Jinekolojik Kanserlerde ERAS Protokolü Çerçevesinde Güncel Hemşirelik Yaklaşımı

Yıl 2022, Cilt 25, Sayı 2, 106 - 110, 30.06.2022

Ebru BEKMEZCİ Halime Esra MERAM

Öz

Kadın genital organlarının malign hastalığı olan jinekolojik kanserlerin kadın sağlığı üzerinde yarattığı olumsuz etkilerin yanında, beden imajı, cinsel işlev ve üreme yeteneği de dahil birçok fonksiyonda değişikliklere neden olması bu hastalara bakım veren hemşirelerin sorumluluğunu artırmaktadır. Jinekolojik kanser tanısı almış kadınlara verilecek bakımda gereklilik olarak gösterilen cerrahi sonrası hızlandırılmış iyileşme protokolünün [Enhanced Recovery After Surgery (ERAS)] benimsenmesi, kullanılması ve yaygınlaştırılması verilen bakım kalitesinin artması açısından önem taşımaktadır. Bu amaçla derlemede jinekolojik kanserlerde ERAS protokolü çerçevesinde uygulanan güncel hemşirelik yaklaşımı ele alınmıştır.

Anahtar Kelimeler

Kanıta dayalı uygulamalar, jinekolojik hastalıklar, hemşirelik bakımı

Current Nursing Approach in Gynecological Cancers Within the Framework of ERAS Protocol

Öz

Gynecological cancers, which are malignant diseases of female genital organs, in addition to negative effects on women’s health, cause changes in many functions, including body image, sexual function and reproductive ability, increasing the responsibility of nurses who care for these patients. The adoption, use, and dissemination of the Enhanced Recovery After Surgery (ERAS) protocol, which is shown as a necessity in the care to be given to women diagnosed with gynecological cancer, is important in terms of increasing the quality of care. In this review, the current nursing approach applied within the framework of the ERAS protocol in gynecological cancers was discussed.

