Öz
The use of nursing theories and models in nursing practices enables them to be based on a conceptual basis, to be independent of nurses and to practice with their own perspective. Orem’s Self-Care Deficit Theory is a model commonly used in many patients. In this article, a nursing care process conducted according to Orem’s Self-Care Deficit Theory is presented for a patient who is receiving inpatient treatment with Obsessive-Compulsive disorder in a psychiatric clinic of a university hospital. On the basis of theory, a supportive educational nursing care process that provides self-care for the individual who provides support to other individuals to increase self-care competence and for the sustainability of care and handles the individual with his/her family, is presented. Patient’s data were collected for four areas according to the theory: basic conditioning factors, universal, developmental and health deviation self-care requisites. Nursing care, according to the “nursing process system” has been carried out within the framework of evaluation of the data, nursing diagnosis, goals, interventions nursing system and method of helping and evaluation areas. The assessment was made at the end of the fifth day that the patient was discharged. The theory facilitated the nursing practice in the multidimensional assessment of the patient and the problems
Anahtar Kelimeler
Kaynakça
- Neeraje KP. Essentials of Mental Health and Psychiatric Nursing, 1st ed. New Delhi: Jaypee Brothers Medical Publishers; 2008.
- Güner P, Pehlivan T. Theoretical Framework of Psychiatric Nursing - I. J Psychiatric Nurs 2016;7:50–4. [CrossRef]
- Orem DE. Nursing: Concepts of Practice, 6th ed. St. Louis: Mosby Year Books; 2001.
- Getty C, Perese E, Knab S. Capacity for self-care of persons with mental illnesses living in community residences and the ability of their surrogate families to perform health care functions. Issues Ment Health Nurs 1998;19:53–70. [CrossRef]
- Hamera EK, Peterson KA, Young LM, Schaumloffel MM. Symptom monitoring in schizophrenia: Potential for enhancing self-care. Arch Psychiatr Nurs 1992;6:324–30. [CrossRef]
- Hamilton LW, Creason NS. Mental status and functional abilities: Change in institutionalized elderly women. Nurs Diagn 1992;3:81–6. [CrossRef]
- Frederick J, Cotanch P. Self-help techniques for auditory hallucinations in schizophrenia. Issues Ment Health Nurs 1995;16:213–24. [CrossRef]
- Pickens JM. Living with serious mental illness: The desire for normalcy. Nurs Sci Q 1999;12:233–9. [CrossRef]
- Tsai YF, Ku YC. Self-care symptom management strategies for auditory hallucinations among inpatients with schizophrenia at a veterans’ hospital in Taiwan. Arch Psychiatr Nurs 2005;19:194–9. [CrossRef]
- El-Mallakh P. Evolving Self-Care in Individuals with Schizophrenia and Diabetes Mellitus. Arch Psychiatr Nurs 2006;20:55–64. [CrossRef]
- Tomey MA, Alligood RM. Nursing Theorists and Their Work, 4th ed. USA: Mosby; 1998. p.175–93.
- Fawcett J. Contemporary Nursing Knowledge Analysis and Evaluation of Nursing Models and Theories, 2nd ed. Philadelphia: F. A. Davis Company; 2005.
- Çiftçi B, Yıldırım N, Şahin Altun Ö, Avşar G. What Level of Self-Care Agency in Mental Illness? The Factors Affecting Self-Care Agency and Self-Care Agency in Patients with Mental Illness. Arch Psychiatr Nurs 2015;29:372–6. [CrossRef]
- Öztürk MO. Ruh Sağlığı ve Bozuklukları, 11. Baskı. Ankara: Nobel Tıp Kitabevleri; 2008. p.480–96.
- Amerikan Psikiyatri Birliği. Ruhsal Bozuklukların Tanısal ve Sayımsal El Kitabı, 4. Baskı, Yeniden Gözden Geçirilmiş Tam Metin (DSM-IV-TR). Washington DC: Amerikan Psikiyatri Birliği; 2000. Köroğlu E, çeviri editörü. Ankara: Hekimler Yayın Birliği; 2007. p.660–71.
