Case study jaar 4
Interventies tegen tepelpijn
,Inhoudsopgave
Gevalsbeschrijving......................................................................................................................................... 3
Casus.....................................................................................................................................................................3
Klinische onzekerheid......................................................................................................................................3
Onderzoeksvraag.............................................................................................................................................3
Voorgeschiedenis..................................................................................................................................................4
Ziektebeeld............................................................................................................................................................4
Tepelpijn..........................................................................................................................................................4
Pre-eclampsie..................................................................................................................................................4
Diabetes gravidarum........................................................................................................................................5
ICF-model..............................................................................................................................................................5
Aandoening......................................................................................................................................................5
Functies en anatomische eigenschappen........................................................................................................6
Activiteiten.......................................................................................................................................................6
Participatie.......................................................................................................................................................6
Externe factoren..............................................................................................................................................6
Persoonlijke factoren.......................................................................................................................................6
Ethische/juridische aspecten................................................................................................................................6
Verpleegkundige diagnoses..................................................................................................................................7
PES...................................................................................................................................................................7
PR.....................................................................................................................................................................7
Huidig beleid.........................................................................................................................................................7
Multidisciplinair....................................................................................................................................................7
Gezondheidsprobleem................................................................................................................................... 8
Methoden..................................................................................................................................................... 8
Literatuurstudie....................................................................................................................................................8
Databases.........................................................................................................................................................8
Searchstring.....................................................................................................................................................8
Limits/filters.....................................................................................................................................................8
Praktijkonderzoek.................................................................................................................................................9
Verdieping..................................................................................................................................................... 9
Literatuurstudie....................................................................................................................................................9
Duizendbladtheezakjes....................................................................................................................................9
Hydrogelpads.................................................................................................................................................10
Universele tepelcrème...................................................................................................................................10
Praktijkonderzoek...............................................................................................................................................11
Bespreking................................................................................................................................................... 12
Effect...................................................................................................................................................................12
Bewijs..................................................................................................................................................................12
Aangrijpingspunt en werkingsmechanisme.......................................................................................................13
Haalbaarheid interventie....................................................................................................................................13
Aanvaardbaarheid voor de patiënt....................................................................................................................14
1
, Besluit.................................................................................................................................................................14
Discussie...................................................................................................................................................... 15
Conclusie..................................................................................................................................................... 15
Aanbevelingen............................................................................................................................................. 15
Bronnenlijst................................................................................................................................................. 16
Bijlage......................................................................................................................................................... 17
Bijlage 1 – Flowcharts methoden literatuuronderzoek......................................................................................17
Flowchart Pubmed.........................................................................................................................................17
Flowchart Cochrane Library...........................................................................................................................17
Flowchart Richtlijnendatabase......................................................................................................................18
Flowchart V&VN Richtlijnendatabase...........................................................................................................18
Bijlage 2 – Interview met verpleegkundige 1.....................................................................................................19
Bijlage 3 – Interview met verpleegkundige 2.....................................................................................................20
Bijlage 4 – Interview met lactatiekundige..........................................................................................................21
Bijlage 5 – Enquête.............................................................................................................................................22
Bijlage 6 – Kwaliteitsbeoordeling 2 RCT’s...........................................................................................................23
Bijlage 7 – Kwaliteitsbeoordeling 1 Systematic Review.....................................................................................23
Bijlage 8 – Overzicht van resultaten...................................................................................................................23
Bijlage 9 – Voorbeeld eventuele poster..............................................................................................................24
2
Interventies tegen tepelpijn
,Inhoudsopgave
Gevalsbeschrijving......................................................................................................................................... 3
Casus.....................................................................................................................................................................3
Klinische onzekerheid......................................................................................................................................3
Onderzoeksvraag.............................................................................................................................................3
Voorgeschiedenis..................................................................................................................................................4
Ziektebeeld............................................................................................................................................................4
Tepelpijn..........................................................................................................................................................4
Pre-eclampsie..................................................................................................................................................4
Diabetes gravidarum........................................................................................................................................5
ICF-model..............................................................................................................................................................5
Aandoening......................................................................................................................................................5
Functies en anatomische eigenschappen........................................................................................................6
Activiteiten.......................................................................................................................................................6
Participatie.......................................................................................................................................................6
Externe factoren..............................................................................................................................................6
Persoonlijke factoren.......................................................................................................................................6
Ethische/juridische aspecten................................................................................................................................6
Verpleegkundige diagnoses..................................................................................................................................7
PES...................................................................................................................................................................7
PR.....................................................................................................................................................................7
Huidig beleid.........................................................................................................................................................7
Multidisciplinair....................................................................................................................................................7
Gezondheidsprobleem................................................................................................................................... 8
Methoden..................................................................................................................................................... 8
Literatuurstudie....................................................................................................................................................8
Databases.........................................................................................................................................................8
Searchstring.....................................................................................................................................................8
Limits/filters.....................................................................................................................................................8
Praktijkonderzoek.................................................................................................................................................9
Verdieping..................................................................................................................................................... 9
Literatuurstudie....................................................................................................................................................9
Duizendbladtheezakjes....................................................................................................................................9
Hydrogelpads.................................................................................................................................................10
Universele tepelcrème...................................................................................................................................10
Praktijkonderzoek...............................................................................................................................................11
Bespreking................................................................................................................................................... 12
Effect...................................................................................................................................................................12
Bewijs..................................................................................................................................................................12
Aangrijpingspunt en werkingsmechanisme.......................................................................................................13
Haalbaarheid interventie....................................................................................................................................13
Aanvaardbaarheid voor de patiënt....................................................................................................................14
1
, Besluit.................................................................................................................................................................14
Discussie...................................................................................................................................................... 15
Conclusie..................................................................................................................................................... 15
Aanbevelingen............................................................................................................................................. 15
Bronnenlijst................................................................................................................................................. 16
Bijlage......................................................................................................................................................... 17
Bijlage 1 – Flowcharts methoden literatuuronderzoek......................................................................................17
Flowchart Pubmed.........................................................................................................................................17
Flowchart Cochrane Library...........................................................................................................................17
Flowchart Richtlijnendatabase......................................................................................................................18
Flowchart V&VN Richtlijnendatabase...........................................................................................................18
Bijlage 2 – Interview met verpleegkundige 1.....................................................................................................19
Bijlage 3 – Interview met verpleegkundige 2.....................................................................................................20
Bijlage 4 – Interview met lactatiekundige..........................................................................................................21
Bijlage 5 – Enquête.............................................................................................................................................22
Bijlage 6 – Kwaliteitsbeoordeling 2 RCT’s...........................................................................................................23
Bijlage 7 – Kwaliteitsbeoordeling 1 Systematic Review.....................................................................................23
Bijlage 8 – Overzicht van resultaten...................................................................................................................23
Bijlage 9 – Voorbeeld eventuele poster..............................................................................................................24
2
