İnfertilitede Birey Merkezli Bakım Yaklaşımı

Uzun vadeli tanı ve tedavi süreçleri nedeniyle infertilite tanısı alan bireylerin holistik bakıma olan ihtiyaçları göz ardı edilemeyecek bir gerçektir. Holistik bakım, yaşam ve varlık felsefesine dayanmaktadır. İnfertil bireylerin bakımına ilişkin mevcut biyomedikal modele alternatif, hasta merkezli ve birey merkezli bakım yaklaşımlarının olduğu bilinmektedir. Hasta merkezli bakım yaklaşımının, bakım kalitesi açısından bazı olumsuz eleştirilere maruz kaldığı bilinmektedir. İnfertil bireylerin hasta merkezli bakıma ilişkin olumsuz deneyimleri, bu yaklaşımının bireysellikten uzak olması noktasına odaklanmaktadır. İnfertil bireyler, bireysel tercih, ihtiyaç ve değerlerine uyumlanan bir bakım hizmeti almak istemektedir. Bu makalenin amacı infertilite tanısı almış çiftlere yönelik birey merkezli bakım yaklaşımını analiz ederek, sağlık bakım profesyonelleri için farkındalık yaratmaktır. Birey merkezli bakım, hastalığın fizyopatolojisi, prognozu ve tedavisinin yanı sıra bireylerin hastalığa ilişkin deneyimleri üzerine odaklanmaktadır. İnfertil bireylere verilen bakımın kalitesi, sağlıklı bir çocuğa sahip olmaktan ziyade bireylerin bu süreçle baş etmesi ve uyum sağlamasıyla değerlendirilmelidir. İnfertilitenin tüm aşamalarında bireylerin bu felsefeye dayanan bir bakım süreci deneyimlemeleri, ihtiyaçtan öte bir hak olarak kabul edilmelidir. Birey-merkezlilik, bireyselleşmiş bakım hizmeti verilmesini içermektedir. Birey merkezli bakım yaklaşımının hemşirelik bakım uygulamalarının kalitesi açısından önemli bir role sahip olduğu düşünülmektedir.

Person Centered Care Approach in Infertility

Because of the long-term diagnosis and treatment processes in infertility, the need for holistic care in infertile individuals is a reality. Holistic care is based on the philosophy of life and the human being. Patient-centered and person-centered care approaches are known to be alternatives to the current biomedical model for infertile individuals. Patient-centered care has been subjected to negative criticism in terms of quality of care. The negative experiences of infertile individuals with respect to patient-centered care focus on the point that this approach is far from individualistic. Infertile individuals want to receive care that adapts to their preferences, needs and values. The aim of this article is to raise awareness in healthcare professionals by analyzing a person-centered care approach for a couple who was diagnosed with infertility. Person-centered care focuses on not only the pathophysiology, prognosis, and treatment of the disease but also the individual's experience. The quality of care given to infertile individuals should be assessed to the extent by which individuals cope and comply with this process rather than having a healthy child. In all stages of infertility, it should be accepted that individuals experience a care process based on this philosophy as a right beyond necessity. A person-centered approach includes the provision of individualized care. It is thought that the person-centered care approach plays an important role in improving the quality of nursing care.

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