{"id":43253,"date":"2025-10-08T15:56:48","date_gmt":"2025-10-08T14:56:48","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=43253"},"modified":"2025-10-08T15:56:48","modified_gmt":"2025-10-08T14:56:48","slug":"psychoeducational-support-for-patients-with-prosthetic-joint-infection-and-their-families","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/tr\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/nihr-funded-projects\/psychoeducational-support-for-patients-with-prosthetic-joint-infection-and-their-families\/","title":{"rendered":"Protez eklem enfeksiyonu olan hastalar ve aileleri i\u00e7in psiko-e\u011fitimsel destek"},"content":{"rendered":"
Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm<\/span><\/a>
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Protez eklem enfeksiyonu olan hastalar ve aileleri i\u00e7in psiko-e\u011fitimsel destek<\/strong><\/h1>\n

 <\/p>\n

Finansman<\/h2>\n

Ulusal Sa\u011fl\u0131k ve Sosyal Bak\u0131m Hizmetleri Ara\u015ft\u0131rma Enstit\u00fcs\u00fc (NIHR) Hasta Yarar\u0131na Ara\u015ft\u0131rma (RfPB) Referans No: NIHR208734.<\/p>\n

Ama\u00e7<\/h2>\n

Bu proje, protez eklem enfeksiyonu olan hastalarda ruhsal s\u0131k\u0131nt\u0131y\u0131 azaltmaya y\u00f6nelik psiko-e\u011fitimsel bir m\u00fcdahale i\u00e7in bir plan ve mant\u0131k modeli geli\u015ftirmeyi ama\u00e7lamaktad\u0131r. Mant\u0131k modelleri, bir m\u00fcdahalenin farkl\u0131 b\u00f6l\u00fcmlerinin sonu\u00e7lar\u0131 iyile\u015ftirmek i\u00e7in nas\u0131l \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131 g\u00f6sterir; \u00f6rne\u011fin, psikolojik s\u0131k\u0131nt\u0131y\u0131 azaltmak gibi.<\/p>\n

Arka plan<\/h2>\n

Protez eklem enfeksiyonu (PJI), kal\u00e7a ve diz protezi ameliyatlar\u0131ndan sonra ortaya \u00e7\u0131kabilen ciddi bir sorundur. Hastalar\u0131n %1-41'ini etkiler ve a\u011fr\u0131ya, sakatl\u0131\u011fa ve \u00f6l\u00fcme neden olabilir. Bu ameliyatlar\u0131 ge\u00e7iren ki\u015fi say\u0131s\u0131 artt\u0131k\u00e7a, PJI vakalar\u0131n\u0131n say\u0131s\u0131n\u0131n da artmas\u0131 beklenmektedir. PJI tedavisi, daha fazla ameliyat ve uzun s\u00fcreli antibiyotik kullan\u0131m\u0131n\u0131 i\u00e7erir. Bu, hastalar i\u00e7in hem fiziksel hem de zihinsel olarak zordur. Hastalar, kanser hastalar\u0131n\u0131n ya\u015fad\u0131\u011f\u0131na benzer psikolojik s\u0131k\u0131nt\u0131lar ya\u015fad\u0131klar\u0131n\u0131 bildirmektedir, ancak ruh sa\u011fl\u0131\u011f\u0131 deste\u011fi almamaktad\u0131rlar. Kayg\u0131 ve depresyon ya\u015farlar ve \u00f6nceki ara\u015ft\u0131rmalar\u0131m\u0131z, genellikle haz\u0131rl\u0131ks\u0131z ve desteksiz hissettiklerini g\u00f6stermektedir. Enfeksiyonun tekrarlamas\u0131 (her 10 hastadan 1'inde g\u00f6r\u00fcl\u00fcr), daha fazla ameliyat, sakatl\u0131k, ba\u011f\u0131ms\u0131zl\u0131klar\u0131n\u0131 kaybetme ve para sorunlar\u0131yla ba\u015fa \u00e7\u0131kma konusunda endi\u015fe duyarlar. PJI'li hastalara yard\u0131mc\u0131 olmak, ya\u015fam kalitelerini iyile\u015ftirmek ve sa\u011fl\u0131k hizmeti kaynaklar\u0131n\u0131 daha iyi kullanmak i\u00e7in \u00f6nemlidir. K\u0131lavuzlar PJI hastalar\u0131n\u0131n ruh sa\u011fl\u0131\u011f\u0131 deste\u011fi almas\u0131 gerekti\u011fini \u00f6ne s\u00fcrse de, \u00f6nceki ara\u015ft\u0131rmalar\u0131m\u0131z NHS merkezlerinin bunu sa\u011flamak i\u00e7in yeterli kayna\u011fa sahip olmad\u0131\u011f\u0131n\u0131 g\u00f6stermektedir. Dijital bile\u015fenler i\u00e7eren m\u00fcdahaleler esnek ve daha az maliyetlidir ve psikolojik s\u0131k\u0131nt\u0131 da dahil olmak \u00fczere uzun s\u00fcreli sa\u011fl\u0131k sorunlar\u0131 ya\u015fayan ki\u015filere yard\u0131mc\u0131 olmakta faydal\u0131 olmu\u015ftur.<\/p>\n

