20.500.12556/RUL-189835 Celostni pristop v zdravstveni negi po umetni prekinitvi nosečnosti v prvem trimesečju diplomsko delo A comprehensive approach to health care after artificial termination of pregnancy in the first trimester diploma work Uvod: Umetna prekinitev nosečnosti v prvem trimesečju je postopek, ki se izvaja v zgodnjem obdobju nosečnosti, običajno v prvih 12 tednih. Pacientke se takoj in v tednih po posegu soočajo z vrsto fizičnih in čustvenih izzivov. Vloga zdravstvene nege je ključna pri zagotavljanju učinkovitega obvladovanja bolečine, krvavitev in psihosocialnega stanja med okrevanjem. Namen: Namen diplomskega dela je opredeliti ključne fizične, čustvene, socialne in duhovne izzive, s katerimi se soočajo pacientke po umetni prekinitvi nosečnosti v prvem trimesečju, ter preučiti vlogo medicinske sestre pri njihovi obravnavi. Metode dela: Uporabljena je bila deskriptivna metoda s pregledom domače in tuje znanstvene ter strokovne literature. Iskanje literature je potekalo v mednarodnih podatkovnih bazah MEDLINE/PubMed, CINAHL, Cochrane Library in Google Scholar ter je vključevalo prosto dostopno literaturo v slovenskem in angleškem jeziku, objavljeno v obdobju med letoma 2013 in 2025. Postopek presejanja in izbora literature je prikazan s PRISMA-diagramom. Naredili smo vsebinsko analizo literature. Rezultati: Pregled literature kaže, da so najpogostejši fizični izzivi bolečina, krvavitev in splošno fizično nelagodje. Čustveni odzivi vključujejo olajšanje, žalost, anksioznost in občutke krivde, pri čemer na njihovo intenzivnost vplivajo individualni in socialni dejavniki. Socialni in duhovni izzivi se kažejo predvsem v obliki stigme, pomanjkanja podpore in notranjih konfliktov. Medicinska sestra ima ključno vlogo pri spremljanju fizičnega stanja, prepoznavanju zapletov, nudenju psihološke opore ter zagotavljanju celostne, na pacientko usmerjene zdravstvene nege. Razprava in zaključek: Ugotovitve kažejo, da umetna prekinitev nosečnosti predstavlja večdimenzionalno izkušnjo, ki zahteva celosten pristop v zdravstveni negi. Medicinska sestra ima pri tem osrednjo vlogo, saj s strokovnim znanjem, empatično komunikacijo in individualiziranim pristopom pomembno prispeva k varnemu okrevanju in boljšemu počutju pacientk. Za izboljšanje kakovosti zdravstvene nege je pomembno razvijati standardizirane pristope, krepiti izobraževanje medicinskih sester ter zagotavljati večjo dostopnost psihološke in socialne podpore. Introduction: First-trimester abortion is a procedure performed early in pregnancy, usually within the first 12 weeks. Patients face a range of physical and emotional challenges immediately and in the weeks following the procedure. The role of nursing is crucial in ensuring effective management of pain, bleeding, and psychosocial well-being during recovery. Purpose: The purpose of the diploma work is to identify the key physical, emotional, social and spiritual challenges faced by patients after first-trimester abortion, and to examine the role of the nurse in their treatment. Methods: A descriptive method was used with a review of domestic and foreign scientific and professional literature. The literature search was conducted in the international databases MEDLINE/PubMed, CINAHL, Cochrane Library, and Google Scholar and included freely available literature in Slovenian and English, published between 2013 and 2025. The process of screening and selecting literature is shown with a PRISMA diagram. We performed a content analysis of the literature. The results were presented in tabular and textual form. Results: A review of the literature shows that the most common physical challenges are pain, bleeding and general physical discomfort. Emotional responses include relief, sadness, anxiety and feelings of guilt, with their intensity influenced by individual and social factors. Social and spiritual challenges are mainly manifested in the form of stigma, lack of support and internal conflicts. The nurse has a key role in monitoring the physical condition, identifying complications, providing psychological support and ensuring comprehensive, patient-centered health care. Discussion and conclusion: The findings show that induced abortion is a multidimensional experience that requires a holistic approach in nursing care. The nurse plays a central role in this, as she contributes significantly to the safe recovery and better well-being of patients with her professional knowledge, empathetic communication and individualized approach. To improve the quality of healthcare, it is important to develop standardized approaches, strengthen the education of nurses and ensure greater accessibility of psychological and social support. diplomska dela zdravstvena nega inducirani splav zapleti medicinske sestre zgodnja nosečnost diploma theses nursing care induced abortion complication nurses early pregnancy true false false [E. Nuhanovič] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-10-17 07:45:39 2026-10-17 07:46:04 2026-10-19 07:53:58 0000-00-00 00:00:00 2026 0 Ljubljana 0 Ljubljana VII, 19 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083 169295 301376771 65437.pdf 65437.pdf 1 AEF14D39182366F006E5E7A23C7439E9 5e8d68bcf2026d1fe7ddc2e389d3d23c272cde0fee891236088366d9358e6233 e0782c21-c9ed-11f1-8bc5-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=250717 Zdravstvena fakulteta 0 0 0