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Verticalization of patients with peripheral ECMO in terms of nursing care
Křenková, Karolína ; Hladká, Petra (advisor) ; Pražáková, Zuzana (referee)
INTRODUCTION: ECMO is an increasingly popular method of support used in cases with severe respiratory or circulatory failure. Treatment is often associated with significant immobilization of the patient, which may take up to several weeks, resulting in deterioration of physical fitness, extending lenght of hospitalization, and a return back to normal life is very difficult. In recent years, however, efforts have been made to enable mobilization even to those patients who may be conscious, in order to maintain their muscle power. OBJECTIVES AND METHODOLOGY: The aim of this thesis was to obtain information about nurses' experience with mobilisation of patients treated by extracorporal membrane oxygenation, to evaluate an occurrence of the most frequent barriers that prevent them from mobilizing paticents and to evaluate differences in nursing attitude among the addressed workplaces. The research was carried out in the form of a questionnaire of my own creation. The research sample consisted of nurses working in Intensive Care Units under cardiocenters in the Czech Republic where the ECMO method is used. RESULTS: Mobilization and active rehabilitation of patients with peripheral ECMO is very rare practice in the Czech Republic. In 4 out of 6 departments respondents reported that patients with ECMO are...
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