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Yıl:2018; Cilt: 4; Sayı: 2>> Özet
Türkiye Klinikleri Psikiyatri Hemşireliği Özel Dergisi; 2018;4(2):29-35
Kemoterapi Sonrası Kanser Hastasının Bilişsel İşlevselliğinin Geliştirilmesi
E Babaoğlu, NK Yıldırım
Üsküdar Üniversitesi, İstanbul
Günümüzde kemoterapinin neden olduğu bilişsel bozukluk veya "Kemobeyin", özellikle bellek ve yürütücü işlevsel alanlarda hafif ve orta şiddette bilişsel değişimlerle karakterize klinik bir sendromdur. Kemoterapi tedavisi görmüş kanser hastaları kısa ve uzun vadede yaşam kalitelerini bozan bilişsel işlevlerde değişimler yaşamaktadırlar. Bu değişimlerden en çok bellek, bilişsel esneklik, çoklu görev, planlama ve dikkat gibi işlevlerin düzenlendiği yürütücü bilişsel alan etkilenmektedir. Bu çalışmanın amacı, kemoterapi sonrası bilişsel bozukluğu korumaya yönelik farmakolojik ve farmakolojik olmayan müdahalelerin kapsamlı bir özetini sunmaktır. Çalışmada farmakolojik uygulamalar eritropoetin, psikostimülanlar ve vitaminler üzerine odaklanmıştır. Farmakolojik olmayan uygulamalar ise fiziksel egzersizi, meditasyonu, bilişsel davranışçı terapileri ve eğitimleri içerir. Psikoonkoloji alanında çalışan sağlık profesyonelleri kemoterapi sonrası bilişsel işlevselliği artırmaya yönelik bilişsel egzersizler ve diğer yaklaşımlar hakkında hastalara bilgi ve rehberlik sağlamalıdır.
Improving of Cognitive Function of Cancer Patients After Chemotherapy
Nowadays, chemotherapy-induced cognitive impairment or "Chemo brain" is well-established clinical syndrome, consisting of moderate to subtle cognitive changes across various domains, especially memory, executive function. Cancer patients, particularly those threated with chemotherapy, experience short and long term cognitive deficits that significantly reduce quality of life. Among the cognitive domains most commonly affected include executive functions, such as working memory, cognitive flexibility, multitasking, planning, and attention. The aim of the study to provide comprehensive summary of the pharmacological and non-pharmacological interventions used to address cognitive impairment following chemotherapy. Pharmacological interventions to date have focused on treatment with erythropoietin, psychostimulants and vitamins. Non-pharmacological approaches include physical exercise, meditation and cognitive behavioral therapies and trainings. Psychoncology health professionals should provide information and guidance about cognitive trainings and other approaches to cancer survivors to address cognitive changes after chemotherapy.

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