ANKİLOZAN SPONDİLİTTE BAKIM YÖNETİMİ

Normal 0 21 false false false MicrosoftInternetExplorer4 OZET Ankilozan spondilit (AS), omurga ve periferik eklemlerin tutuldugu, eklem cevresi yapilarin da katilimi ile ozellikle aksiyal eklemlerde hareket kisitliligi olusturan, kronik, sistemik ve inflamatuar bir hastaliktir. Turkiye’deki prevelansi %0.49 olarak rapor edilen AS temel olarak genc ve erkek yetiskinleri etkilemektedir. Klinik olarak kronik bel agrisi, sabah tutuklugu ve ozurlulukle seyreden hastaligin ilerlemesi ile birlikte iskelet ve iskelet disi bulgular, ileri derecede deformiteler, is gucu kaybi ortaya cikmakta, izleyen surecte psikolojik semptomlar yasanmakta ve yasam kalitesi onemli oranda kotulesmektedir. Hemsireler AS gibi kronik inflamatuar artrit durumlarinin yonetiminde interdisipliner ekip icerisinde onemli rol oynamaktadirlar. Hemsirelerin bakim yonetimindeki amaclari; deformitelerin engellenmesi, eklem hareketliliginin saglanmasi ve korunmasi, agri ve tutuklugun giderilmesi, hastanin; hastaligin gelisimi, evreleri ve tedavisi konularinda bilinclendirilmesi ve tedaviye aktif katilimi konusunda ikna edilmesi, sistemik komplikasyonlarin onlenmesi ve erken donemde taninmasi, yasam kalitesinin arttirilmasi seklindedir. Bu makalede; AS’li hastalarda bakim yonetimi sureci tanilama ve hasta egitimi basliklari altinda aciklanmaya calisilmistir. Anahtar Kelimeler: Ankilozan spondilit, bakim yonetimi, hemsirelik ABSTRACT Ankylosing spondylitis (AS) is a chronic, systemic and inflammatory disease which leads to limited physical activity, particularly in axial joints with variable involvement of peripheral joints and nonarticular structures and causes stiffness in the spine and peripheral joints. The overall prevalance of AS in Turkey is reported as %0.49 and it mainly affects the young and male adults. The disease improves with clinically chronic lumbago, morning stiffness and disability. Then, skeletal and nonskeletal findings, severe deformities and loss of labor force are observed and the following process involves psychological symptoms and deterioration in quality of life. Nurses play an important role in interdisciplinary team related to management of chronic inflammatory arthritis conditions such as AS. The aim of nurses in care management is to prevent and realize deformities and systematic complications at early stage to provide and protect joint activity, to relieve the pain and stiffness, to enlighten the patient about development, stages and treatment of disease and convince them to take part in treatment actively, and to promote quality of life. In this article, care management in patients with AS was explained under the titles of ‘assessment the process’ and ‘patient education’. Keywords: Ankylosing spondylitis, care management, nursing /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Normal Tablo"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;}