PERİFERİK KÖK HÜCRE NAKLİNDE HASTALARDA GÖRÜLEN ANKSİYETE VE DEPRESYON / Anxiety and Depression in Patıents Undergoing Peripheral Blood Stem Cell Transplantaiıon

OZET Periferik kok hucre nakli yapilan hastalarda nakil sonrasi donemde anksiyete ve depresyon gorulme riski yuksektir. Hastanin anksiyete ve depresyon yasama nedenleri arasinda hastaligin evresi ve tekrari, nakil sonrasi komplikasyonlar ( graft versus host hastaligi , notropeni, agri, mide bulantisi ve kusma gibi kemoterapi yan etkileri), kontrol kaybi, olum korkusu, belirsizlik, aile ve arkadaslarindan ayri kalma, izolasyon, cinsel yetersizlik yer alir. Hemsire hastanin bakiminda hastanin anksiyete ve depresyonla bas etme yontemlerini kullanmayi, hastalik ve tedaviye uyumunu, kemoterapi, radyoterapi ve hastaneye iliskin onceki deneyimini, kok hucre nakli hakkinda bilgisini, donorun istekliligini, aile gibi destek sistemlerini goz onune almasi gereklidir. Anahtar Kelimeler: Periferik kok hucre nakli, anksiyete, depresyon, hemsirelik ABSTRACT Risk of anxiety and depression encountering patients undergoing peripheral blood stem cell transplantation is high at period after transplantation. Among causes of the patient’s anxiety and depression take place their disease phase and fearing relapse, feeling pain, side effect of chemotherapy such as nausea and vomiting, lose of self-control, fearing death, uncertainty, separeting their family or friends, isolation, sexual deficiency. The nurse should consider issues that patient uses method of cope with anxiety and depression, to adaptives her/his treatment and disease, to has previous experience related to chemotherapy, radyotherapy and hospital, to has knowledge about peripheral blood stem cell transplantation, to has support systems as family that donor desire for her/his giving blood stem cell . Keywords: Periferial blood stem cell transplantation, anxiety and depression, nursing