- Amerikan Psikiyatri Birliği. Ruhsal Bozuklukların Tanısal ve Sayımsal El Kitabı (DSM-5), 5. baskı. Tanı Ölçütleri Başvuru El Kitabı. Köroğlu E, çeviri editörü. Ankara: Hekimler Yayın Birliği; 2013. p.129–40.
- Karno M, Golding JM, Sorenson SB, Burnam MA. The epidemiology of obsessive compulsive disorder in five US communities. Arch Gen Psychiatry 1998;45:1094–9. [CrossRef]
- Bayar R, Yavuz M. Obsesif Kompulsif Bozukluk. İÜ Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri Türkiye’de sık karşılaşılan psikiyatrik hastalıklar sempozyum dizisi. İstanbul: 2008. p.185–92.
- Porgalı Zayman E. Obsessive compulsive disorder in DSM-5. Cukurova Med J 2016;41:360–2. [CrossRef]
- Varcarolis EM. Caring for patients for psycho-biological disorders. In: Varcarolis EM. Essentials of Psychiatric Mental Health Nursing. A Communication Approach to Evidence-Based Care, 3rd ed. St. Louis, MO; Elsevier Saunders; 2016. p.120–30.
- McEwen M, Wills ME. Theoretical Basis for Nursing, 2nd ed. Lippincott Williams & Wilkins; 2005. p.144–8.
- Nahcivan NO. A Turkish language equivalence of the exercise of self- care agency scale. West J Nurs Res 2004;26:813–24. [CrossRef]
- Alligood MR, Tomey AM. Nursing Theory Utilization and Application. Philadelphia: Mosby-Year Book; 2002.
- Velioğlu P. Hemşirelikte Kavram ve Kuramlar. İstanbul: Alaş Ofset Maatbası; 1999.
- Bernier F. Applying Orem’s Self-Care Deficit Theory of Nursing to Continence Care: Part 2. Urol Nurs 2002;22:384–90. https://pubmed. ncbi.nlm.nih.gov/12593229/
- Nursing Theories. Application of Orem’s Self-Care Deficit Theory, 2011. http://currentnursing.com/nursing_theory/application_self_ care_deficit_theory.html
- North American Nursing Diagnosis Association International. Nursing diagnoses 2009–2011: Definitions and classification. Oxford, UK: Wiley-Blackwell; 2009.
- Potter PA, Perry AG. Basic Nursing, 7th ed. USA: Mosby Elsevier; 2011.
- Cutler CG. Self-care agency and symptom management in patients treated for mood disorder. Arch Psychiatr Nurs 2001;15:24–31. [CrossRef]
- Austin W, Boyd MA. Psychiatric and mental health nursing for Canadian practice. Lippincott Williams & Wilkins; 2010. p.110.
- Page C, Ricard N. A comparative study on the requisites for selfcare by women being treated for depression. Can J Nurs Res 1995;27:87– 109. https://pubmed.ncbi.nlm.nih.gov/8556671/
- Grando VT. A self-care deficit nursing theory practice model for advanced practice psychiatric/mental health nursing. Self-Care, Dependent Care & Nursing 2005;13:4–8. https://static1.squarespace. com/static/55f1d474e4b03fe7646a4d5d/t/55f35e96e4b0fb5d95 ae3858/1442012822813/Vol13No1.pdf
- Seed MS, Torkelson DJ. Beginning the recovery journey in acute psychiatric care: Using concepts from Orem’s self-care deficit nursing theory. Issues Ment Health Nurs 2012;33:394–8. [CrossRef]
Öz
