Total Abdominal Histerektomi + Bileteral Salfingooferektomi (TAH-BSO) Ameliyatı Olan Hastanın Gordon’un Fonksiyonel Sağlık Örüntülerine Göre Hemşirelik Bakımı: Olgu Sunumu
Abstract
Menopoz, kadınların fiziksel ve psikolojik değişimler yaşadığı önemli bir yaşam evresidir. Menopoz doğal süreçte kendiliğinden ya da cerrahi olarak ortaya çıkabilir. Bu süreçte hemşirelerin kadınların tedavi, bakım ve izleminde önemli rolleri vardır. Bakım ve tedavinin etkinliğini artırmak için model ve kuramların kullanımı oldukça önemlidir. Bu çalışmada bir devlet hastanesine başvuran ve TAH+BSO ameliyatı geçiren bir hasta ameliyat sonrası dönemde dört gün boyunca takip edilmiştir. Hasta için Gordon Fonksiyonel Sağlık Örüntüleri Modeli kapsamında bir bakım süreci oluşturulmuş ve 11 fonksiyonel bakım ihtiyacı belirlenmiştir. Bu örüntüler; sağlık algısı-sağlık yönetimi örüntüsü, beslenme-metabolik örüntü, eliminasyon örüntüsü, aktivite-egzersiz örüntüsü, uyku-dinlenme örüntüsü, bilişsel-algısal örüntü, benlik algısı-benlik kavramı örüntüsü, rol-ilişki örüntüsü, cinsellik-üreme örüntüsü, baş etme-stres toleransı örüntüsü ve inanç-değer örüntüsüdür. Örüntüler kapsamında ağrı, düşme riski, bulantı ve kusma, aktivite intoleransı, yorgunluk, rol ve ilişkilerde bozulma, ölüm kaygısı, stresle etkisiz baş etme, cinsel örüntüde bozulma hemşirelik tanıları konuldu. Olgu sunumu için hastadan sözlü ve yazılı onam alınmıştır. Bu çalışma ile Gordon fonksiyonel sağlık örüntüleri modelinin hastaya verilen bakımda yararlı olduğu sonucuna ulaşılmıştır. Bu anlamda modelin jinekoloji ve onkoloji alanlarında hasta bakımında kullanılması verilen hemşirelik bakımının etkinliğini artırmada faydalı olacaktır.
Ethical Statement
The patient and her family were informed about the study and necessary verbal and written consents were obtained.
References
- Ackley, B.J, Ladwig, G.B., & Makic, M.B.F. (2019). Handbook of Nursing Diagnoses Evidence-Based Guide in Care Planning. 11th Edition. (Translated by Gürhan N, Fidancı BE, Polat ÜG.). Ankara Nobel Medical Bookstores, pp. 1-1016.
- Aksu, A., Buldum, A., & Yılmaz, D. V. (2021). Evaluation of a Patient with Pelvic Organ Prolapse and Stress Urinary Incontinence According to Gordon's Functional Health Patterns Model: Case Report. Journal of Midwifery and Health Sciences, 4(2), 195-203.
- Comparetto, C., & Borruto, F. (2023). Treatments and Management of Menopausal Symptoms: Current Status and Future Challenges. OBM Geriatrics, 7(3), 1-47.
- Córdoba Iñesta, A. I., Ortí Notari, P., & Gfellner, B. M. (2023). Knowledge, attitudes and experiences of menopause among ‘early’ and ‘on-time’ women. Quality in Ageing and Older Adults, 24(1/2), 30-41.
- Duman, N.B. & Vural, G., (2023). Gynaecological Oncology Nursing. Nobel Medicine Bookstore.
- Erbaş, N., & Demirel, G. (2016). A Model in the Evaluation of Women's Health: Functional Health Patterns. GÜSBD 5(2): 84-91.
- GLOBAL (2024). Global Cancer Data. https://gco.iarc.who.int/today Access date: 01.04.2024.
- Günay, A., Türkmen, N., Kılıçkaya, H., Karahan, A., ve Aydoğan, C. (2021). Nursing Care of a Patient Followed in the Intensive Care Unit in the Acute Period After Electrical Burn According to Gordon’s Functional Health Patterns Model: A Case Study. Supported By, 192.
- Karadağ, A., Çalışkan, N., & Baykara, Z. G. (2017). Nursing Theories and Models. Istanbul: Akademi Press and Publishing.
- Karpuz, A. A., Kaya, S. P., & Şahin, S. (2023). Evaluation of the Patient Diagnosed with Pelvic Relaxation According to Gordon's Functional Health Patterns Model: Case Report. Izmir Katip Celebi University Journal of Faculty of Health Sciences, 8(2), 879-885.
- Nanda International, Inc. (2018). Bylaws of NANDA International, Inc. https://ar.israa.edu.ps/uploads/documents/2020/02/4gcM0.pdf.
- Polat, F., & Geçici, F. (2021). Menopause through the Eyes of Women in Menopause Period: A Qualitative Research Example. Turkish Journal of Family Medicine and Primary Care, 15(4), 809-817.
