Title ADOLESCENTNE TRUDNOĆE U SPLITSKO -DALMATINSKOJ ŽUPANIJI I POSTUPCI MEDICINSKE SESTRE U PREVENCIJI I SKRBI Title (english) ADOLESCENT PREGNANCY IN SPLIT-DALMATIA COUNTY AND NURSING ACTIONS IN PREVENTION AND CARE Author Karmen Juratić Mentor Matea Šarić (mentor)Committee member Ante Buljubašić (član povjerenstva) Committee member Rahela Orlandini (član povjerenstva) Committee member Matea Šarić (član povjerenstva)Granter University of Split Defense date and country 2014-09-26, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Cilj: Cilj istraživanja bio je utvrditi životno razdoblje začetka djeteta, korištenje i vrste kontracepcije, životni stil za vrijeme trudnoće, zdravstvene probleme u trudnoći i zdravstvenom stanju majke kod adolescentnih trudnica.
Metode: Anonimno istraživanje je provedeno na ženskim osobama koje su rodile za vrijeme životnog razdoblja adolescencije (11-22). U istraživanju je sudjelovalo 45 ispitanica u vremenskom razdoblju od svibnja do srpnja 2014. godine, upotrebom online ankete. Prikupljeni podatci su automatski uneseni u kodnu tablicu. Za analizu prikupljenih podataka korišten je MS Office - Excel.
Rezultati: Prosječna dob ispitanica je bila 20 godina (17 – 22). 30 ispitanica je u braku, 1 ispitanica je razvedena, 4 ispitanice su samohrane majke. 33% ispitanica za kontracepciju je koristio barijerna sredstva zaštite. U tijeku pripreme za trudnoću, porod, dojenje i skrb za dijete najviše ispitanica se savjetovalo sa obitelji i prijateljima (42%) te se informiralo pomoću interneta, odnosno foruma i portala (29%). Ukupno 33% ispitanica je koristilo vitaminske dodatke prehrani za vrijeme trudnoće. 23% ispitanica je pazilo na prehranu u trudnoći, dok je 26% ispitanica zadržalo prehrambene navike prije trudnoće. Ukupno 81% ispitanica je prakticiralo umjerenu fizičku aktivnost. Najizraženiji osjećaj za vrijeme trudnoće je bila radost i sreća (44%). Ukupno 83% ispitanica ne boluje od kronične bolesti. Najzastupljenija medicinska dijagnoza je anemija s udjelom od 11% . Ukupno 62 % ispitanica nije imalo zdravstvene probleme u trudnoći; anemiju je imalo 19% trudnica, 11% ispitanica je krvarilo u trudnoći, 2% ispitanica je imalo EPH gestozu, povišeni krvni tlak, gestacijski dijabetes te preeklampsiju. Najzastupljeniji način poroda je vaginalni porod (78%). Ukupno 87% ispitanica rodilo je u vjerojatnom terminu poroda (40. i 39. tjedan trudnoće). Ispitanice su prosječno dobile 19 kg (8 – 31) na tjelesnoj težini za vrijeme trudnoće.
Zaključci: Najveći broj ispitanica (N=42) je zatrudnjelo u kasnoj fazi adolescencije (prosječna dob 20 godina; 17-22). Najčešće korištena metoda kontracepcije bila su barijerna sredstva (33%). Ukupno 33% ispitanica je koristilo vitaminske dodatke prehrani za vrijeme trudnoće, 23% ispitanica je pazilo na prehranu u trudnoći te su jele raznoliku hranu bogatu voćem i povrćem, 16% ispitanica je pušilo za vrijeme trudnoće, a 2% su konzumirale alkohol u prigodnim situacijama. Ukupno 81% ispitanica prakticiralo je umjerenu fizičku aktivnost, 4% ispitanica prakticirale su svakodnevnu tjelovježbu. Ukupno 11% ispitanica moralo je mirovati u svezi s medicinskim razlozima, dok 4% ispitanica nisu imale fizičke aktivnosti. Ukupno 62 % ispitanica nije imalo zdravstvene probleme u trudnoći. Najzastupljeniji zdravstveni problem u trudnoći bila je anemija s udjelom od 19%. Krvarenje u trudnoći je bilo prisutno kod 11% ispitanica, 2% ispitanica je imalo EPH gestozu, povišeni krvni tlak, gestacijski dijabetes te preeklampsiju. Najzastupljeniji način poroda je vaginalni porod (78%) koji je u 35% slučajeva bio induciran, a kod 22% ispitanica porod je dovršen carskim rezom. Ukupno 87% ispitanica rodilo je u vjerojatnom terminu poroda. Nakon predviđenog termina poroda rodilo je 11%, a 2% ispitanica imalo je prijevremeni porod. Najveći broj poroda bio je u 40. i 39. tjednu trudnoće, a najmanji u 30. tjednu trudnoće.
