N., Schveitzer, M. C., Dos Santos, M. L. B. M., Ghelman, R., Odone Filho, V. (2021). Musıc ınterventıons ın pedıatrıc oncology: Systematic review and meta-analysis. Complementary Therapies in Medicine, 59, 102725.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">Dhillon, H. M., Bell, M. L., van der Ploeg, H. P., Turner, J. D., Kabourakis, M., Spencer, L., … Vardy, J. L. (2017). Impact of physical activity on fatigue and quality of life in people with advanced lung cancer: A randomized controlled trial. Annals of oncology: Official Journal of the European Society for Medical Oncology, 28(8), 1889–1897. doi:10.1093/annonc/mdx205</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">Escalante, Y. (2011). Actividad física, ejercicio físico y condición física en el ámbito de la salud pública [Physical activity, exercise and fitness in the field of public health]. Revista Espanola de Salud Publica, 85(4), 325–328.  doi:10.1590/S1135-57272011000400001</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">Essam Masoud, A., Shaheen, A. A. M., Algabbani, M. F., AlEisa, E., AlKofide, A. (2023). Effectiveness of exergaming in reducing cancer-related fatigue among children with acute lymphoblastic leukemia: A randomized controlled trial. Annals of Medicine, 55(1), 2224048.  doi:10.1080/07853890.2023.2224048</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">Fernandes, A., Andriani, Y. (2021). Faktor-faktor yang mempengaruhi terjadinya gangguan tidur pada anak dengan leukemia limfoblastik akut (LLA) yang menjalani kemoterapi. Jurnal Keperawatan Silampari, 5(1), 196–206.  doi:10.31539/jks.v5i1.1807</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">Fernandes, A., Andriani, Y. (2024). EDBEHOS sleep therapy on sleep quality in children with acute lymphoblastic leukemia during chemotherapy. Jurnal Keperawatan Silampari, 7(2), 248-256.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">Halal, C., &amp; Nunes, M. (2014). Education in children&#039;s sleep hygiene: which approaches are effective? A systematic review.. Jornal de pediatria, 90 5, 449-56. doi:10.1016/j.jped.2014.05.001.</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">Handayani, D., Kamila, S., Puspitasari, R., Nastiti, A., &amp; Kusuma, E. (2023). The Effect of Music Therapy on Improving Sleep Quality in Children During Hospitalization: Literature Review. Proceedings of the International Conference on Nursing and Health Sciences. doi: 10.37287/picnhs.v4i1.1719.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">Hayati, M., Afiyanti, Y. (2019). “AeRop exercise” can improve the sleep quality of Indonesian pediatric cancer patients. Enfermeria Clinica, 29, 342-345.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">Harputluoğlu, N., Çelik, T. (2020). Pediyatrik palyatif bakım. Journal of Dr. Behcet Uz Children&#039;s Hospital, 10(1).</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">Heywood, R., McCarthy, A. L., Skinner, T. L. (2017). Safety and feasibility of exercise interventions in patients with advanced cancer: a systematic review. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 25(10), 3031–3050.  doi:10.1007/s00520-017-3827-0</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">Heywood, R., McCarthy, A. L., Skinner, T. L. (2018). Efficacy of exercise ınterventions in patients with advanced cancer: A systematic review. Archives of Physical Medicine and Rehabilitation, 99(12), 2595–2620.  doi:10.1016/j.apmr.2018.04.008</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">Keyhanmehr, A., Movahhed, M., Sahranavard, S., Gachkar, L., Hamdieh, M., Afsharpaiman, S., &amp; Nikfarjad, H. (2018). The effect of aromatherapy with Rosa damascena essential oil on sleep quality in children. Research Journal of Pharmacognosy, 5, 41-46.</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">Kırca, K., Kutlutürkan, S. (2020). Progresif gevşeme egzersizlerinin kanser ve tedavi sürecinde kullanımı. Adıyaman Üniversitesi Sağlık Bilimleri Dergisi, 6(2), 258-267.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">Klassen, J. A., Liang, Y., Tjosvold, L., Klassen, T. P., Hartling, L. (2008). Music for pain and anxiety in children undergoing medical procedures: A systematic review of randomized controlled trials. Ambulatory Pediatrics : The Official Journal of the Ambulatory Pediatric Association, 8(2), 117–128.  doi:10.1016/j.ambp.2007.12.005</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">Lee, J., Hur, M. H. (2022). The effects of aroma essential oil ınhalation on stress, pain, and sleep quality in laparoscopic cholecystectomy patients: A randomized controlled trial. Asian Nursing Research, 16(1), 1–8.  doi:10.1016/j.anr.2021.11.002</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">Liu, H., Gao, X., Hou, Y. (2019). Effects of mindfulness-based stress reduction combined with music therapy on pain, anxiety, and sleep quality in patients with osteosarcoma. Revista Brasileira de Psiquiatria (Sao Paulo, Brazil : 1999), 41(6), 540–545. doi:10.1590/1516-4446-2018-0346</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">Masoud, A. E., Shaheen, A. A. M., Algabbani, M. F., AlEisa, E., AlKofide, A. (2023). Effectiveness of exergaming in reducing cancer-related fatigue among children with acute lymphoblastic leukemia: A randomized controlled trial. Annals of Medicine, 55(1), 2224048.  