Meme Kanserli Hastalarda Ameliyat Sonrası Bilgi Gereksinimi ve Telefon Hemşireliği ile Karşılanması

Yıl 2017, Cilt: 6 Sayı: 3, 98 - 104, 30.09.2017

Arzu Tuna Erdal Uysal Hasan Bakır Ahmet Gürer

Öz

Bu araştırma meme kanseri olan
hastaların telefon yolu ile gereksinim duydukları sorunları belirlemek ve
ihtiyaç duydukları bilgilendirmeleri belirlemek amacıyla yapıldı. Çalışmaya
meme operasyonu uygulanan 30 hasta dahil edildi. Hastalar adjuvan kemoterapi,
radyoterapi ve hormono terapi almadı. Tüm hastalar postoperatif dönemde doktor
ve hemşireler tarafından sözel olarak bilgilendirildi. Ameliyattan 5-7 gün
sonra telefonla hastalar arandı ve eğitim gereksinimleri belirlenerek gerekli
bilgiler tekrar verildi. Hastaların sosyo-demografik özellikleri, hastalık
algısı ve gereksinim duydukları bilgilere yönelik form araştırmacılar
tarafından uyarlandı. Veriler sayı, yüzde olarak değerlendirildi. Hastaların
yaş ortalaması 54,36+7,02'dir. Hastalar %83,3 ilkokul mezunu, % 86,7 si
evliydi. Hastaların %90’nı evre III idi. Hastaların %83,3’üne modifiye radikal
mastektomi uygulandı. Hastaların % 93,3 ‘üne aksiller lenf nodu diseksiyonu
uygulandı. Ameliyat sonrası telefon görüşmesi yapılan hastaların bilgi
gereksinimlerinin yara yeri iyileşmesi, enfeksiyon kontrolü, lenfödem konusunda
bilgi isteği olan hasta %100 idi. Enfeksiyon şüphesiyle tekrar kontrole
yollanan hasta % 10 du. Ameliyat sonrası hastalar telefonla görüşmesi ile kol
ölçümlerini kendileri yaptı ve 1 cm boyutunda ölçüm farkı olan hasta %10’ du.
Hastaların adjuvan tedavi zamanları, saç dökülmesi, bulantı, kusma ve
yorgunluğa yönelik soruları vardı. Meme kanseri hastalarına ameliyat sonrası
erken dönemde telefon ile danışmalık hizmeti verilmesi yüksek hasta memnuniyetini
sağlamaktadır.    

Anahtar Kelimeler

Meme Kanseri, Telefon, Danışmanlık Hemşirelik

Tele-Nursing for Informing Breast Cancer Patients in the Post-Operative Period

Öz

This study was conducted with the aim of determining the problems, disease perception of the patients and required information by breast cancer patients. A total of 30 patients who had undergone breast operation were included in the study. The patients did not receive adjuvant chemotherapy, radiotherapy and hormone therapy. All patients were verbally informed by the physicians and the nurses in the post-operative period, and phone calls were made on the post-operative day 5-7 and after their education needs had been determined, and they were informed about these issues. Disease perception was evaluated through face-to-face interviews at the clinic and phone calls at home. The form including the data about the socio-demographic characteristics of the patients, the disease perception and the information they needed were adapted by the researchers. The data were given as numbers and percentages.The mean age of the patients was 54.36 ±7.02 years. Of the patients, 83.3% were elementary school graduates, 86.7% were married, and 90% of the patients were in stage III. Modified radical mastectomy was performed in 83.3%  of the patients. Axillary lymph node dissection was performed in 93.3% . The rate of the patients who had requested information about wound healing, infection control, and lymph-edema was 100%. The rate of the patients who were sent to control with suspicion of infection was 10%. The patients measured their arm circumference after phone calls in the post-operative period; there was 1 cm difference in 10% of the patients. Tele- consultancy in early post-operative period of breast cancer provides high patient satisfaction. Therefore, providing a standard education and arranging certification programs for tele-nursing for breast-care nurses are of great importance. 

