Integration Of Integral Nursing Theory in The Management of Dyspnea in With Asthma Case

Öz

Dyspnea is one of the most common and most important symptoms of asthma. In the management of dyspnea, non-pharmacological methods can be used as well as pharmacological treatment methods. When using non-pharmacological treatment methods; It is important to care for the patient with a holistic approach. Because thanks to holistic patient care; effective communication and cooperation between the patient and the nurse are ensured, and thus, the management of the disease and patient-nurse satisfaction can be ensured by encouraging adherence to treatment. Today, it is emphasized that relaxation techniques have a positive effect on autonomic balance, and when used appropriately and regularly, it is one of the non-pharmacological methods that can be used in anti-asthma treatment and will contribute to recovery. In this article, based on Dossey's Integral Nursing Theory of an asthmatic patient; It is aimed to provide dyspnea management with relaxation exercises and therapeutic communication.

Anahtar Kelimeler

• Barbara Dossey
• Dyspnea
• İntegral Nursing

İntegral Hemşirelik Kuramının Astımlı Olguda Dispne Yönetimine Entegre Edilmesi

Öz

Dispne, astımın en sık görülen ve en önemli semptomlarından birisidir. Dispne yönetiminde farmakolojik tedavi yöntemleri kadar non farmakolojik yöntemler de kullanılabilir. Non farmakolojik tedavi yöntemleri kullanılırken; hastaya bütüncül yaklaşım ile bakım verilmesi önemlidir. Çünkü bütüncül hasta bakımı sayesinde; hasta ve hemşire arasında etkin iletişim ve hasta ile işbirliği kurulması sağlanır ve böylece tedaviye uyumu teşvik edilerek hastalığın yönetimi ve hasta-hemşire memnuniyeti sağlanabilir. Günümüzde gevşeme tekniklerinin otonomik denge üzerinde olumlu bir etkisi olduğu, uygun ve düzenli kullanıldıklarında, anti-astım tedavisinde kullanılabilen non farmakolojik yöntemlerden biri olduğu ve iyileşmeye katkı sağlayacağı vurgulanmaktadır. Bu makalede astımlı bir olgunun Dossey’in İntegral Hemşirelik Kuramı temel alınarak; gevşeme egzersizleri ve terapötik iletişim ile dispne yönetiminin sağlanması amaçlanmıştır.

Anahtar Kelimeler

• Barbara Dossey
• Dispne
• İntegral Hemşirelik

Kaynakça

1. 1. Courtney R., Biland G., Ryan A., Grace S., Gordge R. (2019). Improvements in multi-dimensional measures of dysfunctional breathing in asthma patients after a combined manual therapy and breathing retraining protocol: a case series report. International Journal of Osteopathic Medicine, 31, 36–43. https://doi.org/10.1016/j.ijosm.2019.01.003
2. 2. Dossey B. M. (2008). Theory of integral nursing. Advances in Nursing Science, 31(1), 52–73. https://doi.org/10.1097/01.ANS.0000311536.11683.0a
3. 3. Global Initiative for Asthma. (2021). GINA-Main-Report-2021-V2-WMS.pdf. https://ginasthma.org/wp-content/uploads/2021/05/GINA-Main-Report-2021-V2-WMS.pdf
4. 4. Gustafson C. (2015). Barbara Dossey, PhD, RN: Developing a healing approach in nursing. Integrative Medicine, 14(5), 72–77. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4712872/
5. 5. Jarrin O. (2007). An integral philosophy and definition of nursing. AQAL: Journal of Integral Theory and Practice, 2(4), 79–101. https://opencommons.uconn.edu/son_articles
6. 6. Kapucu S., Yılmaz Kütmeç C. (2018). Kronik hastalıklarda progresif gevşeme egzersizlerinin yararı. F.Ü.Sağ.Bil.Tıp.Derg., 32(2), 111–114.
7. 7. Kartaloğlu, Z. (2011). Astım ve stres arasındaki ilişkiler. Gülhane Medical Journal, 53(4), 304–312.
8. 8. Macêdo T. M. F., Freitas D. A., Chaves G. S. S., Holloway E. A., Mendonça K. M. P. P. (2016). Breathing exercises for children with asthma. Cochrane Database of Systematic Reviews (3), 1–24. https://doi.org/10.1002/14651858.CD011017

9. 9. Marks, L. W. (2013). The emancipatory praxis of integral nursing: The impact of human caring theory guided practice upon nursing qua nursing in an American Nurses Credentialing Center MagnetRTM re-designated healthcare system. [The Sage Colleges School of Health Sciences]. Içinde ProQuest LLC. http://proxygw.wrlc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=109863128&site=ehost-live&scope=site&authtype=ip,uid&custid=s8987071
10. 10. Nickel C., Kettler C., Muehlbacher M., Lahmann C., Tritt K., Fartacek R., Bachler E., Rother N., Egger C., Rother W. K., Loew T. H., Nickel M. K. (2005). Effect of progressive muscle relaxation in adolescent female bronchial asthma patients: A randomized, double-blind, controlled study. Journal of Psychosomatic Research, 59(6), 393–398. https://doi.org/10.1016/j.jpsychores.2005.04.008
11. 11. Özsoy S. A., Çetinkaya, A. (2019). Hemşirelikte kuram geliştirme. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 35, 77–83.
12. 12. Santino T. A., Chaves G. S. S., Freitas D. A., Fregonezi G. A. F., Mendonça K. M. P. P. (2020). Breathing exercises for adults with asthma. Cochrane Database of Systematic Reviews, 3, 1–81. https://doi.org/10.1002/14651858.CD001277.pub4
13. 13. Shea L., Frisch N. C. (2014). Application of integral theory in holistic nursing practice. Holistic Nursing Practice, 28(6), 344–352. https://doi.org/10.1097/HNP.0000000000000050
14. 14. Shea L., Reimer‐Kirkham S., Cavan Frisch N. (2019). Nursing perspectives on integral theory in nursing practice and education: An interpretive descriptive study. Nursing Inquiry, 26(2), e12276. https://doi.org/10.1111/nin.12276
15. 15. Tokem, Y. (2006). The use of complementary and alternative treatment in patients with asthma. Tuberkuloz ve toraks, 54(2), 189–18996.
16. 16. Vempati R., Bijlani R., Deepak K. K. (2009). The efficacy of a comprehensive lifestyle modification programme based on yoga in the management of bronchial asthma: A randomized controlled trial. BMC Pulmonary Medicine, 9, 1–12. https://doi.org/10.1186/1471-2466-9-37
17. 17. Vermeulen F., Garcia G., Ninane V., Laveneziana P. (2016). Activity limitation and exertional dyspnea in adult asthmatic patients: What do we know? Respiratory Medicine, 117, 122–130. https://doi.org/10.1016/j.rmed.2016.06.003
18. 18. Weatherald J., Lougheed M. D., Taillé C., Garcia, G. (2017). Mechanisms, measurement and management of exertional dyspnoea in asthma. European Respiratory Review, 26(144), 170015. https://doi.org/10.1183/16000617.0015-2017