Abstract (english) Aim: The aim of the study was to determine the life stage of child inception, the usage and types of contraception, lifestyle and health issues during pregnancy and maternal health in adolescent pregnancy.
Materials and methods: Anonymous research was conducted on women who gave birth during the life period of adolescence (11-22). The research involved 45 women in the time period from May to July 2014, using an online survey. Collected data were automatically entered into a code table. MS Office – Excel was used for the analysis of the collected data.
Results: The average age of respondents was 20 years (17 - 22). 30 respondents are married, one is divorced and four respondents are single mothers. 33% of respondents used a barrier contraceptive methods. During the preparation for pregnancy, childbirth, breastfeeding and care for the child most respondents consulted with family and friends (42%) and was informed using the internet, forums and portals (29%). 33% of respondents used vitamin supplements during pregnancy. 23% of respondents paid their attention to nutrition during pregnancy, while 26% kept their nutritional habits as before pregnancy. 81% of respondents had practiced a moderate physical activity. Most evident feeling during pregnancy was the joy and happiness (44%). 83% of respondents do not suffer from chronic diseases. The most frequent medical diagnosis is anemia with a share of 11%. 62% of respondents had no health issues during pregnancy; 19% of pregnant women had anemia, 11% was bleeding in pregnancy, 2% of respondents had EPH gestosis, high blood pressure, gestational diabetes and preeclampsia. The most common type of birth is a vaginal birth (78%). 87% of respondents gave birth in the probable term of birth (40th and 39th gestation week). The average weight gain during pregnancy in respondents was 19 kg (8-31).
Conclusion: The highest number of respondents (N=42) got pregnant in the late adolescent stage (the average age of 20 years; 17-22). The most commonly used contraception method was the barrier contraceptive method (33%). A total of 33% respondents used vitamin supplements during pregnancy, 23% of respondents paid their attention to nutrition during pregnancy and ate a variety of foods rich in fruits and vegetables, 16% of respondents was smoking during pregnancy; and 2% occasionally consumed alcoholic drinks. Total of 81% of respondents had practiced a moderate physical activity, while 4% exercised daily. A total of 11% of the respondents had to rest related to medical reasons, while 4% of respondents had no physical activity. Overall, 62% of respondents had no health problems during pregnancy. The most common health problem in pregnancy was anemia, with a share of 19%. Bleeding during pregnancy was present in 11% of the respondents, 2% of respondents had EPH gestosis, high blood pressure, gestational diabetes and preeclampsia. The most common type of bith is vaginal birth (78%), which was induced in 35% of respondents and in 22% the birth was completed by caesarean section. Total of 87% of respondents gave birth in the probable term of birth. 11% of respondents gave birth after the predicted term, while 2% had premature birth. The highest number of births was in 40th and 39th weeks of gestation, whereas the lowest in the 30th week of pregnancy.
Keywords
adolescentne trudnoće
Splitsko-dalmatinska županija
prevencija i skrb
Keywords (english)
adolescent pregnancy
Split-Dalmatia County
prevention and care
Language croatian URN:NBN urn:nbn:hr:176:135704 Study programme Title: Nursing (university/undergraduate) Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2016-05-04 07:14:04
