HEMŞİRELERİN KANSERLİ HASTALARIN YORGUNLUK DURUMUNA FARKINDALIĞI

Amaç: Çalışma hemşirelerin kanserli hastaların yorgunluk durumuna farkındalığını incelemek amacıylatanımlayıcı olarak yapılmıştır.Yöntem: Araştırmanın örneklemini Nisan 2011- Haziran 2011 tarihleri arasında Ege ÜniversitesiUygulama ve Araştırma Hastanesi ile Dokuz Eylül Üniversitesi Uygulama ve Araştırma Hastanesinde kanserlihastalara bakım veren 70 hemşire oluşturmaktadır. Verilerin toplanmasında hemşirelerin sosyodemografik veçalışma durumu ile hemşirelerin kanserli hastaların yorgunluğuna farkındalığını belirlemek için araştırmacıtarafından hazırlanan Hemşirelerin Yorgunluğu Tanımlama Formu kullanılmıştır. Verilerin toplanmasında birebir görüşme yöntemi uygulanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, ortalama±standartsapma, değişkenler arasındaki ilişkiyi saptamak içinde spearman korelasyon analizinden yararlanılmıştır.Bulgular: Araştırmada, hemşirelerin kanserli hastaların yorgunluğunu %82.9 oranında hastaların bedendilinden ve %81.4 oranında kendi ifadelerinden tanıladıkları, yorgunluğu en şiddetli semptom olarak anksiyetedensonra ikinci sırada değerlendirdikleri, yorgunluğu %87.1 oranında problem olarak gördükleri fakat %81.4’ününbuna rağmen herhangi bir ölçek kullanmadıkları ve %40’ının yorgunluğa yönelik girişimde bulunduğusaptanmıştır. Hemşirelerin sosyodemografik ve çalışma durumu ile yorgunluğa farkındalık durumu arasında ilişkibulunmadığı saptanmıştır.Sonuç: Hemşirelerin kanserli hastaların yorgunluk durumuna farkındalığı saptanmış ama bu semptomunyönetimine ilişkin girişimlerin az yapıldığı sonucuna ulaşılmıştır.

Awareness of Nurses on The Status of Fatique in Patients of Cancer

Aim: It was examined to determine compatibility arising from cancer disease associated with the study. Methods: The sample of the study consisted of seventynurses, working at Ege and Dokuz Eylül University Hospitals as caregivers fo rcancer patients between April 2011 and June 2011. In order to determine the sociodemographic and working status of the nurses and the awareness of nurses about the fatigue of cancer patients, the Nurses' Fatigue Identification Form was used. An individual interview method was used to collect the data. In the evaluation of the data, descriptive statistics, mean ± Standard deviation, spearman correlationan alysis was used in determining the relationship between variables. Results: The followings were obtained as theresults of thestudy: The nurses identified the fatique as %82.9 by observing thepatients’ body-language and %81.4 from personal complaints .The patients evaluated fatique as the second severe stsymp to after anxiety and the fatique was perceived as a problem by %87.1 of the patients; however, %81.4 of the nurses used no scales and %40 of the nurses tried to perform a medical attention against fatique. As another result of the study, there were no significant relationships between the sociodemographic&workcondition of nurses and the awareness of fatique status of cancer patients. Conclusion: Nurses have been aware of the fatigue of cancer patients, but the result of few attempts to manage this symptom has been reached

