Uporaba presejalnih lestvic za motnje hranjenja v nosečnosti in poporodnem obdobju : diplomsko delo

Dobravec, Pia (avtor), Stanek Zidarič, Tita (mentor), Sernec, Karin (komentor), Prelec, Anita (recenzent)

Uvod: Motnje hranjenja predstavljajo sklop psihiatričnih obolenj, ki so dandanes vse bolj v porastu. Dejavniki tveganja za njihov nastanek so številni, pogosteje pa motnje hranjenja prizadenejo ženske, ki imajo hkrati tudi ključno vlogo pri reprodukciji. Slednja je lahko ogrožena, če ženska razvije nezdrave prehranjevalne navade ali t. i. motnje hranjenja. Anoreksija in bulimija nervoza pa ne vplivata le na reproduktivno sposobnost, temveč tudi na potek nosečnosti, porod in plod. Namen: Namen diplomskega dela je podrobneje proučiti motnje hranjenja, natančneje anoreksijo in bulimijo nervozo ter razširiti ozaveščenost o tej problematiki med zdravstvenimi delavci. Zanimal nas je njun vpliv na nosečnost, porod, poporodno obdobje in plod ter s kakšnimi izzivi se zdravstveni delavci ob tem soočamo. Na enem mestu smo želeli zbrati ter kritično analizirati obstoječe presejalne in diagnostične vprašalnike za motnje hranjenja. Da bi zmanjšali incidenco anoreksije in bulimije nervoze v rodnem obdobju žensk, smo razvili prvi presejalni vprašalnik za motnje hranjenja v nosečnosti in poporodnem obdobju, primeren tudi za mednarodno uporabo. Metode dela: Uporabili smo deskriptivno metodo s sistematičnim pregledom strokovne in znanstvene literature v časovnem okvirju od 1957 do 2020. Literaturo smo iskali v slovenskem in angleškem jeziku v podatkovnih bazah CINAHL, Cochrane Library, MEDLINE, ScienceDirect, Springer Link, Wiley Online Library, COBISS in Google Učenjak. Ključne besede so bile anoreksija, bulimija, presejanje, nosečnost in poporodno obdobje. Skupno smo analizirali 42 virov. Izbrano metodo dela smo dopolnili s polstrukturiranim intervjujem. Rezultati: Po pregledu literature smo lestvice za presejanje in diagnosticiranje na anoreksijo ter bulimijo nervozo prevedli iz angleščine v slovenski jezik ter jih analizirali. Prednosti in pomanjkljivosti posameznega vprašalnika smo proučili in jih upoštevali ob oblikovanju lastnega prvega presejalnega vprašalnika za presejanje na anoreksijo in bulimijo nervozo, namenjenega nosečnicam in otročnicam. Razprava in zaključek: Prevedeni vprašalniki, zbrani na enem mestu, povzemajo vse prednosti in slabosti posameznega vprašalnika in omogočajo njihovo ustrezno uporabo glede na potrebe uporabnika. Njihova kritična analiza je pripomogla k oblikovanju prvega vprašalnika za potrebe presejanja motenj hranjenja v času nosečnosti in poporodnem obdobju žensk v Sloveniji. Priporočali bi, da se ga vključi v materinsko knjižico, izdelali pa smo tudi letak za ozaveščanje o motnjah hranjenja.

• Jezik: Slovenski jezik
• Ključne besede: diplomska dela, babištvo, anoreksija, bulimija, presejanje, nosečnost, poporodno obdobje
• Vrsta gradiva: Diplomsko delo/naloga
• Tipologija: 2.11 - Diplomsko delo
• Organizacija: ZF - Zdravstvena fakulteta
• Kraj izida: Ljubljana
• Založnik: [P. Dobravec]
• Leto izida: 2020
• Št. strani: 78 str., [21] str. pril.
• PID: 20.500.12556/RUL-122036
• UDK: 618.2/.7
• COBISS.SI-ID: 38848259
• Datum objave v RUL: 18.11.2020

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: The use of screening scales for eating disorders during pregnancy and postpartum : diploma work

Izvleček

Introduction: Eating disorders are a set of psychiatric illnesses the prevalence of which has been rapidly increasing. Risk factors for the development of eating disorders are numerous, more likely affecting women than men. Unhealthy eating habits, such as anorexia and bulimia nervosa may negatively impact not only female reproductive ability but also the course of pregnancy, childbirth, and the foetus. Purpose: The purpose of the thesis is to study in more detail eating disorders, more specifically anorexia and bulimia nervosa, and to spread awareness of this issue among health professionals. We explored their impact on pregnancy, childbirth, the postpartum period and the foetus, along with the challenges these conditions pose for the health professionals. The study included the collection and critical analysis of the existing screening and diagnostic questionnaires for eating disorders. The first screening questionnaire for eating disorders in pregnancy and the postpartum period was developed to reduce the incidence of anorexia and bulimia nervosa in women of childbearing potential and which would be suitable for international use. Methods: For the purposes of the study, a descriptive method with a systematic review of professional and scientific literature was used within the time frame from 1957 to 2020. The literature was searched in Slovene and English databases CINAHL, Cochrane Library, MEDLINE, ScienceDirect, Springer Link, Wiley Online Library, COBISS and Google Scholar. The key words were anorexia, bulimia, screening, pregnancy, and puerperium. A total of 42 sources were analyzed. The selected method of work was supplemented by a semi-structured interview. Results: After reviewing the literature, the scales for screening and diagnosing anorexia and bulimia nervosa were translated from English into Slovenian language and analyzed. The advantages and disadvantages of each questionnaire were studied and taken into account when designing our own first screening questionnaire for screening for the two conditions, intended for pregnant and childbed women. Discussion and conclusion: The translated questionnaires, collected in one place, summarize the advantages and disadvantages of individual questionnaires and allow their appropriate use according to the needs of the user. Their critical analysis helped to design the first questionnaire for the purpose of screening for eating disorders during pregnancy and the postpartum period for women in Slovenia. We would recommend that it be included in the maternity booklet. Separately, we also produced a flyer to raise awareness about eating disorders.

• Ključne besede: diploma theses, midwifery, anorexia, bulimia, screening, pregnancy, postpartum