Kök Hücre Nakli Sürecinde Aile Merkezli Onkolojik Sosyal Hizmet Uygulaması

Year 2019, Volume: 30 Issue: 2, 690 - 715, 30.05.2019

Melih Sever , Sunay İl

https://doi.org/10.33417/tsh.572231

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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