|
|
The role of a nurse at general practitioner's office for children and adolescents in connection to prevention of testicular cancer
NESPALOVÁ, Jana
Theory background Testes are two male reproductive glands located in the scrotum and separated protective sheath of dense connective tissue. They play major role in spermatogenesis and hormone production. They also represent secondary gender symbols and therefore are important for the personality forming of young individuals. Testicular cancer stand for about 1- 1.8% of all malignant tumour diseases in males and occur most often between 15- 35 years of age. This bachelor's work gives information on the anatomy and physiology of testes, the risk factors and causes for the occurrence of testicular cancer, and also about the symptoms and diagnostics. This thesis also deals with the role the nurse has in general practitioner's office for children and adolescents regarding the prevention of testicular cancer, preventive check-ups and self-examination. Work aim First aim of this work is to map the role of the nurse in general practitioner's office for children and adolescents regarding the prevention of testicular cancer. The research question posed was: What is the role of the nurse in general practitioner's office for children and adolescents regarding the prevention of testicular cancer? Second aim was to find out about the awareness on testicular cancer in boys 15-19. First hypothesis says: Awareness about the prevention of testicular cancer varies with age. Second hypothesis: Self-examination of testes changes with age. Used methods Qualitative research was used for the first part of the assignment, while a questionnaire and method of deep dialogues with the nurses working at general practitioner office for children and adolescents in South Bohemia was conducted for the second part. The dialogs were recorded on a dictaphone and then transcribed word for word. In the second part quantitative research was used through a method of questioning and technique of non-standardised questionnaire. The questionnaire was filled in by boys aged 15-19 living in South Bohemia. The parameter test Anova, a type of scattering analysis, was used on the data. "Its basis lies in the total scattering of the followed variable being divided into scattering within individual selections and scattering between them. If the scattering between the selections is improbably large it points towards significant influence of factor a (Budíková, 2010, s. 181)." Results The transcribed dialogs were analysed by open coding, by the pen and paper method. Five categories were defined: Education, testicular cancer, testes examination, patient dispensary. Subcategories with major data encoded, were assigned to each category. Analysis of the non-standardised questionnaire gave rise to ten resulting graphs with respondent answers. The graphs were consequently described. First hypothesis saying that the knowledge about the prevention of testicular cancer changes with age was not proven. The second hypothesis saying that the process of self-examination changes with age was not proven either. Conclusions The first research part proves that nurses working in general practitioner office for children and adolescents do educate the patient on this subject. The respondent possessed basic information on the subject of prostatic cancer and stated that testes examination is conducted in the surgeries. Scientific literature for this subject was recommended by only two of nine respondents. The respondents stated that testes examination and education about the subject of testicular cancer is conducted, although the second part of the research showed that the boys are almost not at all familiar with the subject. Furthermore, testicular examination was not conducted for most of them at the practitioner's office. The second part of research showed that the boys aged 15-19 let possess insufficient information on the prevention of testicular cancer. Most had almost no knowledge on what is involved in such prevention.
|
guest ::
