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ÜRODİNAMİ KAYNAKLI AĞRI VE ANKSİYETENİN KONTROLÜNDE AROMATERAPİNİN ETKİSİ

Ürodinami, mesanenin dolumu ve boşaltımı esnasında alt üriner sistemin işlevi hakkında fizyolojik veriler elde etmek için çoklu testlerden oluşan tanısal bir değerlendirme yöntemidir. Ürodinami, idrarda yanma, kanama, ağrı gibi sorunlara neden olabilmektedir. Bu sorunlar dışında hastanın mesanesine, rektum veya vajinasına kateter yerleştirilmesi, işlemin invaziv ve travmatize edici bir yöntem olması, işlem esnasında idrarını yabancı bir kişinin yanında yapma, test boyunca idrar yapma durumunun gözlenmesi gibi nedenlerden dolayı hastalar utanma, rahatsızlık, gerginlik, anksiyete ve stres yaşayabilmektedir. Ürodinami sırasında hastanın stres düzeyindeki artış, sempatik sinir sistemini uyararak mesane kapasitesini düşürebilmekte ve hastanın ürodinami sonuçlarını etkileyebilmektedir. Ürodinami işlemi sırasında hastanın ağrı ve anksiyetesini azaltmaya yönelik birçok farmakolojik ve farmakolojik olmayan girişimler uygulanmaktadır. Aromaterapi, invaziv girişim öncesi anksiyetesi olan hastalarda tercih edilen farmakolojik olmayan bir uygulamadır. Aromaterapi, farmasötik yöntemlerle kıyaslandığında; basit, ucuz, invaziv olmayan ve uygulaması kolay bir yöntemdir. Hemşirelik biliminde esansiyel yağların kullanılması, hemşirelik felsefesini, teorilerini ve etiğini yansıtmaktadır. Bu bağlamda konforu sağlamada, stresle başa çıkmada, ağrı ve anksiyeteyi azaltmada aromaterapinin holistik bir hemşirelik girişimi olarak kullanılabileceği belirtilmiştir. Klinik aromaterapi, hemşirelik bilimine olduğu kadar, sanatına da katkı verdiği için hemşireliği güçlendirmektedir. Ancak aromaterapinin hemşirelik uygulamalarındaki önemli eksikliği bu alandaki bilimsel çalışmaların kanıt düzeyi yüksek çalışmalara henüz dönüşememiş olmasıdır. Bu derlemenin amacı, ürodinami işlemi sırasında hastaların yaşadıkları olumsuz duyguların azaltılmasında aromaterapinin kullanımı ve hemşirelerin sorumluluklarını güncel literatür eşliğinde aktarmaktır.

Anahtar Kelimeler:

Ürodinami, Aromaterapi, Anksiyete, Hemşire

EFFECT OF AROMATHERAPY ON THE CONTROL OF URODYNAMIC PAIN AND ANXIETY

Urodynamics is a diagnostic evaluation method consisting of multiple tests to obtain physiological data about the function of the lower urinary tract during filling and emptying of the bladder. It can cause problems such as urodynamics, burning in urination, bleeding and pain. Apart from these problems, patients may experience embarrassment, discomfort, tension, anxiety and stress due to reasons such as placing a catheter in the patient’s bladder, rectum or vagina, the procedure being an invasive and traumatizing method, urinating in the presence of a stranger during the procedure, and observing the urination status during the test. The increase in the patient’s stress level during urodynamics may decrease the bladder capacity by stimulating the sympathetic nervous system and may affect the patient’s urodynamic results.To reduce the patient’s pain and anxiety during the urodynamic proceduremany pharmacological and non-pharmacological interventionsis implemented. Aromatherapy is a preferred non-pharmacological practice in patients with anxiety before invasive procedures. When aromatherapy is compared to pharmaceutical methods; It is a simple, inexpensive, non-invasive and easy- to-apply method. The use of essential oils in nursing science reflects nursing philosophy, theories and ethics. In this context, it has been stated that aromatherapy can be used as a holistic nursing intervention in providing comfort, coping with stress, and reducing pain and anxiety. Clinical aromatherapy strengthens nursing as it contributes to the art of nursing as well as to the science of nursing. However, the important deficiency of aromatherapy in nursing practices is that scientific studies in this field have not yet turned into studies with a high level of evidence. This the purpose of this review is to convey the use of aromatherapy in reducing the negative emotions experienced by patients during the urodynamic procedure and the responsibilities of nurses in the light of current literature.

Keywords:

Urodynamics, Aromatherapy, Anxiety, Nurse,

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