Hemşirelik uygulamalarında hemşirelik kuram ve modellerinin kullanımı, uygulamaların kavramsal bir temele dayandırılmasını, hemşirelere bağımsız olabilme ve kendi bakış açılarıyla uygulama yapma olanağı sağlar. Orem’in Öz Bakım Eksikliği Kuramı birçok hasta grubunda sık kullanılan bir modeldir. Bu makalede bir üniversite hastanesinin psikiyatri kliniğinde Obsesif Kompulsif bozukluk tanısıyla yatarak tedavi gören bir hastayı ele alan bu olgu sunumunda, Orem’in Öz Bakım Eksikliği Kuramı temelinde bireyin öz bakımını sağlamak, bireyin öz bakım yeterliğini artırmada bireye destek sağlamak ve bakımın sürdürülebilirliği için bireyi ailesi ile birlikte ele alan destekleyici eğitici hemşirelik bakım süreci sunulmuştur. Hastaya ait veriler; kuram doğrultusunda temel durumsal faktörler, evrensel, gelişimsel ve sağlıktan sapmada öz bakım gereksinimleri olmak üzere dört alana yönelik toplanmıştır. Hemşirelik bakımı, “hemşirelik süreci sistemi” ne göre; verilerin değerlendirilmesi, hemşirelik tanısı, amaçlar, müdahaleler hemşirelik sistemi ve yardım metodu ve değerlendirme alanları çerçevesinde sürdürülmüştür. Değerlendirme, hastanın taburcu olduğu beşinci günün sonunda yapılmıştır. Kuram, hastanın ve sorunların çok yönlü değerlendirilmesinde hemşirelik uygulamalarına kolaylık sağlamıştır
Anahtar Kelimeler
Orem’in öz bakım eksikliği kuramı psikiyatrik bakım hemşirelik
Kaynakça
- Neeraje KP. Essentials of Mental Health and Psychiatric Nursing, 1st ed. New Delhi: Jaypee Brothers Medical Publishers; 2008.
- Güner P, Pehlivan T. Theoretical Framework of Psychiatric Nursing - I. J Psychiatric Nurs 2016;7:50–4. [CrossRef]
- Orem DE. Nursing: Concepts of Practice, 6th ed. St. Louis: Mosby Year Books; 2001.
- Getty C, Perese E, Knab S. Capacity for self-care of persons with mental illnesses living in community residences and the ability of their surrogate families to perform health care functions. Issues Ment Health Nurs 1998;19:53–70. [CrossRef]
- Hamera EK, Peterson KA, Young LM, Schaumloffel MM. Symptom monitoring in schizophrenia: Potential for enhancing self-care. Arch Psychiatr Nurs 1992;6:324–30. [CrossRef]
- Hamilton LW, Creason NS. Mental status and functional abilities: Change in institutionalized elderly women. Nurs Diagn 1992;3:81–6. [CrossRef]
- Frederick J, Cotanch P. Self-help techniques for auditory hallucinations in schizophrenia. Issues Ment Health Nurs 1995;16:213–24. [CrossRef]
- Pickens JM. Living with serious mental illness: The desire for normalcy. Nurs Sci Q 1999;12:233–9. [CrossRef]
- Tsai YF, Ku YC. Self-care symptom management strategies for auditory hallucinations among inpatients with schizophrenia at a veterans’ hospital in Taiwan. Arch Psychiatr Nurs 2005;19:194–9. [CrossRef]
- El-Mallakh P. Evolving Self-Care in Individuals with Schizophrenia and Diabetes Mellitus. Arch Psychiatr Nurs 2006;20:55–64. [CrossRef]
- Tomey MA, Alligood RM. Nursing Theorists and Their Work, 4th ed. USA: Mosby; 1998. p.175–93.
- Fawcett J. Contemporary Nursing Knowledge Analysis and Evaluation of Nursing Models and Theories, 2nd ed. Philadelphia: F. A. Davis Company; 2005.
- Çiftçi B, Yıldırım N, Şahin Altun Ö, Avşar G. What Level of Self-Care Agency in Mental Illness? The Factors Affecting Self-Care Agency and Self-Care Agency in Patients with Mental Illness. Arch Psychiatr Nurs 2015;29:372–6. [CrossRef]
- Öztürk MO. Ruh Sağlığı ve Bozuklukları, 11. Baskı. Ankara: Nobel Tıp Kitabevleri; 2008. p.480–96.
