Kanserle İlişkili Yorgunluk Yönetiminde Güncel Stratejiler ve Hemşirelik Girişimleri

Kanser, dünya çapında önde gelen ölüm nedenlerinden biridir. Kanser hastaları yorgunluk, ağrı, bulantı, uyku bozukluğu, nefes darlığı, depresyon ve anksiyete gibi birçok semptom yaşamaktadır. Kanserle ilişkili yorgunluk, tanı aşamasında ve tedavinin bitiminden yıllar sonra bile hastaların kendini güçsüz hissetmesine neden olabilmektedir. Ağrı ve bulantı gibi semptomların aksine kanserle ilişkili yorgunluk, birçok hasta ve sağlık profesyoneli tarafından sürecin doğal bir parçası olarak kabul edildiğinden, tanınmayan ve tedavi edilmeyen bir semptom olmaya devam etmektedir. Kanserle ilişkili yorgunluğun etiyolojisi ve patofizyolojisi yeterince aydınlatılamadığından, yönetiminde altın standart bir tedavi yöntemi bulunmamaktadır. Ancak kanserle ilişkili yorgunluk palyasyonunda farmakolojik ve farmakolojik olmayan müdahaleler kullanılmaktadır. Hemşireler, kanserle ilişkili yorgunluk yönetimindeki girişimleri klinik uygulamaya aktarmada kilit role sahiptir. Bu derlemede, güncel kılavuzlarda kanserle ilişkili yorgunluk yönetiminde önerilen stratejiler ve hemşirelik girişimleri sistematik şekilde verilmiştir. Önerilen girişimlerin hemşirelik bakımına katkı sağlayacağı ve kanserle ilişkili yorgunluğu azaltarak hastaların iyilik halini artıracağı düşünülmektedir.

Anahtar Kelimeler:

Hemşirelik, kanser, yorgunluk

CURRENT STRATEGIES AND NURSING INTERVENTIONS IN THE MANAGEMENT OF CANCER-RELATED FATIGUE

Cancer is one of the leading cause of death worldwide. Cancer patients experience many symptoms such as fatigue, pain, nausea, sleep disturbance, dyspnea, depression and anxiety. Cancer-related fatigue can make patients feel powerless at the time of diagnosis and even years after the end of treatment. Unlike symptoms such as pain and nausea, Cancer-related fatigue continues to be an unrecognized and untreated symptom, as it is considered a natural part of the process by many patients and healthcare professionals. Etiology and pathophysiology of cancer-related fatigue are not sufficiently elucidated, so that there is no gold standard treatment method in its management. However, pharmacologic and non-pharmacologic interventions are used in palliation of cancer-related fatigue. Nurses have a key role in transferring cancer-related fatigue management interventions to clinical practice. In this review, the proposed strategy and nursing interventions for the management of cancer-related fatigue in current guidelines are presented in a systematic way. It is thought that the proposed interventions will contribute to nursing care and increase the well-being of patients by reducing cancer-related fatigue.

Keywords:

Cancer, fatigue, nursing,

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