EFFECTIVENESS OF MINDFULNESS-BASED INTERVENTIONS IN CANCER PATIENTS AND THE ROLE OF THE PSYCHIATRIC NURSE: LITERATURE REVIEW

Yıl 2024, Cilt: 3 Sayı: 3, 178 - 190, 31.12.2024

Kübra Dakdevir , Hilal Altundal Duru

https://doi.org/10.59778/sbfdergisi.1520016

Öz

The concept of mindfulness was first defined by Kabat-Zinn in 1979 and is the act of paying attention to the present moment without judgment and with a certain intention, and noticing what is happening in this moment as it is. It is known that mindfulness-based interventions, in addition to their effects on quality of life and mental health, are also effective on individuals with physical diseases. It has been determined that mindfulness-based interventions on cancer, one of these physical diseases, reduce psychological distress such as depression, anxiety, fear of death and stress, and lead to positive changes such as post-traumatic growth and improved quality of life. These results emphasize the importance of mindfulness-based interventions to reduce physical and psychological symptoms of cancer patients, manage treatment side effects, and maintain their well-being. At the same time, with mindfulness, individuals diagnosed with cancer can develop more active coping skills against the process, strengthen their psychological well-being and increase their self-efficacy. In this review, we tried to focus on the effectiveness of mindfulness-based interventions in cancer patients and the role of the psychiatric nurse. Psychiatric nurses stand out with their role in this process and can guide patients in the cancer process to focus on their experiences with awareness and make sense of their lives. Within the framework of the literature review, it was observed that mindfulness-based intervention programs for cancer patients were limited and more research was needed in this field.

Anahtar Kelimeler

Mindfulness, Cancer, Nursing, Psychiatric nursing

Etik Beyan

*Bildiriler: Bu çalışma sırasında, araştırma konusuyla doğrudan bağlantısı olan herhangi bir ilaç firmasından veya tıbbi alet ve malzeme sağlayan veya üreten bir firmadan, bu çalışmanın değerlendirme sürecini olumsuz etkileyebilecek herhangi bir maddi veya manevi destek alınmamıştır. Bu çalışma ile ilgili olarak yazarların ve/veya aile bireylerinin çıkar çatışması potansiyeli olabilecek bilimsel ve tıbbi komite üyeliği veya üyeleri ile ilişkisi, danışmanlık, bilirkişilik, herhangi bir firmada çalışma durumu, hissedarlık ve benzer durumları yoktur. Fikir/Konsept: K.D., H.A.D.; Tasarım: K.D., H.A.D.; Kontrol/Denetim: K.D., H.A.D.; Veri Toplanması ve/veya İşlemesi: K.D., H.A.D.; Analiz ve/veya Yorum: K.D., H.A.D.; Literatür Taraması: K.D., H.A.D.; Makaleyi Yazan: K.D., H.A.D.; Eleştirel İnceleme: K.D., H.A.D..

Kanser Hastalarında Bilinçli Farkındalık Temelli Müdahalelerin Etkinliği ve Psikiyatri Hemşiresinin Rolü: Literatür Derlemesi

Öz

Bilinçli farkındalık (mindfulness) kavramı, ilk kez Kabat-Zinn tarafından 1979 yılında tanımlanmış olup, dikkatin şimdi ana yargısızca ve belli bir niyet ile getirilerek bu anın içerisinde olup bitenin olduğu haliyle farkedilmesidir. Mindfulness temelli müdahalelerin yaşam kalitesi ve ruhsal sağlık üzerindeki etkilerinin yanı sıra, fiziksel hastalıklara sahip bireyler üzerinde de etkili olduğu bilinmektedir. Bu fiziksel hastalıklardan biri olan kanser üzerinde yapılan mindfulness temelli müdahalelerin depresyon, anksiyete, ölüm korkusu ve stres gibi psikolojik sıkıntıları azaltması ve travma sonrası gelişim gibi olumlu değişimlere ve yaşam kalitesinin iyileştirmesine yol açtığı belirlenmiştir. Bu sonuçlar, kanser hastalarının fiziksel ve psikolojik semptomlarını azaltılması, tedavi yan etkilerinin yönetilmesi ve iyilik hallerinin korunması için mindfulness temelli müdahalelerin önemini vurgulamaktadır. Aynı zamanda mindfulness ile kanser tanısı almış bireylerin, sürece karşı daha aktif baş etme becerileri geliştirebilmekte, psikolojik iyi oluşunu güçlendirebilmekte ve öz yeterliliğini arttırabilmektedir. Bu derlemede ile kanser hastalarında mindfulness temelli müdahalelerin etkinliği ve psikiyatri hemşiresinin rolünün üzerinde durulmaya çalışılmıştır. Psikiyatri hemşireleri, bu süreçteki rolleriyle ön plana çıkmakta olup kanser sürecindeki hastaların farkındalıkla deneyimlerine odaklanmalarına ve yaşamlarını anlamlandırmalarına rehberlik edebilmektedirler. Yapılan literatür taraması çerçevesinde erişilebilen kaynaklarda, kanser hastalarında mindfulness temelli müdahale programlarının sınırlı olduğu ve bu alanda daha fazla araştırma yapılmasına ihtiyaç duyulduğu gözlemlenmiştir.

Anahtar Kelimeler

Bilinçli Farkındalık, Kanser, Hemşirelik, Psikiyatri Hemşireliği

Kaynakça

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