KARACİĞER SİROZU VE HEMŞİRELİK

Öz

Siroz ciddi bir durumdur. Semptomlar karaciğerde meydana gelen hasara bağlıdır. Hastalığın erken döneminde semptom ortaya çıkmayabilir, hastalık diğer hastalık belirtileriyle karışabilir. Hastalığın son dönemlerinde ciddi komplikasyonlar gelişebilir ve hastaneye yatmayı gerektirir. Hasta ve ailelerinin eğitimine ve tedaviye erken başlandığında semptomlar kontrol altına alınabilir ve hasta normal yaşamını sürdürebilir.

Anahtar Kelimeler

• Karaciğer sirozu, siroz komplikasyonları, yaşam kalitesi, hemşirelik

Kaynakça

1. Acar A (1994). Karaciger sirozunun klinik ve etyolojik açidan degerlendirilmesi. Istanbul Üniversitesi Tip Fakültesi Iç Hastaliklari Ana Bilim Dali. Uzmanlik Tezi.
2. Aggarwal A (2001). Predictors of mortality and resource utilitization in cirrhotic patients admitted to medical ICU. Chest 119: 1489-1497.
3. Aksayan S, Cimete G (1998). Kronik hastalikli bireylerin evde bakim gereksinimleri, olanaklari ve tercihleri. I. Ulusal Evde Bakim Kongresi Kitabi. Marmara Üniversitesi Döner Sermaye Isletmesi Teknik Egitim Fakültesi Matbaasi. Istanbul.
4. Aksöz MK, Yazicioglu N, Ünsal B ve ark. (1995). 325 Karaciger sirozlu hastanin degerlendirilmesi. Atatürk Devlet Hastanesi Gastroenteroloji Klinigi. The Turkish Journal of Gastroenterology 6: 210-211.
5. Anand BS (2001). Drug treatment of the complications of cirrhosis in the older adult, Drugs &Aging 18 (8):575-585.
6. Arguedas MR, Fallon MB (2001). Prevention in liver disease (reviews). The American Journal of Medical Sciences 321(2): 145-151.
7. Bardak M (1999). 1998 Verilerine Göre Saglik Istatistikleri, T.C. Saglik Bakanligi Arastirma Planlama ve Koordinasyon Kurum Baskanligi , Ankara.
8. Bas A (1994). Siroz ve hemsirelik bakimi. Ege Üniversitesi Hemsirelik Yüksekokulu Dergisi 10(2) :56-65.

