Kolorektal Kanser Cerrahisi Sonrası Önemli Bir Sorun: Fekal İnkontinans

Dilek Aktaş; Sema Koçaşlı

doi:10.38108/ouhcd.712645

EN TR

An Important Problem After Colorectal Cancer Surgery: Fecal Incontinence

Abstract

With the increasing number of patients diagnosed with colorectal cancer in recent years, the rate of colorectal surgery is gradually increasing. Bowel dysfunction that occurs due to cancer treatment causes to defecation problems.

The problem that we frequently encounter after colorectal surgery is fecal incontinence. Individuals who encounter this problem have a sense of stigma, shame, loss of control, and anxiety related to reach the toilet. For this reason, individuals are afraid to share their fecal incontinence with other individuals around them and healthcare professionals. They move away from social environments. Moving away from social environments, changes in lifestyle and psychological problems negatively affect their quality of life. Therefore, the severity of fecal incontinence should be determined and treated as soon as possible. Pelvic floor exercises, biofeedback, electrical stimulation, dietary regulations and drug treatments are recommended for the treatment of fecal incontinence.

The nurse plays a key role in determining the high-risk patients and appropriate treatment options in this case which associated with colorectal surgery. At the same time, nurses take an actively involved in coping with physical-psychosocial problems, in the regulation of lifestyle, and in the regulation of excretory habits of individuals with fecal incontinence problems. It assumes the role of education, counseling, and care of patients. Nurses play the role of education, counseling and care of patients.

Keywords

Colorectal Cancer,Surgery,Fecal Incontinence,Nursing

Kolorektal Kanser Cerrahisi Sonrası Önemli Bir Sorun: Fekal İnkontinans

Abstract

Son yıllarda kolorektal kanser tanısı konan hasta sayısının artması ile birlikte kolorektal cerrahi oranı da giderek artmaktadır. Kanser tedavisine bağlı olarak ortaya çıkan bağırsak disfonksiyonu bireylerin defekasyon sorunları ile karşı karşıya kalmasına neden olmaktadır.

Kolorektal cerrahi sonrası sıklıkla karşımıza çıkan sorun fekal inkontinanstır. Bu sorunla karşılaşan bireyler damgalanma, utanma, kontrol kaybı duygusu, tuvalete yetişememe endişesi taşımaktadır. Bu nedenle de bireyler fekal inkontinas yaşadığını çevresindeki diğer bireylerle ve sağlık profesyoneli ile paylaşmaktan çekinmekte ve sosyal ortamlardan uzaklaşmaktadırlar. Sosyal ortamlardan uzaklaşmak, yaşam tarzında meydana gelen değişiklikler ve psikolojik sorunlar, bireylerin yaşam kalitesini olumsuz yönde etkilemektedir. Bu nedenle fekal inkontinans şiddetinin en kısa sürede belirlenmesi ve tedavi edilmesi gerekmektedir. Fekal inkontinans tedavisi için pelvik taban egzersizleri, biyofeedback, elektrik stimulasyonu, diyet düzenlemeleri ve ilaç tedavileri önerilmektedir.

Kolorektal cerrahiye bağlı olarak görülen bu durumda yüksek risk grubundaki hastaların ve uygun tedavi seçeneklerinin belirlenmesinde hemşire anahtar rol oynamaktadır. Aynı zamanda hemşireler fekal inkontinans sorunu yaşayan hastaların fiziksel-psikososyal sorunlar ile baş etmesinde, yaşam şeklinin düzenlenmesinde, boşaltım alışkanlıklarının düzenlenmesinde aktif rol oynamaktadır. Hemşire hastaların eğitim, danışmanlık, bakım rollerini üstlenmektedir.

Keywords

kolorektal kanser,cerrahi,fekal inkontinans,hemşirelik

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Details

Primary Language

Turkish

Subjects

Nursing

Journal Section

Review

Authors

Dilek Aktaş ^*
0000-0001-7932-0434
Türkiye

Sema Koçaşlı
0000-0002-5718-0669
Türkiye

Publication Date

April 30, 2020

Submission Date

April 1, 2020

Acceptance Date

April 21, 2020

Published in Issue

Year 2020 Volume: 3 Number: 1

DOI

https://doi.org/10.38108/ouhcd.712645

IZ

https://izlik.org/JA29AC68FC

APA

Aktaş, D., & Koçaşlı, S. (2020). Kolorektal Kanser Cerrahisi Sonrası Önemli Bir Sorun: Fekal İnkontinans. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 3(1), 36-43. https://doi.org/10.38108/ouhcd.712645

AMA

1.Aktaş D, Koçaşlı S. Kolorektal Kanser Cerrahisi Sonrası Önemli Bir Sorun: Fekal İnkontinans. Ordu University J Nurs Stud. 2020;3(1):36-43. doi:10.38108/ouhcd.712645

Chicago

Aktaş, Dilek, and Sema Koçaşlı. 2020. “Kolorektal Kanser Cerrahisi Sonrası Önemli Bir Sorun: Fekal İnkontinans”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 3 (1): 36-43. https://doi.org/10.38108/ouhcd.712645.

EndNote

Aktaş D, Koçaşlı S (April 1, 2020) Kolorektal Kanser Cerrahisi Sonrası Önemli Bir Sorun: Fekal İnkontinans. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 3 1 36–43.

IEEE

[1]D. Aktaş and S. Koçaşlı, “Kolorektal Kanser Cerrahisi Sonrası Önemli Bir Sorun: Fekal İnkontinans”, Ordu University J Nurs Stud, vol. 3, no. 1, pp. 36–43, Apr. 2020, doi: 10.38108/ouhcd.712645.

ISNAD

Aktaş, Dilek - Koçaşlı, Sema. “Kolorektal Kanser Cerrahisi Sonrası Önemli Bir Sorun: Fekal İnkontinans”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 3/1 (April 1, 2020): 36-43. https://doi.org/10.38108/ouhcd.712645.

JAMA

1.Aktaş D, Koçaşlı S. Kolorektal Kanser Cerrahisi Sonrası Önemli Bir Sorun: Fekal İnkontinans. Ordu University J Nurs Stud. 2020;3:36–43.

MLA

Aktaş, Dilek, and Sema Koçaşlı. “Kolorektal Kanser Cerrahisi Sonrası Önemli Bir Sorun: Fekal İnkontinans”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, vol. 3, no. 1, Apr. 2020, pp. 36-43, doi:10.38108/ouhcd.712645.

Vancouver

1.Dilek Aktaş, Sema Koçaşlı. Kolorektal Kanser Cerrahisi Sonrası Önemli Bir Sorun: Fekal İnkontinans. Ordu University J Nurs Stud. 2020 Apr. 1;3(1):36-43. doi:10.38108/ouhcd.712645

Cited By

KOLOREKTAL KANSERLERİN CERRAHİ TEDAVİ SÜRECİNDE HEMŞİRELİK BAKIMI

Samsun Sağlık Bilimleri Dergisi

https://doi.org/10.47115/jshs.1110048