Vloga medicinske sestre pri zdravljenju neplodnih parov z naprotehnologijo : pregled literature

Kastelic, Tina (author), Thaler, Darja (mentor), Rifel, Janez (co-mentor)

Uvod: Tehnologija NaPro je metoda zdravljenja neplodnosti, ki temelji na načelu uravnavanja ženskega menstrualnega cikla ali moškega spermiograma; z zdravili, s spremenjeno prehrano ali z različnimi posegi telo normalizira, da par pridobi najboljše pogoje za zanositev po naravni poti. Medicinska sestra lahko s svojim znanjem, izkušnjami in s celostnim pristopom svetuje parom, kako si s svetovanimi ukrepi lahko pomagajo izboljšati plodnost. Namen: Namen diplomskega dela je predstaviti vlogo medicinske sestre pri zdravljenju neplodnosti s tehnologijo NaPro. Preučili smo ženski menstrualni cikel in obdobja najboljše plodnosti naravnega načrtovanja z metodo FertilityCare™ ter zdravljenje neplodnosti s pomočjo tehnologije NaPro. Preučili smo, kako lahko medicinska sestra s svojimi znanji in holističnim pristopom svetuje o ustrezni prehrani in zdravem življenjskem slogu ter kot svetovalka FertilityCare™ ozavešča in izobražuje o postopku izvedbe metode NaPro. Preučili smo, na katerih področjih zdravstvene nege bi lahko medicinska sestra z dodatnimi znanji s svetovanjem dodatno pripomogla k boljšim rešitvam za pare s težavami z zanositvijo. Metode dela: V diplomskem delu smo uporabili deskriptivno metodo dela. Pregled literature je bil narejen v letih 2015–2017. Preučili smo slovensko in angleško strokovno literaturo. Izbrane so bile knjige domačih in tujih avtorjev ter strokovni in pregledni znanstveni članki. Uporabljena je bila literatura od leta 2008 do leta 2016. Starejši članki so uporabljeni samo zaradi zgodovinskih podatkov. Rezultati: Neplodnost je huda preizkušnja para. Ugotovili smo, da so bili pari, ki so bili zdravljeni s to metodo, zadovoljni z obravnavo, da je primerjalno z drugimi metodami tehnologija NaPro primerljivo uspešna in cenovno ugodna glede na druge metode zdravljenja neplodnosti. Razprava in sklep: Tehnologija NaPro ima svoje dobre in slabe lastnosti. Pari jo lahko uporabijo takoj po odkritju težav z zanositvijo. V Sloveniji trenutno delata dva zdravnika NaPro. Medicinska sestra bi lahko pripomogla k širši obravnavi neplodnih parov. Tehnologija NaPro je skladna z naukom Katoliške cerkve, kar je pogosto sporno za drugače misleče in neverujoče, saj je načelno odprta le za poročene pare, naredijo pa se tudi izjeme. Tehnologija zdravi določene oblike neplodnosti. Cilj ni zanositev ne glede na način in izbiro sredstev, ampak zdravljenje neplodnosti, če je to mogoče.

• Language: Slovenian
• Keywords: medicinska sestra svetovalka, neplodnost, tehnologija NaPro, naravno načrtovanje družine
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2017
• PID: 20.500.12556/RUL-92324
• COBISS.SI-ID: 5261163
• Publication date in RUL: 18.05.2017

Secondary language

• Language: English
• Title: The role of a nurse in treating infertile couples using NaPro technology : literature review

Abstract

Introduction: NaPro Technology is a method of infertility treatment based on the principal that both, female cycle and male spermiogramme, can be normalized by administering drugs, using a changed diet and various procedures so that a couple can conceive a baby naturally. A nurse with good knowledge and experience, taking a holistic approach, can give advice to couples facing infertility. Purpose: The aim of the thesis is to introduce a role of a nurse in treating infertility via NaPro Technology. We have studied a female cycle and her fertility, the FertilityCare™ System of natural family planning and infertility treatment with help of the latter (NaPro Technology). We have explored how a FertilityCare™ Nurse consultant with her/his knowledge and wholistic approach can give diet- and nutrition advice and also tips for a healthy lifestyle. We have researched on which healthcare areas a nurse with extra education or training can help find better solutions for female infertility. Methods: In my final thesis we used a descriptive research methodology. The literature review was made in 2015-2017. We studied Slovenian and English professional literature. Various books by Slovenian and foreign authors as well as professional articles, general overview articles and scientific articles were selected. Literature from 2008 to 2016 was used. Older articles were used just as a historical reference point. Results: Infertility is a painful struggle for a couple. We observed that couples treated by NaPro Technology were satisfied with the treatment, and when compared to other methods, NaPro Technology was a comparatively successful and favourable choice. We also found out that abroad there are specially trained nurses in attending to couples on their journey through infertility treatment. Discussion and conclusion: NaPro Technology has advantages and disadvantages. Couples can make use of it right after having discovered their infertility problems. In Slovenia there are two active NaPro trained doctors for the time being. The origin of the method has ties to Christianity, which is very often a hot-button issue, since the method is accessible to married couples only. NaPro Technology treats specific infertility problems. The aim is not a pregnancy at any cost, but a potentially successful infertility treatment.

• Keywords: nurse advisor, infertility, NaPro technology, natural family planning