Hemşirelik kuram ve modelleri, hemşirelik uygulamalarını sistematize etmek için bir çerçeve oluşturmaktadır. Hemşirelikte model kullanımı, tıbbi uygulamalardan farklı olarak, hemşireliğin özüne ve uygulamalarına odaklanılmasını sağlamaktadır. Hemşirelik disiplinini yansıtan ve alanda önemli yere sahip olan hemşirelik kuramlarından biri de "Konfor Kuramı"dır. Kolcaba tarafından geliştirilen Konfor kuramı, bakımın birçok yönünü kapsayan geniş bir bakış açısı sağlamaktadır. Konfor kuramı, bireye gereksinimleri ile ilgili yardım, huzur sağlama ve sorunların üstesinden gelebilmeye ilişkin fiziksel, psikolojik, sosyal ve çevresel bütünlük içerisinde yaklaşmayı sağlamaktadır. Bu çalışmada, Konfor kuramı çerçevesinde; kolorektal kanser tanısı almış ve Miles ameliyatı geçirmiş 67 yaşındaki erkek bir olgunun, açılan kalıcı kolostomi nedeni ile yaşadığı konfor sorunlarına ilişkin hemşirelik yönetimi ele alınmış ve kuramın kullanımına yönelik bir örnek oluşturulması amaçlanmıştır.
Anahtar Kelimeler: Kolostomi; konfor; hemşirelik kuramı
Nursing theory and models form a framework for systematizing nursing practices. The use of models in nursing provides nurses to focus on the essence of nursing and its applications rather than medical practice. One of the nursing theories that reflects the discipline of nursing and has important place in this area is "Comfort Theory". Comfort theory, developed by Kolcaba, provides a broader view encompassing many elements of care. Comfort theory provides to help about individual's needs in a physical, psycho-spiritual, social and environmental entity to overcome the problems. In this article, in the framework of Comfort theory; nursing management of comfort problems experienced due to the colostomy of a sixty-seven-year-old male patient who had a colorectal cancer diagnosis and had undergone a Miles surgery and to provide an example of the use of theory.
Keywords: Colostomy; comfort; nursing theory
- Rogers C, Keller C. Roy's adaptation model to promote physical activity among sedentary older adults. Geriatr Nurs. 2009;30(2 Suppl): 21-6. [Crossref][PubMed][PMC]
- Heller BR, Oros MT, Durney-Crowley J. The future of nursing education. Ten trends to watch. Nurs Health Care Perspect. 2000;21 (1):9-13. [PubMed]
- Koç Z, Kızıltepe SK, Çınarlı T, Şener A. [The use of theory in nursing practice, research, management and education]. HEAD. 2017;14 (1):62-72. [Crossref]
- Dowd T. Nursing theorists and their work. In: Tomey AM, Alligood MR, eds. Katharine Kolcaba; Theory of Comfort. 7th ed. St Louis, Missouri: Mosby Elsevier; 2010. p.657 69.
- Orak NŞ. [Comfort theory]. Ocakçı AF, Alpar ŞE editörler. Hemşirelik Kavram Teori ve Model Örnekleri. 1. Baskı. İstanbul: İstanbul Tıp Kitapevi; 2013. p.39-50.
- Kolcaba KY, Kolcaba RJ. An analysis of the concept of comfort. J Adv Nurs. 1991;16(11): 1301-10. [Crossref]
- Kolcaba KY. A theory of holistic comfort for nursing. J Adv Nurs. 1994;19(6):1178-84. [Crossref][PubMed]
- Kolcaba KY, Fisher EM. A holistic perspective on comfort care as an advance directive. Crit Care Nurs Q. 1996;18(4):66-76. [Crossref]
- Apóstolo JL, Kolcaba K. The effects of guided imagery on comfort, depression, anxiety, and stress of psychiatric in patients with depressive disorders. Arch Psychiatr Nurs. 2009;23 (6):403-11. [Crossref][PubMed]
- Vicdan AK, Tuna PT. [Use of the roy adaptation model in the nursing care of individuals with a colostomy opened due to rectum cancer: case study]. International Refereed Journal of Nursing Researches. 2015;4:61-75. [Crossref]
- Düzköylü Y, Bektaş H, Sarı YS, Koç O, Bilsel Y, Güneş ME. [Comparison of colorectal cancer cases that were diagnosed in emergency operations caused by acute mechanical intestinal obstruction and elective operations]. Kolon Rektum Hast Derg. 2013;23(2):89-95.
