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 Görüntüleme 11
 İndirme 1
PALYATİF BAKIMDA KANSER REHABİLİTASYONU VE HEMŞİRELİK YÖNETİMİ
2018
Dergi:  
Ege Üniversitesi Hemşirelik Fakültesi Dergisi
Yazar:  
Özet:

Başlık:PALYATİF BAKIMDA KANSER REHABİLİTASYONU VE HEMŞİRELİK YÖNETİMİ Özet:Günümüzde kanserin tanı  tedavisindeki gelişmeler, gittikçe daha fazla sayıda kanserli hastanın daha uzun yaşamasını sağlamaktadır. 1960’lardan beri rehabilitasyon; miyokardiyal enfeksiyon, inme, baş ve spinal kord yaralanmaları, amputasyonla birlikte diğer fiziksel/nörolojik yetersizlikten muzdarip hastalar için bakım programlarının önemli bir parçası olarak kabul edilmiştir. Kansere bağlı kötü prognoz sonucu temel tedavilerin ön plana çıkması nedeniyle rehabilitasyona yeterli ilgi gösterilmemektedir. Ancak palyatif bakım felsefesi hastanın yaşam kalitesinin iyileştirilmesi, temel yaşam aktivitelerini sürdürmesi, semptom kontrolü ve fiziksel fonksiyonları sürdürmesine destek sağlanmayı amaçlandığı için rehabilitasyon hizmetinin önemi de dikkat çekmektedir. Palyatif Bakım Geliştirme Merkezi konsensüs raporunda, hastane ortamında bakım değerlendirmesine ihtiyaç duyan hastaların belirlenmesine yardımcı olmak için birincil tetikleyici kriterlerin ana hatları verilmektedir. Böylelikle hastaların palyatif bakıma yatışları sırasında hangi riskleri barındırdığı ve alınabilecek önlemleri planlamada yardımcı olması amaçlanmıştır. Kanser hastalarında rehabilitasyon tedavisine uyumunu azaltan ve tedaviyi bırakmasına neden olanönemli faktörler terapiye ilgi eksikliği, tıbbi komplikasyonlar, zaman ve yoğunluk egzersiz programlarının uzun olması, hastalığın evresi ve ulaşım sorunlarıdır. Egzersiz programının yoğunluğu ve uzunluğu, özellikle son dönem kanser hastaları söz konusu olduğunda, hastayı yormayacak ya da sıkmayacak şekilde ayarlanmalıdır. Hemşirelerin kanıta dayalı uygulamaların geliştirilmeleri, hasta odaklı daha kapsamlı araştırmalar yapmaları ve palyatif bakım hastalarının yaşam kalitelerini arttırmaya yönelik çalışmalar içinde aktif bulunmaları önerilmektedir.  Anahtar kelimeler:   Palyatif Bakım, Kanser, Rehabilitasyon, Hemşirelik Destekleyen kurumlar: Kaynakça:1.        Adamsen L, Quist M, Midtgaard J, Andersen C, Møller T, Knutsen L, et al. The effect of a multidimen-sional exercise intervention on physical capacity, well-being and quality of life in cancer patients undergoing chemotherapy. Support Care Cancer 2006; 14: 116- 27. 2.        Akdemir, N., Akkuş, Y. Rehabilitasyon ve hemşirelik. Hacettepe Üniversitesi Hemşirelik Yüksekokulu Dergisi, 2006;13(1), 82–91. 3.        Andersen C, Adamsen L, Moeller T, Midtgaard J, Quist M, Tveteraas A, et al. The effect of a multidimensional exercise programme on symptoms and side-effects in cancer patients undergoing chemotherapy-the use of semi-structured diaries. Eur J Oncol Nurs 2006; 10: 247-62. 4.        Barawid E, Covarrubias N, Tribuzio B, Liao S. The benefits of rehabilitation for palliative care patients. Am J Hosp Palliat Care. 2015; 32(1):34-43. 5.        Brown WJ, Ford JH, Burton NW, Marshall AL, Dobson AJ. et al. Prospective study of physical activity and depressive symptoms in middle-aged women. Am J Prev Med 2005; 29: 265-72 6.        Cheville A. Cancer Rehabilitation. In: Physical Medicine & Rehabilitation, Ed: Braddom RL, Saunders Company, Third Edition, 2007; 1369-98 7.        