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Naslov: VLOGA PATRONAŽNE MEDICINSKE SESTRE PRI SKRBI ZA ZDRAVJE OTROKA IN MATERE V PRVEM LETU ŽIVLJENJA Avtorji: ID Jerant, Ana (Avtor) ID Brudar, Darja (Mentor) Več o mentorju... Datoteke: 2718$$ana_jerant_diplomska_naloga.pdf (2,20 MB) MD5: ED47B1C7798E66A56B2C110B6E71DB6C   Jezik: Slovenski jezik Vrsta gradiva: Diplomsko delo/naloga Organizacija: UNM FZV - Univerza v Novem mestu - Fakulteta za zdravstvene vede Opis: Teoretična izhodišča: Glavni/Izpostavljeni problem je pomanjkanje ustrezne in prilagojene podpore za družine z novorojenčki. Oskrba na domu je individualiziran pristop in se razlikuje od institucionalne oskrbe. Pomanjkanje znanja o dojenju ter težave pri vzpostavljanju dojenja, oskrbi novorojenčkov in preprečevanju zdravstvenih težav so lahko posledica neudeleževanja materinske šole in nezadostnega števila preventivnih obiskov socialno ogroženih družin. Na preventivnih obiskih pogosto ne pokrivajo vseh bistvenih tematik. Na zdravstveno varnost dojenčkov in zaupanje staršev vplivata tudi pomanjkanje usklajenosti med zdravstvenimi službami in neindividualiziran pristop. Namen raziskave je preučiti vlogo patronažne medicinske sestre pri skrbi za zdravje otroka in matere v prvem letu življenja. Cilji so opredeliti ključne naloge patronažne medicinske sestre pri skrbi za otroka v prvem letu življenja; preučiti pomen vloge patronažne medicinske sestre pri psihološki podpori materam v prvem letu po porodu; analizirati prispevek patronažnih obiskov k zdravstveni vzgoji staršev o pravilni skrbi za dojenčka; identificirati najpogostejše izzive, s katerimi se srečujejo patronažne medicinske sestre pri izvajanju svojega dela z otroki; ugotoviti, kako patronažne medicinske sestre podpirajo dojenje in prehrano dojenčka v prvem letu življenja. Metoda: Uporabljen je bil kvalitativen raziskovalni pristop in deskriptivna metoda dela. Za potrebe empiričnega dela bodo zbrani, analizirani in sintetizirani primarni ter sekundarni viri. Primarni podatki za analizo so bili pridobljeni s tehniko intervjuvanja. Kot instrument za zbiranje podatkov smo izdelali predlogo za polstrukturirani intervju. Vzorec je bil namenski in je vključeval patronažne medicinske sestre, ki imajo več kot tri leta delovnih izkušenj. Raziskava je potekala decembra leta 2024. Rezultati: Ker z obiski pogosto ni mogoče predati vseh zahtevanih informacij, so patronažne medicinske sestre staršem ponudile svoje osebne telefonske številke, kamor jih lahko kadarkoli pokličejo in jim zaupajo svoje težave. Tako so jim patronažne sestre lažje dostopne. Novi starši se najpogosteje srečujejo s pomanjkanjem informacij in pomoči pri zdravstveni negi. Prav tako so patronažne medicinske sestre poudarile potrebo po strokovni pomoči in sočutni komunikaciji pri reševanju poporodnih vprašanj, zlasti na temo duševnega zdravja mater. Razprava: V raziskavi je sodelovalo šest patronažnih medicinskih sester. Z raziskavo smo ugotovili, da imajo patronažne medicinske sestre pomembno vlogo pri skrbi za zdravje otroka in matere v prvem letu življenja, nudijo pomoč pri dojenju, negi novorojenčka in dojenčka ter spodbujajo zdrav življenjski slog. Delo na domu zahteva prilagojen pristop, saj nikoli ne vedo, kaj jih čaka. Ustvariti morajo dober odnos in zaupanje s starši. Patronažne medicinske sestre pri družinah z večjimi potrebami, vključno z mamami, ki se ukvarjajo s težavami z duševnim zdravjem, ali z nedonošenčki opravljajo več preventivnih obiskov. Poudarile so, da je preventivnih obiskov več kot dovolj, saj imajo z novimi smernicami možnost, da si obiske razporejajo same in lahko težavnim otrokom namenijo več obiskov glede na kriterije ranljivosti. Ti preventivni obiski, ki jih izvajajo, jim omogočajo zgodnje odkrivanje težav. Prav tako imajo ključno vlogo pri dojenju, uvajanju čvrste hrane in samem svetovanju o zdravi prehrani. Patronažne sestre izvajajo prilagojen pristop, upoštevajo specifične zahteve vsake družine in omogočajo ciljno svetovanje. Da se zagotovi celostna oskrba, je potrebno dobro sodelovanje tako s starši kot tudi s pediatri, psihologom in drugimi zdravstvenimi delavci. Izvajati je treba presejalne teste za poporodno depresijo, kot je Edinburški vprašalnik, saj se na ta način ponudi ustrezna pomoč materam, ki se borijo s težavami z duševnim zdravjem. Ključne besede: patronažna medicinska sestra, novorojenček, dojenček, duševno zdravje mater. Leto izida: 2025 PID: 20.500.12556/ReVIS-11643  Datum objave v ReVIS: 26.04.2025 Število ogledov: 87 Število prenosov: 4 Metapodatki:    Citiraj gradivo Navadno besedilo BibTeX EndNote XML EndNote/Refer RIS ABNT ACM Ref AMA APA Chicago 17th Author-Date Harvard IEEE ISO 690 MLA Vancouver : Kopiraj citat

