Dolgotrajna reverzibilna kontracepcija in svetovalna vloga medicinske sestre pri izbiri vrste kontracepcije : diplomsko delo

Toth, Maja (author), Mihelič Zajec, Andreja (mentor), Mlinar, Suzana (reviewer)

Uvod: Kontracepcija je ključni del procesa načrtovanja družine. Za razliko od peroralne kontracepcijske tabletke ali injekcije so dolgodelujoče reverzibilne kontracepcijske metode, kot sta maternični vložek in podkožni vsadek, zasnovane tako, da ženski po vstavitvi ni treba več skrbeti, kdaj mora vzeti kontracepcijsko sredstvo. Namen: Na teoretični ravni smo s pregledom literature želeli predstaviti vplive dolgotrajne reverzibilne kontracepcijske metode na ženske ter predstaviti vlogo medicinske sestre pri svetovanju glede kontracepcije. Metode dela: Uporabili smo deskriptivno metoda dela. Opravili smo pregled slovenske in angleške strokovne literature, objavljene od leta 2000 v tujih podatkovnih bazah Medline/PubMed, Science Direct, CINAHL in v slovenskih bibliografskih sistemih COBISS in DiKul ter spletnem portalu Google Učenjak. Rezultati: Najpogosteje uporabljeni obliki dolgotrajne reverzibilne kontracepcije sta bakreni intrauterini vložek in intrauterini sistem, ki sprošča levonorgestrel. Povečana uporaba dolgotrajnih reverzibilnih kontracepcijskih metod ima potencial za zmanjšanje nenamernih nosečnosti in induciranih splavov. Vsi zdravstveni delavci, ki sodelujejo pri zdravstveni obravnavi žensk med nosečnostjo, imajo vlogo podpore pri izbiri in uporabi kontracepcije po nosečnosti, vključno z ozaveščanjem o pomembnosti kontracepcije ter zagotavljanjem svetovanja in izobraževalnih virov o kontracepciji. Razprava in zaključek: Trenutno dostopna dolgotrajno delujoča reverzibilna kontracepcija je enostavna za uporabo, varna, ter kar 20-krat bolj učinkovita od peroralnih kontracepcijskih tablet. Dolgodelujoče reverzibilne kontracepcijske metode ženske dobro sprejemajo, imajo omejene kontraindikacije za uporabo in se pogosto priporočajo zaradi izboljšanega nadzora nad krvavitvami. Vse dolgodelujoče reverzibilne kontracepcijske metode se lahko vstavijo takoj po porodu ali splavu, plodnost pa se po odstranitvi hitro obnovi. Da bi povečali dostop do teh metod, je potrebno boljše izobraževanje in usposabljanje medicinskih sester in babic, kar zahteva sodelovanje s službami za spolno in reproduktivno zdravje.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, dolgotrajna reverzibilna kontracepcija, medicinske sestre, reproduktivno zdravje
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [M. Toth]
• Year: 2023
• Number of pages: 46 str.
• PID: 20.500.12556/RUL-151002
• UDC: 616-083
• COBISS.SI-ID: 165923075
• Publication date in RUL: 27.09.2023

Secondary language

• Language: English
• Title: Long-acting reversible contraception and the advisory role of the nurse in choosing the type of contraception : diploma work

Abstract

Introduction: Contraception is a key part of the family planning process. Unlike oral contraceptive pills or injections, long-acting reversible contraceptive methods, such as the intrauterine device and subcutaneous implant are designed so that after insertion, the woman is no longer burdened with when to take the contraceptive. Purpose: On a theoretical level, with a literature review, we aimed to present the effects of long-term reversible contraception methods on women and to highlight the role of a nurse in providing contraceptive counseling. Methods: We used a descriptive research method. We conducted a review of Slovenian and English professional literature published since the year 2000 in foreign databases such as Medline/PubMed, Science Direct, CINAHL, and in Slovenian bibliographic systems COBISS and DiKul, as well as the Google Scholar online portal. Results: The most commonly used forms of long-term reversible contraception are the copper intrauterine device and the levonorgestrel-releasing intrauterine system. Increased use of long-term reversible contraceptive methods has the potential to reduce unintended pregnancies and induced abortions. All health professionals involved in the medical treatment of women during pregnancy have a role of support in the choice and use of contraception after pregnancy, including raising awareness about the importance of contraception and providing counseling and educational resources about contraception. Discussion and conclusion: Currently available long-acting reversible contraception is easy to use, safe, and up to 20 times more effective than oral contraceptive pills. Long-acting reversible contraceptive methods, which are well accepted by women, have limited contraindications for use and are often recommended for improved control of bleeding. All long-acting reversible methods can be inserted immediately after childbirth or abortion, and fertility is quickly restored after removal. To increase access to this method, better education and training of nurses and midwives is needed, which requires collaboration with general and reproductive health services.

• Keywords: diploma theses, nursing care, long-term reversible contraception, nurses, reproductive health