20.500.12556/RUL-171334 Dejavniki posttravmatske stresne motnje po porodu - pregled literature diplomsko delo Determinants of post-traumatic stress syndrome after birth - literature review diploma work Uvod: Posttravmatska stresna motnja po porodu je resna duševna motnja, ki prizadene 4–7 % žensk, najpogosteje kot posledica travmatične porodne izkušnje. Simptomi lahko negativno vplivajo na samopodobo matere, navezovanje na otroka in kakovost partnerskih odnosov. Zgodnje presejanje je ključen korak obravnave žensk s posttravmatsko stresno motnjo. Pomembno je tudi širše ozaveščanje o stanju za zmanjšanje stigme in izboljšanje duševnega zdravja mater v poporodnem obdobju. Celosten pristop, ki vključuje fizično in psihično dobrobit ženske, je ključ do kakovostne obporodne oskrbe. Namen: Namen raziskave je preučiti dejavnike tveganja in raziskati vlogo babic pri obravnavi žensk s posttravmatsko stresno motnjo po porodu. Cilj naloge je povečati ozaveščenost javnosti in zdravstvenih delavcev o pomembnosti pravočasnega prepoznavanja in ustrezne obravnave posttravmatske stresne motnje po porodu. Metode dela: Uporabili smo deskriptivno metodo s sistematičnim pregledom literature. Vire smo iskali v podatkovnih bazah CINAHL, ScienceDirect, Wiley Online Library, Uporabili smo naslednje ključne besede v slovenskem in angleškem jeziku: posttravmatska stresna motnja, porod, dejavniki tveganja, babica; posttraumatic stress syndrome, childbirth, risk factors, midwife. Iskalno strategijo smo prikazali s PRISMA diagramom, vključene vire pa smo razvrstili po hierarhiji dokazov. Pri izbiri literature smo upoštevali merila vsebinske ustreznosti, dostopnosti celotnega besedila, slovenskega ali angleškega jezika ter letnice objave (2015 ali kasneje). Analizirali smo jih glede na velikost vzorca, uporabljena merilna orodja in ugotovitve o dejavnikih tveganja z razvojem PP-PTSM. Rezultati: Glavni dejavniki tveganja za nastanek posttravmatske stresne motnje po porodu so subjektivno doživljanje poroda kot travmatičnega dogodka, občutek izgube nadzora, predhodne travmatične izkušnje, duševne motnje v anamnezi, pomanjkanje socialne podpore in neustrezna komunikacija z zdravstvenim osebjem. Babice imajo pomembno vlogo pri preprečevanju posttravmatske stresne motnje po porodu, predvsem z empatijo, stalno prisotnostjo, spoštovanjem porodnih želja in omogočanjem varnega okolja. Razprava in zaključek: Na podlagi naše raziskave lahko zaključimo, da je ključnega pomena prepoznavanje dejavnikov tveganja ter poznavanje vloge babice kot prvega stika v obporodni obravnavi. Kakovostna, empatična in neprekinjena babiška obravnava pomembno prispeva k zmanjšanju tveganja za razvoj motnje. Priporočljivo je uvajanje presejalnih orodij za posttravmatsko stresno motnjo po porodu ter dodatno izobraževanje babic na področju duševnega zdravja žensk v poporodnem obdobju. Introduction: Post-traumatic stress disorder after childbirth is a serious mental disorder that affects 4–7% of women, usually because of a traumatic birth experience. Symptoms can negatively affect the mother's self-image, bonding with the child, and the quality of her relationship with her partner. Early screening is a crucial step in treating women with post traumatic stress disorder. It is also important to raise awareness about the condition to reduce stigma and improve the mental health of mothers in the postpartum period. A holistic approach that includes the physical and psychological well-being of women is key to quality perinatal care. Purpose: The purpose of the study is to examine risk factors and explore the role of midwives in treating women with post-traumatic stress disorder after childbirth. The goal of this study is to raise awareness among the public and healthcare professionals about the importance of timely recognition and appropriate treatment of post-traumatic stress disorder after childbirth. Methods: We used a descriptive method with a systematic review of the literature. We searched for sources in the CINAHL, ScienceDirect, and Wiley Online Library databases. We used the following keywords in Slovenian and English language: post-traumatic stress disorder, childbirth, risk factors, midwife; post-traumatic stress syndrome, childbirth, risk factors, midwife. We presented the search strategy using a PRISMA diagram and classified the included sources according to the hierarchy of evidence. When selecting the literature, we considered the criteria of content relevance, availability of the full text, Slovenian or English language, and year of publication (2015 or later). We analyzed the studies according to sample size, measurement tools used, and findings on risk factors for the development of posttraumatic-stress syndrome after birth. Results: The main risk factors for the development of post-traumatic stress disorder after childbirth are the subjective experience of childbirth as a traumatic event, loss of control during birthg, previous traumatic experiences, a history of mental disorders, lack of social support, and inadequate communication with healthcare personnel. Midwives play an important role in preventing post-traumatic stress disorder after childbirth, primarily through empathy, constant presence, respect for birth wishes, and providing a safe environment. Discussion and conclusion: Based on our research, we can conclude that it is crucial to identify risk factors and understand the role of midwives as the first point of contact in perinatal care. High-quality, empathetic, and continuous midwifery care significantly contributes to reducing the risk of developing the disorder. It is recommended to introduce screening tools for post-traumatic stress disorder after childbirth and to provide additional training for midwives in the field of mental health of postpartum women. diplomska dela babištvo posttravmatska stresna motnja porod dejavniki tveganja babice diploma theses midwifery post-traumatic stress disorder childbirth risk factors midwifes true false false [N. Šef] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-08-23 07:45:35 2025-08-23 07:45:51 2025-08-26 03:43:45 0000-00-00 00:00:00 2025 0 Ljubljana 0 Ljubljana 36 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 618.2/.7 148678 246438147 50573.pdf 50573.pdf 1 9BDE91A8B6727A1E901354189B7CCAE6 39851b1c79810ca1263b15aa35089b17b138119ca87d1ec2d3e635c6dba1dbb5 5131c44c-7fe4-11f0-9328-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=214619 Zdravstvena fakulteta 0 0 0