- Yücel ŞÇ. [Kolcaba?s comfort theory]. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi. 2011;27(2):79-88.
- Karabacak Ü, Potur DC. [Katherine Kolcaba: Comfort theory]. Karadağ A, Çalışkan N, Baykara ZÇ, editörler. Hemşirelik Teorileri ve Modelleri. 1. Baskı. İstanbul: Akademi Basın ve Yayıncılık; 2017. p.654-8.
- Kolcaba KY. Holistic comfort: operationalizing the construct as a nurse-sensitive outcome. ANS Adv Nurs Sci. 1992;15(1):1-10. [Crossref][PubMed]
- Kolcaba KY. Comfort as process and product, merged in holistic nursing art. J Holist Nurs. 1995;13(2):117-31. [Crossref][PubMed]
- Acar K, Aygin D. [Assessment and nursing care of acute chest syndrome due to sickle cell disease according to comfort theory: case presentation]. Online Türk Sağlık Bilimleri Dergisi. 2016;1(1):36-43.
- Erdemir F, Çırlak A. [The concept of comfort and its utilization in nursing]. DEUHYO ED. 2013;6(4):224-30.
- Melo GAA, Silva RA, Pereira FGF, Caetano JÁ. Cultural adaptation and reliability of the general comfort questionnaire for chronic renal patients in brazil. Rev Lat Am Enfermagem. 2017;25:e2963. [Crossref][PubMed][PMC]
- Karabacak Ü, Acaroğlu R. [Theory of comfort]. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi. 2011;4(1):197-202.
- Vural F, Erol F. [Nurse?s role in improving the quality of life in individuals with ostomy]. DEUHYO ED. 2013;6(1):34-9.
- Pittman J, Rawl SM, Schmidt CM, Grant M, Ko CY, Wendel C, et al. Demographic and clinical factors related to ostomy complications and quality of life in veterans with an ostomy. J Wound Ostomy Continence Nurs. 2008;35 (5):493-503. [Crossref][PubMed]
- Vural F, Sütsünbüloğlu B. Şelimen D. [Literature review: profile of publications for the patients with stoma in Turkey]. Turk J Colorectal Dis. 2016;26(3):59-70.
- Karaveli S, Özbayır T, Karacabay K. [Investigating the preoperative and postoperative experiences of patients undergoing colorectal cancer surgery]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2014;17:90-6.
- Karadağ A, Menteş BB, Uner A, Irkörücü O, Ayaz S, Ozkan S. Impact of stomatherapy on quality of life in patients with permanent colostomies or ileostomies. Int J Colorectal Dis. 2003;18(3):234-8. [PubMed]
- Kara B, Aslan FE. [Investigation of the stoma individuals home first day experience]. Turk J Colorectal Dis. 2017;27:117-25.
- Shaffy S, Kaur S, Das K, Gupta R. Physical, nutritional and sexual problems experienced by the patients with colostomy/ileostomy: a qualitative study]. Nursing and Midwifery Research Journal. 2012;8(3):210-22.
- Burch J. Exploring quality of life for stoma patients living in the community. Br J Community Nurs. 2016;21(8):378-82. [Crossref][PubMed]
- Näsvall P, Dahlstrand U, Löwenmark T, Rutegård J, Gunnarsson U, Strigård K. Quality of life in patients with a permanent stoma after rectal cancer surgery. Qual Life Res. 2017;26(1):55-64. [Crossref][PubMed][PMC]
- Engel J, Kerr J, Schlesinger-Raab A, Eckel R, Sauer H, Hölzel D. Quality of life in rectal cancer patients: a four-year prospective study. Ann Surg. 2003;238(2):203-13. [Crossref][PubMed][PMC]
.: İşlem Listesi