Kaposi Sarkomu Nedeniyle Hematoloji Kliniğinde Yatan HIV (+) Hastanın Orem’in Öz Bakım Eksikliği Kuramına Göre Hemşirelik Yönetimi: Olgu Sunumu

Yıl 2024, , 275 - 283, 25.03.2024

Dilek Eraslan , Asiye Akyol

https://doi.org/10.38108/ouhcd.1235542

Öz

The World Health Organization reported that 38.4 million people were living with HIV in 2021 and 650 thousand people lost their lives due to HIV and viruses. Kaposi's sarcoma is still one of the most common cancers in HIV-infected people. Individuals living with this disease also have many biological, psychological and social needs. The aim of this article is to determine the needs of a young patient with Kaposi's sarcoma who has just been diagnosed with HIV (+) according to Orem Self-Care Deficit Nursing Theory, to perform nursing care and to guide nurses working in the field. Data were collected by face-to-face interviews in the hematology clinic, care was planned, applied and evaluated according to the model. As a result of the theoretical evaluation of the case, the nursing diagnoses of "impaired gas exchange, activity intolerance, excess fluid volume, anxiety, deterioration in body image, lack of knowledge, risk of infection, and deterioration of the oral mucous membrane" were determined. Orem Self-Care Deficit Nursing Theory is a useful model for determining the needs of HIV-positive patients and in the implementation of nursing interventions.

Anahtar Kelimeler

HIV, kaposi sarkomu, orem, öz bakım, hemşirelik

Destekleyen Kurum

Ege Üniversitesi Bilimsel Araştırma Projesi

Proje Numarası

22294

Teşekkür

çalışmaya katılan hasta ve ailesine ve desteklerini esirgemeyen klinik çalışanlarına teşekkürlerimi sunarım.

Nursing Management of the Patient with HIV (+) in the Hematology Clinic for Kaposi’s Sarcoma According to the Orem Self Care Deficit: A Case Report

Öz

The World Health Organization reported that 38.4 million people were living with HIV in 2021 and 650 thousand people lost their lives due to HIV and viruses. Kaposi's sarcoma is still one of the most common cancers in HIV-infected people. Individuals living with this disease also have many biological, psychological and social needs. The aim of this article is to determine the needs of a young patient with Kaposi's sarcoma who has just been diagnosed with HIV (+) according to Orem Self-Care Deficit Nursing Theory, to perform nursing care and to guide nurses working in the field. Data were collected by face-to-face interviews in the hematology clinic, care was planned, applied and evaluated according to the model. As a result of the theoretical evaluation of the case, the nursing diagnoses of "impaired gas exchange, activity intolerance, excess fluid volume, anxiety, deterioration in body image, lack of knowledge, risk of infection, and deterioration of the oral mucous membrane" were determined. Orem Self-Care Deficit Nursing Theory is a useful model for determining the needs of HIV-positive patients and in the implementation of nursing interventions.

Anahtar Kelimeler

HIV, kaposi's sarcoma, orem, self-care, nursing

Proje Numarası

22294

Kaynakça

• Ali BH. (2018). Application of Orem self-care deficit theory on psychiatric patient. Annals of Nursing and Practice, 5(1), 1093-1096.
• Başoğul C, Buldukoğlu K. (2020). Psikiyatrik bakımda Orem'in "Öz Bakım Eksikliği Kuramı"nın kullanımı: olgu sunumu. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 11(4), 729-737.
• Bejarano-Caceres S, Alas-Pineda C, Peiger B, Borjas E. (2020). Kaposi's Sarcoma in HIV Positive Patient: Case Report. Dermatology Case Reports, 5(2), 1-3.
• Çiftçioğlu Ş, Efe E. (2017). Validity and reliability of the oral assessment guide for children and young people receiving chemotherapy. Turkish Journal of Oncology, 32(4), 133-140.
• Deeks SG, Overbaugh J, Phillips A, Buchbinder S. (2015). HIV infection. Nature Reviews, 1, 1-22.
• Dünya Sağlık Örgütü, (2021). HIV data and statistics. Erişim tarihi: 12.01.2023 https://www.who.int/teams/global-hiv-hepatitis-and-stis-programmes/hiv/strategic-information/hiv-data-and-statistics
• Facciola A, Rullo EV, Ceccarelli M, D'aleo F, Rosa MD, Pinzone MR ve ark. (2017). Kaposi’s sarcoma in HIV-infected patients in the era of new antiretrovirals. European Review for Medical and Pharmacological Sciences, 21, 5868-5879.
• Family Health International. (2007). Nursing Care of the Patients with HIV/AIDS. Participant's Guide. Erişim tarihi: 12.01.2023, https://www.fhi360.org/sites/default/files/media/documents/Nursing%20Care%20of% 20Patients%20with%20HIV-AIDS%20-%20Participants%20Guide.pdf
• Hartweg DL. (2015). Dorothea Orem's Self-Care Deficit Nursing Theory. M. C. Smith, M. E. Packer, editors. Nursing Theories and Nursing Practice. Philadelphia: FA Davis Company, p. 105-133.
• Hassan ZM, Wahsheh MA. (2011). Knowledge and attitudes of Jordanian nurses towards patients with HIV/AIDS: findings from a nationwide survey. Issues in Mental Health Nursing, 32, 774-784.
• Kindel ME, Jung W, Witt RR, Costa IG, Lazzari DD, Carballo KB. (2020). Self-care of chronic wounds in the household environment: an analysis from the perspective of Dorothea Orem. Cienc Cuid Saude, 19, 1-8.
• Liu Z, Fang Q, Zuo J, Minhas V., Wood C, Zhang T. (2018). The world-wide incidence of Kaposi’s sarcoma in the HIV/AIDS era. HIV Medicine, 19, 355-364.
• Naz S. (2017). Application of Dorothea Orem's theory into nursing practice. Journal of Rehman Medical Institute, 3(4), 46-50.
• Queiros PJ, Vidinha TS, Filho AJ. (2014). Self-care: Orem’s theoretical contribution to the Nursing discipline and profession. Revista de Enfermagem Referência, 4(3), 157-163.
• Santos MC, Nobrega MM, Silva AO, Bittencourt GK. (2018). Nursing diagnoses for elderly woman vulnerable to HIV/AIDS. Revista Brasileira de Enfermagem, 71(3), 1435-1444.
• Theilgaard ZP, Katzenstein TL, Chiduo MG, Pahl C, Bygbjerg IC, Gerstoft J ve ark. (2011). Addressing the fear and consequences of stigmatization - a necessary step towards making HAART accessible to women in Tanzania:a qualitative study. AIDS Research and Therapy, 8, 28-39.