diplomsko delo
Metka Pregelj (Avtor), Aljoša Lapanja (Recenzent), Suzana Mlinar (Mentor), Karin Birk (Komentor)

Povzetek

Uvod: Zloraba in odvisnost od opioidov naraščata v splošni populaciji, posledično tudi med ženskami v rodni dobi. Slednje pogosteje živijo v slabših socialnoekonomskih razmerah in poleg opioidov uživajo tudi alkohol in druge prepovedane substance, kar prinaša dodatne negativne posledice. Med nosečnostjo pogosto ne želijo razkriti informacij o uživanju opioidov, predvsem zaradi strahu pred stigmatizacijo in pravnimi posledicami. Namen: Namen diplomskega dela je bil opisati posledice uživanja opioidov v nosečnosti in vlogo medicinskih sester v procesu obravnave nosečnic z motnjo uživanja opioidov. Metode dela: Uporabili smo deskriptivno metodo dela. Opravili smo pregled slovenske in angleške znanstvene in strokovne literature. Iskanje je potekalo od decembra 2024 do aprila 2025 s pomočjo bibliografskega sistema DiKUL in v podatkovnih bazah CINAHL Ultimate, MEDLINE, PubMed in ScienceDirect. Rezultati: Posledice uživanja opioidov med nosečnostjo vključujejo večje tveganje za preeklampsijo, krvavitve med nosečnostjo, smrt ploda, prezgodnji porod in porod s carskim rezom. Novorojenčki, intrauterino izpostavljeni opioidom, imajo v večini nižjo porodno težo, so manjši glede na gestacijsko starost, imajo dihalne stiske in neonatalni abstinenčni sindrom, ki se kaže kot pretirana občutljivost na dražljaje, razdražljivost, bruhanje, diareja in dehidracija. Povečano je tveganje za srčno-žilne in druge prirojene malformacije, v obdobju odraščanja pa za čustvene in vedenjske motnje ter motnjo pozornosti. Poleg presejanja za zlorabo in odvisnost od opioidov so ključne naloge medicinskih sester pri obravnavi nosečnic z motnjo uporabe opioidov svetovanje, izobraževanje in vzpostavljanje zaupnega odnosa in varnega okolja. Pri delu z nosečnicami z motnjo uživanja opioidov pogosto prihaja do nespoštljive obravnave zaradi stigmatizacije s strani medicinskih sester, kar je v veliki meri posledica osebnih predsodkov in pomanjkanja znanja. Razprava in zaključek: Uživanje opioidov med nosečnostjo ima številne negativne posledice. Ključno je, da se medicinske sestre izobražujejo o obravnavi nosečnic z motnjo uporabe opioidov, saj se tako zmanjša stigmatizacija pacientk. S tem se zagotovi izvajanje kakovostne zdravstvene nege in vzpostavi zaupen odnos, v katerem bodo pacientke brez strahu delile informacije o uživanju opioidov in postale motivirane za vključitev v priporočeno oskrbo.

Ključne besede

diplomska dela;zdravstvena nega;nosečnost;motnja uporabe opioidov;odvisnost;medicinske sestre;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.11 - Diplomsko delo
Organizacija: UL ZF - Zdravstvena fakulteta
Založnik: [M. Pregelj]
UDK: 616-083
COBISS: 246280707 Povezava se bo odprla v novem oknu
Št. ogledov: 77
Št. prenosov: 8
Ocena: 0 (0 glasov)
Metapodatki: JSON JSON-RDF JSON-LD TURTLE N-TRIPLES XML RDFA MICRODATA DC-XML DC-RDF RDF

Ostali podatki

Sekundarni jezik: Angleški jezik
Sekundarni naslov: ǂThe ǂrole of the nurse in treatment of pregnant women with opioid use disorder
Sekundarni povzetek: Introduction: Opioid abuse and dependence are increasing in the general population, and consequently among women of childbearing age. The latter often live in poorer socio-economic conditions and addition to opioids, also use alcohol and other illicit substances, which further contributes to additional negative consequences. They are often reluctant to disclose information about their opioid use during pregnancy, mainly for fear of stigmatisation and legal consequences. Purpose: The purpose of the thesis was to describe the consequences of opioid use during pregnancy and the role of nurses in the process of treating pregnant women with opioid use disorder. Methods: The descriptive method of research was used in our work. We reviewed Slovenian and English scientific literature. The search was conducted from December 2024 to April 2025 using the DiKUL bibliographic system and the CINAHL Ultimate, MEDLINE, PubMed, and ScienceDirect databases. Results: The consequences of opioid use during pregnancy include an increased risk of pre-eclampsia, bleeding during pregnancy, fetal death, premature birth and caesarean section. Newborns exposed to opioids in utero are more likely to have a lower birth weight, be smaller for gestational age, have respiratory distress, and experience neonatal abstinence syndrome, which is characterized by excessive sensitivity to stimuli, irritability, vomiting, diarrhea, and dehydration. The risk of cardiovascular and other congenital malformations is increased, and during childhood, emotional and behavioral disorders and attention deficit hyperactivity disorder are more common. In addition to screening for opioid abuse and addiction, the key responsibilities of nurses in the care of pregnant women with opioid use disorder are counseling, education, and establishing a confidential relationship and a safe environment. When working with pregnant women with opioid use disorder, disrespectful treatment often occurs due to stigmatisation by nurses, which is largely due to personal biases and lack of knowledge. Discussion and conclusion: Opioid use during pregnancy has a variety of negative consequences. It is crucial that nurses are educated on how to treat pregnant women with opioid use disorder, as this reduces the stigmatization of patients. This ensures the provision of quality nursing care and establishes a confidential relationship in which patients will share information about opioid use without fear and become motivated to participate in recommended care.
Sekundarne ključne besede: diploma theses;nursing care;pregnancy;opioid use disorder;addiction;nurses;
Vrsta dela (COBISS): Diplomsko delo/naloga
Študijski program: 0
Komentar na gradivo: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Strani: 1 spletni vir (1 datoteka PDF (28 str.))
ID: 27174931