Olgu sunumu: akut lenfoblastik lösemi (all)’ li çocuğun evde egzersiz programının sürdürülmesi

Abstract

Akut Lenfoblastik Lösemili (ALL) çocuklarda vücut fonksiyon bozuklukları ve aktivite sınırlılıkları görülür. Yoğun tedaviye bağlı olarak bu çocuklarda %15-29 oranında kemik mineral yoğunluğunda azalma olduğu, yorgunluk ve enerji eksikliğine bağlı olarak fiziksel aktivite azalmasının osteoporoz riskini arttırdığı belirtilmektedir. Bu makalede; üç ay boyunca pediatri hemşiresi tarafından yapılan haftalık ev ziyaretleri ile desteklenen fiziksel egzersiz sonucunda, ebeveynleri B’nin evde egzersizlerini düzenli olarak yaptığını, günlük aktivitelerini yerine getirmede şikâyetçi olmadığını belirtmişlerdir. B’de yorgunluk ve halsizliğinin azaldığını, egzersizleri yaptığında kendisini daha iyi hissettiğini belirtmiştir

Keywords

• Akut Lenfoblastik Lösemi
• Hemşirelik bakımı
• Egzersiz
• Gordon’un fonksiyonel sağlık örüntüleri

Abstract

Children with Acute Lymphoblastic Leukemia (ALL) display body function disorders and are restricted in their activity. Because of the intensive treatment received, these children suffer a 1529% decrease in bone mineral density. It is stated that diminished physical activity related to fatigue and energy loss increases the risk of osteoporosis. This article at the end of the 3 month period of physical exercises at home, which was monitored by a visiting pediatric nurse, parents of B said that he exercised regularly and did not complain of difficulty in going about his daily activities. They reported that B’s fatigue and feelings of weakness had diminished and that he felt better when he performed his exercises

Keywords

• Acute Lymphoblastic Leukemia
• Nursing care
• Exercise
• Gordon’s functional health patterns

References

1. Bar-Or O, Rowland TW. Physiologic and Perceptual Responses to Exercise in the Healthy Child In: Pediatric Exercises Medicine from Physiologic Principles to Health Care Application. 1 edition, Human Kinetics Publishers 2004; 3-321.
2. Barr RD, Sala A. Osteonecrosis in children and adolescents with cancer. Pediatr Blood Cancer 2008; 50(2 Suppl):483-5.
3. Bhatia S, Constine LS. Late morbidity after successful treatment of children with cancer. Cancer Journal 2009; May-Jun;15(3):174-80.
4. Birol L. Hemşirelik Süreci. 5. baskı, Etki Matbaacılık Yayıncılık Ltd. Şti, İzmir, 2002.
5. Carpenito LJ. Hemşirelik Tanıları El Kitabı. Çev. Editörü: Erdemir F., Nobel Tıp Kitabevleri, İstanbul, 2005.
6. Edgar AB, Morris EM, Kelnar CJH, Wallace WHB. Long-term follow-up of survivors of childhood cancer. Endocr Dev, 2009; 15:159-80.
7. Gocha VA, Chiarello LA, Lange BJ. Strength and functional mobility in children with acute lymphoblastic leukemia. Med Pediatr Oncol, 2003; 40:230-232.
8. Hartman A, van den Bos C, Stijnen T, Pieters R. Decrease in motor performance with cancer is independent of the cumulative dose of vincristine. Cancer 2006; Feb 1; 106 (6): 1395-1401.

9. Hartman A, van den Bos C, Stijnen T, Pieters R. Decrease in peripheral muscle strength and ankle dorsiflexion as long-term side effects of treatment for childhood cancer. Pediatr Blood Cancer 2008; Apr;50(4):833-7.
10. Hockenberry-Eaton M, Wilson D, Winkelstein ML, Kline NE. Whaley & Wong’s nursing care of infants and children. Seven edition. Mosby, St. Louis, 2002; 1705-1736.
11. Mattano LA, Sather HN, Trigg ME, Nachman JB. Osteonecrosis as a complication of treating acute lymphoblastic leukemia in children: A report from the children’s cancer group. Journal of Clinical Oncology 2000; 18 (18): 3262-3272.
12. Neyzi O, Ertuğrul T. Pediatri. 3. baskı, Nobel Tıp Kitabevleri, Tayf Ofset, Yeni Güven Ciltevi, 2002; 1106-1113.
13. Pui CH, Evans WE. Treatment of acute lymphoblastic leukemia. New England Journal of Medicine 2006; 354:166-178.
14. Reinders-Messelink H, Schoemaker M, Snijders T, Göeken L, van Den Briel M, Bökkerink J, Kamps W. Motor performance of children during treatment for acute lymphoblastic leukemia. Medical and Pediatric Oncology 1999; 33 (6): 545-550.
15. San Juan AF, Fleck SJ, Chamorro-Viña C, Maté-Muñoz JL, Moral S, Pérez M, Cardona C, Del Valle MF, Hernández M, Ramírez M, Madero L, Lucia A. Effects of an intrahospital exercise program intervention for children with leukemia. Med Sci Sports Exerc, 2007; Jan;39(1):13-21.
16. San Juan AF, Chamorro-Viña C, Maté-Muñoz JL, Fernández del Valle M, Cardona C, Hernández M, Madero L, Pérez M, Ramírez M, Lucia A. Functional capacity of children with leukemia. Int J Sports Med, 2008; Feb;29(2):163-7.
17. Shaw S. Endocrine late effects in survivors of pediatric brain tumors. J Pediatr Oncol Nurs, 2009; Sep-Oct;26(5):295-302.
18. Smith MA, Gloeckler Ries LA, Gurney JG, Ross JA. Leukemia. http://seer.cancer.gov/publications/childhood/leukemia.pdf (Erişim Tarihi: 15.11.2011).
19. White J, Flohr JA, Winter SS, Vener J, Feinauer LR, Ransdell LB. Potential benefits of physical activity for children with acute lymphoblastic leukemia. Pediatric Rehabilitation 2005; 8(1):53- 58.
20. Wright MJ, Halton JM, Barr RD. Limitation of ankle range of motion in survivors of acute lymphoblastic leukemia: A cross-sectional study. Medical and Pediatric Oncology 1999; Apr; 32(4):279-82.
21. Wright MJ, Hanna SE, Halton JM, Barr RD. Maintenance of ankle range of motion in children treated for acute lymphoblastic leukemia. Pediatr Phys Ther, 2003; Fall;15(3):146-52.