Mekanik Ventilatöre Bağlı Hastalarda Anksiyete Yönetiminde Müzik Terapinin Yeri

Mekanik ventilasyon yoğun bakım ünitesinde yay- gın olarak kullanılan bir tedavi yöntemidir. İnsan yaşamının sürdürülmesini sağlamasına rağmen, mekanik ventilasyon desteğinde kalan hastalar korku, ajitasyon, rahatsızlık, hareketsizlik, dis- pne, konfüzyon, iletişim sorunları ve gevşemenin sağlanamaması gibi çok sayıda stres faktörü- ne maruz kalırlar. Anksiyete, hastanede yatan hastalar arasında yaygın bir fenomendir, üstelik ventilatöre bağlı hastalarda yaygın olarak görül- mektedir. Mekanik ventilasyon desteğinde olan hastalarla yapılan bir çalışmada, hastalar mekanik ventilasyonu “en insani olmayan tedavi’’ olarak tanımlamışlardır. Mekanik ventilasyon desteğin- de olan hastaların anksiyete tedavisinde, sıklıkla intravenöz sedatif ilaçlar kullanılmaktadır. Fakat, sedatifler uzun ya da kısa dönemde ortaya çıka- bilen çok fazla istenmeyen yan etkiye sahiptir. Bu durum ventilatöre bağlı hastalar için farmakolo- jik olmayan alternatif girişimlerin araştırılmasını gerektirmektedir. Müzik terapi de ventilatöre bağlı hastaların anksiyete yönetiminde etkili bir hemşi- relik girişimidir

Anahtar Kelimeler:

Mekanik ventilatör, anksiyete, müzik terapi, hemşirelik girişimi.

Music Therapy in Anxiety Management of Mechanical Ventilator Dependent Patients

Mechanical ventilation is a common treatment modality in the intensive care unit. Despite its life- saving nature, patients undergoing mechanical ventilation are susceptible to numerous stress- ful factors such as fear, agitation, discomfort, immobility, dyspnea, confusion, communication problems, and inability to relax. Anxiety is a com- mon phenomenon among hospitalized patients. It is also commonly found among ventilator- dependent patients. According to a research which was made with mechanical ventilation-depend- ent patients, the patients defined mechanical ventilation as “most non-humanistic treatment”. Intravenous sedative drugs are often used in anxi- ety treatments of mechanical ventilation-depend- ent patients. However, sedatives have too many undesired side effects that may result in short- or long-term complications. Therefore, additional research is required for examining alternative non- pharmacologic interventions for ventilator-depend- ent patients. One of them is music therapy as an effective nursing intervention to manage anxiety in ventilator-dependent patients

Keywords:

Mechanical ventilator, anxiety, music therapy, nursing intervention,

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