doi:10.1080/07853890.2023.2224048</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">Mogavero, M. P., Bruni, O., Delrosso, L. M., Ferri, R. (2020). Neurodevelopmental consequences of pediatric cancer and ıts treatment: The role of sleep. Brain Sciences, 10(7), 1–15.  doi:10.3390/brainsci10070411</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">Mustian, K. M., Sprod, L. K., Palesh, O. G., Peppone, L. J., Janelsins, M. C., Mohile, S. G.,…Carroll, J. (2009). Exercise for the management of side effects and quality of life among cancer survivors. Current Sports Medicine Reports, 8(6), 325–330.  doi:10.1249/JSR.0b013e3181c22324</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">National Cancer Institute. (2017). Cancer in children and adolescents. Erişim Tarihi: 05.05.2023, https://www.cancer.gov/types/childhood-cancers/child-adolescent-cancers-fact-sheet#q2</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">Oliveira, E. S., Oliveira, L. M., Oliveira, D. T., Viana, T. R. F., Silva, L. K. C., Bezerra, C. M.,… Cardoso, M. (2020). Child sleep: Assessment of the knowledge of parents of children aged zero to two years. European Journal of Public Health, 30(Supplement_5), ckaa165.1186.  doi:10.1093/eurpub/ckaa165.1186</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">Polit, D., Beck, C. (2020). Essentials of nursing research: Appraising evidence for nursing practice. Lippincott Williams &amp; Wilkins.</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">Rogers, V. E., Zhu, S., Ancoli-Israel, S., Liu, L., Mandrell, B. N., Hinds, P. S. (2019). A pilot randomized controlled trial to improve sleep and fatigue in children with central nervous system tumors hospitalized for high-dose chemotherapy. Pediatric Blood &amp; Cancer, 66(8), e27814.  doi:10.1002/pbc.27814</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">Santos, B., Santos, C., Couto, C., Almeida, J., &amp; Castro, C. (2021). Quality of life in pediatric oncological disease: Integrative literature review. Annals of Medicine, 53, S100 - S100. doi: 10.1080/07853890.2021.1896045.</mixed-citation>
                    </ref>
                                    <ref id="ref37">
                        <label>37</label>
                        <mixed-citation publication-type="journal">Sarman, A. (2019). Palyatif/pediatrik palyatif bakımın tarihsel gelişim süreci, ilkeleri ve hemşirelik bakımı. Balıkesir Sağlık Bilimleri Dergisi, 8(3), 153-160.</mixed-citation>
                    </ref>
                                    <ref id="ref38">
                        <label>38</label>
                        <mixed-citation publication-type="journal">Shahidi, B., Khajenoori, F., Najarzadegan, M., Mameneh, M., Sheikh, S., Babakhanian, M., Tabarestani, M.,</mixed-citation>
                    </ref>
                                    <ref id="ref39">
                        <label>39</label>
                        <mixed-citation publication-type="journal">Babakhanian, M., Ashrafinia, F., Nasibeh, R., &amp; Ghazanfarpour, M. (2019). A Systematic Review of the Effectiveness of Aromatherapy Massage on Sleep in Children and Infants. International Journal of Pediatrics, 8, 11233-11241. doi: 10.22038/IJP.2019.44574.3689.</mixed-citation>
                    </ref>
                                    <ref id="ref40">
                        <label>40</label>
                        <mixed-citation publication-type="journal">Sriasih, N. K., Allenidekania, Wanda, D. (2019). The effects of the COMMASH-E intervention on the fatigue, sleep quality and functional status of children with cancer in Indonesia. Comprehensive Child and Adolescent Nursing, 42(sup1), 197-207.</mixed-citation>
                    </ref>
                                    <ref id="ref41">
                        <label>41</label>
                        <mixed-citation publication-type="journal">Sulistyawati, E., Allenidekania, A., Gayatri, D. (2021). Effect of progressive muscle relaxation on sleep quality and side effects of chemotherapy in children with cancer: Randomized clinical trial. Open Access Macedonian Journal of Medical Sciences, 9(T4), 300-308.</mixed-citation>
                    </ref>
                                    <ref id="ref42">
                        <label>42</label>
                        <mixed-citation publication-type="journal">Şentürk, S., Bıçak, D., Derya, A. (2018). Kanserli hasta yakınlarının yaşadıkları sorunlar ve hemşirelik yaklaşımı. Sağlık Akademisyenleri Dergisi, 5(1), 35-39.</mixed-citation>
                    </ref>
                                    <ref id="ref43">
                        <label>43</label>
                        <mixed-citation publication-type="journal">Tanriverdi, M., Cakir, E., Akkoyunlu, M. E., Cakir, F. B. (2022). Effect of virtual reality-based exercise intervention on sleep quality in children with acute lymphoblastic leukemia and healthy siblings: A randomized controlled trial. Palliative &amp; Supportive Care, 1-7.</mixed-citation>
                    </ref>
                                    <ref id="ref44">
                        <label>44</label>
                        <mixed-citation publication-type="journal">Traube, C., Rosenberg, L., Thau, F., Gerber, L. M., Mauer, E. A., Seghini, T., … Kudchadkar, S. R. (2020). Sleep in hospitalized children with cancer: A cross-sectional study. Hospital Pediatrics, 10(11), 969–976.  
