ÜRODİNAMİ KAYNAKLI AĞRI VE ANKSİYETENİN KONTROLÜNDE AROMATERAPİNİN ETKİSİ

Yıl 2023, , 1 - 10, 29.04.2023

Elife Kettaş Dölek , Gülay Altun Uğraş

https://doi.org/10.47115/jshs.1072911

Öz

Ürodinami, mesanenin dolumu ve boşaltımı esnasında alt üriner sistemin işlevi
hakkında fizyolojik veriler elde etmek için çoklu testlerden oluşan tanısal bir
değerlendirme yöntemidir. Ürodinami, idrarda yanma, kanama, ağrı gibi sorunlara
neden olabilmektedir. Bu sorunlar dışında hastanın mesanesine, rektum veya
vajinasına kateter yerleştirilmesi, işlemin invaziv ve travmatize edici bir yöntem
olması, işlem esnasında idrarını yabancı bir kişinin yanında yapma, test boyunca
idrar yapma durumunun gözlenmesi gibi nedenlerden dolayı hastalar utanma,
rahatsızlık, gerginlik, anksiyete ve stres yaşayabilmektedir. Ürodinami sırasında
hastanın stres düzeyindeki artış, sempatik sinir sistemini uyararak mesane kapasitesini
düşürebilmekte ve hastanın ürodinami sonuçlarını etkileyebilmektedir.
Ürodinami işlemi sırasında hastanın ağrı ve anksiyetesini azaltmaya yönelik birçok
farmakolojik ve farmakolojik olmayan girişimler uygulanmaktadır. Aromaterapi,
invaziv girişim öncesi anksiyetesi olan hastalarda tercih edilen farmakolojik olmayan
bir uygulamadır. Aromaterapi, farmasötik yöntemlerle kıyaslandığında; basit,
ucuz, invaziv olmayan ve uygulaması kolay bir yöntemdir. Hemşirelik biliminde
esansiyel yağların kullanılması, hemşirelik felsefesini, teorilerini ve etiğini yansıtmaktadır.
Bu bağlamda konforu sağlamada, stresle başa çıkmada, ağrı ve anksiyeteyi
azaltmada aromaterapinin holistik bir hemşirelik girişimi olarak kullanılabileceği
belirtilmiştir. Klinik aromaterapi, hemşirelik bilimine olduğu kadar, sanatına
da katkı verdiği için hemşireliği güçlendirmektedir. Ancak aromaterapinin hemşirelik
uygulamalarındaki önemli eksikliği bu alandaki bilimsel çalışmaların kanıt
düzeyi yüksek çalışmalara henüz dönüşememiş olmasıdır. Bu derlemenin amacı,
ürodinami işlemi sırasında hastaların yaşadıkları olumsuz duyguların azaltılmasında
aromaterapinin kullanımı ve hemşirelerin sorumluluklarını güncel literatür
eşliğinde aktarmaktır.

Anahtar Kelimeler

Ürodinami, Aromaterapi, Anksiyete, Hemşire

EFFECT OF AROMATHERAPY ON THE CONTROL OF URODYNAMIC PAIN AND ANXIETY

Öz

Urodynamics is a diagnostic evaluation method consisting of multiple tests
to obtain physiological data about the function of the lower urinary tract during
filling and emptying of the bladder. It can cause problems such as urodynamics,
burning in urination, bleeding and pain. Apart from these problems, patients may
experience embarrassment, discomfort, tension, anxiety and stress due to reasons
such as placing a catheter in the patient’s bladder, rectum or vagina, the procedure
being an invasive and traumatizing method, urinating in the presence of a stranger
during the procedure, and observing the urination status during the test. The
increase in the patient’s stress level during urodynamics may decrease the bladder
capacity by stimulating the sympathetic nervous system and may affect the
patient’s urodynamic results.To reduce the patient’s pain and anxiety during the
urodynamic proceduremany pharmacological and non-pharmacological interventionsis
implemented. Aromatherapy is a preferred non-pharmacological practice
in patients with anxiety before invasive procedures. When aromatherapy is compared
to pharmaceutical methods; It is a simple, inexpensive, non-invasive and easy-
to-apply method. The use of essential oils in nursing science reflects nursing philosophy,
theories and ethics. In this context, it has been stated that aromatherapy
can be used as a holistic nursing intervention in providing comfort, coping with
stress, and reducing pain and anxiety. Clinical aromatherapy strengthens nursing
as it contributes to the art of nursing as well as to the science of nursing. However,
the important deficiency of aromatherapy in nursing practices is that scientific studies
in this field have not yet turned into studies with a high level of evidence. This
the purpose of this review is to convey the use of aromatherapy in reducing the
negative emotions experienced by patients during the urodynamic procedure and
the responsibilities of nurses in the light of current literature.

Anahtar Kelimeler

Urodynamics, Aromatherapy, Anxiety, Nurse

Kaynakça

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