Guillain Barre Sendromlu Hastanın Yönetiminde Hemşirenin Rolü: Olgu Sunumu

Guillain Barre Sendromu (GBS) immün sistemi ve periferik sinir sistemini etkileyen bir sendromdur. Hastalığa bağlı immobilite, fonksiyon kaybı, paralizi sık görülmesinden dolayı GBS ciddiye alınmalı ve agresif olarak tedavi edilmelidir. GBS önemli komplikasyonlara, yetersizliklere ve psikososyal problemlere neden olabilir. GBS bütün hemşirelik yeteneklerini kullanmayı ve gözlem gücünü gerektirir. Bu vaka çalışmasında GBS tanılı hastaların hastalık yönetiminde hemşirelik bakımının önemini vurgulamak amaçlandı

The Role of Nurses in the Disease Management of Patients with Guillain Barre Syndrome: a Case Study

Guillain Barre syndrome (GBS) is a syndrome that affects the immune system and attacks the peripheral nervous system. Because of the incidence of immobility, loss of functionality, and paralysis, GBS should be taken seriously and treated aggressively. GBS may lead to signiŞ cant complications, disability and psychosocial problems. GBS will require all your nursing skills and powers of observation. The purpse of this case study was to focus on the importance of nursing in the disease management of patients with a diagnosis of GBS

PDF

___

1 . van den Berg B, Walgaard C, Drenthen J, Fokke C, Jacobs BC, van Doorn PA. Guillain-Barré syndrome: pathogenesis, diagnosis, treatment and prognosis. Nat Rev Neurol 2014; 10(8):469-82. https://dx.doi. org/10.1038/nrneurol.2014.12.
2 . Atkinson SB, Carr RL, Maybee, P, Haynes D. The challenges of managing and treating Guillain-Barre syndrome during the acute phase. Dimens Crit Care Nurs 2006; 25(6):256-63. http://dx.doi.or g/10.1097/00003465-200611000-00003.
3 . Bowyer HR, Glover M. Guillain Barre Syndrome: Management and treatment options for patients with moderate to severe progression J Neurosci Nurs 2010; 42(5):288-93. http://dx.doi.org/10.1097/ JNN.0b013e3181ecafa9.
4 . Topçuoğlu MA, Durna Z, Karadakovan A. Nörolojik bilimler hemşireliği. İçinde: Ekmekci H, Öztürk Ş. Guillain-Barre Sendromlu ve diğer periferik nöropatili hastalarda tedavi. İstanbul: Nobel Tıp Kitabevleri; 2014. s.607-615.
5 . Girgin Kelebek N. Guillain-Barre hastasında yoğun bakım. Türk Yoğun Bakım Derneği Dergisi 2007; 5:55-60.
6 . Simmons S. Guillain-Barré syndrome: a nursing nightmare that usually ends well. Nursing 2010; 40(1):24-9. https://dx.doi.org/10.1097/01. NURSE.0000365911.63265.ac .
7 . McNair ND. Treatment of Guillain-Barré syndrome. J Infus Nurs 2013; 36(6):397-400. https://dx.doi.org/10.1097/NAN.0000000000000011
8 . Haldeman D, Zulkosky K. Treatment and nursing care for a patient with Guillain-Barre´ syndrome. Dımens Crit Care Nurs 2005; 24(6):267-72.
9 . Personnier B, Patte A. Management and monitoring a patient with Guillain-Barré syndrome Rev Infi rm 2011; 169:38-40.
10 . Wittstock M, Benecke R, Zettl UK. Therapy with intravenous immunoglobulins: complications and side effects. Eur Neurol 2003; 50(3):172-5. https://dx.doi.org/10.1159/000073059
11 . Hughes RA. Treatment of Guillain-Barre´ syndrome with corticosteroids: lack of benefit. Lancet. 2004; 17(363):181-2. https://dx.doi. org/10.1016/S0140-6736(03)15367-6.
12 . De Cort M. Nursing a patient with Guillain-Barré syndrome. 2011; 17(7):32-3.
13 . Dhar R, Stitt L, Hahn AF. The morbidity and outcome of patients with Guillain–Barré syndrome admitted to the intensive care unit. J Neurol Sci 2008; 15(264):121–128. https://dx.doi.org/10.1016/j. jns.2007.08.005.
14 . Demir S, Aydın G. Guillain Barre sendromu rehabilitasyonu. Romatizma 2001; 16(2):107-13.