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Zdravstvena oskrba otročnic po carskem rezu v domačem okolju : diplomsko delo
ID Kodrin, Eva (Author), ID Milavec Kapun, Marija (Mentor) More about this mentor... This link opens in a new window, ID Stanek Zidarič, Tita (Reviewer)

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Abstract
Uvod: Število carskih rezov globalno narašča. Otročnice po carskem rezu so izpostavljene večjemu tveganju za zgodnejšo opustitev dojenja, daljše okrevanje, razvoj poporodnih duševnih motenj in okužbe. V Sloveniji vsaki otročnici pripadata najmanj dva preventivna patronažna obiska. Namen: Namen je raziskati zdravstveno oskrbo otročnic po carskem rezu v domačem okolju. Metode dela: Uporabljena je bila deskriptivna metoda dela, narejen je bil pregled literature v slovenskem in angleškem jeziku. Pregledana je bila literatura, objavljena med letoma 2013 in 2023. Literaturo smo iskali v bibliografskih zbirkah CINAHL Ultimate, Cochrane Library, ScienceDirect, PubMed/Medline, COBIB in Wiley Online Library s predhodno oblikovanim iskalnim nizom. Od 22 779 zadetkov smo v končno analizo vključili sedem enot literature. Rezultati: Poporodni obiski strokovnjaka na domu so globalno različno zastavljeni. Na uspešnost okrevanja po carskem rezu najbolj vplivajo uspešnost dojenja, prisotnost psihosocialne podpore, soočanje z bolečino ter medicinski dejavniki. Intervencije strokovnjakov v domačem okolju otročnic so usmerjene v zadovoljevanje potreb, ki izhajajo iz zgornjih dejavnikov vpliva na okrevanje. Namen odpustnih navodil je, da se otročnice pouči in informira o negi rane, o fizioloških spremembah v puerperiju in o nevarnih simptomih, ob katerih se naj vrne v hospitalno obravnavo. Razprava in zaključek: Kakovostno zdravstveno oskrbo otročnic po carskem rezu smo identificirali kot dosledno organizirane obiske zdravstvenih strokovnjakov, ki izvajajo aktivnosti in intervencije v skladu z odpustnimi navodili ter zagotavljajo celostno obravnavo. Zdravstvena oskrba otročnic po carskem rezu v domačem okolju je pomanjkljivo opredeljena. Rezultati raziskav se razlikujejo v ugotovitvah o tem, ali so otročnice po carskem rezu vselej bolj izpostavljene tveganju za razvoj poporodne depresije. Slovenska statistika porodnišnic je pokazala manjši delež polno doječih mater po carskem rezu v primerjavi z materami, ki so rodile vaginalno. Slovensko zdravstveno varstvo otročnic je vzorno urejeno. Nadgradnja je možna pri vzpostavitvi doslednejše evidence patronažne službe o težavah z dojenjem in o duševnem zdravju za otročnice, ki so rodile s carskim rezom.

Language:Slovenian
Keywords:diplomska dela, babištvo, poporodno obdobje, otročnica, carski rez, patronažni obisk
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[E. Kodrin]
Year:2024
Number of pages:38 str., [2] str. pril.
PID:20.500.12556/RUL-158729 This link opens in a new window
UDC:618.2/.7
COBISS.SI-ID:199450371 This link opens in a new window
Publication date in RUL:20.06.2024
Views:251
Downloads:82
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Secondary language

Language:English
Title:Home healthcare of the puerpera after a cesarean delivery : diploma work
Abstract:
Introduction: The number of cesarean sections is rising globally. Puerpera after cesarean section has an increased risk for an early weaning, prolonged recovery, postpartum mental illnesses and infections. In Slovenia, minimal two postnatal home visits of a home health care provider are provided for every puerpera. Purpose: The purpose of this work is to explore the home health care of the puerpera after the cesarean section. Methods: We used the descriptive method with the literature review of sources in Slovenian and in English. We reviewed literature published between 2013 and 2023. We searched in CINAHL Ultimate, Cochrane Library, ScienceDirect, PubMed/Medline, COBIB and Wiley Online Library with the specifical search string. From the starting 22 779 results we included seven units of the review into final analysis. Results: Globally, postpartum home health care visits are different. Factors affecting the quality of maternal recovery after caesarean section are psychosocial support, help with breastfeeding, presence of pain and medical factors. The home health care provider performs interventions which satisfy the factors affecting the quality of maternal recovery. Specific discharge instructions consist of guidance for proper wound care, physiological changes in puerperium and is teaching about pathological signs and symptoms which require further medical attention. Discussion and conclusion: We have identified the quality of the home health care of the puerpera after the cesarean section as precisely organised home health care visits by which the current specific needs of the puerpera are met and are equal to the discharge instructions, providing holistic treatment. However, the home health care of the puerpera after the cesarean section is poorly explored. Articles show various conclusions about the susceptibility of the puerpera who underwent cesarean delivery to the increased risk for developing postpartum depression. According to the Slovenian perinatal statistics, women who had a cesarean delivery, breastfeed for a shorter period when compared to women, who gave birth vaginally. We evaluate that Slovenian home health care for the puerperas is well run. However, we propose establishment of a correct evidence for collecting data about problems with breastfeeding and mental issues that the puerpera who gave birth via cesarean section encounters in the postpartum period.

Keywords:diploma theses, midwifery, postpartum period, puerpera, cesarean section, home healthcare visit

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