baun health sci j

Balıkesir Sağlık Bilimleri Dergisi

2146-9601 2147-2238

Balıkesir University

OPİOİD İLAÇ KULLANAN HASTALARDA GELİŞEN KONSTİPASYONUN YÖNETİMİ

Yıldırım

Dilek

İSTANBUL SABAHATTİN ZAİM ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ Can

Gülbeyaz

İstanbul Üniversitesi-Cerrahpaşa, Florence Nightingale Hemşirelik Fakültesi, İç Hastalıkları Hemşireliği Anabilim Dalı

04 30 2019

8 1 27 32 10 25 2018 01 21 2019

2012

Balıkesir Sağlık Bilimleri Dergisi

Opioidlerağrı tedavisinde sık kullanılmaktadır. Opioidlerin analjezik etkisinin yanındabazı yan etkileri de vardır. En yaygın görülen ve hastalar tarafındantanımlanan en rahatsız edici yan etkisi konstipasyondur. Hastaların yaşamkalitesini ve tedaviye uyumunu olumsuz yönde etkileyen konstipasyon, sağlıkbakım maliyetlerini arttırmakta, hastanede kalış süresini uzatmakta, hastanebaşvurularını arttırmakta, tedavi dozlarının atlanmasına, azaltılmasına hattatedavinin sonlanmasına neden olabilmektedir. Konstipasyon yönetiminde laksatif,lavman, opioid reseptör antagonistleri gibi farmakalojik yaklaşımlar, hasta eğitimi, sıvı ve lif alımını arttırma,egzersiz, abdominal masaj gibi nonfarmakolojik yaklaşımlar önerilmektedir.Ancak literatürde opioid ilişkili konstipasyon yönetiminde etkili bir bakımprotokolü tanımlanamamıştır. Literatür verileri ışığında, opioid ilaç tedavisiolan hastalar mutlaka rutin olarak konstipasyon açısından değerlendirilmeli veopioid ilişkili konstipasyon yönetimine yönelik klinik protokolleroluşturulmalıdır. Sağlık bakım ekibi opioid ilişkili konstipasyon ve yönetimikonusunda bilgilendirilmelidir. Opioid ilişkili konstipasyon yönetiminde yeralan yaklaşımların etkinliğini değerlendirecek randomize kontrollü çalışmalaragereksinim vardır. Bu derleme, sağlık ekibinin opioid ilişkili konstipasyonayönelik bilgi düzeylerinin ve farkındalığının arttırılması amacıylayapılmıştır.

Ağrı tedavisi Opioidler Opioid ilişkili konstipasyon Konstipasyon yönetim

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