Turkiye Klinikleri Journal of Nursing Sciences

.: REVIEW
Kronik Yaraların Psikososyal Yönü: Sistematik Derleme
Psychosocial Aspects of Chronic Wounds: A Systematic Review
Tuğçe UÇGUNa, Emine ÖKSÜZb
aBaşkent Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Ruh Sağlığı ve Hastalıkları Hemşireliği ABD, Ankara, TÜRKİYE
bSağlık Bilimleri Üniversitesi Gülhane Hemşirelik Fakültesi, Ruh Sağlığı ve Hastalıkları Hemşireliği ABD, Ankara, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2021;13(3):735-44
doi: 10.5336/nurses.2020-80061
Article Language: TR
ÖZET
Kronik yaralar; tedavisinin uzun sürmesi, tam bir iyileşmenin olmaması ve işlevsellik kaybına yol açması nedeniyle bireyin fiziksel, ruhsal ve sosyal yaşamını olumsuz etkiler. Bu nedenle bireylerin yaşadıkları fiziksel sorunlar kadar psikososyal sorunlar da ele alınmalıdır. Bu çalışmanın amacı, kronik yarası olan bireylerin yaşadığı psikososyal sorunların belirlenmesine yönelik çalışmaların gözden geçirilmesi ve bu çalışmaların sonuçlarının sistematik bir biçimde incelenmesidir. Konu ile ilgili 'PubMed', 'ClinicalKey', 'ScienceDirect' ve 'Scopus' veri tabanları taranmıştır. Tarama yapılırken 'chronic wound, psychosocial aspect, depression, anxiety, venous leg ulcer, diabetic foot ulcer, pressure injuries ve body image' anahtar kelimeleri ve kombinasyonları kullanılmıştır. Çalışmaya dâhil edilme kriterlerine uygun 25 yayın çalışmaya dâhil edilmiştir. Çalışmaların örneklem sayısı 6-4.994 arasında değişmektedir. Elde edilen veriler sonucunda, kronik yarası olan bireylerde en yaygın görülen psikososyal sorunların depresyon, anksiyete, düşük yaşam kalitesi, benlik algısında olumsuzluk ve sosyal izolasyon olduğu saptanmıştır. Bu inceleme sonucuna göre kronik yarası olan bireyler çok fazla psikososyal sorun yaşamaktadır. Bu çalışma ile belirlenen kanıtlar kronik yarası olan bireylerin psikososyal yönden değerlendirilmesinde yol gösterici olabilir.

Anahtar Kelimeler: Kronik yara; psikososyal; sistematik derleme
ABSTRACT
Chronic wounds have a negative effect on the physical, mental and social life of the individuals due to the long duration of treatment, lack of a full recovery and loss of functionality. Therefore, psychosocial problems should be addressed as well as physical problems experienced by individuals. The aim of this study is to review studies on determining psychosocial problems experienced by individuals with chronic wounds and to systematically examine the results of these studies. Systematic searches were conducted in 'PubMed', 'ClinicalKey', 'ScienceDirect' and 'Scopus' databates with using to 'chronic wound, psychosocial aspect, depression, anxiety, venous leg ulcer, diabetic foot ulcer, pressure injuries and body image' keywords and combinations. Twenty five studies were included in the systematic review. The sample size of the studies varies between 6-4,994. As a result of the data, it was determined that the most common psychosocial problems in individuals with chronic wounds are depression, anxiety, low quality of life, negative self-perception and social isolation. According to the results of this systematic review, individuals with chronic wounds experience a lot of psychosocial problems. The evidence determined in this study may guide the psychosocial evaluation of individuals with chronic wounds.

Keywords: Chronic wounds; psychosocial; systematic review
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