ARTICLE
TITLE

Nursing care for patients with copd on long-term oxygen therapyUzun süreli oksijen tedavisi alan koah hastalarinda hemsirelik bakimi

SUMMARY

According to Maslow's theory, clear air is the highest priority which hierarchical human needs for maintaining the vitality of the human. Individuals can not maintain the respiratory function effectively any reason (such as chronic obstructive pulmonary disease (COPD), lung cancer, pneumonia, tuberculosis, asthma and cystic fibrosis disease) that cause unabling to  fulfill task of these constructions. From the report of the Global Burden of the Diseases that is updated in 2010 by World Health Organization, within non-communicable (chronic) diseases; chronic respiratory diseases, cardiovascular diseases, cancers and diabetes are the biggest killer which cause estimated 35 million deaths every year. In addition to these data, the cause of deaths rank in the world, COPD  is fourth. Also in this report, the cause of death in the ranking for the year 2030, COPD is expected to rise to third place (WHO, 2010). Developments in technology and health care allow early diagnosis of diseases and optimal treatment application in case of illness. Long-term oxygen therapy is the most commonly used method for espiratory diseases. So, for a high quality nursing care that provide by nurses, it is important that nurses be aware of basic concepts of oxygen therapy, methods of application and possible complications. ÖzetMaslow’ un teorisine göre, insan gereksinimleri hiyerarsik siralamasinda insanin canliligini sürdürebilmesi için en öncelikli karsilamasi gereken gereksinimi temiz havadir. Herhangi bir nedenle bu yapilar görevini yerine getiremedigi durumlarda (Kronik Obstrüktif Akciger Hastaligi (KOAH), akciger kanseri, pnomöni, tüberküloz, astim ve kistik fibrozis gibi hastaliklar) bireyler solunum sistemi fonksiyonunu etkin bir sekilde sürdüremez. Dünya Saglik Örgütü’nün (DSÖ), 2010 yilinda güncelledigi Hastaliklarin Küresel Yükü baslikli raporunda bulasici olmayan (kronik) hastaliklarin içinde kronik solunum yolu hastaliklari, kalp damar hastaliklari, kanserler ve diyabet ile beraber dünyanin en büyük katilleri olup, her yil tahminen 35 milyon ölüme neden olmaktadir.  Bu verilere ek olarak, dünyada ölüm nedeni siralamasinda solunum sistemi hastaliklarindan, KOAH dördüncü sirada yer almaktadir. Ayrica bu raporda, 2030 yili için öngörülen ölüm nedeni siralamasinda, KOAH’in üçüncü siraya yükselecegi tahmin edilmektedir (DSÖ, 2010).   Teknolojide ve saglik alaninda ki gelismeler, hastaliklara erken tani koymasina ve hastalik durumunda en uygun tedavi yöntemini uygulamasina olanak saglamaktadir. KOAH’da en sik kullanilan tedavi yöntemi uuzun süreli oksijen tedavisidir. Bu nedenle hemsirelerin kaliteli bir hemsirelik bakimi vermeleri için, oksijen tedavisinin temel kavramlarini, uygulama yöntemlerini, gelisebilecek komplikasyonlari bilmesi önemlidir.

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