INTRODUCTION Coronavirus disease (COVID-19) first emerged in the city of Wuhan, China, in December 2019 and has spread all over the world. Its causative factor is a ribonucleic acid (RNA) virus called severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) which is similar to SARS-CoV. 1,2 Although the mortality rate for COVID-19 ranges between 1.4 and 7.2%, the rates have been found to be higher among individuals who have underlying comorbid diseases. 1,2 While COVID-19 has primarily been characterized by the respiratory impact of viral pneumonia, it affects multiple organ systems with significant morbidity and mortality among critically ill patients. 3 Coronavirus disease 2019 (COVID-19) is seen in all age groups. Its clinical course and prognosis are relatively mild in children, compared with adults. It may result in mortality among adults, especially those who have underlying comorbid disease such as diabetes and cancer. 4,5 All countries have taken serious measures in line with the recommendations of the World Health Organization (WHO), including lockdowns,social distancing, hand hygiene, mask use and limitations of hospital visits in order to prevent the spread of this disease. There is no clear evidence regarding how lockdowns affect quality of life, especially among children and individuals with chronic diseases. 1,6 The World Health Organization has reported that the coronavirus causing COVID-19 is transmitted through droplets and by touching one's mouth, nose or conjunctiva after touching virus-contaminated surfaces. Moreover, it can be transmitted on objects that have been used by an infected person. 1,7 For working individuals, it is important to regularly clean the working environment and the keyboards, tables and telephones that are used in the workplace. 1 Celiac disease is an autoimmune enteropathy caused by the immune reaction that is developed through gluten intake among individuals who have a genetic predisposition to this. The treatment for celiac disease consists of a lifelong gluten-free diet. 8,9 Since celiac patients may have difficulty in finding gluten-free foods during lockdownperiods, asking for support from self-care agencies is recommended. 10
The incidence of celiac disease has been increasing in recent years. Celiac disease is an autoimmune enteropathy that emerges mostly in the childhood period. This disorder is a chronic condition of the small intestine due to gluten intake in individuals with genetic predisposition. In the treatment of celiac disease, gluten-free diet therapy is applied. However, the adaptation process to the diet may create difficulties for patients. Compliance with diet is much more difficult among patients with celiac disease in childhood and adolescence than in adult patients. Children and adolescents face distinct difficulties in their homes, at school, and in their social lives. Besides following dietary treatment, children and adolescents living with celiac disease need peer support to manage their daily routines. In this article, we aimed to discuss the problems experienced by children and adolescents living with celiac disease and nursing approaches to these problems.
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