Osteoartritte Ağrı ve Zencefilli Böbrek Kompres Uygulaması

Year 2019, Volume: 28 Issue: 3, 201 - 210, 30.09.2019

Sibel Şentürk , Sultan Taşcı

Abstract

Ağrı,
hem Dünyada hem de ülkemizde yaygınlığı giderek artan bir sağlık
problemidir.  Osteoartrit (OA)’te sıklıkla
görülen ve en önemli semptom ise ağrıdır. Osteoartritte eklem kıkırdağında
erozyon, eklem kenarındaki kemiklerde osteofitik hipertrofi, subkondral
skleroz, sinoviyal membran ve eklem kapsülünde meydana gelen biyokimyasal ve
yapısal değişiklikler nedeniyle eklem dejenerasyonuna bağlı olarak farklı şiddette
ağrı oluşabilmektedir. Osteoartritin
tedavisinde amaç, ağrıyı azaltmak, eklemin açıklığını ve dizin fonksiyonel
kapasitesini arttırmak, kontraktürleri önlemek, kas gücünü korumak ve
geliştirmek, sakatlıkları önlemek, eşlik eden hastalıkları tedavi etmek, tedavi
komplikasyonlarını önlemek, hasta ve ailesini eğiterek yaşam kalitesini artırmak
ve bağımlılığı azaltmaktır. Osteoartritte ağrının kontrolünde tamamlayıcı ve bütünleşik (integratif)
hemşirelik uygulamaları içerisinde yer alan yöntemlerden biri de zencefilli böbrek kompres uygulamasıdır. Yapılan
çalışmalarda zencefilli böbrek kompres uygulamasının; OA’ya bağlı
gelişen ağrının kontrolünde ısı, stimülasyon, anti-inflamatuvar ve analjezik
etkiler oluşturduğu saptanmıştır. Ayrıca bu uygulamayla ağrıda kademeli olarak
rahatlama, vücut içinde esneklik artışı, daha rahat ve esnek eklem
hareketliliği oluşturduğu, düşüncede gevşeme ve durgunluk oluşturarak
hastaların yaşam kalitesini arttırdığı ve psikololojik rahatsızlıkların
azaldığı belirtilmektedir. Bu
derlemede, OA tanısı alan hastalarda oluşan ağrının kontrol altına alınmasında
zencefilli böbrek kompres uygulamasının etkisine ilişkin bilgiler
verilmektedir.

Keywords

Osteoartrit, Ağrı, Zencefilli Böbrek Kompres, Hemşirelik

Pain in Osteoarthritis and Application in Ginger Kindey Compress

Abstract

Pain is an
increasingly prevalent health problem both globally and in our country.
Osteoarthritis (OA) is a common and the most important symptom is pain. In Osteoarthritis
pain with different severities may occur due to erosion in joint cartilage,
osteophytic hypertrophy in bones near the joints, subchondral sclerosis, synovial
membrane and a series of biochemical and structural changes in the joint
capsule. In the treatment of Osteoarthritis, the main objective is to reduce pain,
to increase joint range of motion and knee functional capacity, to prevent
contractures, to protect and improve muscle strength, to prevent injuries, to
treat concominant diseases, to prevent treatment complications and to increase
the quality of life and to reduce dependency by educating the patient and
family. One of the methods involved in complementary and integrative nursing
practices in the control of pain in osteoarthritis is ginger kidney compress
application. The studies undertaken determine that ginger kidney compress
application have heat, stimulation, anti-inflammatory and analgesic are effected
by the control of on OA-related developing pain. Furthermore, it is determined
that with this application, gradual relaxation in pain, increased flexibility
in the body, more comfortable and flexible joint mobility, relaxation in mind
and stagnation, increasing the quality of life of the patients are provided and
decrease in psychological disorders is observed. In this review, information is
given on the effect of ginger kidney compress application on the control of
pain in patients with OA diagnosis.