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Sekundarni jezik

Jezik:	Angleški jezik
Naslov:	THE ROLE OF A COMMUNITY HEALTH NURSE IN CARING FOR THE HEALTH OF THE CHILD AND MOTHER IN THE FIRST YEAR OF LIFE
Opis:	Theoretical background: The main problem is the lack of adequate and tailored support for families with newborns. Home care is an individualized approach that differs from institutional care. A lack of knowledge about breastfeeding, difficulties in establishing breastfeeding, caring for newborns, and preventing health issues may result from non-attendance at maternity classes and an insufficient number of preventive visits, particularly in socially disadvantaged families. Preventive visits often do not cover all essential topics. The health security of infants and parental confidence are also affected by a lack of coordination between healthcare services and non-individualized approaches. The purpose of the research is to examine the role of community health nurses in caring for the health of the child and mother during the first year of life. The objectives are to define the key tasks of community health nurses in the first year of child care; to explore the significance of the community health nurse’s role in providing psychological support to mothers in the first year postpartum; to analyse the contribution of home visits to parental health education on proper newborn care; to identify the most common challenges faced by community health nurses in their work with children; and to determine how community health nurses support breastfeeding and infant nutrition in the first year of life. Method: A qualitative research approach and a descriptive method of work were used. For the purposes of the empirical part, primary and secondary sources were collected, analysed and synthesized. Primary data for analysis were obtained using an interview technique. As a tool for data collection, we developed a template for a semi-structured interview. The sample was purpose-built and included nurses with more than three years of work experience. The survey was conducted in December 2024. Results: Since visits often do not cover all the information requested, the community nurse have provided parents with their own personal phone numbers where they can call and ask about problems at any time. This also makes the community nurses more accessible to them. New parents most often face a lack of information and help with health care. Also, the community nurses stressed the need for professional help and compassionate communication when dealing with postpartum issues, especially on the topic of maternal mental health. Discussion: Six community health nurses participated in the study. The research revealed that community health nurses play a crucial role in caring for the health of both the child and mother during the first year of life. They provide support with breastfeeding, newborn and infant care, and promote a healthy lifestyle. Home care requires an adaptive approach, as nurses never know exactly what to expect. They must build strong relationships and trust with parents. Community health nurses conduct more preventive visits for families with greater needs, including mothers facing mental health challenges or those with premature babies. The nurses emphasized that the number of preventive visits is more than sufficient, as new guidelines allow them to schedule visits independently and dedicate more time to at-risk children based on vulnerability criteria. These preventive visits enable early detection of health issues. Furthermore, community nurses play a key role in breastfeeding support, the introduction of solid foods, and advising on healthy nutrition. They employ a more tailored approach, considering the specific needs of each family and providing targeted counselling. To ensure comprehensive care, effective collaboration with parents, paediatricians, psychologists and other healthcare professionals is essential. Screening for postpartum depression using the Edinburgh postnatal depression scale is also necessary to provide appropriate support to mothers struggling with mental health issues.
Ključne besede:	community nurse, newborn, baby, maternal mental health.

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