- Wilkinson, P.M., & Barcus, L. (2018). Pearson handbook of nursing diagnoses. 11th Edition. Kapucu S, Akyar İ, Korkmaz F, editors. Ankara: Pelikan Publishing House.
- Zanotti, R. & Chiffi, D. (2015). Diagnostic frameworks and nursing diagnoses: a normative stance. Nursing Philosophy, 16(1), 64-73.
Nursing Care of a Patient with Total Abdominal Hysterectomy + Bileteral Salfingooferectomy (TAH+BSO) According to Gordon's Functional Health Patterns Case Report
Abstract
Menopause is an important life stage in which women experience physical and psychological changes. Menopause can occur spontaneously in the natural process or surgically. In this process, nurses have important roles in the treatment, care and follow-up of women. The use of models and theories is very important to increase the effectiveness of care and treatment. In this study, a patient who applied to a state hospital and underwent TAH+BSO surgery was followed up for four days in the postoperative period. A care process was created for the patient within the scope of the Gordon Functional Health Patterns Model, and 11 functional care needs were determined. These patterns are health perception-health management pattern, nutritional-metabolic pattern, elimination pattern, activity-exercise pattern, sleep-rest pattern, cognitiveperceptual pattern, self-perception-self-concept pattern, role-relationship pattern, sexuality-reproductive pattern, coping-stress tolerance pattern, and belief- value pattern.Within the scope of patterns, nursing diagnoses of pain, fall risk, nausea and vomiting, activity intolerance, fatigue, deterioration in roles and relationships, death anxiety, ineffective coping with stress, deterioration in sexual pattern were made. Verbal and written consent was obtained from the patient for the case report. With this study, it was concluded that Gordon functional health patterns model was useful in the care given to the patient. In this sense, the use of the model in patient care in the fields of gynaecology and oncology will be beneficial in increasing the effectiveness of the nursing care provided.
References
- Ackley, B.J, Ladwig, G.B., & Makic, M.B.F. (2019). Handbook of Nursing Diagnoses Evidence-Based Guide in Care Planning. 11th Edition. (Translated by Gürhan N, Fidancı BE, Polat ÜG.). Ankara Nobel Medical Bookstores, pp. 1-1016.
- Aksu, A., Buldum, A., & Yılmaz, D. V. (2021). Evaluation of a Patient with Pelvic Organ Prolapse and Stress Urinary Incontinence According to Gordon's Functional Health Patterns Model: Case Report. Journal of Midwifery and Health Sciences, 4(2), 195-203.
- Comparetto, C., & Borruto, F. (2023). Treatments and Management of Menopausal Symptoms: Current Status and Future Challenges. OBM Geriatrics, 7(3), 1-47.
- Córdoba Iñesta, A. I., Ortí Notari, P., & Gfellner, B. M. (2023). Knowledge, attitudes and experiences of menopause among ‘early’ and ‘on-time’ women. Quality in Ageing and Older Adults, 24(1/2), 30-41.
- Duman, N.B. & Vural, G., (2023). Gynaecological Oncology Nursing. Nobel Medicine Bookstore.
- Erbaş, N., & Demirel, G. (2016). A Model in the Evaluation of Women's Health: Functional Health Patterns. GÜSBD 5(2): 84-91.
- GLOBAL (2024). Global Cancer Data. https://gco.iarc.who.int/today Access date: 01.04.2024.
- Günay, A., Türkmen, N., Kılıçkaya, H., Karahan, A., ve Aydoğan, C. (2021). Nursing Care of a Patient Followed in the Intensive Care Unit in the Acute Period After Electrical Burn According to Gordon’s Functional Health Patterns Model: A Case Study. Supported By, 192.
- Karadağ, A., Çalışkan, N., & Baykara, Z. G. (2017). Nursing Theories and Models. Istanbul: Akademi Press and Publishing.
- Karpuz, A. A., Kaya, S. P., & Şahin, S. (2023). Evaluation of the Patient Diagnosed with Pelvic Relaxation According to Gordon's Functional Health Patterns Model: Case Report. Izmir Katip Celebi University Journal of Faculty of Health Sciences, 8(2), 879-885.
- Nanda International, Inc. (2018). Bylaws of NANDA International, Inc. https://ar.israa.edu.ps/uploads/documents/2020/02/4gcM0.pdf.
- Polat, F., & Geçici, F. (2021). Menopause through the Eyes of Women in Menopause Period: A Qualitative Research Example. Turkish Journal of Family Medicine and Primary Care, 15(4), 809-817.
- Wilkinson, P.M., & Barcus, L. (2018). Pearson handbook of nursing diagnoses. 11th Edition. Kapucu S, Akyar İ, Korkmaz F, editors. Ankara: Pelikan Publishing House.
- Zanotti, R. & Chiffi, D. (2015). Diagnostic frameworks and nursing diagnoses: a normative stance. Nursing Philosophy, 16(1), 64-73.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | April 30, 2025 |
| Submission Date | October 22, 2024 |
| Acceptance Date | April 3, 2025 |
| Published in Issue | Year 2025Volume: 10 Issue: 1 |
The Journal of Sivas Cumhuriyet University Institute of Health Sciences is an international, peer-reviewed scientific journal published by Sivas Cumhuriyet University, Institute of Health Sciences.