Keywords

Osteoarthritis, Pain, Ginger Kidney Compress, Nursing

References

• Fejer R, Ruhe A. What is the prevalence of musculoskeletal problems in the elderly population in developed countries? A systematic critical literature review. Chiro & Manual Ther. 2012; 20: 1-52.
• van Schoor NM, Zambon S, Castell MV, Cooper C, Denkinger M, Dennison EM et al. Impact of clinical osteoarthritis of the hip, knee and hand on selfrated health in six European countries: the European Project on OSteoArthritis. Qual Life Res. 2016; 25: 1423-1432.
• Castell MV, van der Pas S, Otero A, Siviero P, Dennison E, Denkinger M et al. Osteoarthritis and frailty in elderly individuals across six European countries: Results from the European Project on OSteoArthritis (EPOSA). BMC Musculoskelet Disord. 2015; 16: 359.
• Direskeneli H. Romatizmal hastalıklarda klinik ilaç araştırmaları. İKU. 2008; 19: 31-35.
• Massicotte F. Epidemiology of osteoarthritis. In Understanding Osteoarthritis from bench to bedside, (Eds J Martel-Pelletier, JP Pelletier):1-26. India, Research Signpost, 2011.
• Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Rheum Dis Clin N Am. 2008; 34: 515-29.
• Kaçar C, Gilgil E, Urhan S, Arikan V, Dündar U, Oksüz MC et al. The prevalence of symptomatic knee and distal interphlangeal joint osteoarthritis in the urban population of Antalya, Turkey. Rheumatol Int. 2005; 25: 201-204.
• Türkiye İstatistik Kurumu (TÜİK). Available from: http://www.tuik.gov.tr/PreTablo.do?alt_id=1095. Accessed: 18.02.2018.
• Bredveld FC. Osteoarthritis - the impact of a serious disease. Rheumatol. 2004; 43 (Suppl.1): 4-8.
• WHO. Available from: http://whqlibdoc.who.int/publications/2011/9789240685215_eng.pdf?ua=1 Accessed: 18.02.2018.
• Arasıl T, Sarıdoğan M. Osteoartritte klinik bulgular ve fonksiyonel değerlendirme. In Fiziksel tıp ve rehabilitasyonda yeni ufuklar- tanıdan tedaviye osteoartrit, (Eds Arasıl T, Sarıdoğan M):62-64. Ankara, Güneş Tıp Kitabevleri, 2010.
• Yücel A. Akut Ağrı Nörofizyolojisi. Hasta Kontrollü Analjezi (PCA). İstanbul, MER Matbaacılık& Yayıncılık, 1997.
• Morgan GE, Mikhail MG. Pain management. In Clinical Anesthesiology, 2nd ed (Eds Morgan GE, Mikhail MG):274-316. New Jersey, Prenttice Hall International, 1996.
• Erdine S. Ağrı mekanizmaları ve ağrıya genel yaklaşım. In Ağrı, 3.baskı (Ed Erdine S):37-49. İstanbul, Nobel Tıp Kitabevleri, 2007.
• Fayaz A, Croft P, Langford RM, Donaldson LJ, Jones GT. Prevalence of chronic pain in the UK: A systematic review and meta-analysis of population studies. BMJ Open. 2016; 6: 1-12.
• Kuru T, Yeldan İ, Zengin A, Kostanoğlu A, Tekeoğlu A, Analay Akbaba Y et al. Erişkinlerde ağrı ve farklı ağrı tedavilerinin prevalansı. Ağrı. 2011; 23(1): 22-27.
• Karaaslan Y. Diz osteoartriti. In Osteoartrit’de, (Ed Karaarslan Y):36-43. Ankara, MD Yayıncılık, 2000.
• Ergin S. Osteoartritte ağrı oluşum mekanizmaları ve güncel medikal tedavi yaklaşımları. Turk J Geriatr. 2011; 14(1): 63-67.
• Leslie M. Knee osteoarthritis management therapies. Pain Manag Nurs. 2000; 1: 51-57.
• Zhang W, Moskowitz RW, Nuki G, Abramson S, Altman RD, Arden N et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthr Cartil. 2008; 16: 137-162.
• Zhang W, Doherty M, Leeb BF, Alekseeva L, Arden NK, Bijlsma JW et al. EULAR evidence based recommendations for the management of hand osteoarthritis: report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Ann Rheum Dis. 2007; 66: 377-388.
• Jordan KM, Arden NK, Doherty M, Bannwarth B, Bijlsma JW, Dieppe P et al. Standing Committee for International Clinical Studies Including Therapeutic Trials ESCISIT: EULAR Recommendations 2003: An evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Ann Rheum Dis. 2003; 62: 1145-1155.
• Shengelia R, Parker SJ, Ballin M, George T, Reid MC. Complementary therapies for osteoarthritis: Are they effective? Pain Manag Nurs. 2013; 14(4): 1-15.
