ENDOMETRİOZİS AĞRI YÖNETİMİNDE GÜNCEL TEDAVİ YAKLAŞIMLARI VE HEMŞİRENİN ROLÜ

Year 2021, Volume: 30 Issue: 2, 221 - 225, 15.09.2021

Dilek Bingöl Nuriye Büyükkayacı Duman

https://doi.org/10.34108/eujhs.681860

Abstract

Endometriozis, endometrial benzeri dokunun uterus boşluğu dışında bulunması şeklinde tanımlanan ve en çok üreme çağındaki kadınları etkileyen jinekolojik bir hastalıktır. Endometriozisin hastanın yaşam kalitesini ve hastalığın tedavisine ilişkin uyumunu olumsuz etkileyebilen klinik belirtileri arasında; kronik pelvik ağrı, disparoni, dismenore ve infertilite bulunmaktadır. Tanı konulmasında jinekolojik öykü, laparoskopi ve fiziksel değerlendirme yapılmaktadır. Endometriozis ile ilişkili ağrının tedavisinde kullanılan alternatif yöntemler arasında medikal ve cerrahi yöntemler de olup belirtilerin azaltılması amaçlanmaktadır. Ancak her iki yöntemde de ağrının tekrarlama sıklığı devam edebilmektedir. Endometriozis de ağrı yönetiminde, hastalığın progresyonunun önlenmesi,  bireyin sağlığının iyileştirilmesi ve yaşam kalitesinin arttırılmasına dayalı multidisipliner bir yaklaşım gerekir. Hastalığın ilerlemesinin önlenmesinde ve kadınların yaşam kalitesini iyileştirilmesinde hemşireler büyük rol oynamaktadırlar. Bu derlemede, endometrioziste ağrı yönetiminde etkin ve güvenilir güncel yaklaşımlara ışık tutmak ve hemşirenin rolünün tartışılması amaçlanmıştır.

Keywords

ağrı yönetimi, Endometriozis, hemşirelinin rolü

CURRENT TREATMENT APPROACHES AND THE ROLE OF THE NURSE IN ENDOMETRIOSIS PAIN MANAGEMENT

Abstract

Endometriosis is a gynecological disease that is defined as the presence of endometrium-like tissue outside of the uterine cavity and most often affects women of reproductive age. Among the clinical symptoms of endometriosis that can negatively affect the patient's quality of life and compliance with the treatment of the disease are chronic pelvic pain, dyspareunia, dysmenorrhea and infertility. Gynecological history, laparoscopy and physical evaluation are used for diagnosis. Medical and surgical methods are among the alternative methods used in the treatment of pain associated with endometriosis, and it is aimed to reduce the symptoms. However, the frequency of recurrence of pain can continue in both methods. In the management of endometriosis-related pain, a multidisciplinary approach based on preventing disease progression, improving the health of the individual and increasing the quality of life is required. Nurses play a major role in preventing disease progression and improving women's quality of life. In this review, it is aimed to shed light on effective and reliable current approaches in pain management in endometriosis and to discuss the role of the nurse.

Keywords

Endometriosis, nurse, pain management.

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