Tasar\u0131m ve y\u00f6ntemler<\/h2>\n

M\u00fcdahalenin tasar\u0131m\u0131na yard\u0131mc\u0131 olmak i\u00e7in \u00e7e\u015fitli hasta, bak\u0131m veren, sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131 ve ara\u015ft\u0131rmac\u0131 gruplar\u0131n\u0131 bir araya getirece\u011fiz. Buna ortak tasar\u0131m yakla\u015f\u0131m\u0131 denir. Grubun m\u00fcdahaleyi tasarlamas\u0131na yard\u0131mc\u0131 olmak i\u00e7in \u00fc\u00e7 \u00e7al\u0131\u015fma y\u00fcr\u00fctece\u011fiz: 1. A\u015famada, i) PJI i\u00e7in destek m\u00fcdahalelerinin etkinli\u011fini anlamak, ii) PJI tan\u0131s\u0131 ve tedavisinin psikolojik etkisini anlamak ve iii) \u00e7evrimi\u00e7i psiko-e\u011fitimsel m\u00fcdahalelere ili\u015fkin kan\u0131tlar\u0131 incelemek i\u00e7in \u00e7al\u0131\u015fmalar\u0131 g\u00f6zden ge\u00e7irece\u011fiz. 2. A\u015famada, PJI hastalar\u0131n\u0131n temel ruh sa\u011fl\u0131\u011f\u0131 sorunlar\u0131n\u0131 ve ihtiya\u00e7lar\u0131n\u0131 bulmak i\u00e7in mevcut verileri analiz edece\u011fiz. 3. A\u015famada, ortak tasar\u0131m grubundan gelen girdileri kullanarak, bulgular\u0131m\u0131z\u0131 birle\u015ftirerek ayr\u0131nt\u0131l\u0131 bir m\u00fcdahale plan\u0131 ve mant\u0131k modeli geli\u015ftirece\u011fiz. \u00c7al\u0131\u015fman\u0131n sonunda, bir m\u00fcdahale plan\u0131 ve mant\u0131k modeline sahip olaca\u011f\u0131z. Bunlar, m\u00fcdahalenin ne kadar etkili oldu\u011funu test etmek i\u00e7in gelecekteki bir \u00e7al\u0131\u015fmada kullan\u0131lacakt\u0131r.<\/p>\n

Hasta ve kamuoyu kat\u0131l\u0131m\u0131 ve etkile\u015fimi<\/h2>\n

Bu \u00e7al\u0131\u015fma hasta ortaklar\u0131yla birlikte tasarlanm\u0131\u015ft\u0131r. Proje, hasta bir ortak ba\u015fvuru sahibini de i\u00e7ermektedir. M\u00fcdahalenin farkl\u0131 ve yeterince hizmet alamayan n\u00fcfus gruplar\u0131n\u0131n ihtiya\u00e7lar\u0131n\u0131 kar\u015f\u0131lad\u0131\u011f\u0131ndan emin olmak i\u00e7in ortak tasar\u0131m grubu, kurulmu\u015f bir Hasta Kat\u0131l\u0131m\u0131 ve Etkile\u015fimi (PPIE) grubu ve topluluk gruplar\u0131yla d\u00fczenli olarak g\u00f6r\u00fc\u015fece\u011fiz.<\/p>\n

Bulgular\u0131n payla\u015f\u0131lmas\u0131<\/h2>\n

Bulgular, farkl\u0131 hedef kitleler i\u00e7in eri\u015filebilir formatlarda payla\u015f\u0131lacakt\u0131r. Bunlar aras\u0131nda sade \u0130ngilizce \u00f6zetler, dergi makaleleri, podcast'ler ve sunumlar yer almaktad\u0131r.<\/p>\n

Ara\u015ft\u0131rmay\u0131 kim y\u00f6netiyor?<\/h2>\n

Dr. Andrew Moore, Bristol \u00dcniversitesi, Bristol T\u0131p Fak\u00fcltesi (THS), Kas \u0130skelet Sistemi Sa\u011fl\u0131k Hizmetleri Ara\u015ft\u0131rmalar\u0131 B\u00f6l\u00fcm\u00fc'nde Do\u00e7ent Doktor.<\/p>\n

Daha fazla bilgi<\/h2>\n

CI E-postas\u0131: ajmoore@bristol.ac.uk<\/p>\n

Daha fazla bilgi almak veya bu projeye kat\u0131lmak i\u00e7in l\u00fctfen ileti\u015fime ge\u00e7in.\u00a0bnssg.research@nhs.net<\/a>.<\/p>\n

Burada ifade edilen g\u00f6r\u00fc\u015fler yazar(lar)a aittir ve NIHR veya Sa\u011fl\u0131k ve Sosyal Bak\u0131m Bakanl\u0131\u011f\u0131'n\u0131n g\u00f6r\u00fc\u015flerini yans\u0131tmayabilir.<\/p>\n

Daha fazla bilgi i\u00e7in l\u00fctfen inceleyin. Burada<\/a>.<\/p>\n

 <\/p>\n

 <\/p>\n <\/div>\r\n <\/section><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

Bu proje, protez eklem enfeksiyonu olan hastalarda ruhsal s\u0131k\u0131nt\u0131y\u0131 azaltmaya y\u00f6nelik psiko-e\u011fitimsel bir m\u00fcdahale i\u00e7in bir plan ve mant\u0131k modeli geli\u015ftirmeyi ama\u00e7lamaktad\u0131r. Mant\u0131k modelleri, bir m\u00fcdahalenin farkl\u0131 b\u00f6l\u00fcmlerinin sonu\u00e7lar\u0131 iyile\u015ftirmek i\u00e7in nas\u0131l \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131 g\u00f6sterir; \u00f6rne\u011fin, psikolojik s\u0131k\u0131nt\u0131y\u0131 azaltmak gibi.<\/p>","protected":false},"author":16,"featured_media":0,"parent":32881,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-43253","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/43253","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/comments?post=43253"}],"version-history":[{"count":2,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/43253\/revisions"}],"predecessor-version":[{"id":43259,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/43253\/revisions\/43259"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/32881"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/media?parent=43253"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/tags?post=43253"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}