Primer Beyin Tümörü: Klinik Özellikler, Tedavi ve Bakım

Yıl 2013, Cilt: 6 Sayı: 2, 102 - 113, 01.05.2013

Altun Baksi Şimşek , Aklime Dicle

Öz

Primer beyin tümörlerinin büyük bir çoğunluğu, malign ve invaziv yayılım göstererek sınırlı bir alana sahip kafatası içinde hızla büyür vehastanın yaşamını tehdit eder. Primer beyin tümörlerinde tedaviye etkin yanıt alınamaması, hastalık sürecinin hızlı ilerlemesi ve ciddinörolojik fonksiyon kaybı; birey/ailenin umutsuzluk yaşamasına ve yaşam kalitesinin hızla düşmesine neden olur. Bu makalede primer beyintümörünün epidemiyolojisi, risk faktörleri, sınıflandırılması, klinik özellikleri, semptomları, tedavisi ve bakımı ile ilgili temel ve güncelbilgilerin sunulması amaçlanmıştır. Bu makalenin hemşirelerin incinebilir risk grubu olan primer beyin tümörlü hastanın içinde bulunduğudurumu anlama, semptomlarını tanılama, hasta ve ailenin bakımını en iyi şekilde planlama ve uygulama, gerekli ve yeterli bilgilendirmeyisağlamada temel bilgi oluşturması öngörülmüştür.

Anahtar Kelimeler

Primer Beyin Tümörü, Klinik Özellikler, Tedavi, Hemşirelik Bakımı.

Primary Brain Tumors: Clinical Features, Treatment and Care

Öz

The great majorities of primary brain tumors show a malignant and invasive spread, grow rapidly within the skull that has a restricted area
and threaten the life of the patient. Being unable to receive an effective response to the treatment, rapid progress of the process of disease and
serious losses of neurological functions cause the individual/family to experience desperation and decrease the quality of life rapidly in
primary brain tumors. The aim of this article is to present the basic and up to date information about the epidemiology, risk factors,
classification, clinical features, symptoms, treatment and care of the primary brain tumors. This article is intended to create the basic
information to understanding the situation, diagnonsting the symptoms, planning and implementation the care of patient and family in the
best possible way, to provide the necessary and sufficient to inform patient with primary brain tumors of the vulnerable risk group by nurses