Cheville AL, Kollasch J, Vandenberg J, Shen T, Grothey A, Gamble G, et al. A home-based exercise program to improve function, fatigue, and sleep quality in patients with Stage IV lung and colorectal cancer: a randomized controlled trial, J Pain Symptom Manage. 2013; 45 (5): 811-21 8.        Clemens KE, Jaspers B, Klaschik E, Nieland P. Evaluation of the clinical effectiveness of physiotherapeutic management of lymphoedema in palliative care patients. Jpn J Clin Oncol. 2010; 40 (11): 1068-72. 9.        Corsonello A, Scarlata S, Pedone C, Bustacchini S, Fusco S, Zito A, et al. Treating COPD in older and oldest old patients. Curr Pharm Des. 2015; 21 (13): 1672-89 10.      Curtis EB, Krech R, Walsh TD.. Common symptoms in patients with advanced cancer. J Palliat Care. 1991; 7 : 25-29 11.      Dietz JH. Rehabilitation oncology. John Wiley & Sons Inc, New York. 1981 12.      Escalante CP, Meyers C, Reuben JM, Wang X, Qiao W, Manzullo E, Alvarez RH, Morrow PK, Gonzalez-Angulo AM, Wang XS, Mendoza T, Liu W, Holmes H, Hwang J, Pisters K, Overman M, Cleeland C. A randomized, double-blind, 2-period, placebocontrolled crossover trial of a sustained-release methylphenidate in the treatment of fatigue in cancer patients. Cancer J 2014:20(1):8–14. doi: 10.1097/PPO.0000000000000018 13.      Eyigor S, Akdeniz S. Is exercise ignored in palliative cancer patients? World J Clin Oncol. 2014; 5(3):554-9 14.      Fearon K, Strasser F, Anker SD, Bosaeus I, Bruera E, Fainsinger RL, Jatoi A, Loprinzi C, MacDonald N, Mantovani G, et al. Definition and classification of cancer cachexia: an international consensus. Lancet Oncol.2011; 12 : 489-495. 15.      Guo Y, Shin KY, Hainley S, Bruera E, Palmer JL. Inpatient rehabilitation improved functional status in asthenic patients with solid and hematologic malignancies. Am J Phys Med Rehabil. 2011; 90 (4): 265-71.  16.      Institute of Medicine (2001) Crossing the quality chasm: a new health system for the 21st century. National Academy Press. https://www.iom.edu/Reports/2001/Crossing-the-Quality-ChasmA-New-Health-System-for-the-21st-Century.aspx Erişim Tarihi; 20.07.2018 17.      Javier NS, Montagnini ML, Rehabilitation of the hospice and palliative care patient, J Palliat Med. 2011; 14 (5): 638-48. 18.      Jensen W, Baumann FT, Stein A, Bloch W, Bokemeyer C, de Wit M, et al. Exercise training in patients with advanced gastrointestinal cancer undergoing palliative chemotherapy: a pilot study. Support Care Cancer. 2014; 22 (7): 1797-806 19.      Johansson B, Wentzel AP, Andrell P, Mannheimer C, Ronnback L. Methylphenidate reduces mental fatigue and improves processing speed in persons suffered a traumatic brain injury. Brain Inj 2015:1–8. doi:10.3109/02699052.2015.1004747 20.      Kanser İstatistikleri http://kanser.gov.tr/Dosya/2017Haberler/2017_4_subat.pdf Erişim Tarihi; 16.07.2018 21.      Kubler Ross E. On Death and Dying. New York, NY, Scribner, 1969 22.      Lehmann JF, DeLisa JA, Warren CG, deLateur BJ, Bryant PL, Nicholson CG, Cancer rehabilitation: assessment of need, development, and evaluation of a model of care. 1978; 59 : 410-419. 23.      Maddocks M, Mockett S, Wilcock A. Is exercise an acceptable and prac-tical practical therapy for people with or cured of cancer? A systematic review. Cancer Treat Rev 2009; 35: 383-90. 24.      Martinsen EW. Physical activity for mental health. Tidsskr Nor Laegeforen 2000; 120: 3054-6. 29. 25.      Molinaro J, Kleinfeld M, Lebed S. Physical therapy and dance in the surgical management of breast cancer. Phys Ther 1986;66:967-9. 