Kanserli Hastalarda Bulantı-Kusmanın Yönetimi: Tamamlayıcı ve Alternatif Tıp Uygulamalarının Kullanımı

Yıl 2023, Cilt: 2 Sayı: 2, 64 - 78, 01.09.2023

İrem Yıldız Çilengiroğlu Seda Kurt

Öz

Kanser, dünya çapında önde gelen ölüm nedenlerinden biridir ve giderek toplumda görülme sıklığı artmaktadır. Kanser tedavisi alan hastalarda tedaviye bağlı olarak çeşitli semptomlar görülmektedir. En sık görülen semptomlardan olan bulantı ve kusma gastrointestinal semptomların başında gelmektedir. Bu semptomlar etkili yönetilmediğinde hastaların günlük yaşam aktivitelerine katılımını ve yaşam kalitelerini azaltmaktadır. Kanser hastaları bulantı ve kusmayı azaltmak veya kontrol altına alabilmek için farmakolojik tedavinin yanında tamamlayıcı ve alternatif tıp uygulamalarını da kullanmaktadırlar. Bulantı ve kusmanın yönetiminde sık kullanılan tamamlayıcı ve alternatif tıp uygulamaları arasında; aromaterapi, hipnoz, akupunktur, akupresür, müzik terapi, refleksoloji, masaj, progresif gevşeme egzersizleri yer almaktadır. Bu derlemede kanser hastalarında meydana gelen bulantı-kusmanın yönetiminde kullanılan tamamlayıcı ve alternatif tıp uygulamalarının kullanımına yer verilmiştir. Onkoloji hemşirelerinin bu uygulamalar hakkında bilgi sahibi olmaları etkili semptom yönetimini sürdürmeleri için önemlidir. Hemşireler tarafından hastanın değerlendirmesi yapılarak uygun eğitim ve danışmanlık desteği verilmelidir.

Anahtar Kelimeler

Kanserli hasta, bulantı, kusma, TAT, hemşire

Management of Nausea and Vomiting in Cancer Patients: Use of Complementary and Alternative Medicine Applications

Öz

Cancer is one of the leading causes of death worldwide and its incidence is increasing in society. Various symptoms are seen in patients receiving cancer treatment depending on the treatment. Nausea and vomiting, which are the most common symptoms, are among the gastrointestinal symptoms. When these symptoms are not managed effectively, they reduce the patients' participation in daily life activities and their quality of life. Cancer patients use complementary and alternative medicine practices as well as pharmacological treatment to reduce or control nausea and vomiting. Complementary and alternative medicine applications frequently used in the management of nausea and vomiting include; aromatherapy, hypnosis, acupuncture, acupressure, music therapy, reflexology, massage, and progressive relaxation exercises are included. In this review, the use of complementary and alternative medicine applications used in the management of nausea and vomiting in cancer patients is included. It is important for oncology nurses to have knowledge about these practices in order to maintain effective symptom management. Nurses should evaluate the patient and provide appropriate training and consultancy support.

Anahtar Kelimeler

Cancer patient, nausea, vomiting, CAM, nurse

Kaynakça

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