Anahtar Kelimeler

Breast cancer, Telephone, Consultancy, Nursing

Kaynakça

• AmericanCancerSociety;2015:http://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-key statistics Erişim 22 Ağustos 2016.
• Turkey National Cancer Control Plan 2013-2018:http://www.iccpportal.org/sites/default/files/plans/Ulusal_Kanser_Kontrol_Plani_2013_2018.pdf , Access August 23, 2016 page 46-47.
• Cowens-Alvarado R, Sharpe K, Pratt-Chapman M, Willis A, Gansler T, Ganz PA, et al. (2013). Advancing survivorship care through the National Cancer Survivorship Resource Center: Developing American Cancer Society guidelines for primary care providers. CA Cancer J Clin, 63:147-150.
• Tasmuth T, von Smitten K, Kalso K. (1996).Pain and other symptoms during the first year after radical and conservative surgery for breast cancer. Br J Cancer,74:2024-31.
• Armer, JM, Radina ME, Porock D, Culbertson SD. (2003). Predicting breast cancer-related lymphedema using self-reported symptoms. Nursing Research, 52 :370-79.
• Vilar-Compte D, Jacquemin B, Robles-Vidal C, Volkow P. (2004). Surgical Site Infections in Breast Surgery: Case-control Study . World J Surg, 28 : 242-46.
• Throckmorton A D, Judy C ,Boughey JC, Boostrom SY, Holifield AC, Stobbs MM, et al. (2009). Postoperative Prophylactic Antibiotics and Surgical Site Infection Rates in Breast Surgery Patients. Breast Oncology Annals of Surgical Oncology,16:2464-2469.
• Runowicz CD, Leach CR, Henry NL, Mackey HT, Cowens-Alvarado RL, Cannady RS, et al. American Cancer Society/American Society of Clinical Oncology BreastCancerSurvivorship.2015byAmericanCancerSocietyandAmericanSocietyofClinicalOncology.http://jco.ascopubsorg/content/early/2015/12/07/JCO.2015.64.3809.full. Access August 28, 2016.
• Babacan Gümüş A, Çam O, Tuna Malak A. (2011). Relationships between psychosocial adjustment and hopelessness in women with breast cancer. Asian Pacific J Cancer Prev, 12:433-38.
• Karayurt Ö, Uğur Ö, Tuna A, Günüşen N, Çıtak E A. (2013). The effect of personal counselling on anxiety, depression, quality of life and satısfaction in patients with breast cancer. J Breast Health, 9:135-43.
• Kav S. The effect of self-care model to control the side effects of cancer treatment. Hacettepe University Institute of Health Sciences Medical Nursing Doctoral Program. Unpublished PhD Thesis, 2003, Ankara.
• Lee NC DR Wasson, MA Anderson ,Stone S, Gittings JA. (1998). A Survey of Patient Education Postdischarge. J Nurs Care Qual, 13: 63-70.
• Larson-Dahn ML. (2001).Tel-e Nurse Practice Quality of Care and Patient Outcomes. JONA, 31:145-52.
• College of Registered Nurses of Nova Scotia. Guidelines for Telenursing Practice 2008, http://ebox.nbu.bg/medteach/ne11/Paper37.pdf Access August 24, 2016.
• Heijmans M, DeRidder D. (1998). Assessing illness representations of chronic illness: Explorations of their disease-specific nature. J Behav Med, 21: 485-503.
• Kocaman N, Özkan M, Armay Z, Özkan S. (2007). Illness Perception Questionnaire validity and reliability study of the Turkish version. Anadolu Psik Derg, 8:271-80.
• Canadian Cancer Society 2015. Potential side effects of surgeryforbreastcancer.http://www.cancer.ca/en/cancerinformation/cancertype/breast/treatment/surgery/potential-side-effects/?region=qc. Access 30.08.2016.
• Banning M, Hafeez H, Faisal S, Hassan M, Zafar A. (2009).The Impact of Culture and Sociological and Psychological Issues on Muslim Patients With Breast Cancer in Pakistan. Cancer Nursing, 32: 317-24.
• Haggmark C, Bohman L, Ilmoni-Brandt K, Naslund I, Sjöden P, Nilsson B. (2001). Effect of information supply on satisfaction with information and quality of life in cancer patients receiving curative radiation therapy. Patient Educ Couns, 45: 173-79.
• Karayurt Ö, Andıç S. (2011).Meme Bakım Hemşireliği. J Breast Health, 4: 196-202.