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Holistični pristop medicinske sestre k ženski s kronično pelvično bolečino : diplomsko delo
ID Šeruga, Urša (Author), ID Mihelič Zajec, Andreja (Mentor) More about this mentor... This link opens in a new window

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Abstract
Uvod: Kronična pelvična bolečina je občasna ali ponavljajoča se kompleksna bolečina v spodnjem delu trebuha oz. medenici, ki traja 6 mesecev ali več. To stanje močno vpliva na kakovost življenja, na fizično in psihično zdravje, na medosebne odnose doma in na delovnem mestu. Namen: Želimo preučiti, na katere vidike življenja žensk vpliva kronična pelvična bolečina, kako z vidika zdravstvene nege vplivamo na zmanjšanje povezanih težav ter način ocenjevanja bolečine. Metode dela: Uporabljena je deskriptivna metoda dela s sistematičnim pregledom literature v slovenščini in angleščini. Časovni okvir, ki je bil uporabljen pri vključevanju literature, so objave od leta 2006 do 2018. Izbrana literatura izhaja iz podatkovnih baz COBIB.SI, CINAHL with Full Text, Medline (PubMed) in Cochrane library. V vsebinsko analizo je bilo vključenih 17 člankov. Rezultati: Ker je kronična pelvična bolečina zelo kompleksno stanje, se za ugotavljanje vzroka najpogosteje uporablja podrobna anamneza in invazivni diagnostični postopek laparoskopija. Za oceno kakovosti življenja žensk s tem stanjem pa se uporabljajo različne lestvice in vprašalniki, kot so VAL, WHOQOF, HADS, PSEQ, PSQI. Kakovost življenja je spremenjena in vpliva na zmožnost opravljanja vsakodnevnih aktivnosti, na seksualnost in psihološko stanje žensk. Največkrat se pojavita depresija in anksioznost, kar lahko občutenje bolečine še poslabša. Medicinska sestra pa ima vlogo zaupnice ter je glas pacientk, ki drugače lahko ostanejo neslišane. Razprava in zaključek: O kronični pelvični bolečini se govori premalo. Veliko vzrokov za njen pojav še ni ugotovljenih, zato je pomembna holistična obravnava ženske. Obravnavati je potrebno vse vidike življenja in oceniti, na katerih področjih najbolj potrebuje pomoč. Medicinska sestra mora pacientkam nuditi podporo in jih na poti k ozdravitvi pravilno usmerjati. Prav tako pa je odgovorna za spodbujanje raziskav na tem področju in ozaveščanju o tej tematiki.

Language:Slovenian
Keywords:kronična bolečina, medenica, ženska, kakovost življenja, zdravstvena nega
Work type:Bachelor thesis/paper
Organization:ZF - Faculty of Health Sciences
Year:2019
PID:20.500.12556/RUL-110250 This link opens in a new window
COBISS.SI-ID:5681771 This link opens in a new window
Publication date in RUL:13.09.2019
Views:3699
Downloads:296
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Secondary language

Language:English
Title:The holistic approach of a nurse to a woman with chronic pelvic pain : diploma work
Abstract:
Introduction: Chronic pelvic pain is a periodic or recurring complex pain in the bottom part of the stomach or pelvis which lasts six months or more. This state heavily influences a patient’s quality of life, physical and mental health, interpersonal relationships at home and in the workplace. Purpose: We wish to study what aspects of women’s lives are affected by chronic pelvic pain and how, from the viewpoint of nursing, we can reduce the problems connected with this state and a way of assessment of pain. Methods: A descriptive method is used with a systematic overview of literature in Slovene and English. The time frame of integrated publications used was from 2006 to 2018. The chosen literature comes from the following databases: COBIB.SI, CINAHL with Full Text, Medline (PubMed) and Cochrane library. 17 articles were included in the content analysis. Results: Since chronic pelvic pain is a very complex state, detailed anamnesis and the invasive diagnostic process of laparoscopy are used to determine the cause. To assess the quality of life of women in this state, various scales and questionnaires are used, such as VAS, WHOQOF, HADS, PSEQ, PSQI. The quality of a patient’s life changes and affects the pursuit of everyday activities, sexuality, and the mental state of women. Most commonly depression and anxiety arise, which can worsen the feeling of pain. The nurse has the role of confidant and is the voice of the patients who would otherwise be unheard. Discussion and conclusion: Chronic pelvic pain is not talked about enough. Many causes for its appearance are yet to be found out, that’s why it’s important to holistically treat women. All aspects of life need to be discussed and areas in which the most help is needed need to be assessed. The nurse is responsible for encouraging studies in this field and making people aware of this topic. As well as this, the nurse must also offer the patient support and direction on their path to recovery.

Keywords:chronic pain, pelvis, woman, quality of life, nursing

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