Port Kateter Uygulamaları: Kanserli Hastaların Deneyimlerine İlişkin Niteliksel Bir Çalışma

Abstract

Amaç: Bu çalışmanın amacı kanserli hastaların taşıdıkları port kateterlere ilişkin algı ve deneyimlerini ortaya çıkarmaktır. Gereç-yöntem: Çalışma, İstanbul'da bir onkoloji kliniğine tedavi için başvuran, 16 kanser hastasıyla derinlemesine görüşmeler yoluyla yapılmıştır. Çalışma grubuna en az 6 aydır port kateteri olan meme ve kolon kanserli hastalar alınmıştır. Çalışma temaları hastaların port deneyimlerini çok boyutlu olarak kavramayı hedefleyen: (1) Portun Öyküsü, (2) Sosyal Yaşam ve Fiziksel Uyum (3) Beden İmajı ve Cinsel Yaşam (4) Tedavi Süreci ve Öneriler dinamiklerini içeren yarı yapılandırılmış açık uçlu sorulardan oluşturulmuştur. Görüşmeler ses kayıt cihazıyla kayıt altına alınarak çözümlemesinde içerik analizi kullanılmıştır. Bulgular: Çalışmada elde edilen önemli bulgular, port kateterin hastaların cinsel yaşamı ve beden imajını etkileyebileceği, tedirginlik ve korku nedeniyle sosyal izolasyon yaşayabilecekleri gibi dezavantajları bulunurken, tedavide kolaylık ve hastayı tedavi sürecinde özgürleştirerek rahatlık sağladığı için avantajlı olduğu belirlenmiştir. Sonuç: Port kateteri olan kanserli hastaların gereksinim duyduğu bakımın sürdürülmesinde var olan temel ilkelerin yanı sıra hasta deneyimlerinin ve port kateterin psikososyal boyutunun da bilinmesi, bakım kalitesinin arttırılması açısından önemlidir.

Evaluation of the Relationship between Knowledge Level and Anxiety Level of Cancer Patients with Port Catheter

“…Similarly, according to Mercan's study (2017), port catheter training was important in the patients' compliance with treatment, and nurses, in particular, had important responsibilities. Consistent with the results obtained from our study, when the decision to insert a port catheter was given to the patients, there was no cooperation with the patients, and the patients were not informed before the procedure (Uslu et al, 2019). Similarly, in our study, nurses did not take an active role in patient education and patients were mostly informed by physicians (Demirkıran & Uzun, 2012;Soyer, Dönmez & van Giersbergen, 2018).…”

“…Consistent with the available literature, the anxiety levels of the patients who applied to the hospital for the insertion of the implantable port catheter were found to be high (Karaveli, Köşgeroğlu & İlhan, 2012;Uslu, Olgun, Karanlık & User, 2019). And, the patients who were informed about the port catheter had less anxiety and fear, while the patients who were not informed were affected by the problems experienced in the early period (Uslu et al, 2019). Therefore, in the port catheterization process, considering not only the physical but also the psychosocial dimension of care and evaluating the patients holistically are important for the outcomes of care (Işıklı et al, 2023).…”

“…Informing patients about the interventions to be made may help reduce preoperative anxiety in patients (Çetinkaya & Karabulut, 2010;Matthias & Samarasekera, 2012). Consistent with the available literature, the anxiety levels of the patients who applied to the hospital for the insertion of the implantable port catheter were found to be high (Karaveli, Köşgeroğlu & İlhan, 2012;Uslu, Olgun, Karanlık & User, 2019). And, the patients who were informed about the port catheter had less anxiety and fear, while the patients who were not informed were affected by the problems experienced in the early period (Uslu et al, 2019).…”

“…In many diagnostic and therapeutic procedures, patients' fear and anxiety levels may increase before and after the application. On the other hand, patient education reduces anxiety in patients and improves coping with stress (Uslu et al, 2019). Also, the education given in line with patient needs enables patients to better manage their diseases, cope with the disease process, reduce complications, and be more conscious and successful in their care (Çetinkaya & Karabulut, 2010).…”

“…This questionnaire was created by the researchers in light of the literature review (Yeşilbalkan, 2005;Güleser & Taşçı, 2009;Süslü, Arslan & Turan, 2012;Uslu et al, 2019), consists of a total of 23 items. Correct answers to the statements in the Port Catheterization Patient Information Survey were evaluated as "1" points, and incorrect answers as "0" points.…”