Anahtar Kelimeler

Primary Brain Tumors, Clinical Features, Treatment, Nursing Care

Kaynakça

• American Association of Neuroscience Nurses. (2006). Guide to the care of the patient with craniotomy post–brain tumor resection. AANN Reference Series for Clinical Practice. Erişim: 17.01.2012. http://www.aann.org/pdf/cpg/aanncraniotomy.pdf.
• Armstrong, T. S., & Gilbert, M. R. (2000). Metastatic brain tumors: diagnosis, treatment and nursing interventions. Clinical Journal of Oncology Nursing, 4, 5, 217–225.
• Armstrong, T. S., Cohen, M. Z., Eriksen, L. R., & Hickey, J. V. (2004). Symptom clusters in oncology patients and implications for symptom research in people with primary brain tumors. Journal of Nursing Scholarship, 36, 3, 197–206.
• Armstrong, T. S., Cohen, M. Z., Eriksen, L., & Cleeland, C. (2005). Content validty of self report measurement instruments: an illustration form the development of the brain tumor module of the MD. Anderson symptom inventory. Oncology Nursing Forum, 32, 3, 669–676.
• Armstrong, T. S., Mendoza, T., Gring, I., Coco, C., Cohen, M. Z., Eriksen, L., et al. (2006). Validation of the MD. Anderson symptom inventory brain tumor module (MDASI-BT). Journal of Neuro-Oncology, 80, 27–35.
• Buckner, J. C., Brown, P. D., O’Neill, B. P., Meyer, F. B.,Wetmore, C. J., & Uhm, C. H. (2007). Central nervous system tumors. Mayo Clinic Proceedings, 82, 10, 1271–1286.
• Boss, B. J., & Wilkerson, R. R. (2006). Concepts of neurologic dysfunction. In K. L. McKance, S. E. Huether (Ed.), Understanding pathophysiology (5th ed., pp. 491-546), Philadelphia: Mosby, Inc.
• Camp-Sorrell, D. C. (2006). Brain tumors facing trouble head-on. Nursing Made İncredibly Easy, 4, 20–28.
• Catt, S., Chalmers, A., & Fallowfield, L. (2008). Psychosocial and supportive-care needs in high-grade glioma. The Lancet Oncology, 9, 884-891.
• Central Brain Tumor Registry of the United States (CBTRUS). (2009). Statistical report: Primary brain and central nervous system tumors diagnosed in the united states in 2004-2005. Erişim: 06.01.2013. http://www.cbtrus.org/reports/2009- NPCR-04-05/CBTRUS-NPCR2004-2005-Report-.pdf.
• Chandana, S. R., Movva, S., Arora, M., & Singh, T. (2008). Primary brain tumors in adults. American Academy of Family Physicians, 77, 10, 1423-1430.
• Chang, S. M., Parney, I. F., Huang, W., Anderson, F. A., Asher, A. L., Bernstein, M., et.al. (2005). Patterns of care for adults with newly diagnosed malignant glioma. The Journal of the American Medical Association, 293, 5, 557-564.
• Davies, E., & Higginson, I. J. (2003). Comminication, information and support for adults with malignant cerebral glioma: a systematic literature review. Support Care Cancer, 11, 21-29.
• DeAngelis, L. M., Loeffler, J. S., & Mamelak, A. N. (2008). Cancer management handbook. (11th edition). Erişim. 06.01.2013.
• http://www.cancernetwork.com/display/article/10165/1406429 Doolittle, N. D. (2004). State of the science in brain tumor classsification. Seminars in Oncology Nursing, 20, 4, 224–230.
• Erdil, F., & Elbaş, N. Ö. (2001). Cerrahi hastalıkları hemşireliği. (4.Baskı, sy.137-226). Ankara: Aydoğdu Ofset.
• Fitzsimmons, B., & Bohan, E. (2004). Common neurosurgical and neurological disorders. In P. G. Morton, D. Fontaine, C. M. Hudak, & B. M. Gallo (Ed.), Critical care nursing a holistic approach (8th ed., pp. 796–838), USA.
• Gültekin, M., & Cengiz, M. (2011). İntrakranial lezyonların tedavisinde stereotaktik radyocerrahi ve radyoterapi. Hacettepe Tıp Dergisi, 42, 65-73.
• Hill, C. L., Nixon, C. S., Ruehmeier, J. L., & Wolf, L. M. (2002). Brain Tumors. Physical Therapy, 82, 5, 496–502.
• Janda, M., Eakin, E. G., Bailey, L., Walker, D., & Troy, K. (2006). Supportive care needs of people with brain tumours and their carers. Support Care Cancer, 14, 1094–1103.
• Karadakovan, A., & Özbayır, T. (2010). Sinir sisteminin dejeneratif ve onkolojik hastalıkları. In A. Karadakovan, F. E. Aslan (Ed.), Dahili ve Cerrahi Hastalıklarda Bakım (1.Baskı, sy. 1214-1244). Adana: Nobel Kitabevi.
• Laskowski-Jones, L. (2007). Nursing management acute ıntracranial problems. In S. L. Lewis, M. M. Heitkemper, S. R. Dirksen, P. G. Q’Brien, & L. Bucher (Ed.), Medical Surgical Nursing Assessment and Management of Clinical Problems Volume 2 (7th ed., pp. 1467–1501), Mosby Elsevier.
• Lovely, M. P. (2004). Symptom management of brain tumor patients. Seminars in Oncology Nursing, 20, 4, 273–283. McKinney, P. C. (2004). Brain tumours: incidence, survival, and aetiology. Journal of Neurology Neurosurgery Psychiatry, 75, 12–17.
• National Cancer Institute (NCI). (2002). Brain tumors. Erişim: 17.01.2012. http://www.cancer.gov/cancertopics/wyntk/brain National Brain Tumor Foundation (NBTF). (2007). The essential guide to brain tumors. Erişim: 30.10.2008. www.braintumor.org.
• Nixon, A., & Narayanasamy, A. (2010). The spiritual needs of neuro-oncology patients from patients’ perspective. Journal of Clinical Nursing, 19: 2259–70.
• Palmieri, R. L. (2007). Responding to primary brain tumor. Nursing 2007, 37, 1, 36-42.
• Sherer, M., Meyers, C. A., & Bergloff, P. (1997). Efficacy of postacute brain injury rehabilitation for patients with primary malignant brain tumors. Cancer, 80, 2, 250–257.
• Smeltzer, S. C., & Bare, B. G. (2005). Brunner & suddarth's textbook of medical surgical nursing. (10th Edition, pp.1970– 1977). USA: Lippincott Williams & Wilkins.
• Smith, G. B., & Schnell, S. (2003). Nursing care of patients with central nervous system disorders. İn L. S. Williams, & P. D.
• Hopper (Ed.), Understanding medical surgical nursing (2th ed., pp. 849–851), Philadelphia: FA. Davis Company.
• Soffietti, R., Ruda, R., & Mutani, R. (2002). Management of brain metastases. Journal of Neurology, 249: 1357-1369.
• Türk Tabipler Birliği (TTB). (2006). Türkiye cumhuriyeti sağlık istatistikleri. (2. Baskı, sy.43-62). Ankara: Türk tabipler birliği yayınları.
• Vargo, M. (2011). Brain tumor rehabilitation. American Journal of Physical Medicine & Rehabilitation, 90, 5, 50-62.
• Weitzner, M. A. (1999). Psychosocial and neuropsychiatric aspects of patients with primary brain tumors. Cancer İnvestigation, 17, 4, 285-291.
• Wrensch, M., Minn, Y., Chew, T., Bondy, M., & Berger, M. S. (2002). Epidemiology of primary brain tumors: Current concepts and review of the literature. Neuro-oncology, 4, 4, 278-299.