Patronažna medicinska sestra in mladostnica v poporodnem obdobju

(diplomsko delo)

Mojca Najdič (Avtor), Barbara Kegl (Mentor)

Povzetek

Teoretična izhodišča: Mladostniško obdobje je obdobje tveganja in priložnosti. Mladi danes dosti prej biološko dozorijo in se pogosteje ter zgodaj spuščajo v nezaščitene spolne odnose. Velik del nosečnosti v mladostniškem obdobju je največkrat nenačrtovan in nezaželen ter tako postavi mladostnico pred težko odločitev o njenem izidu. Biti noseča, roditi otroka in postati mama, odločiti se za materinstvo – so delci izjemno vznemirljivega življenjskega cikla. Patronažna medicinska sestra je tista, ki obišče otročnico in novorojenca v prvih 24 urah po odpustu iz porodnišnice in oceni potrebe po zdravstveni vzgoji ter zdravstveni negi. Metodologija raziskovanja: Raziskava je temeljila na kvalitativni deskriptivni metodi, izvedli smo študijo primera. Uporabili smo tehniko intervjuja, ki je vseboval vprašanja odprtega tipa, ki se nanašajo na temo diplomskega dela in so bila oblikovana v ta namen. V raziskavi je sodelovala mladostnica, stara 18 let v poporodnem obdobju. V raziskavi smo upoštevali vsa načela Kodeksa etike v zdravstveni negi in oskrbi Slovenije. Rezultati: Mladostnica je imela svoj prvi spolni odnos pri 15 letih. Po dobrem letu nezaščitenih spolnih odnosih je zanosila in pri 17 letih rodila. Materinstvo ji kljub nenačrtovani nosečnosti ni predstavljalo večjih ovir, saj je imela veliko podpore s strani staršev in tašče. V zelo veliko pomoč ji je bila tudi patronažna medicinska sestra, ki je z njo vzpostavila spoštljiv, zaupen odnos in ji pomagala z zdravstveno-vzgojnimi nasveti. Sklep: Rojstvo otroka za mladostnico predstavlja veliko spremembo v življenju, ko iz brezbrižnega najstništva preklopi na odgovorno odraslo življenje. Ugotovili smo, da se mladostnica med nosečnostjo in v poporodnem obdobju ni srečala z neugodnimi zapleti starševstva v mladostniškem obdobju (nedokončana izobrazba, socialno-ekonomsko pomanjkanje, nestabilne partnerske zveze in osebno dozorevanje). Poporodne duševne stiske so resna stanja, zato je zelo pomembna preventiva, zgodnje odkrivanje in zdravljenje duševnih stisk že v času nosečnosti in kasneje v poporodnem obdobju. Iz raziskave, ki smo jo naredili, je razvidno, da je izrednega pomena tudi, da je patronažna medicinska sestra zaznala potrebe mladostnice in ji znala prisluhniti, svetovati ter pomagati.

Ključne besede

adolescenca;materinstvo;poporodno obdobje;poporodna depresija;patronažne medicinske sestre;

Podatki

Jezik:	Slovenski jezik
Leto izida:	2016
Tipologija:	2.11 - Diplomsko delo
Organizacija:	UM FZV - Fakulteta za zdravstvene vede
Založnik:	[M. Najdič]
UDK:	618.7:614.253.5(043.2)
COBISS:	2253220
Št. ogledov:	1190
Št. prenosov:	142
Ocena:	0 (0 glasov)
Metapodatki:

Ostali podatki

Sekundarni jezik:	Angleški jezik
Sekundarni naslov:	HEALTH VISITOR AND ADOLESCENT IN THE POSTPARTUM PERIOD
Sekundarni povzetek:	Theoretical basis: The adolescent period is the period of taking risks and chances. The young nowadays mature earlier from biological standpoint, and therefore they engage unprotected sexual behaviours earlier and more often. The majority of adolescent girl pregnancies are unplanned, unwanted and the adolescent girls are faced with the difficult decision about its outcome. Becoming a mother is a major turning point. Being pregnant, giving birth and becoming a mother, decision for motherhood, these are all the parts of an extremely exciting life cycle. Home care nurses are the ones who pay a visit to neonatal mothers and new-born babies in the first 24 hours after hospital discharge. They evaluate the need of health education and health care. Methodology: The research was based on a qualitative descriptive approach, the case study was conducted. The technique we used was an interview with open ended questions, which were specifically formed for this purpose. The interviewee was an 18 year girl in postnatal period, and all the Ethical healthcare codex principals were followed. Results: The adolescent girl had her first sexual intercourse at the age of 15. After a year of unprotected sexual intercourses she became pregnant and gave birth at the age of 17. The pregnancy was unplanned but the girl received support from her family and mother in law so the motherhood wasn’t perceived as an obstacle. Home care nurse was extremely helpful, she established respectful and confident relationship, she also helped with health care and health education based advice. Discussion and conclusion: Giving birth is a major change in a life of an adolescent girl. She transfers from carefree teenage period to responsible adult life. It was found out that the girl did not face any inconveniences associated with teenage parenthood (unfinished education, socio-economic deprivation, unstable partnerships or personal maturity). Postnatal emotional distress is an important issue which affects a lot of women regardless of their age. Very important are the prevention and early intervention during pregnancies, and in postnatal period. It is evident from the research that the ability of home care nurse to perceive the needs of adolescent, to listen, counsel and help was of high importance.
Sekundarne ključne besede:	adolescent period;motherhood;helmetpostnatal period;post-natal depression;home care nurse;
URN:	URN:SI:UM:
Vrsta dela (COBISS):	Diplomsko delo
Komentar na gradivo:	Univ. v Mariboru, Fak. za zdravstvene vede
Strani:	III, 45 f., 8 f. pril.
ID:	9165687