Baş-Boyun Radyoterapisi Alan Hastalarda Navigasyon Programının Yorgunluk ve Uykusuzluğa Etkisi

Yıl 2021, Cilt: 31 Sayı: 4, 423 - 429, 15.12.2021

Ülkü Saygılı Gülbeyaz Can

https://doi.org/10.54005/geneltip.986341

Cited By: 1

Öz

ÖZ
Amaç: Bu çalışma, baş-boyun radyoterapisi ile ilişkili yorgunluk ve uykusuzluk sorunlarının yönetiminde navigasyon programının etkisini belirlemek amacıyla yapıldı.
Method: Randomize kontrollü, deneysel olarak tasarlanan bu çalışma, radyoterapi gören baş-boyun kanserli 88 hastanın katılımıyla Kasım 2018 - Mart 2020 tarihleri arasında gerçekleştirildi. Deney grubuna 41, kontrol grubuna 47 baş-boyun kanserli hasta, önceden hazırlanmış randomizasyon kontrol listesi kullanılarak, randomize edildi. Tüm hastalara hastanenin standart tedavi yaklaşımları uygulanırken, deney grubundaki hastalara ek olarak navigasyon programı uygulandı. Navigasyon programı hastalara, radyoterapinin ilk günü, tedavilerle ilişkili beklenen yan etkilerle ilgili 30 dakikalık görsel eğitim ve el kitapçığı verilerek başladı. Sonrasında yedi hafta boyunca telefon hatırlatmaları, günlük danışmanlık yapılarak hasta takibine devam edildi. Çalışmada hasta tanılama formu ve EORTC QLQ C-30-35 ölçekleri kullanıldı. Ölçekler hastalara birinci, dördüncü ve yedinci haftalarda tekrarlandı.
Bulgular: Çalışmadan elde edilen veriler, hemşire navigasyonunun hastalarda semptomların şiddetini azalttığını ve hastaların genel iyilik durumlarını artırdığını (p <0.05) gösterdi.
Sonuç: Baş boyun radyoterspisi ile ilişkili semptomların yönetiminde hemşirelik navigasyon uygulamasının hastaların; yorgunluk, uykusuzuk gibi tedaviye bağlı yan etkilerinin daha hafif geçirilmesinde, yaşam kalitesinin arttırılmasında etkili bir yaklaşım olduğu saptandı.

Anahtar Kelimeler

Baş boyun kanserleri, radyoretarapi, yorgunluk, uykusuzluk, yaşam kalitesi., Baş boyun kanserleri, radyoretarapi, yorgunluk, uykusuzluk, yaşam kalitesi.

Teşekkür

Araştırmanın uygulanmasına olanak sağlayan Selçuk Üniversitesi Tıp Fakültesi Hastanesi Başhekimliği'ne, Çalışmanın gerçekleştiği yıllarda Radyasyon Onkolojisi Anabilim Dalı Bölüm Başkanı olan Doç. Dr. Çağdaş Yavaş’a, bilimsel desteklerini benden esirgemeyen Radyasyon Onkolojisi Anabilim Dalı Öğretim üyesi Doç. Dr Güler Yavaş’a, deneyimlerine daima başvurduğum Uzm. Dr. Mürsel Düzova'ya , klinğin sorumlu hemşiresi Çiğdem Yılmaz’a, radyoterapi teknikerlerine, bölüm sekreterine, medikal fizik uzmanları’na ve diğer tüm çalışanlarına teşekkürü bir borç bilirim

The Effect of Navigation Program on Fatigue and Insomnia in Patients Receiving Head and Neck Radiotherapy

Öz

Objective: This study was carried out to determine the effect of the navigation program in the management of fatigue and insomnia associated with head and neck radiotherapy.
Method: This randomized controlled, experimentally designed study was conducted between November 2018 and March 2020 with the participation of 88 patients diogmesed with head and neck cancer undergoing radiotherapy. Fortyone head and neck cancer patients in the experimental group and 47 patients in the control group were randomized using a pre-prepared randomization checklist. While standard treatment approaches of the hospital were applied to all patients, a navigation program was applied in addition to the patients in the experimental group. The navigation program began with patients on the first day of radiotherapy, with 30 minutes of visual instruction and handbook on expected side effects associated with treatments. Afterwards, phone reminders and daily counseling were done weekly for seven weeks, and patient follow-up was continued. Patient identification form and EORTC QLQ C-30, EORTC QLQ-HN35 quality of life scale were used in the study. The scales were repeated to the patients at the first, fourth and seventh weeks.
Results: Data from the study showed that nurse navigation reduced the severity of symptoms in patients (p <0.05) and increased quality of life scores (p <0.05).
Conclusion: It was determined that the navigation program is an effective approach for patients receiving head and neck radiotherapy.

Anahtar Kelimeler

Head and neck cancers, radiotherapy, fatigue, insomnia, quality of life., Head and neck cancers, radiotherapy, fatigue, insomnia, quality of life.

Kaynakça

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