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Anksioznost v času nosečnosti : diplomsko delo
ID Vene, Špela (Author), ID Mivšek, Ana Polona (Mentor) More about this mentor... This link opens in a new window, ID Petročnik, Petra (Comentor)

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Abstract
Uvod: Anksioznost je običajen odziv, ki nas pripravi na beg pred nevarno situacijo. Z anksioznimi motnjami se v Evropski uniji sooča približno 14 % prebivalstva, pogostejše pa so pri ženskah. Namen: Namen diplomskega dela je bil s pomočjo pregleda literature ugotoviti, kolikšna je razširjenost anksioznosti med nosečnicami in kateri so dejavniki tveganja za nastanek anskioznosti, kakšen vpliv ima na nosečnost, njen izid ter porod in katere meritvene lestvice se uporabljajo v raziskavah za merjenje anksioznosti. Metode dela: Uporabljena je bila opisna oziroma deskriptivna metoda raziskovanja s sistematičnim pregledom strokovne in znanstvene literature. Literatura je bila poiskana s pomočjo slovenskih podatkovnih baz: COBISS in DiKUL, ostala literatura je bila poiskana s pomočjo angleških podatkovnih baz: Google Scholar in Science Direct. Vključeni so bili dostopni članki in literatura v angleškem in slovenskem jeziku od leta 2000 do 2018. Rezultati: Pri približno 6 % nosečnic se razvije anksioznost. Nosečnice, ki se soočajo z anksioznostjo, so nenehno zaskrbljene in imajo občutek, da se jim bo zgodilo nekaj slabega. Visoke ravni anksiozno-depresivnih simptomov pri nosečnicah so povezane z neugodnimi porodnimi rezultati. Rezultati študij, ki so bile vključene v pregled literature, so pokazali, da je anksioznost pogosta duševna motnja v nosečnosti, ki prizadane predvsem nosečnice v zadnjem trimesečju. Na anksioznost v nosečnosti vplivajo slabša izobrazba in ekonomski status nosečnice, starost, medicinski zapleti v prejšnjih nosečnostih, pomanjkanje partnerjeve ter socialne podpore in nasilje. Anksioznost vpliva na duševno zdravje ženske in njeno dobro počutje. Raziskovalci so anksioznost povezali z razvojem preeklampsije, tokofobije, prolongiranim porodom, prezgodnjim porodom in nenačrtovanim carskim rezom. Pri vseh raziskavah, vključenih v pregled literature, so bile uporabljene meritvene lestvice za ugotavljanje anksioznosti. Najpogosteje uporabljeni lestvici sta bili STAI in CES-D. Razprava in zaključek: Zadnje trimesečje v nosečnosti je za žensko še posebej zahtevno obdobje. Spremembe povzročajo, da se v tem obdobju nosečnice pogosto soočajo s strahovi. Pri nezdravljenih duševnih stiskah je povečano tveganje za slabši izid nosečnosti. Z zagotavljanjem rednega izobraževanja zdravstvenih strokovnjakov, ki so pristojni za skrb žensk v rodni dobi, bi lahko bistveno izboljšali način prepoznavanja duševnih stisk, kakršni sta anksioznost in depresija.

Language:Slovenian
Keywords:anksioznost, vplivi, vzroki, prevalenca, meritvene lestvice
Work type:Bachelor thesis/paper
Organization:ZF - Faculty of Health Sciences
Year:2019
PID:20.500.12556/RUL-106031 This link opens in a new window
COBISS.SI-ID:5569387 This link opens in a new window
Publication date in RUL:17.01.2019
Views:1981
Downloads:1056
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Secondary language

Language:English
Title:Anxiety during pregnancy : diploma work
Abstract:
Introduction: Anxiety is a common response that prepares us to escape from a dangerous situation. Approximately 14 % of the population in the European union confront with anxiety disorders, that are more common in women. Purpose: The purpose of the diploma work is to determine the prevalence of anxiety among pregnant women, risk factors for the onset of anxiety, the impact on pregnancy, its outcome and labour and what measurements are used in reasearch for measuring anxiety. Methods: Descriptive method of research was used with a systematic review of professional and scientific literature. Literature was searched using Slovenian databases: COBISS and DiKUL, and other literature was found using foreign databases: Science Direct and Google Scholar. Accessible articles and literature in the English and Slovenian languages, from 2000 to 2018 were included. Results: About 6 % of pregnant women develop anxiety. Pregnant women with anxiety disorders are constantly worried and have the feeling that something bad will happen. High levels of anxiety-depressive symptoms in pregnant women are associated with unpleasant maternal outcomes. The results of studies that were included in the literature review have showed that anxiety is a common mental disorder in pregnancy and that affects mainly pregnant women in the last trimester. Anxiety in pregnancy is affected by poorer education and economic status of pregnant women, age, medical complications in previous pregnancies, lack of partner, social support and violence. Anxiety affects the mental health of a woman and her well-being. The researchers associated anxiety with the development of preeclampsia, tocophobia, prolonged birth, premature birth and unplanned caesarean section. In all of the studies included in the literature review, measurement scales were used to determine anxiety. The most commonly used scales were STAI and CES-D. Discussion and conclusion: The last trimester of pregnancy is a particularly demanding period for a woman. Changes cause that during this period, pregnant women often face fears. In untreated mental disorders, the risk of a worse outcome of pregnancy is increased. By ensuring the regular education of health professionals who are responsible for the care of women of childbearing age, the way of recognizing mental disorders, such as anxiety and depression, would be significantly improved.

Keywords:anxiety, impact, causes, prevalence, measurement scales

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