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Poznavanje HSV s strani študentov babištva in zdravstvene nege : diplomsko delo
ID Osredkar, Jaka (Author), ID Zore, Anamarija (Mentor) More about this mentor... This link opens in a new window, ID Meglič, Leon (Reviewer)

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Abstract
Uvod: Okužba z virusom herpes simpleks (HSV) je najpogostejša spolno prenosljiva bolezen, razširjena po vsem svetu, s katero je okuženih več žensk kot moških. Poznana sta dva podtipa virusa, HSV-1 in HSV-2. Prvi primarno povzroča orofacialni herpes, drugi pa genitalni herpes. Okužba se lahko pojavi kadarkoli v življenju, posebej pa je ogrožajoča tekom nosečnosti ali ob porodu, ker primarno prizadene plod. Tipični znaki okužbe so mehurčkasti izpuščaji. Virus herpesa se na plod ali novorojenca lahko prenese pred porodom, med porodom ali po porodu, največja nevarnost za okužbo le-tega pa obstaja, ko se mati z virusom prvič okuži tekom nosečnosti. V kolikor so ob začetku poroda pri nosečnici prisotne aktivne lezije na spolovilu ali ob razpoku plodovih ovojev več kot štiri ure, se priporoča, da se nosečnost zaključi s carskim rezom. Najpogostejša mikrobiološka diagnostična metoda je dokaz virusne nukleinske kisline povzročitelja z metodo verižne reakcije s polimerazo, za zdravljenje pa se najpogosteje uporablja zdravilo aciklovir. Namen: V diplomskem delu želimo predstaviti HSV s poudarkom na nosečnici in novorojencu ter raziskati, kako dobro so s tematiko seznanjeni absolventi študijskih programov Babištvo in Zdravstvena nega na Zdravstveni fakulteti Univerze v Ljubljani. Metode dela: V teoretičnem delu diplomske naloge je bila uporabljena deskriptivna metoda dela s pregledom literature, ki smo jo iskali v spletnih podatkovnih bazah Google Učenjak, Medline, PubMed, ScienceDirect in SpringerLink ter v fizični obliki v knjižnici Medicinske in Zdravstvene fakultete v Ljubljani ter Knjižnici Ivana Tavčarja v Škofji Loki. V empiričnem delu je bila uporabljena kvantitativna metoda dela z anketnim vprašalnikom, izdelanim v spletnem portalu 1ka. Slednjega smo posredovali absolventom Babištva in Zdravstvene nege na Zdravstveni fakulteti v Ljubljani. Vseboval je 36 vprašanj, oblikovali pa smo ga na podlagi teoretičnega dela diplomske naloge. Rezultati: Med absolventi Babištva in Zdravstvene nege je mogoče opaziti razliko v poznavanju okužb s HSV med nosečnostjo in pri novorojencu. Povprečno število doseženih točk pri absolventih Babištva je bilo 19,97, medtem ko so jih absolventi Zdravstvene nege v povprečju dosegli 15,51 od skupaj 29 možnih. Anketiranci obeh študijskih smeri so večinskega mnenja, da bi moral NIJZ voditi sprotno evidenco HSV okužb pri nosečnicah in novorojencih, ter da bi bilo potrebno tekom študija več govoriti o okužbah s HSV. Razprava in zaključek: Za lažje vrednotenje rezultatov smo postavili procentualno mejo 60 % osvojenih točk, kar je veljalo kot meja zadovoljivega znanja. To mejo so presegli le absolventi Babištva, ki so povprečno dosegli 69 % točk, kar pomeni, da imajo ob koncu triletnega izobraževanja primerno znanje o okužbah s HSV tekom nosečnosti in pri novorojencih. Anketiranci programa Zdravstvena nega te meje niso dosegli. Z uporabo Mann-Whitneyevega U-testa smo dokazali, da imajo absolventi Babištva več znanja s tega področja kot absolventi Zdravstvene nege. 95 % anketirancev je mnenja, da bi na NIJZ morali voditi evidenco okuženih mater in novorojencev. Kar 26 (77 %) absolventov Babištva meni, da bi morali tekom študija več časa nameniti okužbi s HSV pri nosečnicah in novorojencih, medtem ko 22 (56 %) absolventov Zdravstvene nege meni, da bi potrebovali s tega področja več splošnega znanja. Ob zaključku prihajamo do sklepa, da bi morali biti študenti in zdravstveni delavci bolje izobraženi o tej tematiki.

