The Nurse Navigator Model and the Roles of Nurse Navigators in the Management of Polycystic Ovary Syndrome: A Traditional Review

Öz

Polycystic ovary syndrome (PCOS) is a common and heterogeneous endocrine disorder affecting women of reproductive age, characterized by hyperverogenism, menstrual irregularities, and polycystic ovarian morphology. Although its etiology remains incompletely understood, hyperverogenism and ovulatory dysfunction are widely recognized as the primary pathophysiological mechanisms. Depending on the diagnostic criteria applied, the prevalence of PCOS ranges from 6% to 20%, affecting approximately one in fifteen premenopausal women worldwide. Given its chronic course and multisystem involvement, PCOS requires a comprehensive and multidisciplinary approach to care. In this context, the nurse navigator model has gained increasing importance. Nurse navigators establish continuous and close communication with patients, playing an active role in managing treatment-related side effects, promoting adherence to therapy, and facilitating early identification of potential complications. They also monitor clinical responses, support the correct and timely use of medications, and coordinate care processes across healthcare settings. This study was designed as a traditional narrative review. The literature search was conducted between January 2010 and December 2025 using PubMed/MEDLINE, Scopus, Web of Science, and CINAHL databases. Within PCOS management, nurse navigators undertake educational, coordinative, advocacy, counseling, monitoring and evaluation, care planning, and research roles. Through these functions, women receive comprehensive support in symptom management, lifestyle modification, psychosocial care, and evidence-based practice. Evidence from chronic disease management suggests that the nurse navigator model improves patient satisfaction and self-efficacy, strengthens treatment adherence, enhances quality of life, and contributes to better clinical outcomes. In the context of PCOS, this model represents an empowering and sustainable care approach.

Anahtar Kelimeler

• nursing
• models
• nurse navigators
• polycystic ovary syndrome
• roles

Polikistik Over Sendromunda Navigatör Hemşirelik Modeli ve Navigatör Hemşirenin Rolleri: Geleneksel Derleme

Öz

Polikistik over sendromu (PKOS), üreme çağındaki kadınları etkileyen yaygın ve heterojen bir endokrin bozukluk olup hiperverojenizm, adet düzensizlikleri ve polikistik over morfolojisi ile karakterizedir. Etiyolojisi tam olarak aydınlatılamamış olmakla birlikte, hiperverojenizm ve ovulatuvar disfonksiyon temel patofizyolojik mekanizmalar olarak kabul edilmektedir. Kullanılan tanı kriterlerine bağlı olarak PKOS prevalansı %6-20 arasında değişmekte olup dünya genelinde premenopozal dönemdeki yaklaşık her on beş kadından birini etkilemektedir. Kronik seyri ve çoklu sistemleri etkileyen yapısı nedeniyle PKOS, kapsamlı ve multidisipliner bir bakım yaklaşımı gerektirir. Bu bağlamda hemşire navigatör modeli giderek daha fazla önem kazanmaktadır. Hemşire navigatörler hastalarla sürekli ve yakın iletişim kurarak tedaviye bağlı yan etkilerin yönetiminde aktif rol almakta, tedaviye uyumu artırmakta ve olası komplikasyonların erken tanılanmasını kolaylaştırmaktadır. Ayrıca klinik yanıtları izlemekte, ilaçların doğru ve zamanında kullanımını desteklemekte ve sağlık sistemi içindeki bakım süreçlerini koordine etmektedirler. Bu çalışma geleneksel bir derleme olarak tasarlanmıştır. Literatür taraması Ocak 2010 ile Aralık 2025 tarihleri arasında PubMed/MEDLINE, Scopus, Web of Science ve CINAHL veri tabanları kullanılarak gerçekleştirilmiştir. PKOS yönetiminde hemşire navigatörlerin rolleri; eğitim, koordinasyon, savunuculuk, danışmanlık, izlem ve değerlendirme, bakım planlama ve araştırma rolleri olarak tanımlanmaktadır. Bu roller aracılığıyla kadınlara semptom yönetimi, yaşam tarzı değişikliği, psikososyal bakım ve kanıta dayalı uygulamalar konusunda kapsamlı destek sağlanmaktadır. Kronik hastalık yönetimine ilişkin kanıtlar, hemşire navigatör modelinin hasta memnuniyetini ve öz yeterliliği artırdığını, tedaviye uyumu güçlendirdiğini, yaşam kalitesini iyileştirdiğini ve daha iyi klinik sonuçlara katkı sağladığını göstermektedir. PKOS bağlamında bu model, kadınları güçlendiren ve sürdürülebilir davranış değişimini destekleyen etkili bir bakım yaklaşımıdır.

Anahtar Kelimeler

• hemşirelik
• model
• navigatör hemşirelik
• polikistik over sendromu
• rol

Kaynakça

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