Symptom Management of Inflammatory Bowel Diseases with Current Guideline Suggestions

Year 2020, Volume: 46 Issue: 1, 101 - 111, 01.04.2020

Berna Özgürsoy Uran

https://doi.org/10.32708/uutfd.657842

Abstract

Inflammatory bowel disease (IBD) which includes ulcerative colitis and Crohn's disease is an uncontrolled inflammation of the intestinal mucosa, with idiopathic, chronic, relapse and remission periods.The most effective method for the management of IBD is to focus on the patient’s symptoms and to try to improve these symptoms because of chronic illness, difficult and long-term remission process, requiring important health care resources.In this context, the aim of treatment management of patients is to provide symptomatic remission with endoscopic recovery.Symptoms seen in inflammatory bowel diseases vary according to the activity and localization of the disease. Although major symptoms were similar in both diseases, the severity of the symptoms experienced by the patient was different than the severity of IBD. The aim of this review is to provide information about the course of IBD symptoms, their holistic evaluation and improvement. In addition, nursing interventions about how symptoms affect patients' quality of life, what nurses should address in patient education and prolonging the remission of the disease through effective symptom management are described.

Keywords

Ulcerative colitis, Crohn’s disease, Symptom management, Nursing

Güncel Kılavuz Önerileriyle İnflamatuar Barsak Hastalıklarında Semptom Yönetimi

Abstract

İnflamatuar barsak hastalığı (İBH); Ülseratif kolit ve Crohn hastalığını içeren, idiopatik, kronik, relaps (alevlenme) ve remisyon (iyileşme) dönemleriyle seyreden intestinal mukozanın kontrolsüz inflamasyonudur. Kronik hastalık olması, remisyon sürecine girmenin zor ve uzun süreli olması, önemli sağlık bakım kaynakları gerektirmesi gibi nedenlerle İBH yönetiminde en etkili yöntem hastanın semptomlarına odaklanmak ve bu semptomları iyileştirmeye yönelmektir. Bu kapsamda hastaların tedavi yönetimindeki amaç da endoskopik iyileşmeyle birlikte semptomatik remisyonu sağlamaktır. İnflamatuar barsak hastalıklarında görülen semptomlar hastalığın aktivitesine ve lokalizasyonuna göre değişkenlik göstermektedir. Her iki hastalıkta da görülen majör semptomlar benzerlik gösterse de, İBH şiddetine göre hastanın deneyimlediği semptomların şiddeti farklı olmaktadır. Bu derlemede amaç; İBH semptomlarının seyrine, bu semptomların bütüncül olarak değerlendirilmesine ve iyileştirilmesine yönelik bilgilerin aktarılmasıdır. Bunun yanı sıra, semptomların hastaların yaşam kalitelerini nasıl etkilediğine, hemşirelerin hasta eğitiminde nelere değinmesi gerektiğine ve etkili bir semptom yönetimi sayesinde hastalığın remisyonda kaldığı sürenin uzatılmasına dair hemşirelik girişimlerine değinilmektedir.

Keywords

İBH, Ülseratif kolit, Crohn hastalığı, semptom yönetimi, hemşirelik

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