Kök Hücre Nakli Sürecinde Aile Merkezli Onkolojik Sosyal Hizmet Uygulaması

Abstract

Lösemi ve lenfoma gibi hematolojik kanser türlerinde uygulanan kök hücre nakli tedavisi yetişkin hasta birey ve ailesini fiziksel sorunlarla birlikte psiko-sosyal sorunlarla da oldukça örselemektedir. Türkçe literatürde kök hücre nakli sürecinde sosyal hizmet uzmanı rollerini inceleyen çalışmaların azlığı ve onkoloji hastanelerinde psiko-sosyal hizmetlere duyulan ihtiyaç bu çalışmanın sorununu oluşturmaktadır. Hasta bireyin aileden izole olmasını, aile içindeki rollerin değişimini ve yaşamsal rutinin belirsiz bir süre boyunca bozulmasını öngören bu hastalık ve tedavi süresince sosyal hizmet birimlerinin hasta ya da birey odaklı değil aile merkezli çalışması gerektiği tartışılmıştır. Buna göre kök hücre nakli öncesinde teşhis aşamasında devreye girmesi gereken onkolojik sosyal hizmet birimlerinin, tedavi sırasında, tedavi sonrasında farklı müdahaleler ve rollerde bulunması gerekmektedir. Bu çalışmada onkoloji hastaneleri başta olmak üzere hastanelerde onkolojik sosyal hizmet birimlerinin kurulması, kanser hastalarına ve ailelerine aile merkezli ve aile sisteminin dengesini gözeten hizmet verilmesi, ailelere çocukların ve hastanın bakımı, finansal sorunlar gibi konularda danışmanlık verilmesi, onkolojik sosyal hizmet birimlerinin çocukların dışsallaştırılmamasına önem göstermesi ve çocukları ebeveynlerinin sağlık durumu hakkında bilgilendirmesi gerektiği belirtilmiştir. 

Keywords

• Kök hücre nakli,onkolojik sosyal hizmet,aile merkezli sosyal hizmet

Family-Centered Oncology Social Work Practice in Stem Cell Transplantation Process

Abstract

The treatment of stem cell transplantation in hematological cancers such as leukemia and lymphoma is detrimental to the adult patient and his family, along with the physical and psychosocial problems. The inefficient number of studies investigating the role of social workers in stem cell transplantation in Turkish literature and the need for psychosocial services in oncology services constitute the problem of this study. It was discussed that the social work services should provide family centered support before, after and during the treatment. Accordingly, oncology social work units should be involved in the diagnosis phase before the stem cell transplantation process and continue their services after the discharge. In this study, it was discussed that oncology hospitals should establish oncology social work units that specializes in family-centered work, counselling should be provided for family members on financial issues, caring for the children and for the patient. Oncology social work units should also pay attention not to externalize the children and inform them about their parents' health status. 

Keywords

• Stem cell transplantation,oncology social work,family-centered social work

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