Vloga medicinske sestre pri zmanjševanju negativnih posledic dolgotrajnega jemanja kontracepcije za žensko v reproduktivnem obdobju : diplomsko delo

Nograšek, Manca (author), Thaler, Darja (mentor), Mlinar, Suzana (reviewer)

Uvod: Kontracepcija je ključni element reproduktivnega zdravja, ki ženskam omogoča načrtovanje družine in preprečevanje neželene nosečnosti. Razumevanje, kako posamezniki sprejemajo odločitve o kontracepciji, je bistveno za razvoj učinkovitih zdravstvenih intervencij. Na odločitve vplivajo tako osebni kot družbeni dejavniki. Na voljo so hormonske metode (tablete, obliži, vaginalni obroč, injekcije, podkožni vsadki in maternični vložki), nehormonske metode (bakreni maternični vložek, kondom, diafragma, vedenjske metode), sterilizacija in nujna kontracepcija. Uporaba kontracepcijskih metod se spreminja glede na geografsko lokacijo, kulturno okolje in dostop do zdravstvenih storitev. Namen: Namen diplomskega dela je s pregledom strokovne in znanstvene literature raziskati vlogo medicinske sestre pri zmanjševanju negativnih posledic dolgotrajnega jemanja kontracepcije za žensko v reproduktivnem obdobju. Metode dela: Uporabili smo deskriptivno raziskovalno metodo s pregledom strokovne in znanstvene literature iz domačih in tujih virov. Iskanje literature je potekalo od leta 2015 do leta 2025 v podatkovnih bazah PubMed in CINAHL. Uporabljena literatura je v slovenskem in angleškem jeziku. V analizo smo vključili 18 člankov, ki so predstavljeni v tabeli. Rezultati: Študije so ugotovile, da so najpogostejši stranski učinki dolgotrajne uporabe kontracepcije povečali tveganje za raka dojke, depresijo in anksioznost, zmanjšan libido, vensko tromboembolijo (VTE) in povečanje telesne mase. Hormonske metode kontracepcije so bile povezane z višjo pojavnostjo negativnih učinkov kot nehormonske metode. Ključna vloga medicinskih sester je v osveščanju žensk o tveganjih ter v svetovanju o najprimernejši metodi glede na njihove individualne potrebe. Razprava in zaključek: Medicinske sestre imajo pomembno vlogo pri ozaveščanju žensk o možnih tveganjih in prednostih različnih kontracepcijskih metod. S kakovostnim svetovanjem se lahko zmanjša pojavnost negativnih učinkov ter pripomore k boljši kakovosti življenja uporabnic kontracepcije.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, kontracepcijska metoda, zdravstveni delavci, stranski učinki
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [M. Nograšek]
• Year: 2025
• Number of pages: 31 str.
• PID: 20.500.12556/RUL-172948
• UDC: 616-083
• COBISS.SI-ID: 248686851
• Publication date in RUL: 12.09.2025

Secondary language

• Language: English
• Title: The role of the nurse in reducing the negative effects of long-term contraceptive use for women in their reproductive years : diploma work

Abstract

Introduction: Contraception is a key element of reproductive health, enabling women to plan their families and prevent unwanted pregnancies. Understanding how individuals make decisions about contraception is essential for developing effective health interventions. These decisions are influenced by both personal and societal factors. Contraceptive methods include hormonal methods (such as pills, patches, vaginal rings, injections, subcutaneous implants and intrauterine devices), non-hormonal methods (such as copper intrauterine device, condoms, diaphragms and behavioral methods), sterilization and emergency contraception. The use of contraceptive methods varies according to geographical location, cultural background and access to health services. Purpose: The aim of this thesis is to explore the role of the nurses in reducing the negative consequences of long-term contraceptive use on women of reproductive age by reviewing professional and scientific literature. Methods: We used a descriptive research method by reviewing professional and scientific literature from national and international sources. The literature search was conducted between 2015 and 2025 in the PubMed and CINAHL databases. The literature reviewed is in Slovene and English. A total of 18 articles were included in the analysis and are presented in a table. Results: Studies have found that the most common side-effects of long-term contraceptive use are increased risk of breast cancer, depression and anxiety, decreased libido, venous thromboembolism and weight gain. Hormonal methods of contraception were associated with higher incidence of adverse effects than non-hormonal methods. The key role of nurses is to raise women`s awareness of the risks and to advise them on the most appropriate method for their individual needs. Discussion and conclusion: nurses have an important role in increasing women`s awareness of the potential risks and benefits of different contraception methods. High-quality counselling can reduce the incidence of adverse effects and contribute to a better quality of life for contraceptive users.

• Keywords: diploma theses, nursing care, contraceptive method, health professionals, side effects