9. Becker G (2001). Effects of being uninsured on ethnic minorities management of chronic illness. The Western Journal of Medicine 175 (1):19-23.
10. Butler WR (1994). Managing the complications of cirrhosis. American Journal of Nursing March 46-49.
11. Canobbio M (1996). Cirrhosis . Mosby’s Handbook of Patient Teaching, Mosby-Year Book, USA.190.
12. Capacaccia R, Farchi G (1988). Mortality from liver cirrhosis in Italy. Journal of Clinical Epidemiology 41 (4):347-57.
13. Chedid A, Mendenhall CL, Gartside P, et al. (2001). Cirrhosis of the liver. Postgraduate Medicine 109(2): 49-50.
14. Christensen E, Schlichting P, Fauerholdt L et al. (1984). Prognostic value of childturcotte criteria in medically treated cirrhosis. Hepatology 4(3): 430-435.
15. Cleave V. Devine P. Odom-Ball P (1999). Multidisciplinary care of hepatocellular carcinoma. Cancer Practice (6): 302-308.
16. Coskun N, Yalçin M, Bardak M (1996). Hastalik Istatistikleri 1964-1994, Yayin No. 584, T.C. Saglik Bakanligi Arastirma Planlama Koordinasyon Kurulu Baskanligi, Ankara.
17. Craddock RB, Adams PF, Usui WM et al. (1999). Article 3 true experimental research an intervention to increase use and effectiveness of self-care measures for breast cancer chemotherphy patients. Cancer Nursing 22 (4): 312-319.
18. Danalioglu A (1995). Karaciger sirozu nedeniyle ex olmus 100 vakanin retrospektif degerlendirilmesi. SSK Göztepe Hastanesi 2. Dahiliye Klinigi. Uzmanlik Tezi, Istanbul.
19. Durna Z (1992). Karaciger sirozunun klinik belirtilerinin degerlendirilmesi. Hemsirelik Bülteni 6 (24): 9.
20. Ferraris VA, Ferraris SP, Harmon RC et al. (2001). Risk factors for early hospital readmission after cardiac operations. The Journal of Thoracic and Cardiovascular Surgery 122 (2): 278-286.
21. Geden EA, Isaramalai S, Taylor SG (2001). Self-care deficit nursing theory and nurse practitioner’s practice in primary care settings. Nursing Science Quarterly 14(1): 29-33.
22. Giovanni C (1998). Liver cirrhosis mortality trends in Eastern Europe, 1970-1989: analysis of age, period and cohort effects and of latency with alkohol comsumption. Addiction Biology 3(4): 413-422.
23. Glasgow RE, Strycker LA, Toobert DJ et al. (2000). A social-ecologic approach to assessing support for disease selfmanagement: the chronic illness resources survey. Journal of Behavioral Medicine 23 (6) : 559-83.
24. Herold C, Heinz R, Niedobitek G et al. (2001). Quantitative testing of liver function in patients with cirrhosis due to chronic hepatitis C to assess disease severity. Liver 21: 26-30.
25. Iliçin G, Biberoglu K, Süleymanlar G ve ark. (1997). Karaciger sirozu ve komplikasyonlari. Temel Iç Hastaliklari Kitabi. 1. baski, Günes Kitabevi, Ankara.
26. Kanwal F, Gralnek IM (2003). Measuring health-related quality of life in gastroenterology and hepatology: part 2-what is available? (review)”, EvidenceBased Gastroenterology 482: 65-87.
27. Kara B (2001). Öz-bakim tanimi ve kavramsal yönü. Sendrom Dergisi 13(7): 105-108.
28. Karter Y (1993). Karaciger sirozunda prognoza etki eden faktörler; bunlarin çok degiskenli olarak analizleri sonrasinda yasam olasiliklarinin degerlendirilmesi, Cerrahpasa Tip Fakültesi Iç Hastaliklari Ana Bilim Dali, Uzmanlik Tezi, Istanbul.
29. Küstür S (1986). Karaciger sirozu vakalarinin genel degerlendirilmesi, Istanbul Üniversitesi Tip Fakültesi Iç Hastaliklari Ana Bilim Dali, Yayinlanmamis Bilim Uzmanligi Tezi, Istanbul.
30. Kwok T, Lau E, Woo J et al. (1999). Hospital readmission among older medical patients in Hong Kong. Journal of the Royal College of Physicians of London 33 (2): 153-156.
31. Marchesini G, Bianchi G, Amodio P et al. (2001). Factors associated with poor healthrelated quality of life of patients with cirrhosis. Gastroenterology 120: 170-178.
32. Marcontonio ER (1999). Factors associated with unplanned hospital readmission among patients 65 years of age and older in a medicare managed care plan. The American Journal of Medicine 107 (1): 13-17.
33. Mcewen DR (1996). Management of alcoholic cirrhosis of the liver. AORN Journal 64 (2): 209-225.
34. Nodhturft V, Schneider JM, Hebert P et al. (2000). Chronic disease self-management -improving health outcomes. Nursing Clinics of North America. 35(2):507-518.
35. Orem DE (1991). Nursing: Concepts of Practise. Mosby Year Book, St.Louis, 4th Edt.
36. Öksüzoglu G, Kadayifçi A, Arslan M ve ark. (1994). Hacettepe hastanesinde takip edilmis 696 siroz hastasinda rastlanan komplikasyonlar, XI.Ulusal Türk Gastroenteroloji Kongresi Abstract Kitabi. Kasim, Antalya.
37. Ökten A, Acar A, Çakaloglu Y ve ark. (1993). Karaciger sirozu (957 vakanin analizi), X.Ulusal Türk Gastroenteroloji Kongresi Kongre Kitabi. Uludag Üniversitesi Basimevi, Bursa.
38. Philbin EF, Dec GW, Jenkins PL et al. (2001). Socioeconomic status as an independent risk factor for hospital readmission for heart failure”. The American Journal of Cardiology 15; 87 (12): 1367-1371.
39. Richardson A (1992). Studies exploring self-care for the person coping with cancer treatment: a review”. International Journal of Nursing Studies 29(2): 191-204.
40. Rimola A, Soto R, Bory F et al. (1984). Reticuloendothelial system phagocytic activity in cirrhosis and relation to bacterial infections and prognosis. Hepatology 4 (1): 53-58.
41. Rosina F, Alaria P, Castelli S et al. (1996). Effect of patient characteristics on hospital costs for cirrhosis: implications for the disease-related group (DRG) reimbursement system. The Italian Journal of Gastroenterology 28 (7): 401-405.
42. Saab S, De Rosa V, Nieto J et al. (2003). Cost and clinical outcomes primary prophylaxis of variceal bleeding in patients with hepatic cirrhosis: a decision analytic model”. The American Journal of Gastroenterology 98(4): 763-770.
43. Schwarz KA (2000). Predictors of early hospital readmissions of older adults who are functionally impaired”. Journal of Gerontological Nursing 26 (6): 29-36.
44. Singh N, Gayowski, Wagener M et al. (1998). Outcome of patients with cirrhosis requiring intensive care unit support: prospective assesment of predictors of mortality. J.Gastroenterology 33: 73-79.
45. Slusher IL (1999). Self-care agency and self-care practise of adolescents, Issues in Comprehensive Pediatric Nursing 22: 49-58.
46. Sorensen HT, Thulstrup AM, Mellemkjar L et al. (2003). Longterm survival and cause-specific mortality in patients with cirrhosis of the liver a nationwide cohort study in Denmark”. Clinical Epidemiology 56(1): 88-94.
47. Ünlü E, Korkmaz ME, Özyilkan Ö ve ark. (1990). Dahiliye devamli bakim ünitesine kabul edilen kronik karaciger hastalarinda prognoz. Gastroenteroloji. 1(1): 46-53.
48. Vivien E, Coates B, Jennifer RP et al. (1995). Self-management of chronic illness: implication of nursing. International Journal of Nursing Studies 32(6): 628-640.
49. Weisinger G, Quittan M, Zimmermann K et al. (2001). Physical performance and health-related quality of life in men on a liver transplantation waiting list. Journal of Rehabilitation Medicine 33, 260-265.
50. Wellard S (1998). Constructions of chronic illness. International Journal of Nursing Studies 35, 49-55.
51. Wright I (1998). Esophageal varices: treatment and implications. Gastroenterology Nursing 21(1): 2-5.
52. Younossi Z, Boparai N, Price LL et al. (2001). Health-related quality of life in chronic liver disease: the impact of type and severity of disease. The American Journal of Gastroenterology 96(7): 2199-2205.
53. Zimmerman JE, Wagner DP, Seneff MG et al. (1996). Intensive care unit admissions with cirrhosis: risk-stratifying patient groups and predicting individual survival. Hepatology 23(6): 1393-401.