Dejavniki posttravmatske stresne motnje po porodu - pregled literature

diplomsko delo

Naja Šef (Avtor), Tina Kavčič (Recenzent), Anita Prelec (Mentor)

Povzetek

Uvod: Posttravmatska stresna motnja po porodu je resna duševna motnja, ki prizadene 4–7 % žensk, najpogosteje kot posledica travmatične porodne izkušnje. Simptomi lahko negativno vplivajo na samopodobo matere, navezovanje na otroka in kakovost partnerskih odnosov. Zgodnje presejanje je ključen korak obravnave žensk s posttravmatsko stresno motnjo. Pomembno je tudi širše ozaveščanje o stanju za zmanjšanje stigme in izboljšanje duševnega zdravja mater v poporodnem obdobju. Celosten pristop, ki vključuje fizično in psihično dobrobit ženske, je ključ do kakovostne obporodne oskrbe. Namen: Namen raziskave je preučiti dejavnike tveganja in raziskati vlogo babic pri obravnavi žensk s posttravmatsko stresno motnjo po porodu. Cilj naloge je povečati ozaveščenost javnosti in zdravstvenih delavcev o pomembnosti pravočasnega prepoznavanja in ustrezne obravnave posttravmatske stresne motnje po porodu. Metode dela: Uporabili smo deskriptivno metodo s sistematičnim pregledom literature. Vire smo iskali v podatkovnih bazah CINAHL, ScienceDirect, Wiley Online Library, Uporabili smo naslednje ključne besede v slovenskem in angleškem jeziku: posttravmatska stresna motnja, porod, dejavniki tveganja, babica; posttraumatic stress syndrome, childbirth, risk factors, midwife. Iskalno strategijo smo prikazali s PRISMA diagramom, vključene vire pa smo razvrstili po hierarhiji dokazov. Pri izbiri literature smo upoštevali merila vsebinske ustreznosti, dostopnosti celotnega besedila, slovenskega ali angleškega jezika ter letnice objave (2015 ali kasneje). Analizirali smo jih glede na velikost vzorca, uporabljena merilna orodja in ugotovitve o dejavnikih tveganja z razvojem PP-PTSM. Rezultati: Glavni dejavniki tveganja za nastanek posttravmatske stresne motnje po porodu so subjektivno doživljanje poroda kot travmatičnega dogodka, občutek izgube nadzora, predhodne travmatične izkušnje, duševne motnje v anamnezi, pomanjkanje socialne podpore in neustrezna komunikacija z zdravstvenim osebjem. Babice imajo pomembno vlogo pri preprečevanju posttravmatske stresne motnje po porodu, predvsem z empatijo, stalno prisotnostjo, spoštovanjem porodnih želja in omogočanjem varnega okolja. Razprava in zaključek: Na podlagi naše raziskave lahko zaključimo, da je ključnega pomena prepoznavanje dejavnikov tveganja ter poznavanje vloge babice kot prvega stika v obporodni obravnavi. Kakovostna, empatična in neprekinjena babiška obravnava pomembno prispeva k zmanjšanju tveganja za razvoj motnje. Priporočljivo je uvajanje presejalnih orodij za posttravmatsko stresno motnjo po porodu ter dodatno izobraževanje babic na področju duševnega zdravja žensk v poporodnem obdobju.

Ključne besede

diplomska dela;babištvo;posttravmatska stresna motnja;porod;dejavniki tveganja;babice;

Podatki

Jezik:	Slovenski jezik
Leto izida:	2025
Tipologija:	2.11 - Diplomsko delo
Organizacija:	UL ZF - Zdravstvena fakulteta
Založnik:	[N. Šef]
UDK:	618.2/.7
COBISS:	246438147
Št. ogledov:	78
Št. prenosov:	19
Ocena:	0 (0 glasov)
Metapodatki:

Ostali podatki

Sekundarni jezik:	Angleški jezik
Sekundarni naslov:	Determinants of post-traumatic stress syndrome after birth - literature review
Sekundarni povzetek:	Introduction: Post-traumatic stress disorder after childbirth is a serious mental disorder that affects 4–7% of women, usually because of a traumatic birth experience. Symptoms can negatively affect the mother's self-image, bonding with the child, and the quality of her relationship with her partner. Early screening is a crucial step in treating women with post traumatic stress disorder. It is also important to raise awareness about the condition to reduce stigma and improve the mental health of mothers in the postpartum period. A holistic approach that includes the physical and psychological well-being of women is key to quality perinatal care. Purpose: The purpose of the study is to examine risk factors and explore the role of midwives in treating women with post-traumatic stress disorder after childbirth. The goal of this study is to raise awareness among the public and healthcare professionals about the importance of timely recognition and appropriate treatment of post-traumatic stress disorder after childbirth. Methods: We used a descriptive method with a systematic review of the literature. We searched for sources in the CINAHL, ScienceDirect, and Wiley Online Library databases. We used the following keywords in Slovenian and English language: post-traumatic stress disorder, childbirth, risk factors, midwife; post-traumatic stress syndrome, childbirth, risk factors, midwife. We presented the search strategy using a PRISMA diagram and classified the included sources according to the hierarchy of evidence. When selecting the literature, we considered the criteria of content relevance, availability of the full text, Slovenian or English language, and year of publication (2015 or later). We analyzed the studies according to sample size, measurement tools used, and findings on risk factors for the development of posttraumatic-stress syndrome after birth. Results: The main risk factors for the development of post-traumatic stress disorder after childbirth are the subjective experience of childbirth as a traumatic event, loss of control during birthg, previous traumatic experiences, a history of mental disorders, lack of social support, and inadequate communication with healthcare personnel. Midwives play an important role in preventing post-traumatic stress disorder after childbirth, primarily through empathy, constant presence, respect for birth wishes, and providing a safe environment. Discussion and conclusion: Based on our research, we can conclude that it is crucial to identify risk factors and understand the role of midwives as the first point of contact in perinatal care. High-quality, empathetic, and continuous midwifery care significantly contributes to reducing the risk of developing the disorder. It is recommended to introduce screening tools for post-traumatic stress disorder after childbirth and to provide additional training for midwives in the field of mental health of postpartum women.
Sekundarne ključne besede:	diploma theses;midwifery;post-traumatic stress disorder;childbirth;risk factors;midwifes;
Vrsta dela (COBISS):	Diplomsko delo/naloga
Študijski program:	0
Komentar na gradivo:	Univ. v Ljubljani, Zdravstvena fak., Oddelek za babištvo
Strani:	1 spletni vir (1 datoteka PDF (36 str.))
ID:	27166210