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Zdravstvena nega ženske z rakom materničnega vratu med nosečnostjo : diplomsko delo
ID Durić, Neira (Author), ID Mihelič Zajec, Andreja (Mentor) More about this mentor... This link opens in a new window, ID Mlinar, Suzana (Reviewer)

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Abstract
Uvod: Rak materničnega vratu je redka diagnoza, ki se pojavlja med nosečnostjo, čeprav se je incidenca v zadnjih letih povečala zaradi pozne poroke in pozne nosečnosti. Ko je rak materničnega vratu diagnosticiran med nosečnostjo, predstavlja velik izziv za nosečnico in lečeče zdravnike. Zdravljenje je individualizirano in prilagojeno željam nosečnice. Namen: Predstaviti želimo zaplet nosečnosti zaradi pojava raka materničnega vratu. Ugotoviti želimo varnost nadaljevanja nosečnosti za mater in plod, izide nosečnosti ter vlogo medicinske sestre pri nudenju čustvene podpore ter spodbujanju rednih preventivnih pregledov. Metode dela: Uporabili smo deskriptivno metodo ter pregledali znanstveno in strokovno literaturo v slovenskem in angleškem jeziku, objavljeno znotraj zadnjih deset let. Iskanje literature je potekalo v podatkovnih bazah: Cochrane Library, PubMed/Medline, Cinahl, COBIB. Iskalni nizi za identifikacijo literature so bili: "cervical cancer" OR "cancer of the cervix" AND pregnancy OR "pregnant women"; "complications" OR "pregnancy complications" AND risk OR "risk factors" AND "nursing role" OR "role of nurse" OR "nursing care"; "cervical cancer" OR "cancer of the cervix" AND pregnancy OR "pregnant women"; "complications" OR "pregnancy complications" AND risk OR "risk factors" AND "nursing role" OR "role of nurse" OR "nursing care"; "childbirth" OR "delivery" AND "health education" OR "health promotion" AND "psychological support"; "rak materničnega vratu" ALI "rak na materničnem vratu" IN nosečnost ALI "noseče ženske" IN zapleti ALI "zapleti v nosečnosti"; tveganje ALI "dejavniki tveganja" IN "vloga medicinske sestre" ALI "zdravstvena nega" ALI "zdravstvena oskrba"; porod ALI "rojstvo otroka" IN "zdravstvena vzgoja" ALI "krepitev zdravja" IN "psihološka podpora". Rezultati: Klinični izidi žensk z rakom materničnega vratu v nosečnosti so kljub posameznim zapletom večinoma ugodni in primerljivi z izidi pri ne-nosečih ženskah v splošni populaciji. Neoadjuvantna kemoterapija je relativno varna metoda za ženske z rakom materničnega vratu v drugem in tretjem trimesečju, ki omogoča nadaljevanje nosečnosti in ne ogroža zdravja ploda. Neoadjuvantna kemoterapija skupaj z radikalno histerektomijo se zdi varna in učinkovita pri zdravljenju raka materničnega vratu med nosečnostjo. Razprava in zaključek: Odlašanje z zdravljenjem z namenom, da bi se omogočila zadostna zrelost ploda, ne vpliva bistveno na preživetje žensk z rakom materničnega vratu. Ključno je poudariti vlogo medicinske sestre pri diagnozi raka materničnega vratu med nosečnostjo zaradi dvojnega strahu, ki ga imajo nosečnice, in sicer zaradi nosečnosti ter bolezni.

Language:Slovenian
Keywords:diplomska dela, zdravstvena nega, maligni tumor materničnega vratu, nosečnost, medicinske sestre, porod, zapleti, čustvena podpora
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:N. Durić
Year:2026
Number of pages:30 str.
PID:20.500.12556/RUL-180703 This link opens in a new window
UDC:616-083
COBISS.SI-ID:271712515 This link opens in a new window
Publication date in RUL:14.03.2026
Views:320
Downloads:165
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Secondary language

Language:English
Title:Nursing care of a women with cervical cancer during pregnancy : diploma work
Abstract:
Introduction: Cervical cancer is a rare diagnosis that occurs during pregnancy, although its incidence has increased in recent years due to delayed marriage and later pregnancies. When cervical cancer is diagnosed during pregnancy, it represents a major challenge for both the pregnant woman and the treating physicians. Treatment is individualized and tailored to the wishes of the pregnant woman. Purpose: The aim of this study is to present pregnancy complications associated with the occurrence of cervical cancer. We seek to determine the safety of continuing the pregnancy for both the mother and the fetus, pregnancy outcomes, and the role of the nurse in providing emotional support and promoting regular preventive examinations. Methods: We used a descriptive research method and reviewed scientific and professional literature in Slovenian and English published within the last ten years. The literature search was conducted in the following databases: Cochrane Library, PubMed/Medline, CINAHL, COBIB. The search strings used to identify literature were: "cervical cancer" OR "cancer of the cervix" AND pregnancy OR "pregnant women"; "complications" OR "pregnancy complications" AND risk OR "risk factors" AND "nursing role" OR "role of nurse" OR "nursing care"; "cervical cancer" OR "cancer of the cervix" AND pregnancy OR "pregnant women"; "complications" OR "pregnancy complications" AND risk OR "risk factors" AND "nursing role" OR "role of nurse" OR "nursing care"; "childbirth" OR "delivery" AND "health education" OR "health promotion" AND "psychological support"; "rak materničnega vratu" OR "rak na materničnem vratu" AND pregnancy OR "noseče ženske" AND complications OR "zapleti v nosečnosti"; risk OR "risk factors" AND "vloga medicinske sestre" OR "zdravstvena nega" OR "zdravstvena oskrba"; childbirth OR "rojstvo otroka" AND "zdravstvena vzgoja" OR "krepitev zdravja" AND "psihološka podpora". Results: Clinical outcomes of women with cervical cancer during pregnancy, despite individual complications, are mostly favorable and comparable to outcomes in non-pregnant women in the general population. Neoadjuvant chemotherapy is a relatively safe method for patients with cervical cancer, allowing the continuation of pregnancy and not endangering fetal health. Neoadjuvant chemotherapy combined with radical hysterectomy appears to be safe and effective in the treatment of cervical cancer during pregnancy. Discussion and conclusion: Delaying treatment in order to allow adequate fetal maturity does not significantly affect the survival of women with cervical cancer. It is crucial to emphasize the role of the nurse in the diagnosis of cervical cancer during pregnancy due to the dual anxiety experienced by pregnant women, both related to the pregnancy and the disease.

Keywords:diploma theses, nursing care, malignant cervical tumor, pregnancy period, nurses, childbirth, complications, emotional support

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