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Yıl:2016; Cilt: 2; Sayı: 1>> Özet
Türkiye Klinikleri Psikiyatri Hemşireliği Özel Dergisi; 2016;2(1):74-80
Yaşlı ve Demanslı Bireye Bakım Verenlerde Bakım Yükü ve Yaklaşımlar
Ö Işıl, N Onan
Bezmiâlem Vakıf Üniversitesi, İstanbul
Bakım yükü, hasta bireyin bakımından kaynaklanan negatif değerlendirme ve algılanan strese çok boyutlu bir tepki olarak tanımlanmaktadır. Hem nesnel hem de öznel sonuçları içerir. Bakım yükü bakım verenlerin, fiziksel, psikolojik, duygusal ve fonksiyonel sağlığını tehdit etmektedir. Sürekli olarak bakım vermekten kaynaklanan fiziksel bitkinlik ve bakım verenin sağlığının kötüleşmesi depresyon ve anksiyetede artışa neden olabilmektedir. Bakım yükü hem hastanın hem de bakım vericinin sağlığını etkiler. Bakım yükünü azaltmak için hem hastaya hem de bakım verene yönelik yaklaşımlar uygulanmalıdır. Hastaya yönelik müdahaleler bağımsızlığı teşvik etme, bilişsel işlevin sürdürülmesi ve sosyal, fiziksel çevrenin düzenlenmesine odaklanmıştır. Bakım verene yönelik yaklaşımlar geçici bakım ve psikososyal girişimler olmak üzere iki bölümü içermektedir. Psikososyal müdahaleler, psiko-eğitimsel girişimleri, danışmanlığı, destek tedavisini ve davranış yönetimi müdahalelerini kapsamaktadır.
Burden of Caregivers of Dementia and Elderly Individuals and Approaches
Caregiver burden has been defined as a multidimensional response to the negative appraisal and perceived stress resulting from taking care of an ill individual. It includes both subjective and objective results. Caregiver burden threatens the physical, psychological, emotional and functional health of caregivers. Physical fatigue and health of the caregiver resulting from constantly caregiving can lead to an increase in depression and anxiety. Caregiver burden affects the health of both caregivers and their care-recipients. To reduce the caregiver burden both patient and caregiver approaches to be applied. Interventions for patients focuses on encouraging independence, maintaining cognitive function and the regulation of the social and physical environment. Approaches to include caregivers, including respite care and psychosocial interventions in two parts. Psychosocial interventions include psychoeducational interventions, counseling, support and behavior management interventions.

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