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  • Küçük Resim
    Öğe
    Opioid kullanan kanser hastalarında konstipasyonun konfor düzeyine etkisi
    (Ege Üniversitesi, 2022) Deniz, Kezban; Yıldırım, Yasemin
    Amaç: Bu çalışma; opioid kullanan kanser hastalarında görülen konstipasyon şiddetinin konfor düzeyine etkisinin incelenmesi amacıyla planlanmıştır. Gereç ve Yöntem: Araştırmanın örneklemini; Nisan 2021- Haziran 2021 tarihleri arasında Ege Üniversitesi Onkoloji Polikliniğine başvuran veya Onkoloji-Palyatif Bakım Kliniği'nde yatarak tedavi gören, opioid kullanan, örnekleme alınma kriterlerine ve Roma IV Opioide Bağlı konstipasyon tanı kriterlerine uyan 106 birey oluşturmuştur. Çalışma verileri; literatür doğrultusunda oluşturulan Birey Tanılama Formu, ECOG Performans Durumu Ölçeği, Konstipasyon Ciddiyet Ölçeği ve Genel Konfor Ölçeği- Kısa Formu ile toplanmıştır. Bulgular: Çalışmaya katılan bireylerin %69.8'i kadın, %30,2'si erkek hastalardan oluşmaktadır. Hastaların en fazla oran ile %48,1'i 60-84 yaş grubundadır. Bireylerin %33'ünün ECOG performans ölçek puanı 3 ve %22,6'sının 4 puan'dır. KCÖ toplam puanının 48,16±11,79 olduğu, ölçek alt boyutları ise DT puanı 20,80±5,06, KBT puanı 17,98±4,59, Ağrı puanı 9,37±3,66 olduğu saptanmıştır. Genel Konfor Ölçeği toplam puanının 3,53±0,83, Ölçek alt boyutları ise Ferahlama puanının 3,40±0,89, Rahatlama puanının 3,61±0,92 ve Üstünlük puanının 3,59±0,83 olduğu saptanmıştır. Genel konfor puanı ve konstipasyon ciddiyeti puanı arasında negatif yönde ve yüksek düzeyde anlamlı ilişki bulunmuştur (r:-,480 p:,000). Sonuç: Çalışma sonucuna göre; konstipasyon şiddeti arttıkça konfor düzeyinin azaldığı saptanmıştır. Opiod kullanan bireylerde konstipasyon şiddetinin ve konfor düzeyinin düzenli olarak değerlendirilmesi önerilmektedir. Anahtar Kelimeler; Opide bağlı konstipasyon, Konfor, Hemşirelik
  • Küçük Resim Yok
    Öğe
    Symptoms, performance status and quality of life in cancer patients receiving palliative care
    (2022) Sayın Kasar, Kadriye; Yıldırım, Yasemin; Karaman, Emine; Deniz, Kezban
    Aim: The aim of the study was to describe the symptoms experienced by cancer patients receiving palliative care, patients’ performance and the effects on their quality of life. Materials and Methods: This is a descriptive study and was conducted with 106 patients admitted to palliative care unit at a university hospital in Izmir, located in the west of Turkey, between December 2019 and April 2020. For data collection, Patient Information Form, “Eastern Cooperative Oncology Group (ECOG) Performance Status Scale”, “Edmonton Symptom Assessment Scale (ESAS)” and “Functional Assessment of Chronic Illness Therapy-Palliative Care (FACIT-Pal) Scale” were applied. For data analysis, descriptive statistics, Chi-square test, Kruskall Wallis Analysis and linear regression analysis were used. Results: Patients reported that the most common symptoms experienced were fatigue, sense of being unwell, anxiety, sadness (depression) and pain. According to the regression analysis, there was a statistically significant difference between the total quality of life scores of the patients and pain, fatigue and nausea from the patients' ESAS symptoms. The quality of life scores were significantly lower in the patients who were hospitalized, had an advanced disease stage, did not have metastases or did not know their metastases status and had a low performance status ECOG. There was a statistically significant difference between patients' ECOG performance status and quality of life. Conclusion: Patients have multiple symptoms and poor quality of life. Our findings support the importance of symptom assessment and management to improve quality of life.
  • Küçük Resim Yok
    Öğe
    Symptoms, performance status and quality of life in cancer patients receiving palliative care
    (2022) Karaman, Emine; Kasar, Kadriye Sayın; Deniz, Kezban; Yıldırım, Yasemin
    Aim: The aim of the study was to describe the symptoms experienced by cancer patients receiving palliative care, patients’ performance and the effects on their quality of life. Materials and Methods: This is a descriptive study and was conducted with 106 patients admitted to palliative care unit at a university hospital in Izmir, located in the west of Turkey, between December 2019 and April 2020. For data collection, Patient Information Form, “Eastern Cooperative Oncology Group (ECOG) Performance Status Scale”, “Edmonton Symptom Assessment Scale (ESAS)” and “Functional Assessment of Chronic Illness Therapy-Palliative Care (FACIT-Pal) Scale” were applied. For data analysis, descriptive statistics, Chi-square test, Kruskall Wallis Analysis and linear regression analysis were used. Results: Patients reported that the most common symptoms experienced were fatigue, sense of being unwell, anxiety, sadness (depression) and pain. According to the regression analysis, there was a statistically significant difference between the total quality of life scores of the patients and pain, fatigue and nausea from the patients' ESAS symptoms. The quality of life scores were significantly lower in the patients who were hospitalized, had an advanced disease stage, did not have metastases or did not know their metastases status and had a low performance status ECOG. There was a statistically significant difference between patients' ECOG performance status and quality of life. Conclusion: Patients have multiple symptoms and poor quality of life. Our findings support the importance of symptom assessment and management to improve quality of life.