Long-Term Follow-Up of Childhood Cancer Survivors and Nurse’s Role

Yıl 2021, Cilt: 14 Sayı: 2, 153 - 164, 15.04.2021

Tuba Arpaci Naime Altay

https://doi.org/10.46483/deuhfed.738299

Cited By: 3

Öz

Five year survival rates have greatly increased in childhood cancer and maintaining physical and psychosocial health of survivors has come to the fore in long-term. Survivors face many problems related to cancer itself and treatment exposure. Cardiac, endocrine, neurological, cognitive, psychological and social late effects, which may occur even years after the completion of treatment, may cause significant limitations in their life. With long-term follow-up, it is aimed to prevent and early detect the late effects, to meet the physical and psychosocial needs of the child, to help them for adaptation to social life, and to provide a healthy lifestyle advice to protect the child from secondary cancer risks. In order to following the survivors effectively, it should be based on evidence-based approaches and carried out by a multidisciplinary team. The pediatric nurses play an important role in providing holistic and family-centered care in long-term follow-up of childhood cancer survivors. The nurse ensures survivors’ needs with the individualized care plans based on the standard guidelines. In this article, the importance and the scope of the follow-up and the role of the nurse in the follow-up were discussed. 

Anahtar Kelimeler

Chidhood Cancer, Survivorship, Long-term Follow-up, Late Effects, Nursing.

Çocukluk Çağı Kanserlerinden Sağ Kalanların İzlemi ve Pediatri Hemşiresinin Rolü

Öz

Çocukluk çağı kanserlerinde 5 yıllık sağkalım oranları önemli ölçüde artmış ve sağ kalanların fiziksel ve psikososyal sağlığının sürdürülmesi ön plana çıkmıştır. Sağ kalan çocuk ve adölesanlar uzun dönemde kanserin kendisi ve tedavi maruziyetine bağlı birçok sorunla karşılaşmaktadır. Tedavinin tamamlanmasından yıllar sonra dahi ortaya çıkabilen kardiyak, endokrin, nörolojik, bilişsel, psikolojik ve sosyal geç etkiler sağ kalanların yaşamında önemli kısıtlılıklara neden olabilmektedir. Uzun süreli izlemler ile geç etkilerin önlenmesi ve erken dönemde saptanması, çocuğun fiziksel ve psikososyal gereksinimlerinin karşılanması, çocuk ve ailenin sosyal yaşama uyumu ve çocuğun ikincil risklerden korunması için sağlıklı yaşam tarzının kazandırılması amaçlanmaktadır. İzlemlerin etkin bir şekilde sürdürülmesi için kanıt temelli yaklaşımlara dayandırılması ve multidisipliner ekip tarafından yürütülmesi gerekmektedir. Sağ kalanlara uzun dönemde bütüncül ve aile merkezli bakımın sunulmasında pediatri hemşiresi önemli role sahiptir. Hemşire standart rehberler ışığında oluşturduğu bireyselleştirilmiş bakım planlarıyla sağ kalanların gereksinimlerinin karşılanmasını sağlamaktadır. Bu makalede çocukluk çağı kanserlerinden sağ kalanlarda izlemin önemi, kapsamı ve izlemlerde hemşirenin rolü ele alınmıştır.

Anahtar Kelimeler

Çocukluk çağı kanserleri, sağkalım, uzun süreli izlem, geç etkiler, hemşirelik

Kaynakça

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