PDF

___

Bag B. Kanser hastalarında uzun dönemde görülen psikososyal sorunlar. Psikiyatride Güncel Yaklaşımlar 2013; 5(1): 109-26
Bal Yılmaz H, Taş F, Muslu G, Başbakkal Z, Kantar M. Health Professionals estimation of cancerrelated fatigue in children. Journal of Pediatric Nursing 2010; 27(6): 330-7
Bennett B, Goldstein D, Friedlander M, Hickie I , Lloyd A. The experience of cancer-related fatigue and chornic fatigue syndrome: a qualitative and comparative study. Journal of Pain and Symptom Management 2007; 34: 126-35
Berger A, Mitchell S, Jacobsen P, Pirl W. Sceerining, evaluation and management of cancerrelated fatigue: ready for implementation to practice? Cancer J Clin 2015; 65: 190-201
Bower JE, Bak K, Berger A, Breitbart W, Carmelita PE, Ganz PA et al. Screening, assessment and management of fatigue in adult survivors of cancer: an Americansociety of clinical oncology clinical practice guideline adaptation. Journal of Clinical Oncology 2014; 32: 1840-51
Can G. Kanser hastasında yorgunluk. Hemşirelikte Eğitim ve Araştırma Dergisi 2006; 3(2): 10-7
Cleelend CS, Zhao F, Chang VT, Sloan JA, O’Mara AM, Gilman PB et al. The symptom burden of cancer: evidence for a core set of cancer-related and treatment-related symptoms from the Eastern Cooperative Oncology Group’s Symptom Outcomes and Practice Patterns Study. Cancer 2013; 119(24): doi: 10.1002/cncr.28376
Curt G, Breitbart W, Cella D, Groopman JE, Horning SJ, Johnson DH et al. İmpact of cancerrelated fatigue On the lives of patients: new findings from the fatigue coalition. Ongolojist 2000; 5: 353-60
Diaz N, Menjon S, Rolfo C, Garcia- Alanson P, Carullo J, Magro A et al. Patients perception of cancer – relatedfatigue: results of a survey to assess the impact on their everday life. Clin Trans Oncol 2008; 10(11): 753-7
Everts FZB, Lee ML, Meezenbroek EJ. Web-based individual mind fulness-based cognitive therapy for cancer-related fatigue – a pilot study. Elsevier, 2015; 2: 200-13
Given B. Cancer – relatedfatigue: a brief overview of current nursing perspectives and experiences. Clin Jour Onc Nurs 2008; S2: 7-9
Goedendorp MM, Knopp H, Gielissen MF, Verhagen CA, Bleijenberg G. The effects of cognitive behavioral therapy for postcancer fatigue on perceived cognitive disabilities and neuropsychological. Journal of Pain and Sysptom Management 2014; 47: 35-43
Gupta M, Sahi MS, Bhargava AK, Talwar V. A Prospective Evaluation of Symptom Prevalence and Overall Symptom Burden Among Cohort of Critically Ill Cancer Patients. Indian J Palliat Care 2016; 22(2): 118–24.
Güleç G, Büyükkınacı A. Kanser ve psikiyatrik bozukluklar. Psikiyatride Güncel Yaklaşımlar 2011; 3(2): 343-67
Hagen KB, Aas T, Kvaloy JT, Eriksen HR, Soiland H, Lind R. Fatigue, anxiety and depression over rule the role of ancological treatment in predicting selfreported health complaints in women with breast cancer compared to healthy controls. Elsevier 2016; 28: 100-106
Henricson M., Berglund AL., Määttä S, Segesten K. A transition from nurse to touch therapist--a study of preparation before giving tactile touch in an intensive care unit. Intensive Crit Care Nurs 2006; Aug;22(4):239-45.
Hoffman AJ, Eye A, Gift AG, Given BA, Rothert M. Testing a theoretical model of perceived self-efficacy for cancer-relatedfatigue self-management and optimal physical functional status. Nurs Res 2009; 58(1): 32- 41
Karakoç T. Kanser hastalarında yorgunluk ve hemşirelik bakımı. Fırat Sağlık Hizmetleri Dergisi 2008; 8: 99-118
Kirshbaum M. Cencer – relatedfatigue: a review of nursing interventions. British Journal of Community Nursing 2010; Vol 15: No 5
Majid H, Moosajee M, Nadeem S. Fatigue in other medical disorders. Elsevier 2013; 8: 241-253
Maugnusson K, Karlsson E, Palmblad C, Leitner C, Paulson A. Swedish nurses estimation of fatigue as a symptom in cancerpatients – report on a questionnaire. European Journal of Cancer Care 1997; 6: 186-191
Mayer DK. Is cancer – related fatigue the sixth vital sign? Clin Jour Onc Nurs, 2008
Morrow GR, Shelke AR, Roscoe JA, Hickok JT, Mustian K. Management of cancer related fatigue. Cancer Investigation 2005;23:229-239
Oh HS, Seo WS. Systematic review and meta-analysis of thecorrelates of cancer-related fatigue. EvidenceBased Nursing 2011; 10: 191-201
Pearson EJM, Morris ME, DiStefano M, Mckinstry CE. Interventions for cancer-related fatigue: a scoping review. European Journal of Cancer Care 2018;27(1):2-14
Reeve BB, Mitchell SA, Dueck AC, Basch E, Cella D, Reilly CM et al. Recommended patientreported core set of symptoms to measure in adult cancer treatment trials. J Natl Cancer Inst. 2014;106(7). pii: dju129. doi: 10.1093/jnci/dju129.
Roscoe JA, Morrow GR, Hickok JT, Mustian KM, Griggs JJ, Matteson SE et al. Effect of paroxetine hydrochloride on fatigue and depression in breast cancer patients receiving chemotherapy. Breast Cancer Res Treat 2005; 89: 243-9
Stapleton S, Holden J, Epstein J, Wilkie D. Symptom clusters in patients with cancer in the hospice/palliative care setting. Support Care Cancer 2016; 10: 3210-32162)
Stone P, Minton O. Cancer-related fatigue. Elsevier 2008; 44: 1097-104
Stone P, Ream E, Richardson A, Thomas H, Andrews P, Campbell P et al. Cancer-relatedfatigue – a difference of opinion? Results of a multicentresurvey of health care professionals, patients and caregivers. European Journal Of Cancer Care 2003; 12: 20-7
Tanghe A, Evers G, Paridaens R. Nurses assessments symptom occurrence and distress in chemotherapy patients. European Journal of Oncology Nursing 1998; 2(1): 14-26
Trill MD. Anxiety and sleepdisorders in cancer patients. European Cancer Organisation 2013; 2: 216- 24
Vogelzang NJ, Breitbart W, Cella D. Patient, caregiver and oncologist perceptions of cancer-related fatigue: results of a tripart assessment survey the fatiguecoalition. Seminars in Hematology, 1997; 34: 4- 12
Yeh CT, Wang LS. Potential pathophysiological mechanism of cancer – related fatigue and current managemet. Elsevier, 2014; 47: 173-82
Wang XS, Woondruff JF. Cancer – related and treatment – related fatigue. Elsevier 2015; 136: 446-52