Anahtar Kelimeler

Evidence-based practice, gynecologic diseases, nursing care

Kaynakça

• 1. Paşalak Şİ, Seven M. Onkolojide genetik gelişmeler ve hemşirenin rollerine etkisi. Hemşirelikte Eğitim ve Araştırma. 2017;14(3):212-217.
• 2. Şahin Ö, Ayaz U, Özdemir SM. Epigenetik ve kanser. Madde, Diyalektik ve Toplum. 2019;2(1):94-103.
• 3. Sağlık Bakanlığı TC. Türkiye Halk Sağlığı Kurumu Kanser Daire Başkanlığı. Türkiye Kanser Kontrol Programı. 2016. Erişim Adresi: https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/yayinlar/Kitaplar/ TURKIYE_KANSER_KONTROL_PROGRAMI_2016.pdf. Erişim Tarihi: 10.04.2021
• 4. Buckley L, Robertson S, Wilson T, Sharpless J, Bolton S. The role of the specialist nurse in gynaecological cancer. Curr Oncol Rep. 2018;20(10):83. [CrossRef]
• 5. WHO. World Cancer Report 2020. https://www.iarc.who.int/cards_ page/world-cancer-report Erişim Tarihi: 12.04.2021.
• 6. Dal NA, Ertem G. Jinekolojik kanserler farkındalık ölçeği geliştirme çalışması. Itobiad J Hum Soc Sci Res. 2017;6(5):2351-2367.
• 7. Wickenbergh E, Nilsson L, Bladh M, Kjølhede P, Wodlin NB. Agreements on perceived use of principles for enhanced recovery after surgery between patients and nursing staff in a gynecological ward. Eur J Obstet Gynecol Reprod Biol. 2020;250:216-223. [CrossRef]
• 8. Nelson G, Bakkum-Gamez J, Kalogera E, et al. Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations-2019 update. Int J Gynecol Cancer. 2019;29(4):651-668. [CrossRef]
• 9. ACOG. Perioperative pathways: Enhanced recovery after surgery. Committee opinion no. 750. Obstet Gynecol. 2018;132(3):801-802. [CrossRef]
• 10. Bajsová S, Klát J. ERAS protocol in gynecologic oncology. Ceska Gynekol. 2019;84(5):376-385.
• 11. Jensen BT. Organization factors in the ERAS bladder cancer pathway: The multifarious role of the ERAS nurse, why and what is important? Semin Oncol Nurs. 2021;37(1):151106. [CrossRef]
• 12. Gustafsson UO, Scott MJ, Hubner M, et al. Guidelines for perioperative care in elective colorectal surgery: Enhanced recovery after surgery (ERAS(®)) society recommendations: 2018. World J Surg. 2019;43(3):659-695. [CrossRef]
• 13. Cook O, McIntyre M, Recoche K, Lee S. “Our nurse is the glue for our team” - Multidisciplinary team members' experiences and perceptions of the gynecological oncology specialist nurse role. Eur J Oncol Nurs. 2019;41:7-15. [CrossRef]
• 14. Li J, Huang J, Zhang J, Li Y. A home-based, nurse-led health program for postoperative patients with early-stage cervical cancer: A randomized controlled trial. Eur J Oncol Nurs. 2016;21:174-180. [CrossRef]
• 15. Okumuş H, Çiçek Ö, Tokat MA. Jinekolojik onkoloji hemşireliğinde güncel durum. Kadın Sağlığı Hemşireliği Derg. 2015;2(2):1-12
• 16. Aksoy A, Yılmaz VD. Jinekolojik cerrahide kanıta dayalı uygulamalarda yeni bir yaklaşım. ERAS Protokolü ve Hemşirelik. Turkiye Klinikleri J Nurs Sci. 2018;10(1):49-58.
• 17. Miralpeix E, Nick AM, Meyer LA, et al. A call for new standard of care in perioperative gynecologic oncology practice: Impact of enhanced recovery after surgery (ERAS) programs. Gynecol Oncol. 2016;141(2):371-378. [CrossRef]
• 18. Miralpeix E, Mancebo G, Gayete S, Corcoy M, Solé-Sedeño JM. Role and impact of multimodal prehabilitation for gynecologic oncology patients in an enhanced recovery after surgery (ERAS) program. Int J Gynecol Cancer. 2019;29(8):1235-1243. [CrossRef]
• 19. Scheib SA, Thomassee M, Kenner JL. Enhanced recovery after surgery in gynecology: A review of the literature. J Minim Invasive Gynecol. 2019;26(2):327-343. [CrossRef]
• 20. Bogani G, Sarpietro G, Ferrandina G, et al. Enhanced recovery after surgery (ERAS) in gynecology oncology. Eur J Surg Oncol. 2021;47(5):952-959. [CrossRef]
• 21. Anand M, Trabuco E. Enhanced recovery after gynecologic surgery: components and implementation. UptoDate; 2021. https://www. uptodate.com/contents/enhanced-recovery-after-gynecologic-surgerycomponents-and-implementation Erişim Tarihi: 15.04.2021.
• 22. Bilgiç D, Yağcan H, Güler B, Aypar NN. Jinekolojik cerrahide ameliyat öncesi ve sonrası kanıta dayalı bakım uygulamaları. Sağlık Akademisyenleri Derg. 2019;6(2):114-121.
• 23. Nelson G, Altman AD, Nick A, et al. Guidelines for pre- and intraoperative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS®) society recommendations–Part I. Gynecol Oncol. 2016;140(2):313-322. [CrossRef]
• 24. Stefura T, Droś J, Kacprzyk A, et al. Influence of preoperative weight loss on outcomes of bariatric surgery for patients under the enhanced recovery after surgery protocol. Obes Surg. 2019;29(4): 1134-1141. [CrossRef]
• 25. Nielsen LV, Nielsen MS, Schmidt JB, Pedersen SD, Sjödin A. Efficacy of a liquid low-energy formula diet in achieving preoperative target weight loss before bariatric surgery. J Nutr Sci. 2016;5:e22. [CrossRef]
• 26. Kim S, McClave SA, Martindale RG, Miller KR, Hurt RT. Hypoalbuminemia and clinical outcomes: What is the mechanism behind the relationship? Am Surg. 2017;83(11):1220-1227. [CrossRef]
• 27. Pache B, Grass F, Hübner M, Kefleyesus A, Mathevet P, Achtari C. Prevalence and consequences of preoperative weight loss in gynecologic surgery. Nutrients. 2019;11(5):1094. [CrossRef]
• 28. Xu J, Sun X, Xin Q, et al. Effect of immunonutrition on colorectal cancer patients undergoing surgery: A meta-analysis. Int J Colorectal Dis. 2018;33(3):273-283. [CrossRef]
• 29. Mariette C. Immunonutrition. J Visc Surg. 2015;152(1):14-17.
• 30. Mann W. Overview of preoperative evaluation and preparation for gynecologic surgery. UptoDate 2021. https://www.uptodate.com/ contents/overview-of-preoperative-evaluation-and-preparationfor-gynecologic-surgery Erişim Tarihi: 15.04.2021.
• 31. Weimann A, Braga M, Carli F, et al. ESPEN guideline: Clinical nutrition in surgery. Clin Nutr. 2017;36(3):623-650. [CrossRef]
• 32. Bisch S, Nelson G, Altman A. Impact of nutrition on enhanced recovery after surgery (ERAS) in gynecologic oncology. Nutrients. 2019;11(5):1088. [CrossRef]
• 33. Altman AD, Robert M, Armbrust R, et al. Guidelines for vulvar and vaginal surgery: Enhanced recovery after surgery society recommendations. Am J Obstet Gynecol. 2020;223(4):475-485. [CrossRef]
• 34. Gelman D, Gelmanas A, Urbanaitė D, et al. Role of multimodal analgesia in the evolving enhanced recovery after surgery pathways. Med (Kaunas Lith). 2018;54(2):20. [CrossRef]
• 35. Tan M, Law LS, Gan TJ. Optimizing pain management to facilitate enhanced recovery after surgery pathways. Can J Anaesth. 2015;62(2):203-218. [CrossRef]
• 36. Güngördük K, Özdemir İA, Güngördük Ö, Gülseren V, Gokçü M, Sancı M. Effects of coffee consumption on gut recovery after surgery of gynecological cancer patients: A randomized controlled trial. Am J Obstet Gynecol. 2017;216(2):145.e1-145.e7. [CrossRef]
• 37. Vergara-Fernandez O, Gonzalez-Vargas AP, Castellanos-Juarez JC, Salgado-Nesme N, Sanchez-Garcia Ramos E. Usefulness of gum chewing to decrease postoperative ileus in colorectal surgery with primary anastomosis: A randomized controlled trial. Rev Invest Clin. 2016 Nov-Dec;68(6):314-318.
• 38. Kang E, Gillespie BM, Tobiano G. Chaboyer W. Discharge education delivered to general surgical patients in their management of recovery post discharge: A systematic mixed studies review. Int J Nurs Stud. 2018 Nov;87:1-13