Lajšanje kronične utrujenosti pri bolnikih z rakom : diplomsko delo

Tomić, Tatjana (author), Bobnar, Albina (mentor), Ovijač, Darja (reviewer)

Uvod: Kronična utrujenost je pogost simptom pri bolnikih z rakom zaradi zdravljenja in/ali bolezni. Bolniki opisujejo kronično utrujenost kot zelo obremenjujoč simptom, ki vztraja mesece ali celo leta po zdravljenju. Za njih le-ta predstavlja breme, ki vpliva na njihov vsakdan in medosebne odnose. Lajšati jo je mogoče z različnimi nefarmakološkimi in farmakološkimi pristopi. Namen: Namen diplomskega dela je predstaviti možnosti lajšanja kronične utrujenosti pri bolnikih z rakom. Metode dela: V diplomskem delu je uporabljena deskriptivna metoda dela s pregledom literature, iskane v podatkovnih bazah CINAHL, PubMed, ScienceDirect, s pomočjo oddaljenega dostopa digitalne knjižnice v Ljubljani (DiKUL) in s pomočjo Kooperativnega online bibliografskega sistema (COBISS.SI). Zbiranje literature je potekalo od januarja 2020 do maja 2020. V analizo je bilo vključenih 17 člankov. Moč dokazov analiziranih raziskav je bila ovrednotena s 4-stopenjsko lestvico. Rezultati so predstavljeni v tabelah in opisno. Rezultati: Ugotovili smo, da je kronična utrujenost eden najpogostejših in najbolj obremenjujočih simptomov, ki jih imajo bolniki z rakom. Pristopi lajšanja kronične utrujenosti, kot so telesna aktivnost, joga, akupunktura, glasbena terapija in guarana, so se izkazali kot bolj učinkoviti od farmakoloških pristopov (zdravljenje s psihostimulansi in kortikosteroidi, dodajanje vitamina C intravenozno). Pri telesni aktivnosti, akupunkturi in ostalih pristopih so bolniki z rakom opazili izboljšanje kronične utrujenosti že po dveh tednih. Vsem bolnikom z rakom je potrebno najprej ponuditi možnosti lajšanja kronične utrujenosti z nefarmakološkimi pristopi in jih dopolniti s farmakološkimi le pri hudi obliki. Razprava in zaključek: Bolniki z rakom, ki trpijo za kronično utrujenostjo, so brez energije in velikokrat o tem neinformirani. Gre za kompleksen in zahteven problem, ki vpliva na kakovost življenja. Na področju lajšanja kronične utrujenosti pri bolnikih z rakom je bilo izvedenih veliko raziskav, ki so pokazale pomembne ugotovitve, ki jih je mogoče uporabiti tudi pri izvajanju zdravstvene nege in s tem na področju njenega lajšanja izboljšati počutje ter kakovost življenja bolnikov z rakom.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, ocenjevanje, nefarmakološko zdravljenje, farmakološko zdravljenje, kakovost življenja
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [T. Tomić]
• Year: 2021
• Number of pages: 43 str.
• PID: 20.500.12556/RUL-130266
• UDC: 616-083
• COBISS.SI-ID: 76110339
• Publication date in RUL: 12.09.2021

Secondary language

• Language: English
• Title: Relieve chronic fatigue in cancer patients : diploma work

Abstract

Introduction: Chronic fatigue is one of the most common symptom in cancer patients because of treatment and/or illness. Patients subjectively describe chronic fatigue as a very debilitating symptom that persists for months or years after treatment. For them, this represents a burden that affects their daily routine and relationships with other people. It can be relieved by various non-pharmacological and pharmacological approaches. Purpose: The purpose of the work is to present the possibilities of relieving chronic fatigue in cancer patients. Methods: In the work was used a descriptive method with systematic literature overview, searched in the databases CINAHL, PubMed, ScienceDirect, by using remote access to the digital library in Ljubljana (DiKUL) and using the Cooperative online bibliographic sistem (COBISS.SI). Literature collection took place from January 2020 to May 2020. Seventeen articles have been used to present the results. The strength of the evidence of the analyzed studies was evaluated on a 4-point scale. The results are presented in tables and descriptively. Results: We found out that chronic fatigue is one of the most common and stressful symptoms that cancer patients have. Approaches to relieving chronic fatigue such as; physical activity, yoga, acupuncture, music therapy and guarana have been shown to be more effective than pharmacological approaches- psychostimulants and corticosteroids, addition of vitamin C intravenously). In physical activity, acupuncture, and other approaches, cancer patients have seen an improvement in chronic fatigue after just two weeks of using. All cancer patients should first be offered options for relieving chronic fatigue, with non-pharmacological approaches, and supplemented with pharmacological ones only in the severe form. Discussion and conclusion: Cancer patients suffering from chronic fatigue are powerless and often uninformed. It is a more complex and demanding problem that limits their quality of life. In the field of relieving chronic fatigue in cancer patients, many studies have been conducted that have shown important findings that can also be used in the implementation of nursing care and thus improve: in the field of its relief, well-being and quality of life of cancer patients.

• Keywords: diploma theses, nursing care, assessment, non-pharmacological treatment, pharmacological treatment, quality of life