Language:Slovenian
Keywords:diplomska dela, babištvo, virus herpes simpleks, nosečnice, novorojenčki, neonatalni herpes, okužbe
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[J. Osredkar]
Year:2021
Number of pages:53 str., [7] str. pril.
PID:20.500.12556/RUL-124508 This link opens in a new window
UDC:618.2/.7
COBISS.SI-ID:49021699 This link opens in a new window
Publication date in RUL:28.01.2021
Views:1369
Downloads:428
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Secondary language

Language:English
Title:Knowledge of HSV by midwifery and nursing students : diploma work
Abstract:
Introduction: Infection with the herpes simplex virus (HSV) is the most common sexually transmitted disease worldwide, which more often affects women than men. There are two types of this virus: HSV-1 and HSV-2. The first one principally causes orofacial herpes and the second one the genital herpes. One can acquire the infection anytime in life, yet it is mostly threatening during pregnancy or delivery, as it primarly affects the fetus. Typical symptoms of the infection are genital blisters. The HSV can be transmitted to the fetus or the newborn before, during or after the birth. The highest threat for the fetus represents mother's first infection during pregnancy. If there are active sores present on the mother's genitals at the beginning of the delivery or during the burst of the fetus membranes for more than four hours, it is advised to perform a C-section to finish the delivery. The most common method in the diagnostic microbiology is the proof of viral nucleid acido of the agent through the method of polymerase chain reaction. The infection is most commonly cured with the medicament acyclovir. Purpose: The aim of the diploma thesis is to present the HSV, setting the focus on the pregnant women and their newborns. Furthermore, we would like to research to what extent are the final-year students of the study programmes Midwifery and Nursing at the Faculty of Health Sciences, University of Ljubljana, familiar with this topic. Methods: The theoretical part of the diploma thesis is based on the descriptive method, which comprises the analysis of literature, which was obtained from online databases Google Scholar, Medline, PubMed, ScienceDirect and SpringerLink, as well as from the libraries of the Faculty of Medicine and the Faculty of health sciences in Ljubljana and from the Škofja Loka Public Library Ivan Tavčar. A questionnaire, which was developed on the open source application that enables services for online surveys 1ka, was used as the quantitative method to gain the data, presented in the empiric part. The questionnaire consisted of 36 questions, which were formed based on the data from the theoretical part of the diploma thesis. It was distributed to the final-year students of the study programmes Midwifery and Nursing at the Faculty of Health Sciences. Results: The research showed a difference in the knowledge about the infection with HSV during pregnancy and with newborns between students from the Midwifery and Nursing final-year study programmes. The average score of the Midwifery final-year students was 19,97, whereas the final-year students of Nursing scored the average of 15,51 out of 29 points possible. The participants from both study programmes share the opinion that the NIJZ should keep a record on the number of infected pregnant women and newborns. Besides, more attention should be given to the infection with HSV during the studies at the Faculty of Health Sciences. Discussion and conclusion: A 60 % standard was set to simplify the evaluation of results. This percentage represents a satisfactory level of knowledge about the infection with HSV. Only the students from the Midwifery study programme reached this level, scoring 69 % points on average. This means that they obtain satisfactory knowledge about the infection with HSV during pregnancy and with newborns by the end of their study. The participating students from the Nursing study programme did not reach the set standard. These results were obtained from the Mann-Whitney U-test. 95 % of participants think that NIJZ should keep the record of infected mothers and newborns. 26 (77 %) final-year students of the Midwifery study programme share the opinion that they should be better informed about the infection with HSV of pregannt women and newborns during their study. 22 (56 %) final-year students of the Nursing study programme think they should obtain more general knowledge from this field. To conclude, health workers should be better educated on the discussed topic.

Keywords:diploma theses, midwifery, herpes simplex virus, pregnant women, newborns, neonatal herpes, infections

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