• Gaby A. Natural treatments for osteoarthritis. Altern Med Rev. 1999; 4(5): 330-341.
• Bee T, Liew A. Dietary supplements used in osteoarthritis. Proc Sing Health. 2010; 19(3): 237-247.
• Scharf HP, Mansmann U, Streitberger K, Witte S, Krämer J, Maier C et al. Acupuncture and knee osteoarthritis: A three-armed randomized trail. Ann Intern Med. 2006; 145: 12-20.
• Jamtvedt G, Dahm KT, Christie A, Moe RH, Haavardsholm E, Holm I et al. Physical therapy interventions for patients with osteoarthritis of the knee: An overview of systematic reviews. Phys Ther. 2008; 88: 123-136.
• Ghosh AK, Banerjee S, Mullick HI, Banerjee J. Zingiber officinale: A natural gold. Int J Pharm Bio Sci. 2011; 2: 283-294.
• Moghaddasi MS, Kashani HH. Ginger (zingiber officinale): A review. J Med Plants Res. 2012; 6: 4255-4258.
• Chrubasik S, Pittler MH, Roufogalis BD. Zingiberis rhizoma: A comprehensive review on the ginger effect and efficacy profiles. Phytomed. 2005; 12: 684-701.
• Şentürk S. Diz osteoartritinde gelişen ağrıda zencefil böbrek kompres uygulaması. In Kanıta Dayalı Rehberleriyle Tamamlayıcı ve Destekleyici Uygulamalar, (Eds Başer M, Taşcı S):191-201. Ankara, Akademisyen Tıp Kitabevi, 2015.
• Therkleson T. Nursing the Human Being: An Anthroposophic Perspective. New York, Mercury Press, 2007.
• Therkleson T. Ginger compress therapy for adults with osteoarthritis. J Adv Nurs. 2010; 66(10): 2225-2233.
• İnal Ö, Alğın Yapar E, Baykara T. Modern transdermal terapötik sistemlerin tedavideki yeri. Ankara Ecz Fak Derg. 2008; 37: 145-170.
• Therkleson T. Transdermal patch. Wipo Patent Application WO/2012/026829 A1.
• Fingado M. Compresses and Other Therapeutic Applications. A Handbook From The Ita Wegman Clinic. 1st ed. Edinburgh, Floris Books, 2012.
• Therkleson T. The experience of receiving ginger compresses in persons with Osteoarthritis: A phenomenological study (PhD Thesis). New Zealand, Edith Cowan University, 2009.
• Therkleson T. Ginger and Osteoarthritis. In Osteoarthritis - Diagnosis, Treatment and Surgery, (Ed Chen Q):157-168. China, InTech, 2012.
• Finnin BC, Morgan TM. Transdermal penetration enhacers: Applications, limitations and potential. J Pharm Sci. 1999; 88: 955-958.
• Guy RH, Hadgraft J. Transdermal drug delivery. 2nd ed. New York, Marcel Dekker, 2003.
• Jolad SD, Lantz, RC, Solyom AM, Chen GJ, Bates RB, Timmermann BN. Fresh organically grown ginger (zingiber officinale): Composition and effects on Lps-Induced Pge2 production. Phytochem. 2004; 65: 1937-1954.
• Minghetti P, Sosa S, Cilurzo F, Casiraghi A, Alberti E, Tubaro A et al. Evaluation of the topical anti-inflammatory activity of ginger dry extracts from solutions and plasters. Planta Med. 2007; 73: 1525-1530.
• Therkleson T, Sherwood P. Patients’ experience of the external therapeutic application of ginger by antroposophically trained nurses. IPJP. 2004; 4: 1-11.
• Therkleson T. Topical ginger treatment with a compress or patch for osteoarthritis symptoms. J Holist Nurs. 2014; 32(3): 173-182.
• Şentürk S, Taşcı S. Diz osteoartriti olan bireylerin bel bölgesine uygulanan zencefilli böbrek kompres uygulamasının ağrı düzeyi ve fiziksel fonksiyonlara etkisi (Doktora Tezi). Kayseri, Erciyes Üniversitesi, 2014.
• International Federation of Anthroposophic Medical Associations (IVAA). Available from: http://www.ivaa.info/home/ Accessed: 18.02.2018.
• Eti Aslan F. Akut ağrı kontrolünde hemşirenin rolü. In Akut Ağrı, (Ed Özyalçın NS):303-329. Ankara, Güneş Kitap Evi, 2005.
• Yücel A. Ağrı kontrolünde hemşirenin rolü. In Ağrı, (Ed Edirne S):695-698. İstanbul, Alemdar Ofset, 2000.
• Delaune SC, Ladner PK. Fundamentals of Nursing Standarts and Practice. 4th ed. USA, Delmor Cengage Learning, 2011.
• Taylor C, Lillis C, LeMone P, Lynn P. Fundamentals of Nursing, the Art and Science of Nursing Care. 6th ed. Philadelphia, Lippincott Williams and Wilkins, 2008.