Demanslı Bireylerde Çevreye ve Tedaviye Uyum

Yıl 2023, Cilt: 5 Sayı: 3, 432 - 441, 25.12.2023

Ayla Demirtaş Merve Çakıcı Esra Atakul Emine Özer Küçük Fatma İlknur Çınar

Öz

Demanslı bireyler bilişsel, davranışsal durum değişiklikleri ve günlük yaşam aktivitelerini yerine getirmede uyum problemleri yaşayabilir. Kullanılan tedaviler hastalığın seyrini yavaşlatmaya ve ortaya çıkan semptomları azaltmaya yöneliktir. Demansı olan bireylerin çevresine ve tedaviye olan uyumu oldukça zor ve streslidir. Eğer uyum sağlanamazsa bireyler istenmeyen durumlarla sıklıkla karşılaşabilir. Bu nedenle demanslı bireyin çevre düzenlemesinin yapılması ve tedaviye uyumlarının sağlanması hemşirelerin öncelikle ele alması gereken sorunlardandır. Hemşireler bu hastalara yaşam kalitesini arttırıcı ve öz bakımlarını destekleyici bakım vermelidirler. Hemşireler bir yandan hastanın yönetimini sağlarken, öte yandan, aileye, demanslı bireyin uyumunu artırması gereken konularda bilgi vermelidir. Bu makalede demanslı bireyin çevresine ve tedavisine uyumu artırmada neler yapılabileceği konusu literatür doğrultusunda tartışılmıştır. Tartışma, demanslı bireyin çevresine uyumu ve tedaviye uyumu şeklinde iki ana başlık altında ele alınmıştır. Çevreye uyum; uyumun önemi, demans dostu çevre ve tasarlama prensipleri, demanslı bireyler için yapılması gereken fiziki çevre düzenlemeleri, demanslı bireyin sosyal çevresine uyumu ve demanslı bireyin aile çevresine uyumu konularında tartışılmıştır. Tedaviye uyum ise; demanslı bireyin tedaviye uyumu ve tedavide uyumu artırmaya yönelik stratejilerin neler olduğu konusu tartışılmıştır.

Anahtar Kelimeler

Demans, Hemşirelik Bakımı, Uyum

Compliance with The Environment and Treatment in People with Dementia

Öz

Individuals with dementia may experience changes in cognitive and behavioral status and adaptation problems in performing activities of daily living. The treatments used are aimed at slowing the course of the disease and reducing the emerging symptoms. The adaptation of individuals with dementia to their environment and treatment is very difficult and stressful. If adaptation cannot be achieved, individuals may encounter undesirable situations frequently. For this reason, setting the environment for the individuals with dementia and ensuring their adherence with the treatment are among the problems that nurses should address. Nurses should provide supportive care to these patients to improve their quality of life and self-care. While providing the management of the patient, on the one hand, nurses should also provide the family with information that will increase the adaptation of the individual with dementia. The discussion was handled under two main headings: adaptation of the individual with dementia to his environment and compliance with treatment. Adaptation to the environment; the importance of adaptation, dementia-friendly environment and design principles, physical environmental arrangements that should be made for individuals with dementia, the adaptation of the person with dementia to the social environment and the adaptation of the person with dementia to the family environment are discussed. Compliance with treatment; The subject of adherence to treatment of the individual with dementia and strategies to increase adherence to treatment were discussed.

Anahtar Kelimeler

Dementia, Nursing Care, Adaptation

Kaynakça

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