Multiple skleroz hastalarında disfaji ve disfajiye yönelik hemşirelik yaklaşımları

Year 2020, Volume: 13 Issue: 3, 437 - 443, 05.12.2020

Gülşah Kesik Leyla Özdemir

https://doi.org/10.26559/mersinsbd.682854

Cited By: 2

Abstract

Disfaji; multiple skleroz hastalarında sıklıkla görülen ve hayati komplikasyonlara neden olabilen bir bulgudur. Literatürde, disfajinin multiple skleroz hastalarında görülme sıklığının %33 ile %43 aralığında olduğu bildirilmektedir. Disfajinin; multiple sklerozun alevlenme dönemlerinde 2-3 haftadan 2-4 aya kadar sürebileceği, kronikleşerek remisyon dönemlerinde de devam edebileceği bildirilmiştir. Disfaji, hastada beslenmeyi olumsuz etkiler ve yaşam kalitesini düşürür. Aspirasyon pnömonisi, dehidratasyon, malnütrisyon, yutma kaygısı multiple skleroz hastalarında disfajiye bağlı gelişen önemli beslenme komplikasyonlarıdır. Bozulan beslenme örüntüsü, bu hastalarda mortalite ve morbiditeyi artıran nedenler arasında ilk sıralarda yer almaktadır. Multiple skleroz hastalarında disfajinin noninvaziv ve nonfarmakolojik hemşirelik yaklaşımları ile kontrol altına alınması mümkündür. Bu derlemede, Multiple Skleroz hastalarında önemli bir bulgu olan disfaji ve disfajinin tanılanması, tedavisi ve bakımı aşamalarında hemşirenin rolü tartışılmıştır.

Keywords

multiple skleroz, disfaji, Yutma bozuklukları, hemşirelik, hemşirelik bakımı

Supporting Institution

Yoktur

Project Number

Yoktur

Thanks

Yoktur

Nursing approaches to dysphage and dysphage in multiple sclerosiz

Abstract

Dysphagia is a common symptom in multiple sclerosis patients and can cause life-threatening complications. In the literature, the incidence of dysphagia in patients with multiple sclerosis is reported to be 33% to 43%. Dysphagia: It has been reported that multiple sclerosis can last from 2-3 weeks to 2-4 months in relapsing periods and may continue in remission periods by becoming chronic. Dysphagia negatively affects nutrition and decreases the quality of life in the patient. Aspiration pneumonia, dehydration, malnutrition, swallowing anxiety are important nutritional complications due to dysphagia in patients with multiple sclerosis. Disrupted nutritional pattern is among the leading causes of increased mortality and morbidity in these patients. It is possible to control dysphagia in patients with multiple sclerosis with noninvasive and nursing approaches. In this review, the role of the nurse in the diagnosis, treatment and care stages of dysphagia is discussed.

Keywords

Multiple sclerosis, dysphagia, swallowing disorders, nursing, nursing care

Project Number

Yoktur

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