Osteoartritte Ağrı ve Zencefilli Böbrek Kompres Uygulaması

Ağrı, hem dünyada hem de ülkemizde yaygınlığı giderek artan bir sağlık problemidir. Osteoartrit (OA)’te de sıklıklagörülen ve en önemli olan semptom ağrıdır. Osteoartritte eklem kıkırdağında erozyon, eklem kenarındaki kemiklerdeosteofitik hipertrofi, subkondral skleroz, sinoviyal membran ve eklem kapsülünde meydana gelen biyokimyasal veyapısal değişiklikler nedeniyle eklem dejenerasyonuna bağlı olarak farklı şiddette ağrı oluşabilmektedir. Osteoartritintedavisinde amaç, ağrıyı azaltmak, eklemin açıklığını ve dizin fonksiyonel kapasitesini arttırmak, kontraktürleri önlemek,kas gücünü korumak ve geliştirmek, sakatlıkları önlemek, eşlik eden hastalıkları tedavi etmek, tedavi komplikasyonlarınıönlemek, hasta ve ailesini eğiterek yaşam kalitesini artırmak ve bağımlılığı azaltmaktır. Osteoartritte ağrının kontrolündetamamlayıcı ve bütünleşik (integratif) hemşirelik uygulamaları içerisinde yer alan yöntemlerden biri de zencefilli böbrekkompres uygulamasıdır. Yapılan çalışmalarda zencefilli böbrek kompres uygulamasının; OA’ya bağlı gelişen ağrınınkontrolünde ısı, stimülasyon, anti-inflamatuvar ve analjezik etkiler oluşturduğu saptanmıştır. Ayrıca bu uygulamaylaağrıda kademeli olarak rahatlama, vücut içinde esneklik artışı, daha rahat ve esnek eklem hareketliliği oluştuğu,düşüncede gevşeme ve durgunluk oluşarak hastaların yaşam kalitesini arttığı ve psikololojik rahatsızlıkların azaldığıbelirtilmektedir. Bu derlemede, OA tanısı olan hastalarda oluşan ağrının kontrol altına alınmasında zencefilli böbrekkompres uygulamasının etkisine ilişkin bilgiler verilmiştir.

Pain in Osteoarthritis and Application in Ginger Kidney Compress

Pain is an increasingly prevalent health problem both globally and in our country. Osteoarthritis (OA) is a commonly seen and the most important symptom is pain. In Osteoarthritis pain with different severities may occur due to erosion in joint cartilage, osteophytic hypertrophy in bones near the joints, subchondral sclerosis, synovial membrane and a series of biochemical and structural changes in the joint capsule. In the treatment of Osteoarthritis, the main objective is to reduce pain, to increase joint range of motion and knee functional capacity, to prevent contractures, to protect and improve muscle strength, to prevent injuries, to treat concominant diseases, to prevent treatment complications and to increase the quality of life and to reduce dependency by educating the patient and family. One of the methods involved in complementary and integrative nursing practices in the control of pain in osteoarthritis is ginger kidney compress application. The studies undertaken determine that ginger kidney compress application have heat, stimulation, anti-inflammatory and analgesic are effected by the control of on OA-related developing pain. Furthermore, it is determined that with this application, gradual relaxation in pain, increased flexibility in the body, more comfortable and flexible joint mobility, relaxation in mind and stagnation, increasing the quality of life of the patients are provided and decrease in psychological disorders is observed. In this review, information is given on the effect of ginger kidney compress application on the control of pain in patients with OA diagnosis.

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