26.      Narayanan V, Koshy C. Fatigue in cancer: a review of literature.. Hint ndian J Palliat Care 2009; 15 : 19-25 27.      Oldervoll LM, Kaasa S, Hjermstad MJ, Lund JA, Loge JH, et al. Physical exercise results in the improved subjective well-being of a few or is effective rehabilitation for all cancer patients? Eur J Cancer 2004; 40: 951-62. 28.      Oldervoll LM, Loge JH, Lydersen S, Paltiel H, Asp MB, Nygaard UV, et al. Physical exercise for cancer patients with advanced disease: a randomized controlled trial. Oncologist. 2011; 16 (11): 1649-57 29.      Osborne TR, Ramsenthaler C, Wolf-Linder S, Schey SA, Siegert RJ, Edmonds PM, et al. Understanding what matters most to people with multiple myeloma: a qualitative study of views on quality of life. BMC Cancer. 2014; 14 (1): 496. 30.      Palacio A, Calmels P, Genty M, Le-Quang B, Beuret-Blanquart F. Onkoloji ve fizikî tıp ve rehabilitasyon. Ann Phys Rehabil Med. 2009; 52 : 568-578 31.      Porock D, Kristjanson LJ, Tinnelly K, Duke T, Blight J. An exercise intervention for advanced cancer patients experiencing fatigue: a pilot study. J Palliat Care. 2000 Autumn;16(3):30-6 32.      Radbruch L, Strasser F, Elsner F, Gonçalves JF, Løge J, Kaasa S, Nauck F, Stone P. Fatigue in palliative care patients -- an EAPC approach, Palliat Med. 2008; 22 : 13-32 33.      Sami MB, Faruqui R, The effectiveness of dopamine agonists for treatment of neuropsychiatric symptoms post brain injury and stroke. Acta Neuropsychiatr 2015:1–11. doi:10.1017/neu.2015.17 34.      Silver JK, Raj VS, Fu JB, Wisotzky EM, Smith SR, Kirch RA, Cancer rehabilitation and palliative care: critical components in the delivery of high-quality oncology services, Support Care Cancer, 2015;23(12):3633-43. 35.      Stene GB, Helbostad JL, Balstad TR, Riphagen II, Kaasa S, Oldervoll LM. Effect of physical exercise on muscle mass and strength in cancer patients during treatment--a systematic review. Crit Rev Oncol Hematol. 2013; 88 : 573-593. 36.      Stout NL, Binkley JM, Schmitz KH, Andrews K, Hayes SC, Campbell KL, McNeely ML, Soballe PW, Berger AM, Cheville AL, Fabian C, Gerber LH, Harris SR, Johansson K, Pusic AL, Prosnitz RG, Smith RA . A prospective surveillance model for rehabilitation for women with breast cancer. Cancer 2012:118(8 Suppl):2191–2200. doi:10.1002/cncr.27476 37.      Taşpınar Ö , Aydın T, Akcakaya A, Kanser Rehabilitasyonunda Palyatif Yaklaşımın Yeri ve Önemi, Bezmialem Science, 2014; 1: 31-37 38.      Van Weert E, Hoekstra-Weebers J, Otter R, Postema K, Sanderman R, van der Schans C. Cancer-related fatigue: predictors and effects of rehabilitation. Oncologist. 2006; 11 : 184-196 39.      von Haehling S, Anker SD Cachexia as a major underestimated and unmet medical need: facts and numbers. J Cachexia Sarcopenia Muscle.  2010; 1 : 1-5 40.      Weissman DE, Meier DE, Identifying patients in need of a palliative care assessment in the hospital setting: aconsensusreport from the center to advance palliative care. J Palliat Med 2011;14(1):17– 23. doi:10.1089/jpm.2010.0347 41.      Wells, M., Macbride, S Rehabilitation and Survivorship. In: Nursing Patients with Cancer Principles and Practice. Eds: Kearney N, Richardson A, 1 th ed, Elsevier, 2006;799-819. 42.      Who definition of palliative care World Health Organization. http://www.who.int/cancer/palliative/definition/en/2015. Erişim Tarihi: 22.07.2018 43.      WHO, Search results, http://www.who.int/mediacentre/factsheets/fs297/en/, erişim tarihi: 16.07.2018

