Journal of Traditional Medical Complementary Therapies

.: REVIEW
Kanser Hastalarının Palyatif Bakımında Hipnoz
Hypnosis in Palliative Care of Cancer Patients
Ulaş Serkan TOPALOĞLUa, Hatice KAYIŞ TOPALOĞLUb
aKayseri Şehir Hastanesi, İç Hastalıkları Kliniği, Kayseri, TÜRKİYE
bErciyes Üniversitesi Tıp Fakültesi, Aile Hekimliği ABD, Kayseri, TÜRKİYE
J Tradit Complem Med. 2020;3(3):375-8
doi: 10.5336/jtracom.2020-73507
Article Language: TR
Full Text
ÖZET
 Tüm dünyada, bir salgın gibi artan kanser üzerine araştırmaların artmasına rağmen palyatif bakım konusunda yeterli ilerleme kaydedildiği söylenemez. Kanser hastalarında, palyasyon gerektiren oldukça fazla koşul vardır ve bunların sıklıkla görülenleri; bulantı, kusma, ağrı, anksiyete bozuklukları, uyku problemleri ve ateş basması olarak sıralanabilir. Her ne kadar konvansiyonel medikal tedavilerle oldukça başarılı sonuçlar elde ediliyor olsa da başarısız kalınan vakalar ciddi orandadır. Ayrıca bu semptomların tamamen dindirilmesi için yetersiz kalındığı durumlar ise oldukça yüksek düzeydedir. Palyatif tedavide, çoklu ilaç uygulamalarına da başvurulmaktadır. Sık sık kombine medikasyon sonucu açığa çıkan ilaç etkileşimi, bir diğer sorun olarak karşımıza çıkabilmektedir. Kişinin, bilinçaltına inilerek telkin verilen bir yöntem olan hipnoz, kanserli hastalardaki palyatif bakım için umut niteliğindedir. Hipnoz ile ağrı palyasyonu, bulantı ve kusma tedavisi, anksiyete ve uyku bozukluklarının giderilmesi, sıcak basmasının önlenmesi literatürde pek çok kez gösterilmiş tedavilerdir. Konvansiyonel tedaviye alternatif veya birlikte kombine olarak uygulanabilen hipnoterapi; gerek hastanın ıstırabının dindirilmesi gerek hekimin elini güçlendirmesi gerekse polifarmasi nedeni ile yaşanan problemlerin önüne geçilebilmesi için kullanılmayı ve yaygınlaşmayı beklemektedir. Bu derleme ile hipnozun etkin olduğu kanserde, palyasyon alanında farkındalığın artırılması amaçlanmaktadır. Bu sayede, klinik uygulamalarda hipnoterapiye başvurma daha da artacak; böylelikle klinik başarılarla elde edilen maddi kazanç ülkelerin ekonomisine katkı sağlarken, bilimsel alanda ise daha somut verilerin oluşmasına yol açacaktır.

Anahtar Kelimeler: Hipnoz; kanser tedavi hizmetleri; palyatif bakım
ABSTRACT
 Despite the increasing number of researches on cancer that have increased worldwide, like an epidemic; there has not been sufficient progress in palliative care. Conditions that require palliation are frequently seen; nausea, vomiting, pain, anxiety disorders, sleep problems and hot flushes. Although conventional therapies have achieved successful results, the number of unsuccessful cases is significant. In addition, it is quite high that these symptoms are insufficient to completely relieve them. Multiple drug applications are also used in palliative treatment. Drug interaction, frequently released as a result of combined medication, can be another problem. Hypnosis, which is a method that is suggested by going down to the person's subconscious, is a hope for palliative care in cancer patients. Pain palliation with hypnosis, treatment of nausea and vomiting, relief of anxiety and sleep disorders, prevention of hot flashes are the treatments that have been shown many times in the literature. Hypnotherapy, which can be applied as an alternative or a combined treatment with conventional therapy, provides both to alleviate the suffering of the patient and to increase the possibilities of the physician. In addition, hypnotherapy expects to be used and spread to prevent problems caused by polypharmacy. Through this review, it is aimed to increase awareness in the field of palliation in cancer where hypnosis is effective. In this way, the application of hypnotherapy in clinical applications will increase even more; thus, financial gains from clinical achievements will contribute to the economies of the countries while more data will be revealed in the scientific field.

Keywords: Hypnosis; cancer care facilities; palliative care
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