Current Evidence-Based Practices for Mental Illnesses and Care in Pediatric Oncology Patients

Öz

Cancer, which is often used synonymously with death, pain, and suffering, creates a crisis that causes patients to have a difficult coping period and requires emergency intervention. Researches show that mental illnesses such as anxiety, depression, and post-traumatic stress disorder are quite common in cancer patients. Pediatric and oncology nurses have great responsibilities in the processes of detecting and applying pharmacological and non-pharmacological solutions for mental illnesses that may develop in pediatric cancer patients. Offering evidence-based practices in the care of pediatric oncological patients and disseminating such interventions in the clinics will make significant contributions for improving the quality of life of children and reducing the symptoms of mental illness. Depressive disorders, anxiety disorders, behavioral changes, mood disorders, post-traumatic stress disorders and current practices for the care regarding pediatric cancer patients are included in the present review.

Anahtar Kelimeler

• Child
• nursing
• evidence-based practices
• cancer
• mental illness

Pediyatrik Onkoloji Hastalarında Ruhsal Hastalıklar ve Bakıma Yönelik Kanıta Dayalı Güncel Uygulamalar

Öz

Çoğu kez ölüm, ağrı ve acı çekme ile eş anlamlı olarak kullanılan kanser, hastaların zorlu bir başa çıkma dönemi geçirmesine neden olmakta ve acil müdahale gerektiren bir kriz durumu meydana getirmektedir. Yapılan araştırmalar, kanser hastalarında anksiyete, depresyon, travma sonrası stres bozukluğu gibi ruhsal hastalıkların oldukça yaygın olduğunu göstermektedir. Pediyatrik kanser hastalarında gelişebilecek ruhsal hastalıklarda farmakolojik ve farmakolojik olmayan çözüm yollarının saptanması ve uygulanması süreçlerinde pediyatri ve onkoloji hemşirelerinin büyük sorumlulukları bulunmaktadır. Pediyatrik onkolojik hastaların bakımında kanıta dayalı uygulamaların sunulması ve bu tür müdahalelerin kliniklerde yaygınlaştırılması çocukların yaşam kalitesinin artmasına, ruhsal hastalık belirtilerinin azalmasına önemli katkılar sağlayacaktır. Bu derlemede pediyatrik kanser hastaları açısından depresif bozukluklar, anksiyete bozuklukları, davranış değişiklikleri, duygudurum bozuklukları, travma sonrası stres bozuklukları ve bakıma yönelik güncel uygulamalara yer verilmiştir.

Anahtar Kelimeler

• ruhsal hastalık
• Çocuk
• hemşirelik
• kanıta dayalı uygulamalar
• kanser

Kaynakça

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