Basınçlı İntraperitoneal Aerosol Kemoterapi (PIPAC) Prosedürü, Semptomları ve Hemşirelik Bakımı

Öz

Basınçlı İntraperitoneal Aerosol Kemoterapi (PIPAC), minimal invaziv cerrahi şeklinde uygulanan bir kanser tedavi prosedürüdür. Karın boşluğuna trokarlar yardımı ile uygulanan aerosolize edilmiş kemoterapi ilaçlarının kanser hücrelerine direkt etki etmesinin hedeflendiği bir tedavi yöntemidir. Bu yöntem, kanser hücrelerine maksimum etki sağlamayı ve sistemik toksisiteyi azaltmayı amaçlar. PIPAC tedavisinin avantajları ve dezavantajları bulunmaktadır. Bu nedenle ameliyathane hemşiresinin birçok görevi vardır. PIPAC işlemi çeşitli semptomlara neden olabilir. Cerrahi prosedüre bağlı en sık görülen semptomlar karın ağrısı, kanama, derin ven trombozu, bağırsak tıkanıklığı ve asittir. Kemoterapi ilaçlarının mide ve bağırsaklara etkisi nedeniyle alerji, tat kaybı, bulantı ve kusma meydana gelebilirken, bağırsaklarda tahriş de ishale yol açabilmektedir. Semptomların etkisi hastanın yaşam kalitesini ve tedaviye olan uyumunu etkileyebilir. Bu nedenle, PIPAC işlemi öncesi ve sonrasında hastaya uygun önlemler alınmalıdır. Hemşireler, semptomları izlemeli ve hastaları gerektiğinde cerrahları ile iletişime geçmeleri konusunda yönlendirmelidir. Hasta bilgilendirilmeli, semptomlar ile karşılaşırsa ne yapması gerektiği hakkında bilgi sahibi olmalı ve gerekirse hemşireler tarafından ilaçlar uygulanmalıdır. Hastalara psikososyal destek sağlamak önemlidir. Sonuç olarak, PIPAC işlemi uygulanan hastalarda prosedüre bağlı semptomlar etkili bir şekilde yönetilmelidir ve bu konuda ameliyathane hemşireleri önemli bir rol oynamaktadır.

Anahtar Kelimeler

• Hemşirelik bakımı
• PIPAC
• İntraperitoneal kemoterapi

Pressurized Intraperitoneal Aerosol Chemotherapy (PIPAC) Procedure, Complications and Nursing Care

Öz

Pressurized Intraperitoneal Aerosol Chemotherapy (PIPAC) is a minimally invasive surgical cancer treatment procedure. It is a treatment method in which aerosolized chemotherapy drugs administered into the abdominal cavity with the help of trocars are aimed at acting directly on cancer cells. This method aims to maximize the effect on cancer cells and reduce systemic toxicity. The PIPAC treatment has advantages and disadvantages. Therefore, the operating room nurse has many tasks. The PIPAC procedure can cause various symptoms. The most common symptoms related to the surgical procedure are abdominal pain, bleeding, deep vein thrombosis, intestinal obstruction, and ascites. Allergies, loss of taste, nausea, and vomiting can occur due to the effect of chemotherapy drugs on the stomach and intestines, while irritation of the intestines can lead to diarrhea. The impact of symptoms can affect the patient's quality of life and compliance with treatment. Therefore, appropriate precautions should be taken before and after the PIPAC procedure. Nurses should monitor symptoms and guide patients to contact their surgeon if necessary. The patient should be informed about what to do if they experience symptoms, and medications should be administered by nurses if necessary. It is important to provide psychosocial support to patients. In conclusion, procedure-related symptoms should be managed effectively in patients undergoing PIPAC procedures, and operating room nurses play an important role in this regard.

Anahtar Kelimeler

• Intraperitoneal Chemotherapy
• Nursing Care
• PIPAC

Kaynakça

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