HALİL İBRAHİM TUNA, MELİKE BAŞ, AYŞE KACAROĞLU VİCDAN, PINAR TUNÇ TUNA

Konjenital Adrenal Hiperplazili Hastanın Hemşirelik Bakımında Roy Adaptasyon Modeli Kullanımı

Giriş: Konjenital anomalili bireyin yaşam kalitesi bozulmakta ve bakım gereksinimi artmaktadır. Amaç: Çalışma, 21- Hidroksilaz eksikliğine bağlı konjenital adrenal hiperplazi tanısı konmuş bir hastanın Roy Adaptasyon Modeline (RAM) göre hemşirelik bakımının düzenlenmesi için planlanmıştır. Yöntem: Verilerin toplanması amacıyla yapılan görüşme, bir üniversite hastanesinde yatan 13 yaşındaki Z.A. ile yapılmıştır. Hastanın verileri, NANDA-I hemşirelik tanıları doğrultusunda, RAM’a uygun olarak toplanmıştır. Bulgular: Veriler incelenerek aşağıdaki tanılar konmuştur; bilgi eksikliği, sıvı hacminde dengesizlik riski, enfeksiyon riski ve kanama riski (fizyolojik alan), kendi kendine yetinme, rahatsızlık ve kendi beden imajına ilişkin endişe (ben /benlik kavramı), umutsuzluk, yalnızlık hissi (rol fonksiyon alanı), evde ve ebeveynlik süreçlerinde güçlenmeye hazırlık (karşılıklı bağlılık alanı). Elde edilen veriler RAM’a göre değerlendirilmiştir. Z.A.’ya verilen hemşirelik bakımı, hem hasta hem de ailesi açısından planlanmıştır. Sonuç: Konjenital adrenal hiperplazi nedeniyle vajinoplasti yapılan hastalara RAM doğrultusunda hemşirelik bakımı verilmesinin uygun olduğu saptanmıştır.

Anahtar Kelimeler:

Konjenital Adrenal Hiperplazi, Roy Adaptasyon Modeli, Hemşirelik Bakımı.

Using Roy Adaptation Model In Nursing Care For Patients With Congenital Adrenal Hyperplasia

Background: The quality of life of the congenital anomalous individual deteriorates and the need for care increases. Purpose: The study was designed to regulate nursing care according to the Roy Adaptation Model of a patient diagnosed with congenital adrenal hyperplasia due to 21-hydroxylase deficiency. Method: The interview for the collection of data was done with Z.A. at the age of 13 in a university hospital. Hospital. Patient’s data were collected in accordance with four adaptation aspects of RAM in line of NANDA-I nursing diagnoses. Findings: After examining the findings, following diagnoses were made: (In physiological aspect) Lack of knowledge, risk of imbalance in fluid volume, risk of infection and risk of bleeding; (In self-conception/self-perception area) low self esteem, discomfort and anxiety regarding own body image; (In role function aspect) Despair; risk of loneliness; (In mutual commitment aspect) Readiness for empowering in domestic and parenting processes. Diagnoses obtained were evaluated according to RAM. Conclusion: It was observed that nursing care given to Z.A. has increased adaptation both for her and her family. Patient with vaginoplasty due to congenital adrenal hyperplasia found to be suitable for giving nursing care in the direction of RAM.

Keywords:

Congenital Adrenal Hyperplasia, Roy Adaptation Model, Nursing Care.,

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