Anahtar Kelimeler:

Cancer Rehabilitation and Nursing Management
2018
Yazar:  
Özet:

Title:Cancer Rehabilitation and Nursing Management Summary:Today, developments in cancer diagnosis therapy make it easier for more and more cancer patients to live longer. Since the 1960s, rehabilitation has been recognized as an important part of the care programs for patients with myocardial infection, stroke, headache and spinal cord injuries, and other patients with physical/neurological insufficiency along with amputation. The result of poor cancer-related prognosis is that there is no sufficient interest in rehabilitation due to the advance of basic treatments. However, the palliative care philosophy also highlights the importance of rehabilitation service as it aims to provide support for improving the patient’s quality of life,ining basic life activities, symptom control andining physical functions. The Consensus Report of the Palliative Care Development Center provides the main lines of the primary trigger criteria to help identify patients in need of care assessment in the hospital environment. It is therefore intended to assist patients in planning what risks they hold during their palliative care stages and what measures can be taken. The important factors that reduce their conformity to rehabilitation therapy in cancer patients and cause them to quit treatment are lack of interest in therapy, medical complications, the length of time and intensity of exercise programs, the stage of the disease and transportation problems. The intensity and length of the exercise program should be adjusted in such a way that the patient, especially when it comes to recent cancer patients, will not be tired or stressed. Nurses are advised to develop evidence-based practices, to conduct more comprehensive patient-focused research and to be active in studies aimed at improving the quality of life of palliative care patients.  Keywords: Palliative Care, Cancer, Rehabilitation, Nursing Supporting Institutions: Source: 1. Adamsen L, Quist M, Midtgaard J, Andersen C, Møller T, Knutsen L, et al. The effect of a multidimensional exercise intervention on physical capacity, well-being and quality of life in cancer patients undergoing chemotherapy. Support Care Cancer 2006; 14: 116- 27. 2nd        N, N, N, Y, Rehabilitation and Nursing. The University of Hacettepe Higher School Journal of Nursing, 2006;13(1), 82-91. and 3.        Andersen C, Adamsen L, Moeller T, Midtgaard J, Quist M, Tveteraas A, et al. The effect of a multidimensional exercise program on symptoms and side effects in cancer patients undergoing chemotherapy-the use of semi-structured diaries. Eur J Oncol Nurs 2006; 10: 247-62. The fourth.        Barawid E, Covarrubias N, Tribuzio B, Liao S. The benefits of rehabilitation for palliative care patients. Am J Hosp Palliat Care. 2015; 32(1): 34-43. and 5.        Brown WJ, Ford JH, Burton NW, Marshall AL, Dobson AJ. and al. Prospective study of physical activity and depressive symptoms in middle-aged women. Am J Prev Med 2005; 29: 265-72 6.        by Cheville A. The Cancer Rehabilitation. In: Physical Medicine & Rehabilitation, Ed: Braddom RL, Saunders Company, Third Edition, 2007; 1369-98 7.        Cheville AL, Kollasch J, Vandenberg J, Shen T, Grothey A, Gamble G, et al. A home-based exercise program to improve function, fatigue, and sleep quality in patients with Stage IV lung and colorectal cancer: a randomized controlled trial, J Pain Symptom Management. 