İncinebilir Bireylerde İhmal Edilen Bir Sağlık Hizmeti: Prekonsepsiyonel Bakıma Multidisipliner Holistik Yaklaşım

Öz

Kadın sağlığı ve gebelik süreci ile doğrudan ilişkili olan prekonsepsiyonel bakımın, yakın zamanda gebelik planlayan çiftler için öncelikli olmakla birlikte üreme çağındaki tüm bireylere ulaştırılması önerilmektedir. İncinebilir bireyler prekonsepsiyonel bakım kapsamında ihmal edilmemesi gereken önemli bir grup olarak karşımıza çıkmaktadır. İncinebilir bireyler birçok açıdan toplum geneline göre daha fazla risk taşımaktadır. Bu bireyler çeşitli nedenlerden dolayı sağlık bakımına ve prekonsepsiyonel bakıma yeterince ulaşamamaktadır. İncinebilir bireylere de prekonsepsiyonel bakımın ulaştırılması, gelecek nesillerin daha sağlıklı bireylerden oluşmasına katkı sağlayabilir. Sağlık profesyonelleri, incinebilir bireylerin sağlığını geliştirme sürecinde yaşanan sorunların farkında olmalı, kültürel farklılıkları dikkate almalı, ön yargılarından uzak olmalıdır. İncinebilir bireylerin de üreme sağlığı ihtiyaçları olduğu, sağlıklı bir gebelik yaşayabilmek için sağlık bakımına ihtiyaçları olduğu unutulmamalıdır. Bu derlemede incinebilir bireylerde prekonsepsiyonel bakımın önemi ve multidisipliner holistik yaklaşımın literatür doğrultusunda incelenmesi amaçlanmıştır. Derleme kapsamında engelli, göçmen, madde kullanımı olan, Human Immunodeficiency Virus (HIV) enfekte olan ve lezbiyen, biseksüel ve transseksüel (LBT) bireylere yönelik prekonsepsiyonel bakımdan bahsedilecektir.

Anahtar Kelimeler

• incinebilir gruplar
• prekonsepsiyonel bakım
• multidisipliner
• holistik bakım
• hemşirelik

A Healthcare Service That is Neglected in Vulnerable Individuals: Multidisciplinary Holistic Approach to Preconception Care

Öz

Preconception care, which is directly related to women's health and pregnancy process, is a priority for couples who are planning pregnancy in the near future, but it is recommended to reach all individuals of reproductive age. Vulnerable individuals also emerge as an important group that should not be neglected within the scope of preconception care. Vulnerable individuals carry more risks than the general population in many respects. These individuals can not access health care and preconception care adequately due to various reasons. Providing preconception care to vulnerable individuals may contribute to the formation of healthier individuals for future generations. Health professionals should be aware of the problems experienced in the process of improving the health of vulnerable individuals, take into account cultural differences and be free from prejudices. It should not be forgotten that vulnerable individuals also have reproductive health needs and need health care in order to have a healthy pregnancy. In this review, it is aimed to investigate the importance of preconception care and multidisciplinary holistic approach in vulnerable individuals in line with the literature. Within the scope of the review, preconception care for disabled, immigrant, substance user, Human Immunodeficiency Virus (HIV) infected and lesbian, bisexual and transsexual (LBT) individuals will be discussed.

Anahtar Kelimeler

• vulnerable groups
• preconception care
• multidisiplinary
• holistic care
• nursing

Kaynakça

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