Rehabilitasyon Hemşiresi Olarak Donuk Omuz Sendromunu Nasıl Yönetelim?

Year 2022, Volume: 11 Issue: 4, 1669 - 1675, 22.12.2022

Amine Terzi , Serap Özer

https://doi.org/10.37989/gumussagbil.977539

Abstract

Donuk omuz sendromu, pasif ve aktif glenohumeral eklem hareket kısıtlılığı ve fonksiyonel yetersizlikle seyreden bir patolojidir. Etiyopatogenezi henüz tam olarak anlaşılamamış olan sendrom; primer, sekonder ve tersiyer olarak sınıflandırılmaktadır. Ayrıca ağrılı evre, donma evresi ve çözülme evresi olmak üzere üç evrede incelenmektedir. Donuk omuz sendromu; gece uykuya dalmayı zorlaştıran, gün boyu şiddeti artan, dahası, dinlenme halinde bile geçmeyen ağrıya neden olarak günlük yaşam aktivitelerini engellemekte ve yaşam kalitesini kötüleştirmektedir. Özellikle giysilerin giyilip çıkarılması, saçların taranması ve tırnakların kesilmesi aktivitelerinde ciddi sorunlar oluşturmaktadır. Sendromun yönetiminde; evreye göre soğuk uygulama, transkutanöz elektrik stimülasyonu, germe egzersizleri gibi rehabilitasyon uygulamaları gerçekleştirilmektedir. Rehabilitasyon sürecinde hemşire; temelde donuk omuz sendromunun ortaya çıkardığı ağrıyı, ağrıya bağlı uyku sorunlarını ve inflamasyonu azaltmak/gidermek, uygun egzersiz programları ile eklem hareket açıklığını arttırmak, uygun baş etme tekniklerini kazandırmak, hasta ve ailesine bu süreçte destek olmak gibi sorumluluklara sahiptir. Derleme niteliğinde olan bu makale; günümüzde yaygın bir sağlık sorunu olarak görülen donuk omuz sendromunun rehabilitasyonunda hemşirenin rollerini açıklamak ve ilgili literatüre katkı sağlamak amacıyla yazılmıştır.

Keywords

Bakım, Donuk omuz sendromu, Hemşirelik, Rehabilitasyon

How to Manage Frozen Shoulder Syndrome as a Rehabilitation Nurse?

Abstract

Frozen shoulder syndrome is a pathology with passive and active glenohumeral joint motion limitation and functional insufficiency. Syndrome whose etiopathogenesis is not fully understood yet; it is classified as primary, secondary and tertiary. In addition, it is examined in three stages: the freezing stage, the frozen stage and the thawing stage. Frozen shoulder syndrome; it obstructs daily living activities by causing pain that makes it difficult to fall asleep at night, increases in intensity throughout the day and moreover does not go away even at rest, and worsens the quality of life. In particular, activities such as putting on and taking off clothes, combing the hair and cutting nails create serious problems. In the management of the syndrome; According to the stage, rehabilitation applications such as cold application, transcutaneous electrical stimulation, stretching exercises are performed. During the rehabilitation process, the nurse; basically, it has responsibilities such as reducing/liminating the pain caused by frozen shoulder syndrome, pain-related sleep problems and inflammation, increasing range of motion with appropriate exercise programs, providing appropriate coping techniques, and supporting the patient and family in this process. This review article; it was written to explain the roles of nurses in the rehabilitation of frozen shoulder syndrome, which is seen as a common health problem today, and to contribute to the relevant literature.

Keywords

Care, Frozen shoulder syndrome, Nursing, Rehabilitation

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