Turkiye Klinikleri Journal of Internal Medicine

.: REVIEW
Gastrointestinal Sistem Odaklı Kanser Cerrahisinde Evde Bakım
Home Care in Gastrointestinal System-Oriented Cancer Surgery
Muaz GÜLŞENa, Sevban ARSLANa
aÇukurova Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Cerrahi Hastalıklar Hemşireliği ABD, Adana, TÜRKİYE
Turkiye Klinikleri J Intern Med. 2021;6(1):44-8
doi: 10.5336/intermed.2020-76526
Article Language: TR
Full Text
ÖZET
 Gastrointestinal sistem kanser cerrahisi geçiren hasta ve yakınlarının ev ortamında yaşadıkları problemleri belirleyen çalışmaları derlemek ve sonuçlarını tek çatı altında belirtmektir. Bu derleme, ilgili güncel literatür incelenerek oluşturulmuş ve uluslararası rehberlerden önerilere yer verilmiştir. Gastrointestinal sistem (GİS) kanserleri gelişmiş ve gelişmekte olan ülkelerde giderek artan bir halk sağlığı sorunu haline gelmiştir. Fakat sağlık sektöründeki gelişmeler ile beraber GİS kanserlerinin tanı ve tedavi yöntemleri de gelişmiştir. Bu gelişmeler sayesinde kanser hastalarının hem tedavi hem yaşam süreleri uzamıştır. Uzayan bu süreçle beraber evde bakım kavramı gündeme gelmiş ve hala önemini korumaktadır. Evde bakım süreci devam eden hasta ve yakınlarının yaşam kaliteleri de önem kazanmaktadır. Tüm bu süreçle beraber kanser hastaları hastane dışında radyoterapi, kemoterapi ve cerrahi tedaviye bağlı birçok sorun yaşamaktadır. Ağrı, yorgunluk, bulantı ve kusma, iştahta azalma, anoreksiya, kilo kaybı, oral mukozit, enfeksiyon riski, beslenme ve uyku problemleri gibi sorunları çok sık yaşayabilmektedir. Tüm bu sorunlar kanserli hasta ve yakınlarının tedavi sürecini, yaşam kalitelerini, mortalite ve morbidite oranlarını doğrudan etkilediği için evde bakım kavramı güncelliğini korumaya devam etmektedir. Bu doğrultuda kanserli hastaların ve bakım verenlerin ev ortamında karşılaştıkları sorunları evde bakım çerçevesinde değerlendirilmek ve çözümlemek gerekmektedir.

Anahtar Kelimeler: Kanser cerrahisi; evde bakım; kanserde evde bakım
ABSTRACT
 To compile the studies determining the problems experienced by the patients and their relatives who have undergone cancer surgery in the gastrointestinal tract in their home environment and to state their results under a single roof. This review was created by examining the relevant literature and recommendations from international guides were included. Cancers of the gastrointestinal tract (GIS) have become an increasing public health problem in developed and developing countries. However, with the developments in the health sector, the diagnosis and treatment methods of GIS cancers have also developed. Thanks to these developments, both treatment and life span of cancer patients have been prolonged. With this prolonged process, the concept of home care has been brought to the agenda and still remains important. The quality of life of patients and their relatives, who continue their home care process, also gains importance. With all this process, cancer patients experience many problems related to radiotherapy, chemotherapy and surgical treatment outside the hospital. It can experience problems such as pain, fatigue, nausea and vomiting, decreased appetite, anorexia, weight loss, oral mucositis, risk of infection, nutritional and sleep problems. The concept of home care continues to be upto-date as all these problems directly affect the treatment process, quality of life, mortality and morbidity rates of cancer patients and their relatives. Accordingly, it is necessary to evaluate and resolve the problems faced by cancer patients and caregivers in the home environment within the framework of home care.

Keywords: Cancer surgery; home care; home care in cancer
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