2013; 45 (5): 811-21 8.        Clemens KE, Jaspers B, Classic E, Nieland P. Evaluation of the clinical effectiveness of physiotherapeutic management of lymphoedema in palliative care patients. Jpn J Clin Oncol. 2010; 40 (11): 1068-72. The 9.        Corsonello A, Scarlata S, Pedone C, Bustacchini S, Fusco S, Zito A, et al. Treating COPD in older and oldest patients. The Curr Pharm. 2015; 21 (13): 1672-89 10.      Curtis EB, Krech R, Walsh TD. Common symptoms in patients with advanced cancer. by J Palliat Care. 1991; 7 : 25-29 11.      by Dietz JH. Rehabilitation oncology. John Wiley & Sons Inc, New York. 1981 12th.      Escalante CP, Meyers C, Reuben JM, Wang X, Qiao W, Manzullo E, Alvarez RH, Morrow PK, Gonzalez-Angulo AM, Wang XS, Mendoza T, Liu W, Holmes H, Hwang J, Pisters K, Overman M, Cleeland C. A randomized, double-blind, 2-period, placebocontrolled crossover trial of a sustained-release methylphenidate in the treatment of fatigue in cancer patients. Cancer J 2014:20(1):8-14. doi: 10.1097/PPO.0000000000000018 13.      Is exercise ignored in palliative cancer patients? The World J Clin Oncol. 2014; 5(3):554-9 14.      Fearon K, Strasser F, Anker SD, Bosaeus I, Bruera E, Fainsinger RL, Jatoi A, Loprinzi C, MacDonald N, Mantovani G, et al. Definition and classification of cancer cachexia: an international consensus. Lancet Oncol.2011; 12 : 489-495. 15 .      Guo Y, Shin KY, Hainley S, Bruera E, Palmer JL. Inpatient rehabilitation improved functional status in asthenic patients with solid and hematological malignities. Am J Phys Med Rehabil. 2011; 90 (4): 265-71.  16 is. Institute of Medicine (2001) Crossing the quality chasm: a new health system for the 21st century. The National Academy Press. HTTPS://www.iom.edu/Reports/2001/Crossing-the-Quality-ChasmA-New-Health-System-for-the-21st-Century.aspx Date of access; 20.07.2018 17.      Javier NS, Montagnini ML, Rehabilitation of the hospice and palliative care patient, J Palliat Med. 2011; 14 (5): 638-48. 18 .      Jensen W, Baumann FT, Stein A, Bloch W, Bokemeyer C, de Wit M, et al. Exercise training in patients with advanced gastrointestinal cancer undergoing palliative chemotherapy. Support Care Cancer. 2014; 22 (7): 1797-806 19.      Johansson B, Wentzel AP, Andrell P, Mannheimer C, Ronnback L. Methylphenidate reduces mental fatigue and improves processing speed in people suffering a traumatic brain injury. Brain Inj 2015:1-8. doi:10.3109/02699052.2015.1004747 20.      Cancer Statistics http://kanser.gov.tr/File/2017News/2017_4_subat.pdf Date of access; 16.07.2018 21.      Ross E. On Death and Dying. New York, NY, Scribner, 1969.      Lehmann JF, DeLisa JA, Warren CG, deLateur BJ, Bryant PL, Nicholson CG, Cancer rehabilitation: assessment of need, development, and evaluation of a model of care. 1978; 59 : 410-419. 23 is.      Maddocks M, Mockett S, Wilcock A. Is exercise an acceptable and practical practical therapy for people with or cured of cancer? A systematic review. Cancer Treat Rev 2009; 35: 383-90. 24 is.      Martinsen EW. Physical activity for mental health. Tidsskr Nor Laegeforen 2000; 120: 3054-6. The 29. 25 .      Molinaro J, Kleinfeld M, Lebed S. Physical therapy and dance in the surgical management of breast cancer. Phys Ther 1986; 66:967-9. The 26.      Narayanan V, Koshy C. Fatigue in cancer: a review of literature. Indian ndian J Palliat Care 2009; 15 : 19-25 27.      