20.500.12556/RUL-171215 Zdravstvena obravnava ženske z obsesivno kompulzivno motnjo v perinatalnem obdobju diplomsko delo Healthcare management of women with obsessive-compulsive disorder in the perinatal period diploma work Uvod: Perinatalna obsesivno kompulzivna motnja je pomemben, a pogosto spregledan izziv, ki prizadene številne ženske med nosečnostjo in po porodu. V primerjavi s splošno populacijo je tveganje za njen pojav v tem obdobju višje. Motnja lahko pomembno vpliva na duševno zdravje matere, kakovost vsakdanjega življenja ter poveča tveganje za neugodne izide pri novorojenčku. Kljub resnosti simptomov številne ženske ne prejmejo ustrezne diagnoze in zdravljenja, kar poudarja, kako nujno je zgodnje prepoznavanje in pravilno obravnavo. Namen: Namen diplomskega dela je s pomočjo literature ugotoviti, kako obsesivno kompulzivna motnja pri nosečnicah in materah v poporodnem obdobju vpliva na njihovo vsakdanje življenje in duševno zdravje. Metode dela: Narejena je bila deskriptivna metoda s pregledom znanstvene in strokovne literature, objavljene od leta 2015 naprej, v angleškem jeziku. Iskanje literature je potekalo v podatkovnih bazah: Pub Med, CINAHL Ultimate, ScienceDirect in preko iskalnika Google učenjak. Rezultati: Simptomi obsesivno kompulzivne motnje so podobni tistim pri splošni populaciji, vendar se v perinatalnem obdobju predvsem osredotočajo na otroka in njegovo varnost. Dejavniki tveganja niso povsem raziskani, vendar vključujejo kombinacijo različnih bioloških, psiholoških in okoljskih dejavnikov. Razprava in zaključek: Obsesije in kompulzije, ki jih ženske doživljajo v nosečnosti in po porodu, se v večini osredotočajo na fetus/otroka, najpogosteje zajemajo obsesije strah pred kontaminacijo, potrebe po simetriji in agresivne misli o škodi, ki se lahko pripeti otroku, med tem so pogoste kompulzije povezane s čiščenjem in preverjanjem. Dejavniki tveganja, ki lahko povzročijo poslabšanje ali pojav motnje, še niso povsem jasni, zato bi bile potrebne nadaljnje raziskave, vendar bi lahko vključevali nihanje hormonov, predhodne obstoječe anksiozne motnje, nespečnost ter siljenje k dojenju. Raziskave opozarjajo, da je obsesivno kompulzivna motnja pogosto spregledana ali napačno diagnosticirana, kar je posledica neznanja zdravstvenih delavcev, ter da bi dodatno izobraževanje pozitivno pripomoglo k njeni boljši prepoznavi in zmanjševanju stigme in sramu, ki posameznicam otežuje poročanje svojih težav. Introduction: Perinatal obsessive-compulsive disorder…is an important yet often overlooked challenge that affects many women during pregnancy and after childbirth. Compared to the general population, the risk for its onset during this period is higher. The disorder can significantly impact maternal mental health, daily life quality and increase the risk of adverse outcomes for the newborn. Despite the severity of the symptoms, many women do not receive an adequate diagnosis and treatment, highlighting the urgent need for early detection a proper management. Purpose: The aim of this study is to investigate through literature review, how obsessive-compulsive disorder in pregnant women and mothers affects their daily lives and mental health. Methods: A descriptive method was used, with a review of literature published form 2015 onward, in English. The literature search was conducted in the following databases: Pub Med, CINAHL Ultimate, ScienceDirect and via Google Scholar Results: The symptoms of obsessive-compulsive disorder are similar to those in the general population, but in the perinatal period, they primarily focus on the child and its safety. The risk factors for obsessive-compulsive disorder are not fully explored, but they include a combination of various biological, psychological and environmental factors. Discussion and conclusion: The obsessions and compulsions experienced by women during pregnancy and after childbirth mostly focus on the fetus/child, commonly including obsessions such as fear of contamination, the need for symmetry and aggressive thoughts about harm that could come to the child. Compulsions are often related to cleaning and checking. The risk factors that could lead to the onset or exacerbation of the disorder are not entirely clear and future research is needed. However, these may include hormonal fluctuations, pre-existing anxiety disorders, insomnia and pressure to breastfeed. Research indicates that obsessive-compulsive disorder is often overlooked or misdiagnosed, which may be due to a lack of knowledge among healthcare providers. Further education on the disorder, its effects and the importance of distinguishing typical concerns form pathological obsessions could greatly improve recognition and reduce stigma and shame, which often prevent women from reporting their issues. diplomska dela zdravstvena nega perinatalna obsesivno kompulzivna motnja OKM perinatalno obdobje nosečnost poporodno obdobje obsesije kompulzije simptomi dejavniki tveganja diploma theses nursing care perinatal obsessive-compulsive disorder OCD perinatal period pregnancy postpartum obsessions compulsions symptoms risk factors true false false [I. Kondić] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-08-20 07:45:36 2025-08-20 07:45:47 2025-08-21 04:02:30 0000-00-00 00:00:00 2025 0 Ljubljana 0 Ljubljana 27 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083 148565 246007299 50524.pdf 50524.pdf 1 471727026147DF3F3C5A6E8200798F71 3f7a77043d53f605f3e26efac15a0f7ea6c3d630e6f5512972e304a72d1f1568 d31062b7-7d88-11f0-9328-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=214329 Zdravstvena fakulteta 0 0 0