The most common nursing diagnosis in risk pregnancy

Vsaka nosečnost je edinstvena in le redka poteka brez težav. Zelo pomembno je, da je ženska na nosečnost temeljito pripravljena, tako telesno kot duševno. Poznavanje simptomov nosečnosti je za žensko pomembno, saj ji lahko pomagajo pri razumevanju lastnega telesa in pri prilagajanju na številne težave, ki spremljajo to obdobje. Čeprav nosečnost ni bolezen, ampak normalen fiziološki proces, je povezana z določenim tveganjem. Tveganja za mater in otroka pa lahko večinoma zmanjšamo, če opozorilne znake resnejših zapletov hitro prepoznamo in jih zdravimo. Metodologija dela. Naredili smo študijo primera nosečnice. Za pridobitev podatkov smo uporabili metodo delno strukturiranega vprašalnika, ki vsebuje 11 sklopov vprašanj. Izhodišča za intervju smo povzeli po priročniku negovalnih diagnoz Marjory Gordon, ki so bila namenjena ugotavljanju potreb - negovalni anamnezi - po funkcionalnih vzorcih zdravega obnašanja. Na podlagi opazovanja izvajalcev zdravstvene nege, pregleda zdravstvene in negovalne dokumentacije nosečnice in pogovora z nosečnico smo opredelili negovalne diagnoze in za prikaz rezultatov uporabili deskriptivno metodo. Rezultati raziskave. Ugotovili smo, da obravnava nosečnice po funkcionalnih vzorcih modela Marjory Gordon ustreza za ugotavljanje potreb nosečnice po zdravstveni negi. Sklep. Vloga medicinske sestre v času nosečnosti je usmerjena v informiranje in svetovanje, predvsem pa v skrbno opazovanje in spremljanje vedenja nosečnicele primerno in zdravo vedenje nosečnice lahko pripomore k preprečevanju bolezni in k uspešnemu zdravljenju. Medicinska sestra mora individualno pristopiti k nosečnici in upoštevati vse fiziološke, psihološke in socialne potrebe ženske in tudi njenega partnerja. Le tako lahko zagotavlja kakovostno zdravstveno nego nosečnice.Every pregnancy is unique and rarely passes without any difficulties. It is very important that a woman is well prepared for pregnancy, both physically and mentally. Recognising different symptoms of pregnancy is important for a woman, as they can help her understand her body and adapt to the many difficulties of this period. Although pregnancy is not an illness, but a normal physiological process, it does bring about a certain amount of risks. Risks for the mother and child can mostly be reduced if the warning signs of serious complications are recognised and treated early. Method: The thesis is based on a case study of a pregnant woman. For acquiring the necessary information, a semi-structured questionnaire was used, comprising 11 sets of questions. The framework for the interview was derived from Marjory Gordon’s Manual of Nursing Diagnosis, designed for assessing patients’ needs – nursing anamnesis – based on functional health patterns. By observing the work of nurses, reviewing medical and nursing records of a pregnant woman and an interview with the pregnant woman, her nursing diagnosis was determined and the results were presented using the descriptive method. Results: The research has shown that using Marjory Gordon’s functional pattern model was appropriate for assessing the nursing needs of the pregnant woman. Conclusion: The role of a nurse in the pregnancy period is focused on informing, advising and most of all on careful observation of a pregnant woman’s behaviour. Only appropriate and healthy behaviour during pregnancy can contribute to disease prevention and successful treatment. A nurse should approach pregnant women individually and consider all physiological, psychological and social needs of a woman and her partner, as this is the only way to provide quality nursing to a pregnant woman