Zdravstvena obravnava in doživljanje neplodnega para : diplomsko delo

Kurinčič, Teja (author), Mlinar, Suzana (mentor), Mihelič Zajec, Andreja (reviewer)

Uvod: Neplodnost je svetovni zdravstveni problem, prisoten pri več kot 186 milijonih ljudi. V večini kultur je biti brez otrok nezaželena družbena vloga, neplodnost pa nepričakovan življenjski dogodek, ki lahko ogrozi dobro počutje posameznika in para. Namen: Namen diplomskega dela je predstaviti načine soočanja žensk in moških z neplodnostjo ter opisati vlogo medicinske sestre v procesu obravnave neplodnega para. Metode dela: V diplomskem delu smo uporabili deskriptivno metodo dela. Literaturo smo iskali v bazah CINAHL, Medline, Google Učenjak, COBIB.si in Science Direct. Pregledali smo strokovno in znanstveno domačo in tujo literaturo v časovnem okviru objav od leta 2010 do 2021. Rezultati: V podrobnejšo analizo smo vključili 21 člankov, ki so po hierarhiji dokazov postavljeni na drugi, peti in šesti nivo. Rezultati so pokazali, da se pri večini neplodnih parov kažejo znaki anksioznosti, depresije in distresa. Veliko neplodnih parov se sooča s socialno izolacijo, v družbi so pogosto nesprejeti in nezmožni zaživeti kot družina, nekateri menijo, da je neplodnost lahko razlog za ločitev od partnerja. Pri neplodnih parih se pogosto pojavljajo tudi spolne motnje, kot so erektilna disfunkcija, zmanjšana spolna vzburjenost in zmanjšana želja po spolnih odnosih. Medicinska sestra ima pomembno vlogo v procesu diagnostike in zdravljenja neplodnosti, saj izvajanje intervencij zdravstvene nege pri neplodnem paru vključuje tudi spodbujanje, pomirjanje in zdravstvenovzgojno delovanje. Razprava in zaključek: Neplodnost lahko negativno vpliva na kakovost življenja posameznika in para ter poslabša partnerski odnos, lahko pa ga tudi izboljša, saj je njen vpliv predvsem odvisen od načina spoprijemanja partnerjev s problemom neplodnosti. Za dobro spoprijemanje s stresom in problemom neplodnosti je pomembna tudi vključenost medicinske sestre, ki neploden par spodbuja, izvaja terapevtsko komunikacijo in mu svetuje.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, neplodnost, doživljanje neplodnosti, stigma, partnerski odnosi, kakovost življenja, medicinske sestre
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [T. Kurinčič]
• Year: 2021
• Number of pages: 31 str., [5] str. pril.
• PID: 20.500.12556/RUL-132193
• UDC: 616-083
• COBISS.SI-ID: 81080323
• Publication date in RUL: 16.10.2021

Secondary language

• Language: English
• Title: Medical treatment and experience of infertile couple : diploma work

Abstract

Introduction: Infertility is a global health issue, affecting more than 186 million people worldwide. In most cultures, being childless is an undesirable social role, and infertility is an unexpected situation that can jeopardize the well-being of an individual and a couple. Purpose: The purpose of this paper is to present ways of coping with infertility in women and men, and to describe the role of nurses during the infertility diagnostic and treatment process. Methods: In the paper, we used the descriptive work method. We searched for literature in the CINAHL, Medline, Google Scholar, COBBIB.si, and Science Direct databases. We reviewed professional and scientific Slovene and foreign literature written in English in the period between 2010 and 2021. Results: A more detailed analysis included 21 articles, most of which are at the second, fifth, and sixth levels according to the hierarchy of evidence. The results showed that infertile couples often show signs of anxiety, depression, and distress. Many infertile couples face social isolation, feel rejected by the society, and are unable to live as a family; some even believe that infertility can be a reason for separation from their partner. Infertile couples also experience sexual disorders such as erectile dysfunction, decreased sexual arousal, and reduced desire for sexual intercourse. Nurses play an important role in the infertility diagnosis and treatment process of an infertile couple, as the implementation of nursing interventions also includes encouragement and reassurance of infertile couples as well as providing health education. Discussion and conclusion: Infertility can negatively affect the quality of life of an individual and a couple and trouble their relationship, but it can also improve their relationship, as its impact mainly depends on how partners deal with infertility. The involvement of nurses is also important in the process of coping well with stress and infertility, as nurses encourage couples, carry out therapeutic communication, and provide advice.

• Keywords: diploma theses, nursing care, infertility, experience of infertility, stigma, relationships, quality of life, nurses