An Important Problem After Colorectal Cancer Surgery: Fecal Incontinence

Yıl 2020, Cilt: 3 Sayı: 1, 36 - 43, 30.04.2020

Dilek Aktaş Sema Koçaşlı

https://doi.org/10.38108/ouhcd.712645

Cited By: 1

Öz

With the increasing number
of patients diagnosed with colorectal cancer in recent years, the rate of
colorectal surgery is gradually increasing. Bowel dysfunction that occurs due
to cancer treatment causes to defecation problems.

The problem that we
frequently encounter after colorectal surgery is fecal incontinence.
Individuals who encounter this problem have a sense of stigma, shame, loss of
control, and anxiety related to reach the toilet. For this reason, individuals
are afraid to share their fecal incontinence with other individuals around them
and healthcare professionals. They move away from social environments. Moving
away from social environments, changes in lifestyle and psychological problems
negatively affect their quality of life. Therefore, the severity of fecal
incontinence should be determined and treated as soon as possible. Pelvic floor
exercises, biofeedback, electrical stimulation, dietary regulations and drug
treatments are recommended for the treatment of fecal incontinence.

The nurse plays a key role
in determining the high-risk patients and appropriate treatment options in this
case which associated with colorectal surgery. At the same time, nurses take an
actively involved in coping with physical-psychosocial problems, in the
regulation of lifestyle, and in the regulation of excretory habits of
individuals with fecal incontinence problems. It assumes the role of education,
counseling, and care of patients. Nurses play the role of education, counseling
and care of patients.

Anahtar Kelimeler

Colorectal Cancer, Surgery, Fecal Incontinence, Nursing

Kolorektal Kanser Cerrahisi Sonrası Önemli Bir Sorun: Fekal İnkontinans

Öz

Son yıllarda kolorektal kanser tanısı konan
hasta sayısının artması ile birlikte kolorektal cerrahi oranı da giderek
artmaktadır. Kanser tedavisine bağlı olarak ortaya çıkan bağırsak disfonksiyonu
bireylerin defekasyon sorunları ile karşı karşıya kalmasına neden olmaktadır.

Kolorektal cerrahi sonrası sıklıkla karşımıza
çıkan sorun fekal inkontinanstır. Bu sorunla karşılaşan bireyler damgalanma,
utanma, kontrol kaybı duygusu, tuvalete yetişememe endişesi taşımaktadır.  Bu nedenle de bireyler fekal inkontinas
yaşadığını çevresindeki diğer bireylerle ve sağlık profesyoneli ile
paylaşmaktan çekinmekte ve sosyal ortamlardan uzaklaşmaktadırlar. Sosyal
ortamlardan uzaklaşmak, yaşam tarzında meydana gelen değişiklikler ve
psikolojik sorunlar, bireylerin yaşam kalitesini olumsuz yönde etkilemektedir.
Bu nedenle fekal inkontinans şiddetinin en kısa sürede belirlenmesi ve tedavi
edilmesi gerekmektedir. Fekal inkontinans tedavisi için pelvik taban
egzersizleri, biyofeedback, elektrik stimulasyonu, diyet düzenlemeleri ve ilaç
tedavileri önerilmektedir.

Kolorektal cerrahiye bağlı olarak görülen bu
durumda yüksek risk grubundaki hastaların ve uygun tedavi seçeneklerinin
belirlenmesinde hemşire anahtar rol oynamaktadır. Aynı zamanda hemşireler fekal
inkontinans sorunu yaşayan hastaların fiziksel-psikososyal
sorunlar ile baş etmesinde, yaşam şeklinin düzenlenmesinde, boşaltım
alışkanlıklarının düzenlenmesinde aktif rol oynamaktadır. Hemşire hastaların
eğitim, danışmanlık, bakım rollerini üstlenmektedir. 

Anahtar Kelimeler

kolorektal kanser, cerrahi, fekal inkontinans, hemşirelik

Kaynakça

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