Palyatif Bakımda Tamamlayıcı ve Bütünleştirici Terapilerin Ağrı Yönetimine Etkisi: Bir Sistematik Derleme

Abstract

ÖZETAmaç: Bu çalışma, palyatif bakımdaki hastalara uygulanan tamamlayıcı ve bütünleştirici terapilerin ağrı yönetimine etkisi ile ilgili olan yayımlanmış çalışmaların gözden geçirilmesi ve çalışmadan elde edilen verilerin sistematik biçimde incelenmesi amacıyla gerçekleşti-rilmiştir. Yöntem THE EFFECT OF COMPLEMENTARY AND INTEGRATIVE THERAPIES ON PAIN MANAGEMENT IN PALLIATIVE CARE: A SYSTEMATIC REVIEW ABSTRACTPurpose: This study was conducted to investigate and systematically review the data obtained from published studies relating to the effect of complementary and integrative therapies on pain management of patients within palliative care units. Method:This study was carried out using the Google Scholar, Pubmed, Science Direct, Proquest, Cochrane, EBSCOhost, Clinical Key, and Ovid databases. The search was limited to between 1 January 2012 and 31 January 2017 and retrieved both national and international research using the following keywords: reflexology, aromatherapy, music therapy, yoga, massage therapy, reiki, TENS, acupuncture, hypnosis, therapeutic touch, acupressure, mind and body practices, complementary and alternative medicine, pain management, palliative care. Thirteen publications were evaluated as being in accordance with the inclusion criteria for the content of the study. Results:The publications comprised four descriptive studies, one retrospective study, one group with no controls, a quasi-experimental, mixed-methods design, one semi-experimental (pre-test and post-test control subgroups within non-randomized groups) design, two semi-experimental (single group pre-post-test, with randomized controls) and one qualitative design. The studies included made use of the "Visual Analogue Scale (VAS)", "Measure-Yourself Concerns and Wellbeing Questionnaire", "Numeric Scale (NRS)", "Well-Being Scale", "Functional Analog Scale (VAS)", "Pain Scale", "Nursing Assessment of Pain Intensity Scale", "Face to Face Interview Technique" and "The Edmonton Symptom Assessment Scale (ESAS)". These data collection tools were used to evaluate the effect of complementary and integrative therapies on pain. Conclusion:Evidence was collated through systematic review of all the relevant studies on complementary and integrative therapies applied to patients in palliative care settings and the decrease in the severity of pain perceived by the patients compared. On the basis of this review, it is concluded that these therapies can be used to manage pain in palliative care patients.

Comparison of the properties of essential oils from commercial sources and edible dry mint

“…Edible mint oil was obtained with Clevenger method and is rich in carvone. Menthol is an effective constituent with antimicrobial and antiplasmid activities and it is used against inhalation problems, muscle pain, and headache [16]. It has a cooling effect and it diminishes fever.…”

“…Mint extract is also used as a flavoring agent in many products, including toothpastes and mouthwashes [15]. Menthol is extracted from mint and it is used in topical products to treat respiratory distress syndrome, headache and stomachache [16].…”

Kronik Geriatrik Ağrı Kontrolünde Aromaterapi Uygulaması

“…Oral, dahili, topikal ve inhalasyon yolu ile alınan aromaterapötik yağlar absorbe edilmekte ve dolaşım sistemine taşınmaktadır. (66,67) Aromaterapi; inflamasyonun (29,32,65,70,71,72,73,74) Aromaterapi Uygulama Yöntemleri Aromaterapötik yağlar; oral, dahili, inhalasyon ve topikal yolla uygulanmaktadır.…”