İnmeli hastalara bakım veren hasta yakınlarının bakım yükü

İnme, sakatlıkla sonuçlanan nörolojik yetkinlik kaybının birinci nedenidir. Çoğu inme vakasının sakatlıkla sonuçlanması ve hastaların bakımda bağımlı olması nedeniyle toplumda uzun dönem bakım gereksinimi artmakta ve bakım genellikle aile bireyleri tarafından karşılanmaktadır. Uzun dönem bakım, bakım verenlerde olumsuz duyguların yaşanmasına sebep olmaktadır. Olumsuz duyguların başlıca nedeni hasta bakımının bakım verenler üzerinde çeşitli derecelerde bakım yükü oluşturmasıdır. Bakım yükünü etkileyen birçok faktör vardır ve bu faktörler kişiden kişiye göre değişiklik göstermektedir. Bakım yükü fiziksel, psikolojik, sosyal ve ekonomik birçok soruna neden olmaktadır. Oluşabilecek bu sorunların önlenmesinde sağlık personeli olarak hemşirelerin, ailelerin en iyi şekilde bakım verebilmesi için; hasta ve bakım veren bireylerin sahip olduğu fiziksel, ekonomik, sosyal koşulları öğrenmesi ve bu koşulları bir bütün olarak değerlendirip uygun eğitim, danışmanlık, bakım ve tedavi hizmeti vermesi gerekmektedir. Sağlık personeli, taburculuk sonrasında bakım veren aile üyeleri ile iletişim halinde olup onlara her türlü desteği ve yardımı sağlamalı ve onları destek gruplarına yönlendirmelidir. Sağlık personeli, kendi ihtiyacını karşılayamayan bir bakım verenin iyi bir bakım veremeyeceğinden bakım verenin kendi fiziksel, psikososyal, ekonomik ihtiyaçlarını sağlamasına yardımcı olmalıdır. Sağlık personeli, bakım verenlerin gizli hastalar olduğunu hiçbir zaman unutmayarak, hastalarını değerlendirirken bakım verenleri de bakım planına dahil etmelidir.

Care burden of the patient relatives who take care of the patients with stroke

In addition to being one of the first four causes of death in many countries, stroke is the primary cause of neurological ability loss. Because most of the stroke cases result in disability and the patients become dependent on care, requirement for long-term care increases, and long-term care is generally supplied by family members. Long-term care causes negative emotions in caregivers. The most substantial reason of such feelings is the burden of care on caregivers. Many factors affect the burden of care and those factors vary individually. Burden of care causes many physical, psychological, social and economic problems. In the prevention of such possible problems, the nurses as medical staff should learn about physical, economic, and social conditions of the patients and the caregivers, assess the conditions as a whole, and give convenient education, consultancy, caring, and therapy services for the families to give the best caring. Following discharge, medical staff should contact with the family members caring and should provide all necessary supports and assistance, and should direct them to the support groups, as well. As a caregiver who cannot meet his/her needs cannot give good care, medical staff should help the caregiver provide his/her own physical, psychosocial, and economic needs. Medical staff should always remember that the caregivers are potential patients, therefore, should include the caregivers in the care plan while examining the patients.

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