Kakovost življenja žensk po laparoskopski sterilizaciji : diplomsko delo

Kavčnik, Ana (author), Mihelič Zajec, Andreja (mentor), Mlinar, Suzana (reviewer)

Uvod: Sterilizacija ženske je pogosto uporabljen način kontracepcije. Najpogosteje je izvedena laparoskopsko. Ženske se pogosto srečujejo z zdravstvenimi težavami po laparoskopski sterilizaciji in za reševanje le-teh uporabljajo več strategij. Namen: Namen diplomskega dela je proučiti dejavnike in zaplete, ki se pojavijo po laparoskopski sterilizaciji in vplivajo na kakovost življenja žensk, ter podati usmeritve za soočanje z omenjenimi dejavniki v vsakdanjem življenju žensk. Metode dela: Za iskanje literature smo uporabili različne domače in tuje podatkovne baze, kot so COBIB.si, CINAHL, Medline, SpringerLink in Google učenjak. Iskanje literature je potekalo s pomočjo naslednjih ključnih besed v slovenskem in angleškem jeziku: »laparoskopska sterilizacija/laparoscopic sterilization«, »laparoskopska sterilizacija IN zapleti/laparoscopic sterilization AND complications«, »laparoskopska sterilizacija IN življenje žensk/laparoscopic sterilization AND women's lives«, »laparoskopska sterilizacija IN posledice/laparoscopic sterilization AND consequences«. Za vključitev literature v analizo smo upoštevali naslednja merila: prosto dostopne raziskave, ki so objavljene v celoti, jezik članka in letnik objave. V končno analizo je bilo uvrščenih 16 člankov. Za vsebinsko analizo, smo uporabili tehniko odprtega kodiranja besedila. Rezultati: Članki, ki smo jih analizirali, so večinoma na drugem in šestem hierarhičnem nivoju, zato je naš pregled literature srednje močno raziskovalno zasnovan. Identificiranih je bilo 42 kod. Kode smo razvrstili v tri glavne kategorije: zapleti, ki se najpogosteje pojavijo po laparoskopski sterilizaciji, vpliv laparoskopske sterilizacije na zdravje žensk in vpliv laparoskopske sterilizacije na kakovost življenja žensk. Razprava in zaključek: Ugotovili smo, da se po laparoskopski sterilizaciji kakovost življenja bistveno zmanjšuje pri ženskah z nižjo stopnjo izobrazbe kot pri ženskah z višjo stopnjo izobrazbe. To poudarja pomen podrobnega posvetovanja pred sterilizacijo. Prihodnje raziskave, osredotočene na pojav zapletov po laparoskopski sterilizaciji, bi morale biti zasnovane z longitudinalno raziskovalno strategijo, tako da bi spremljali pacientke daljše časovno obdobje. Potrebna je na pacientko osredotočena zdravstvena nega od predoperativnega svetovanja do upravljanja pooperativnih zapletov, da bi se dosegli dobri rezultati laparoskopske sterilizacije in posledično dobra kakovost življenja žensk po njej.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, laparoskopija, kontracepcija, zapleti, zdravje žensk, kakovost življenja, strategije obvladovanja
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [A. Kavčnik]
• Year: 2020
• Number of pages: 30 str.
• PID: 20.500.12556/RUL-120668
• UDC: 616-083
• COBISS.SI-ID: 29683203
• Publication date in RUL: 24.09.2020

Secondary language

• Language: English
• Title: Quality of women's life after laparoscopic surgery : diploma work

Abstract

Introduction: Sterilization of a woman is a commonly used method of contraception. It is most often performed laparoscopic. Women often face health problems after laparoscopic sterilization and use several strategies to address them. Purpose: The purpose of this thesis is to study the factors and complications that occur after laparoscopic sterilization and affect the quality of life of women, and to provide guidelines for dealing with these factors in the daily lives of women. Methods: We used various domestic and foreign databases, such as COBIB.si, CINAHL, Medline, SpringerLink and Google Scholar, to search for literature. The literature was searched using the following keywords in Slovene and English: "laparoscopic sterilization / laparoscopic sterilization", "laparoscopic sterilization AND complications", "laparoscopic sterilization AND women's lives", "laparoscopic sterilization AND consequences ". The following criteria were used to include the literature in the analysis: freely available research published in full, the language of the article, and the year of publication. 16 articles were included in the final analysis. For content analysis, we used the open text encoding technique. Results: The articles we analyzed are mostly at the second and sixth hierarchical levels, so our literature review is moderately research-based. 42 codes were identified. The codes were classified into three main categories: complications that most commonly occur after laparoscopic sterilization, the impact of laparoscopic sterilization on women’s health, and the impact of laparoscopic sterilization on women's quality of life. Discussion and conclusion: We found that after laparoscopic sterilization, the quality of life decreases significantly in women with a lower level of education than in women with a higher one. This underlines the importance of detailed consultation before sterilization. Future research focusing on the occurrence of complications after laparoscopic sterilization should be designed with a longitudinal research strategy to monitor patients over a longer period. Patient-focused nursing care from preoperative counseling to postoperative management is needed to achieve good laparoscopic sterilization results and consequently a good quality of life for women after it.

• Keywords: diploma theses, nursing care, laparoscopy, contraception, complications, women's health, quality of life, management strategies