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Soočanje žensk s posledicami hujših poškodb presredka po porodu : diplomsko delo
Mohar, Petra (Avtor), Mivšek, Ana Polona (Mentor) Več o mentorju... Povezava se odpre v novem oknu, Petročnik, Petra (Komentor)

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Izvleček
Uvod: Hujše poškodbe presredka definiramo kot poškodbe presredka 3. in 4. stopnje. Poškodba presredka je lahko posledica epiziotomije ali raztezanja in raztrganja med spontanim ali asistiranim porodom. Med porodom se z vsakim popadkom glavica otroka počasi pomika iz porodnega kanala in tako počasi razteguje tkivo presredka. Pri tem imajo mišice medeničnega dna, nožnica in presredek izjemno pomembno vlogo. Poškodbe presredka med porodom lahko pomembno vplivajo na kakovost življenja žensk, tako kratkoročno kot dolgoročno. Namen: Namen diplomskega dela je s pomočjo pregleda literature raziskati, kako se ženske soočajo s poškodbami presredka 3. in 4. stopnje, ki so jih utrpele pri porodu, raziskati njihove občutke in dojemanja ter proučiti, kakšnih informacij so bile deležne s strani zdravstvenih strokovnjakov v času obravnave. Metode dela: Uporabljena je bila opisna oziroma deskriptivna metoda raziskovanja s sistematičnim pregledom strokovne in znanstvene literature. Literaturo smo poiskali s pomočjo slovenske podatkovne baze DIKUL in tujih podatkovnih baz Pubmed, Cinahl in Science Direct. Vključeni so bili dostopni članki v angleškem jeziku od leta 2000 do leta 2018. Rezultati: Rezultati študij, vključenih v diplomsko delo, so pokazali, da hujše poškodbe presredka močno vplivajo na samopodobo žensk, saj te pogosto opisujejo občutek neuspeha, ker jim ni uspelo izpolniti svojih pričakovanj v vlogi mame in partnerke. Pogosto pri skrbi za novorojenčka in gospodinjstvu potrebujejo pomoč, zaradi česar imajo občutek, da jim je spodletelo. Zaradi posledic hujših poškodb presredka se socialno izolirajo, kar pa lahko vodi v občutek osamljenosti. Največkrat je razlog za strah prisoten zaradi pomanjkljive podpore in neustreznih informacij v času obravnave. Razprava in sklep: Kljub temu, da so hujše poškodbe presredka pri porodu pogoste, obstaja malo študij, ki bi raziskovale izkušnje žensk, ki so pri porodu utrpele hujše poškodbe presredka. Veliko poškodb je tudi prikritih in se jih ne odkrije takoj po porodu, lahko pa močno vplivajo na kakovost življenja žensk. Pomembno je, da ima zdravstveno osebje dovolj znanja in izkušenj, da zna oceniti stopnjo poškodbe presredka in ustrezno ukrepati v primeru hujših poškodb presredka ter napotiti ženske v nadaljnjo obravnavo k ustreznim specialistom. Ženskam je potrebno zagotoviti ustrezne informacije in podporo v času obravnave.

Jezik:Slovenski jezik
Ključne besede:poškodbe, presredek, porod, izkušnje, ženske
Vrsta gradiva:Diplomsko delo/naloga (mb11)
Organizacija:ZF - Zdravstvena fakulteta
Leto izida:2019
COBISS.SI-ID:5577835 Povezava se odpre v novem oknu
Število ogledov:74
Število prenosov:14
Metapodatki:XML RDF-CHPDL DC-XML DC-RDF
 
Skupna ocena:(0 glasov)
Vaša ocena:Ocenjevanje je dovoljeno samo prijavljenim uporabnikom.
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Sekundarni jezik

Jezik:Angleški jezik
Naslov:Women's confrontation with severe perineal tears after birth : diploma work
Izvleček:
Introduction: Severe perineal trauma is defined as a damage of the perineum to the third and fourth degree perineal tear. Perineal injuries can be a consequence of episiotomy, or stretching and perineal tearing during spontaneous or assisted labor. During childbirth, each contraction slowly moves the child's head from birth canal and so slowly stretches the perineal tissue. In this, the pelvic floor muscles, vagina and perineum have an extremely important role. Injuries of the perineum during childbirth can have a significant impact on the quality of life of women, both in the short and long term. Aim: The purpose of the diploma work is to review literature on how women face with injuries of 3rd and 4th degree perineal tears that they suffered at giving birth; to explore their feelings and perceptions; and to examine what information have women obtained by health professionals during the postpartum care. Methods: A descriptive method of research with a systematic review of professional and scientific literature was used. Literature was searched using the Slovenian database DIKUL and foreign databases Pubmed, Cinahl and Science Direct. Articles in English language, published from 2000 to 2018 were included. Results: The results of the studies included in the diploma work show that severe injuries to the perineum have a major impact on the selfesteem of women, as they often describe a sense of failure because they failed to meet their expectations in the role of a mother and a partner. Women often need help in the care of a newborn and in a household, which makes them feel that they have failed. They are social isolated because of the consequences of severe injuries, which can lead to a sense of loneliness. Most often, the reason for the fear is due to the lack of support and inadequate information at the time of the postpartum care. Discussion and conclusion: Despite the fact that severe perineal injuries are common during childbirth, there are few studies that explore the experience of women who suffered severe injuries of perineum at giving birth. There are also many occult injuries that are not detected at giving birth, and which can greatly affect the quality of women’s life. It is important that healthcare professionals have sufficient knowledge and experience to evaluate the degree of perineal trauma and take appropriate action in the event of serious injuries. It is important that they refer women to further treatment to appropriate specialists and provide women with adequate information and support at postpartum period.

Ključne besede:injuries, perineum, childbirth, experiences, women

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