Turkiye Klinikleri Journal of Nursing Sciences

.: REVIEW
Yaşlılarda Sık Görülen Bir Psikiyatrik Sendrom: Apati ve Hemşirelik Yönetimi
A Common Psychiatric Syndrome in the Elderly: Apathy and Nursing Management
Öznur ERBAYa, Yasemin YILDIRIMa
aİç Hastalıkları Hemşireliği AD, Ege Üniversitesi Hemşirelik Fakültesi, İzmir, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2019;11(2):211-8
doi: 10.5336/nurses.2018-62843
Article Language: TR
Full Text
ÖZET
 Apati, nöropsikiyatrik bozukluğu olan yaşlı bireylerde en sık görülen davranışsal değişikliklerden biri olarak kabul edilmektedir. Özellikle demans hastaları arasında apati oldukça yaygın görülmektedir. Son yıllardaki araştırmalar, Alzheimer hastalığında apatinin yaşlılık, daha şiddetli kognitif defisitler, depresyon ve günlük yaşam aktivitelerinde gerilemeler ile ilişkili olduğunu göstermektedir. Apati nedeni ile bireyler günlük yaşam aktivitelerini sürdürebilmek için yardım gereksinimine ihtiyaç duymakta ve zamanla başka birine bağımlı hâle gelmektedir. Ayrıca, apatinin neden olduğu fiziksel ve psikolojik değişimler bireyin ilaç tedavisine uyumunu da zorlaştırmaktadır. Bu durum da hem bireyin hem de bakım verenin yaşam kalitesini olumsuz olarak etkilenmekte ve bakım verenin yükü de artmaktadır. Bu nedenle apatinin yönetiminde multidisipliner bir ekip anlayışının benimsenmesi çok önemlidir. Bu ekip içinde hemşirelere önemli sorumluluklar düşmektedir. Hemşire ve diğer sağlık profesyonellerinin depresyon ile karıştırılabilen apati belirti ve bulgularını doğru şekilde belirlemesi ve bu doğrultuda uygun girişimleri planlaması, ortaya çıkaracağı olumsuz sonuçları azaltacak ve apatinin erken tedavi edilmesine yardımcı olacaktır. Apati sıklığı/şiddetini etkileyen faktörlerin belirlenmesinde, uygun farmakolojik ve nonfarmakolojik tedavinin seçilmesi, hem bireyin hem de bakım vereninin yaşam kalitesinin yükseltilmesinde hemşirelik yönetiminin etkinliği önemli bir yere sahiptir. Bu çalışmada, apatinin tanımı, prevalansı, risk faktörleri, tanı kriterleri, olumsuz sonuçları, tedavi seçenekleri ve hemşirelik yönetimi tartışılarak hemşire ve diğer sağlık profesyonellerine rehberlik edilmesi amaçlanmıştır.

Anahtar Kelimeler: Apati; yaşlı; hemşirelik bakımı
ABSTRACT
 Apathy is one of the most common behavioral changes in elderly patients with neuropsychiatric disorders. Apathy is especially common among dementia patients. Researchs in recent years shows that apathy in Alzheimer's disease is associated with aging, more severe cognitive deficits, depression, and declines in Daily life activities. Individuals needs help to continue their daily living activities and can be dependent on someone else because of apathy. In addition, the physical and psychological changes caused by apathy make it difficult to adapt to the individual's drug treatment. It is also being adversely affected by both the individual and the caregiver's quality of life and caregiver burden is also increasing. For this reason, it is very important to adopt a multidisciplinary team approach in the management of apathy. Nurses have important responsibilities in this team. Proper identification of signs and symptoms of apathy that can be confused with depression by nurses and other health professionals, and planning appropriate interventions in this direction will help to reduce negative consequences and help early treatment of apathy. The effectiveness of nursing management is important for determination of factors affecting apathy frequency/severity, selection of appropriate pharmacological and non-pharmacological treatment, raising the quality of life of both the individual and the caregiver. In this review article, it was aimed to guide nurses and other health professionals by discussing apathine definition, prevalence, risk factors, diagnostic criteria, negative results, treatment options and nursing management.

Keywords: Apathy; aged; nursing care
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"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com