doi:10.1542/hpeds.2020-0101</mixed-citation>
                    </ref>
                                    <ref id="ref45">
                        <label>45</label>
                        <mixed-citation publication-type="journal">Triana, K. Y., Allenidekania, A., Hayati, H. (2022). The Effect of aromatherapy ınhalation on reducing chronic pain for children with cancer: A pilot study. Trends in Sciences, 19(4), 2669-2669.</mixed-citation>
                    </ref>
                                    <ref id="ref46">
                        <label>46</label>
                        <mixed-citation publication-type="journal">Tucker, P., Loew, M., Russell, K., Tynes, B. L., Mandrell, B. N., Witcraft, S. M., … Crabtree, V. M. (2023). Sleep health behaviors in pediatric patients with newly diagnosed cancer. Journal of Psychosomatic Research, 172, 111413.  doi:10.1016/j.jpsychores.2023.111413</mixed-citation>
                    </ref>
                                    <ref id="ref47">
                        <label>47</label>
                        <mixed-citation publication-type="journal">Uğur, Ö. (2019). Olgu senaryolarıyla iç hastalıkları hemşireliği (S. Özer, Ed.). İstanbul Tıp Kitabevleri.</mixed-citation>
                    </ref>
                                    <ref id="ref48">
                        <label>48</label>
                        <mixed-citation publication-type="journal">Uysal, N., Kutlutürkani, S. (2016). Kanserli bireylerde semptom kontrolünde refleksoloji uygulaması. Medical Journal of Bakirkoy, 12(3), 103-106.</mixed-citation>
                    </ref>
                                    <ref id="ref49">
                        <label>49</label>
                        <mixed-citation publication-type="journal">Utami, K. C., Hayati, H., Allenidekania. (2017). Chewing gum is more effective than saline-solution gargling for reducing oral mucositis. Enfermería Clínica, 27, 5–8.</mixed-citation>
                    </ref>
                                    <ref id="ref50">
                        <label>50</label>
                        <mixed-citation publication-type="journal">Wu, W., Tang, C., Jou, S., &amp; Yu, T. (2021). Associations Between Fatigue, Sleep Disturbance, Physical Activity, and Quality of Life for Children With Cancer. Cancer Nursing, 45, 421 - 429. doi: 10.1097/NCC.0000000000001001.</mixed-citation>
                    </ref>
                                    <ref id="ref51">
                        <label>51</label>
                        <mixed-citation publication-type="journal">van Bindsbergen, K. L. A., van der Hoek, H., van Gorp, M., Ligthart, M. E. U., Hindriks, K. V., Neerincx, M. A., … van</mixed-citation>
                    </ref>
                                    <ref id="ref52">
                        <label>52</label>
                        <mixed-citation publication-type="journal">Litsenburg, R. R. L. (2022). Interactive education on sleep hygiene with a social robot at a pediatric oncology outpatient clinic: Feasibility, experiences, and preliminary effectiveness. Cancers, 14(15), 3792.  doi:10.3390/cancers14153792</mixed-citation>
                    </ref>
                                    <ref id="ref53">
                        <label>53</label>
                        <mixed-citation publication-type="journal">Van Den Ende, E. S., Merten, H., Van Der Roest, L., Toussaint, B., Van Rijn, Q., Keesenberg, M., … Nanayakkara, P. W. B. (2022). Evaluation of nonpharmacologic ınterventions and sleep outcomes in hospitalized medical and surgical patients: A nonrandomized controlled trial. JAMA Network Open, 5(9), E2232623.  doi:10.1001/jamanetworkopen.2022.32623</mixed-citation>
                    </ref>
                                    <ref id="ref54">
                        <label>54</label>
                        <mixed-citation publication-type="journal">Yavuzşen, T., Alacacıoğlu, A., Çeltik, A., Yılmaz, U. (2014). Kanser ve uyku bozuklukları. Türk Onkoloji Dergisi, 29(3), 112-119.</mixed-citation>
                    </ref>
                                    <ref id="ref55">
                        <label>55</label>
                        <mixed-citation publication-type="journal">Yıldız, S. (2022) Pediatrik Hematoloji Onkoloji Hemşireliği. Törüner, E.K., Atalay, N. (Ed). Bölüm-13. Pediarik palyatif bakım ve spiritüel bakım. Ankara, Nobel Tıp Kitapevleri. 520-556.</mixed-citation>
                    </ref>
                                    <ref id="ref56">
                        <label>56</label>
                        <mixed-citation publication-type="journal">Zhou, E. S., Valenzuela, A. F., Robbins, R., Page, J. M., Bona, K. (2023). Gaps in parental understanding of sleep disturbances during maintenance therapy for pediatric acute lymphoblastic leukemia. Journal of Pediatric Hematology/Oncology Nursing, 40(6), 369–378.  doi:10.1177/27527530231168587</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
