Tekrarlayan Ektopik Gebelik Olgusunda Yaşanan Depresyon ve Anksiyeteye Yönelik Verilen Hemşirelik Bakımının Stetler Modeli’ne Uyarlanması

Yıl 2022, Cilt: 4 Sayı: 2, 103 - 110, 12.08.2022

Melike Kahveci , Oya Kavlak

https://doi.org/10.48071/sbuhemsirelik.1079553

Öz

Gebelik kaybı hem kadınlar hem de aileleri için psikolojik ve duygusal bozukluklara neden olabilen önemli bir durumdur. Yaşanılan bu durum her kadının farklı duygular hissetmesine ve farklı tepkiler vermesine neden olabilmektedir. Kadınların bu kayba vermiş olduğu tepki kişiden kişiye farklılık gösterse de, yapılan çalışmalarda daha önce gebelik kaybı yaşayan kadınların daha fazla stres, depresyon ve anksiyete yaşadığı görülmüştür. Yaşanan bu psikolojik bozukluklar çoğu zaman göz ardı edilmektedir. Bu dönemde verilen bakım ve danışmanlık hizmetlerinin kadının psikolojisi üzerinde önemli bir etkisi vardır. Hemşireler anksiyete ve depresif belirtileri azaltmak için kadınları anlamaya ve yaşadığı sıkıntıları çözmeye yönelik girişimler yapmalı, sosyal desteklerini artırıp, eşleri de sürecin içine dahil ederek duygularını ifade etmelerini sağlamalıdırlar. Kayıp sonrası dönemde de kadınların psikolojik durumları değerlendirilmeli, bunlara yönelik girişimler yapılmalı, gerekirse psikolojik destek almaları sağlanmalıdır. Stetler Modeli, kanıta dayalı bakımın geliştirilmesinde kullanılan bir modeldir. Modelin kullanım amacı, kanıta dayalı uygulamalar doğrultusunda hastaya uygun olan en iyi bakımı sağlamaktır. Bu olgu sunumu ile tekrarlayan ektopik gebelik olgusunun kayıp sonrası yaşadığı depresyon ve anksiyeteye yönelik verilen hemşirelik bakımının, Stetler Modeli’ne uyarlanması amaçlanmıştır.

Anahtar Kelimeler

Anksiyete, depresyon, ektopik gebelik, hemşirelik

Adaptation of Nursing Care for Depression and Anxiety Experienced in the Case of Recurrent Ectopic Pregnancy to the Stetler Model

Öz

Pregnancy loss is an important condition that can cause psychological and emotional disorders for both women and their families. This situation can cause each woman to feel different emotions and to give different reactions. Although the response of women to this loss differs from person to person, studies have shown that women who have experienced pregnancy loss before the experience have more stress, depression and anxiety. These psychological disorders are often overlooked. The care and counseling services provided during this period have a significant impact on the psychology of women. In order to reduce anxiety and depressive symptoms, nurses should take initiatives to understand women and solve their problems, increase their social support and enable them to express their feelings by including their spouses in the process. In the post-disappearance period, the psychological status of women should be evaluated, interventions should be made, and if necessary, they should be provided with psychological support. The Stetler Model is a model used in the development of evidence-based care. The purpose of the model is to provide the best appropriate care to the patient in line with evidence-based practices. With this case report, it was aimed to adapt the nursing care given for the depression and anxiety experienced by the recurrent ectopic pregnancy case to the Stetler Model.

Anahtar Kelimeler

Anxiety, depression, ectopic pregnancy, nursing

Kaynakça

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