NEŞE UYSAL, FATMA GÜLÇİN ŞENEL, Şerife KARACA, Nihal KADIOĞULLARI, Nesteren KOÇAK, GONCA OĞUZ

Palyatif bakım kliniğinde yatan hastalarda görülen semptomlar ve palyatif bakımın semptom kontrolüne etkisi

Amaç: Bu araştırmanın amacı, palyatif destek verilecek kanser hastalarında palyatif bakıma kabul sırasında görülen semp- tomları belirlemek, şiddetini ölçmek, hastaneye yatıştan sonra ilk bir haftadaki değişiklikleri kaydederek palyatif bakımın hasta semptomları üzerindeki etkisini değerlendirmektir. Gereç ve Yöntem: Araştırmanın örneklemi, ön uygulama verileri kullanılarak yapılan kitle ortalaması önemlilik testi sonuç- larına göre 108 olarak belirlendi. Hastaneye kabulde, yatışın üçüncü ve yedinci günlerinde Edmonton Semptom Tanılama Ölçeğini tamamlayabilen hastalar değerlendirmeye alındı. Verilerin toplanmasında Tanıtıcı Özellikler Anket Formu, Ed- monton Semptom Tanılama Ölçeği ve Palyatif Performans Skalası kullanıldı. Bulgular: Hastaların %50si yatış sırasında ağrı şiddetini 5 ve üzeri olarak tanımlarken yedinci günde bu oranın %6.5 olduğu saptandı. Hastaların ağrı, uykusuzluk, iştahsızlık, kendini iyi hissetme durumu semptomları ortalama değerlerinin hastaneye kabule göre, üçüncü günde ve yedinci günde anlamlı derecede azaldığı belirlendi. Bununla beraber bulantı, endişe, nefes darlığı ve konstipasyon semptomları arasında istatistiksel olarak anlamlı fark bulunmadı. Sonuç: Bu araştırmada kanser hastalarının yaşam kalitesini bozan ağrı, yorgunluk, uykusuzluk, iştahsızlık ve kendini iyi his- setme durumu gibi semptomların şiddetinde palyatif bakım desteği ile hızlı bir düzelme sağlandığı saptandı.

Symptoms seen in inpatient palliative care and impact of palliative care unit on symptom control

Objectives: Te purpose of this study was to determine the symptoms observed during admission to palliative care in patients that would be provided palliative support, to measure their intensity, and to evaluate the efect of palliative care on patient symptoms by recording changes during the frst week after admission to hospital. Methods: Te sample of the study was determined as 108 according to the population mean signifcance test conducted by using preliminary application data. Patients who were able to complete the Edmonton Symptom Assessment Scale during admission to hospital, on the 3 rd and 7th days of hospitalization were included into the evaluation. Te Introductory Characteristics Questionnaire, Edmonton Symptom Assessment Scale and Palliative Performance Scale were used for the collection of the data. Results: While 50% of the patients defned pain intensity as 5 and over during admission, this rate was determined to be 6.5% on the 7th day. Mean values of the symptoms of pain, insomnia, loss of appetite, and status of well-being decreased signifcantly on the 3 rd and 7th days after admission compared to the time of admission to the hospital. Besides, no statistically signifcant diference was found among the symptoms of nausea, anxiety, shortness of breath, and constipation. Conclusion: In this study, it was determined that the intensity of symptoms deteriorating the life quality of cancer patients such as pain, fatigue, insomnia, loss of appetite, and status of well-being improved rapidly with palliative care support.

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