Oldervoll LM, Kaasa S, Hjermstad MJ, Lund JA, Loge JH, et al. Physical exercise results in the improved subjective well-being of a few or is effective rehabilitation for all cancer patients? Eur J Cancer 2004; 40: 951-62. 28 is.      Oldervoll LM, Loge JH, Lydersen S, Paltiel H, Asp MB, Nygaard UV, et al. Physical exercise for cancer patients with advanced disease: a randomized controlled trial. The oncologist. 2011; 16 (11): 1649-57 29. Osborne TR, Ramsenthaler C, Wolf-Linder S, Schey SA, Siegert RJ, Edmonds PM, et al. Understanding what matters most to people with multiple myeloma: a qualitative study of views on quality of life. The BMC Cancer. 2014; 14 (1): 496. The 30.      Palacio A, Calmels P, Genty M, Le-Quang B, Beuret-Blanquart F. Oncology and physical medicine and rehabilitation. Ann Phys Rehabilitated Med. 2009; 52 : 568-578 31.      Porock D, Kristjanson LJ, Tinnelly K, Duke T, Blight J. An exercise intervention for advanced cancer patients experiencing fatigue. by J Palliat Care. 2000 Autumn; 16(3):30-6 32.      Radbruch L, Strasser F, Elsner F, Gonçalves JF, Løge J, Kaasa S, Nauck F, Stone P. Fatigue in palliative care patients -- an EAPC approach, Palliat Med. 2008; 22 : 13-32 33. Sami MB, Faruqui R, The effectiveness of dopamine agonists for treatment of neuropsychiatric symptoms after brain injury and stroke. Acta Neuropsychiatr 2015:1-11. doi:10.1017/neu.2015.17 34.      Silver JK, Raj VS, Fu JB, Wisotzky EM, Smith SR, Kirch RA, Cancer rehabilitation and palliative care: critical components in the delivery of high-quality oncology services, Support Care Cancer, 2015;23(12):3633-43. 35 is.      Stene GB, Helbostad JL, Balstad TR, Riphagen II, Kaasa S, Oldervoll LM. Effect of physical exercise on muscle mass and strength in cancer patients during treatment--a systematic review. Crit Rev Oncol Hematol. 2013; 88 : 573-593. 36 is. Stout NL, Binkley JM, Schmitz KH, Andrews K, Hayes SC, Campbell KL, McNeely ML, Soballe PW, Berger AM, Cheville AL, Fabian C, Gerber LH, Harris SR, Johansson K, Pusic AL, Prosnitz RG, Smith RA . A prospective surveillance model for rehabilitation for women with breast cancer. Cancer 2012:118(8 Suppl):2191-2200. doi:10.1002/cncr.27476 37.      Taşpınar O , Aydin T, Akcakaya A, Place and Importance of Palliative Approach in Cancer Rehabilitation, Bezmialem Science, 2014; 1: 31-37 38.      Van Weert E, Hoekstra-Weebers J, Otter R, Postema K, Sanderman R, van der Schans C. Cancer-related fatigue: predictors and effects of rehabilitation. The oncologist. 2006; 11 : 184-196 39. von Haehling S, Anker SD Cachexia as a major underestimated and unmet medical need: facts and numbers. Cachexia Sarcopenia Muscle.  2010; 1 : 1-5 40.      Weissman DE, Meier DE, Identifying patients in need of a palliative care assessment in the hospital setting: consensusreport from the center to advance palliative care. J Palliat Med 2011;14(1):17-23 doi:10.1089/jpm.2010.0347 41.      Wells, M., Macbride, S Rehabilitation and Survivorship. Nursing Patients with Cancer Principles and Practice. Eds: Kearney N, Richardson A, 1th ed, Elsevier, 2006;799-819. Who definition of palliative care World Health Organization. www.who.int/cancer/palliative/definition/en/2015. Date of access: 22.07.2018 43. WHO, Search results, http://www.who.int/mediacentre/factsheets/fs297/en/, Date of access: 16.07.2018

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