Mnenja in izkušnje staršev otrok, ki uporabljajo kanabinoide ali druge pripravke iz konoplje za zdravljenje : magistrsko delo

Kovač, Jasna (author), Neubauer, David (mentor), Štukelj, Roman (co-mentor), Kvas, Andreja (reviewer)

Uvod: Kanabinoidi imajo zagotovo terapevtski potencial. Nekatere raziskave kažejo na to, da bi lahko bili kanabinoidi v veliko pomoč pri različnih stanjih in boleznih, zlasti pri epilepsiji v otroštvu, ki je odporna na zdravljenje. Namen: Namen magistrskega dela je bil oceniti kakovost življenja in zdravstveno stanje otrok z epilepsijo ali drugimi razvojnimi motnjami, ki se že zdravijo s konopljo in kanabinoidi ter ugotoviti, v kolikšni meri se je kakovost življenja in zdravstveno stanje izboljšalo po uvedbi zdravljenja z omenjenimi pripravki. Metode dela: V teoretičnem delu je bila uporabljena opisna metoda dela. V empiričnem delu sta bili uporabljeni tako kvalitativna kot tudi kvantitativna metoda dela. Merska instrumenta sta bila anketni vprašalnik in intervju za starše otrok. Število vrnjenih vprašalnikov je bilo 64 in izvedenih intervjujev 9. Statistično analizo smo naredili s SPSS programom, analizo intervjujev pa po metodi analize vsebine. Rezultati: Kvantitativni rezultati pokažejo, da je od vseh sodelujočih (n=64) bilo 33 otrok moškega in 31 ženskega spola. Največ je bilo otrok v starostni skupini 6–11 let. Največ staršev je označilo, da je imel otrok prej niti slabo, niti dobro stanje, vendar pa se povprečje nagiba na slabše stanje. Vprašalnik, ki meri kvaliteto življenja na različnih področjih je pokazal, da imajo čustvene funkcije otrok najboljše povprečje. Največ staršev je ocenilo, da je pri njihovem otroku sedaj zdravstveno stanje nekoliko boljše, kot je bilo pred uvedbo kanabinoidov. Nobeden od staršev pa ni podal ocen, ki predstavljajo kakršno koli poslabšanje po tem. Rezultati kvalitativne raziskave nam dajo uvid v osebne izkušnje staršev in njihovih otrok. Analiza vsebine intervjujev nam je pokazala lastnosti otrok, stanje prej in po, vse kar se tiče njihove bolezni, pripravka in odločitve za terapijo s konopljo ter nasvete za druge starše in zdravstvene delavce. Razprava in zaključek: Ugotovili smo, da po tem, ko so v otrokovo terapijo vključili kanabinoide in / ali pripravke iz konoplje, so starši opisovali izboljšave na več vidikih otrokovega življenja. Kot kažejo zaključki naše raziskave je potrebno na tem področju nadaljevati raziskave in poskrbeti za ustrezno izobraževanje in izpopolnjevanje tako zdravniškega, kot ostalega zdravstvenega osebja.

• Language: Slovenian
• Keywords: magistrska dela, zdravstvena nega, konoplja, kanabinoidi, endokanabinoidni sistem, otroška epilepsija
• Work type: Master's thesis/paper
• Typology: 2.09 - Master's Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [J. Kovač]
• Year: 2022
• Number of pages: 66 str., [36] str. pril.
• PID: 20.500.12556/RUL-137168
• UDC: 616-083
• COBISS.SI-ID: 110521859
• Publication date in RUL: 04.06.2022

Secondary language

• Language: English
• Title: Opinions and experiences of parents of children using cannabinoids or other cannabis products for treatment : master thesis

Abstract

Introduction: Cannabinoids certainly have therapeutic potential. Some research suggest that cannabinoids could be of great help in a variety of conditions and diseases, especially in childhood epilepsy, which is resistant to treatment. Purpose: The purpose of the master's thesis was to assess the quality of life and health status of children with epilepsy or other developmental disorders already treated with cannabis and cannabinoids and to determine the changes in quality of life and health status after the introduction of this products. Methods: The descriptive method of work was used in the theoretical part. Both qualitative and quantitative methods of work were used in the empirical work. The measurement instruments were a questionnaire and an interview for parents of children. The number of returned questionnaires was 64 and 9 interviews were conducted. Statistical analysis was performed with the SPSS program, and the analysis of interviews was performed using the content analysis method. Results: Quantitative results show that of all participants (n = 64), 33 were male and 31 female. Most children were in the age group 6-11 years. Most parents indicated that the child had neither a bad nor a good condition before, but the average tends to be in a worse condition. A questionnaire measuring the quality of life in different areas showed that children's emotional functions have the best average. Most parents estimated that their child is now slightly better than he was before the introduction of cannabinoids. Neither parent, however, gave estimates that represent any deterioration. The results of the qualitative research give us an insight into the personal experiences of parents and their children. The analysis of the content of the interviews showed us the characteristics of the children, the condition before and after, everything related to their illness, preparation and decision for cannabis therapy, and advice for other parents and health professionals. Discussion and conclusion: We found that children were largely in poor health before the introduction of cannabinoids and/or cannabis products. However, after the mentioned products were included in the child's therapy, the parents describe the improvements in several aspects of the child's life. One of the conclusions of our thesis show also that, it is necessary to continue research in this area and provide appropriate special education and training for medical staff.

• Keywords: master theses, nursing care, cannabis, cannabinoids, endocannabinoid system, childhood epilepsy