diplomsko delo
Darja Pogladič (Author), Martina Bizjak (Reviewer), Tita Stanek Zidarič (Mentor)

Abstract

Uvod: Nedonošenčki se rodijo pred dopolnjenim 37. tednom nosečnosti. V večini primerov je potrebna obravnava na Oddelku za intenzivno nego in terapijo in namestitev v inkubator. Namen: Namen diplomskega dela je s pomočjo strokovne literature predstaviti značilnosti nedonošenčka, najpogostejše težave, ki se lahko pojavijo takoj po rojstvu ali kmalu po njem. V nadaljevanju se avtorica posveti pozitivnim vplivom na rast in razvoj nedonošenčka ter predstavitvi doživljanja para ob rojstvu nedonošenčkov. Metode dela: Uporabljena je bila deskriptivna metoda dela s sistematičnim pregledom literature na področju rasti in razvoja nedonošenčka v slovenskem in angleškem jeziku, to je preko kooperativnega bibliografskega sistema COBISS, metaiskalnika DiKul, podatkovnih baz MEDLINE, CINAHL, Cochrane Library, ProQuest, PubMed. V empiričnem delu je bila uporabljena kvalitativna metoda dela – predstavitev primera staršev, ki so prezgodnji porod doživeli dvakrat. Rezultati: Pri predstavitvi primera je sodeloval par, ki ima dvakratno izkušnjo prezgodnjega poroda. Oba od staršev sta bila zadovoljna, da je bila zdravstvena ekipa tako strokovna in da so bili pripravljeni razložiti postopke in posege, ki so jih opravili pri otroku, ter da so jima nudili psihično in fizično podporo v vsakem trenutku. Starši poznajo pomen podpornega rokovanja, kengurujčkanja, dojenja, masaže, vključevanja starejših sorojencev in projekt Hobotnica. Razprava in zaključek: Nedonošenček ni pomanjšana verzija donošenega otroka. Nedonošen otrok je bolj nezrel, potrebuje več podpore in pogosto tudi zdravljenje. Pomembno je sodelovanje staršev in zdravstvenega osebja, da se starši počutijo sprejete, podprte in da lahko izrazijo občutja in strahove. Priporočeno je, da matere sodelujejo pri hranjenju s črpanjem svojega mleka, da lahko otrok dobi njeno mleko, in s poznejšimi poskusi dojenja. Nedonošenčku odgovarja tudi božanje in masaža ter podporno rokovanje, da se nauči pravilnih vzorcev gibanja. Spodbujamo tudi k vključevanju starejših sorojencev. V slovenskih porodnišnicah se v zadnjih dveh letih uvaja projekt Hobotnica. Glavni cilj negovalnega tima je, da se nedonošenčka brez posledic na njegovo rast in razvoj čim prej odpusti v njegovo domače okolje.

Keywords

diplomska dela;babištvo;nedonošenčki;dojenje;kengurujčkanje;pozitiven dotik;podporno rokovanje;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [D. Pogladič]
UDC: 618.2/.7
COBISS: 15205635 Link will open in a new window
Views: 517
Downloads: 265
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Other data

Secondary language: English
Secondary title: Preterm birth and premature baby care - case study
Secondary abstract: Introduction: Premature infants are born before the 37th pregnancy week is completed. In most cases, they must be treated in the Section for intensive care and therapy, and they must be placed in an incubator. Purpose: The purpose of this diploma paper is to present with the help of professional literature the characteristics of a premature infant and the most common problems that may occur immediately after birth or shortly after it. Further on, the author focused on the positive effects on the growth and development of premature infants and on the presentation of the couple's experience at the birth of a premature infant. Methods: A descriptive method of working with systematic review of the Slovene and English literature on growth and development of premature infants was used. The literature was found on the cooperative bibliographic system COBISS, the DiKul meta-search engine, the MEDLINE database, CINAHL, Cochrane Library, ProQuest, and PubMed. In the empirical part, the qualitative method was used to present a case of parents who had twice experienced a premature birth. Results: A couple who had a premature birth twice participated in the presentation of the case. Both parents appreciated that the health care team was so professional, that they were willing to explain the procedures and interventions they performed with the child, and that they always provided them with mental and physical support. They know the importance of supportive handling, kangarooing, breastfeeding, massages, the inclusion of older siblings, and the Octopus Project. Discussion and conclusion: A premature infant is not a scaled-down version of a baby. A preterm baby is more immature, needs more support and often more treatment. It is important that parents and healthcare staff work together to make parents feel accepted, supported and enabled to express their feelings and fears. It is recommended that mothers participate in feeding by pumping their own milk so that the baby can get her milk and with subsequent breastfeeding attempts. Caressing, massages, and supportive handling to learn proper movement patterns also suit the premature baby. We also encourage the involvement of older siblings. The Octopus Project has been launched in Slovenian maternity hospitals for the last 2 years. The main goal of the nursing team is to release the premature baby into his home environment as soon as possible, without affecting his growth and development.
Secondary keywords: diploma theses;midwifery;premature infants;breastfeeding;kangarooing;positive touch;supportive handling;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za babištvo
Pages: 55 str., [2] str. pril.
ID: 11683069