- Amerikan Psikiyatri Birliği. Ruhsal Bozuklukların Tanısal ve Sayımsal El Kitabı, 4. Baskı, Yeniden Gözden Geçirilmiş Tam Metin (DSM-IV-TR). Washington DC: Amerikan Psikiyatri Birliği; 2000. Köroğlu E, çeviri editörü. Ankara: Hekimler Yayın Birliği; 2007. p.660–71.
- Amerikan Psikiyatri Birliği. Ruhsal Bozuklukların Tanısal ve Sayımsal El Kitabı (DSM-5), 5. baskı. Tanı Ölçütleri Başvuru El Kitabı. Köroğlu E, çeviri editörü. Ankara: Hekimler Yayın Birliği; 2013. p.129–40.
- Karno M, Golding JM, Sorenson SB, Burnam MA. The epidemiology of obsessive compulsive disorder in five US communities. Arch Gen Psychiatry 1998;45:1094–9. [CrossRef]
- Bayar R, Yavuz M. Obsesif Kompulsif Bozukluk. İÜ Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri Türkiye’de sık karşılaşılan psikiyatrik hastalıklar sempozyum dizisi. İstanbul: 2008. p.185–92.
- Porgalı Zayman E. Obsessive compulsive disorder in DSM-5. Cukurova Med J 2016;41:360–2. [CrossRef]
- Varcarolis EM. Caring for patients for psycho-biological disorders. In: Varcarolis EM. Essentials of Psychiatric Mental Health Nursing. A Communication Approach to Evidence-Based Care, 3rd ed. St. Louis, MO; Elsevier Saunders; 2016. p.120–30.
- McEwen M, Wills ME. Theoretical Basis for Nursing, 2nd ed. Lippincott Williams & Wilkins; 2005. p.144–8.
- Nahcivan NO. A Turkish language equivalence of the exercise of self- care agency scale. West J Nurs Res 2004;26:813–24. [CrossRef]
- Alligood MR, Tomey AM. Nursing Theory Utilization and Application. Philadelphia: Mosby-Year Book; 2002.
- Velioğlu P. Hemşirelikte Kavram ve Kuramlar. İstanbul: Alaş Ofset Maatbası; 1999.
- Bernier F. Applying Orem’s Self-Care Deficit Theory of Nursing to Continence Care: Part 2. Urol Nurs 2002;22:384–90. https://pubmed. ncbi.nlm.nih.gov/12593229/
- Nursing Theories. Application of Orem’s Self-Care Deficit Theory, 2011. http://currentnursing.com/nursing_theory/application_self_ care_deficit_theory.html
- North American Nursing Diagnosis Association International. Nursing diagnoses 2009–2011: Definitions and classification. Oxford, UK: Wiley-Blackwell; 2009.
- Potter PA, Perry AG. Basic Nursing, 7th ed. USA: Mosby Elsevier; 2011.
- Cutler CG. Self-care agency and symptom management in patients treated for mood disorder. Arch Psychiatr Nurs 2001;15:24–31. [CrossRef]
- Austin W, Boyd MA. Psychiatric and mental health nursing for Canadian practice. Lippincott Williams & Wilkins; 2010. p.110.
- Page C, Ricard N. A comparative study on the requisites for selfcare by women being treated for depression. Can J Nurs Res 1995;27:87– 109. https://pubmed.ncbi.nlm.nih.gov/8556671/
- Grando VT. A self-care deficit nursing theory practice model for advanced practice psychiatric/mental health nursing. Self-Care, Dependent Care & Nursing 2005;13:4–8. https://static1.squarespace. com/static/55f1d474e4b03fe7646a4d5d/t/55f35e96e4b0fb5d95 ae3858/1442012822813/Vol13No1.pdf
- Seed MS, Torkelson DJ. Beginning the recovery journey in acute psychiatric care: Using concepts from Orem’s self-care deficit nursing theory. Issues Ment Health Nurs 2012;33:394–8. [CrossRef]
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Aralık 2020 |
| Yayımlandığı Sayı | Yıl 2020Sayı: 4 |