COVID-19 pandemisindeki vücutdışı yaşam desteğinde uygulayıcıların hastalara destek olma teorilerinin etkinliği

Abstract

Pandeminin beklnemdik şiddetiyle sarsılan hastanelerimizde vücutdışı yaşam desteği (VDYD) uygulayıcıları hastaların uzun süreli bakımlarında daha çok yer almakta ve hastalar ve aileleriyle daha yoğun iletşime girmektedir. VDYD ve ventrikül destek cihazları ileri derecede hasta olan bu grupta solunum desteği, kardiyotomi sonrası yetmezlik ve viral enfeksiyon tedavisinde ön plana çıkmaktadır. VDYD kullanımıyla ilgili olarak da pandemic döneminde uzun süreli destek özellikle erişkin hastalar için yaygınlaşmıştır. Uluslararası VDYD Derneği verilerine göre uygulama sayıları 73.000 leri geçmiştir. Sayıların bu denli artmasıyla hasta ve hasta ailesiyle olan ilişkilerin optimumda yürütülmesi de önem kazanmıştır. Sevenlerinin hasta olması veya kaybedilmesi yoğun bir hüzün ve acı oluşturmaktadır. Bu derleme VDYD uygulayıcılarının hastalara veya ailelerine yönelik destekleri üzerine geliştirilmiş teorilerin etkinliğine açıklık getirmek üzerine hazırlanmıştır.

Keywords

• Vücutdışı Yaşam Desteği
• Ekstrakorporeal Membran Oksijenizasyonu
• Kardiyopulmoner bypass

Efficacy of theories related to extracorporeal life support specialist assisting client during the COVID-19 pandemic

Abstract

As the wave of respiratory and cardiac failure due to an unprecedented pandemic hits our medical centers, extracorporeal life support (ECLS) specialists have become more involved with long term intensive care; our relationship to patient care has been altered. ECLS and Ventricular Assist Devices (VAD) have become essential tools in the care of critically ill patients with respiratory failure, post-cardiotomy failure, and viral infection. During this unprecedented pandemic, there have been many advancements and rapid growth towards options of long term mechanical cardiopulmonary support, especially in the adult patient population. ECLS cases reported to the International Extracorporeal Life Support Organization registry, showing >73,000 patients. With the growth of this patient population and the changing “ECLS specialist-Patient” family relationship, it is essential to explore handling the grief of the patients. Individuals dealing with pain demonstrate a variety of reactions as they adjust to a life without a loved one. This review examines the efficacy of theories related to ECLS specialists, assisting a client, and families grieving the loss of a significant person in their life.

Keywords

• Extracorporeal Life Support
• Extracporporeal Membrane Oxygenation
• Cardiopulmonary bypass

References

1. 1. Riley LP, LaMontagne LL, Hepworth JT, Murphy BA. Parental grief responses and personal growth following the death of a child. Death Studies 2007; 31: 277- 99.
2. 2. Shapiro, E. Whose recovery, of what? Relationships and environment promoting grief and growth. Death Studies 2008; 32: 40-58.
3. 3. Nolen AL, Putten JV. Action Research in Education: Addressing Gaps in Ethical Principles and Practices. Educational Researcher 2007; 36: 401-7.
4. 4. Dent A. Supporting the bereaved: theory and practice. Healthcare Counseling and Psychotherapy Journal 2005, Ingram Publishing/Alamy.
5. 5. Baruch Y. Response Role in Academic Studies-A Comparative Analysis Human Relations 1999; 52(4):421-438.
6. 6. Woof WR., Carter YH. The grieving adult and the general practitioner: a literature review in two parts (part 2). British Journal of General Practice 1997; 47: 509-14.
7. 7. Wortman CB, Boerner K. Beyond the Myths of Coping with Loss: Prevailing Assumptions Versus Scientific Evidence, 2006.
8. 8. Almedom AM. Towards Light at the End of the Tunnel. Journal of Loss and trauma 2005; 10: 253-65.

9. 9. Pasternak RE, Reynolds CF 3rd, Schlernitzauer M, et al. Acute open-trial nortriptyline therapy of bereavement-related depression in late life. J Clin Psychiatry 1991; 52: 307-10.
10. 10. Bonnano GA, Papa A, LaLande K et al. Grief Processing and Deliberate Grief Avoidance. Journal of Consulting and Clinical Psychology 2005; 73: 86-98.
11. 11. Doren G, Hansen ND. Constructions of Mexican American Family. Cultural Diversity and Ethnic Minority Psychology 2010; 12: 199-211.
12. 12. Kissane DW, McKenzie M, Bloch S, et al.: Family-focused grief therapy: a randomized, controlled trial in palliative care and bereavement. Am J Psychiatry 2006; 163: 1208-18.
13. 13. Bonanno GA, Lilienfield SO. Let's be realistic; when grief counseling is effective and when it's not. Prof Psychol Res Pr 2008; 39: 377-8.
14. 14. Doughty EA, Wissel A, Glorfield C. Current trends in grief counseling. Article 94. New Orleans, LA, United States of America, 2018.
15. 15. Stroebe M, Schut H. The dual-process model of coping with bereavement; rationale and description. Death Studies 1999; 23: 197-224.
16. 16. Shear K, Frank E, Houck PR, et al.: Treatment of complicated grief: a randomized controlled trial. JAMA 2005; 293: 2601-8.
17. 17. Steidl S, Mohi-uddin S, Anderson AK. Effects of emotional arousal on multiple systems: evidence from declarative and procedural learning. Learn. Mem 2006; 13: 650-8.
18. 18. Dyregov A. Parental reactions to the loss of an infant child: A review. Scandinavian Journal of Psychology 1990; 31: 266-80.
19. 19. Clark JP. Balancing Qualitative & Quantitative methodology in Health Service Research: How can qualitative research methods best complement administrative data analysis. CEHIP, Ontario, Canada, 2000.
20. 20. Moffitt TE. The New Look of Behavioral genetics in Developmental Psychopathology: Gene-Environment Interplay in Antisocial Behaviors. Psychological Bulletin 2005; 131: 533-54.
21. 21. Roberts LW, Geppert C, Connor R et al. An Invitation for Medical Educators to Focus on Ethical and Policy Issues in Research and Scholarly Practice. Acad med. 2001; 76: 876-85
22. 22. Resid, W. Research in social work. Encyclopedia of social work. 18th ed., Vol 2, pp.487. Silver Spring, MD: National Association of Social Workers, 1989.
23. 23. Mrazek PJ, Haggerty RJ, eds: Reducing Risks for Mental Disorders: Frontiers for Preventive Intervention Research. Washington, DC: National Academy Press, 1994.
24. 24. Woof WR, Carter YH. The grieving adult and the general practitioner: a literature review in two parts (part 2). British Journal of General Practice 1997; 47: 509-14.