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Postoperative nursing care in patients after minor urological procedures
VÁVROVÁ, Eliška
The diploma thesis deals with postoperative nursing care in patients after minor urological procedures. The thesis is divided into a theoretical and a practical part. The theoretical part presents the importance of urology, endoscopy in urology, the nursing process in postoperative care after small urological procedures and teamwork as an integral part of the urology department. The practical part of the thesis was carried out by qualitative research, the technique of participant observation of nurses and the technique of data collection of semi-structured interview with patients. Six nurses working in the urology department participated in the participant observation. The interview was conducted with six patients after a small urological procedure until the theoretical sample was completely saturated. The analysis and processing of the data was carried out using the open coding method, using the "pen and paper" technique. Subsequently, the obtained codes were processed into individual categories and subcategories.Three goals were set in the diploma thesis. The first objective was to find out what is the role of the nurse in postoperative care in patients after minor urological procedures. Then to map the specifics of postoperative nursing care in patients after minor urological procedures. The third objective was to find out how patients perceive the care of nurses after minor urological procedures. The analysis of the data of the research showed that the role of nurses is an integral part of the provision of postoperative care after minor urological procedures. Their individual approach, expertise and empathy play a significant role in the postoperative recovery of patients. Improving communication between the nurse and the patient is also an important factor. The results suggest that patient susceptibility to minor urological procedures is associated with interpersonal skills and the ability to provide quality care, which significantly affects overall patient satisfaction.
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Nursing care for patients after varicose vein surgery.
ZAJÍCOVÁ, Eva
The bachelor's thesis deals with the issue of diseases of the lower limbs and focuses on nursing care of patients after varicose vein surgery. It tries to evaluate the awareness of patients who have undergone surgical removal of varicose veins, about postoperative regimen measures and describes post-procedure care. The theoretical part consists of the anatomy and physiology of the veins of the lower limbs. It continues with the characteristics of chronic venous insufficiency, which is followed by the main topic, varicose veins of the lower limbs. Etiology, symptoms, risk factors, and diagnosis are discussed here. The work presents treatment options, preoperative and postoperative care In the research part, we focused mainly on postoperative care in patients after varicose vein surgery, where we tried to evaluate the patient's awareness of postoperative regimen. Then, after assessing the sawareness, we tried to describe the spefifics of nursing care in these patients. Aim of the study: to evaluate the awareness of patients after varicose vein surgery and to describe the specifics of nursing care. The research was conducted using a semi-structured interview. Twelve nurses from three surgical departments of different hospitals participated in the data collection. In the conclusion, the specifics of nursing care are presented and the patients' awareness of postoperative measures is evaluated. The results show that the specifics of care and education are individual and depend on the range of performance, condition and age of the patient. In selected hospitals, different procedures were found in the care of patients after these operations.
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Nursing care for women after breast gland operations
EISENWORTOVÁ, Lucie
This bachelor's thesis, entitled "Nursing care for women after breast gland operations," investigates the provision of care to women following oncological diseases. The research draws on interviews with nurses who deliver this care, focusing on those employed in surgical departments, oncology clinics, and general practitioners' clinics for adults. The theoretical framework of the thesis concentrates on nursing care post-surgery and the ensuing convalescent care, incorporating anatomical basics and preoperative care into its scope. The objectives of the study were to ascertain the role of the nurse in patient care following breast surgery, to identify specific aspects of postoperative care, and to define the nurse's role during the convalescence period. The empirical section of the thesis employs qualitative research methods, specifically semi-structured interviews with nurses working in the aforementioned departments. Ten nurses participated in this study: five from surgical departments, three from oncology clinics, and two from a general practitioner's clinic. Findings reveal the processes involved in nursing care, detailing preoperative, postoperative, and long-term care from the perspective of nurses. Further insights were gained into the educational activities performed by nurses and the psychological aspects of patient care, as reported by the nurses. The study also highlights current shortcomings in patient care and explores potential future alternatives. Recommendations for future practice emphasize the importance for nurses to engage with emerging knowledge in the care of patients with oncological conditions.
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Nursing process in a patient with hydrocephalus
Suková, Elishka ; Průšová, Kateřina (advisor) ; Nikodemová, Hana (referee)
The present bachelor thesis is devoted to the nursing process and education in a patient with hydrocephalus. The aim of the thesis was to determine to what extent the disease affects the patient's quality of life, focusing on the period before and after the insertion of a ventriculo-peritoneal shunt. Furthermore, how the patient felt during the hospitalization, whether he was satisfied with the attitude of the staff, whether he was properly educated before and after surgery or before discharge to home care. The theoretical part of the thesis is devoted to a detailed description of the disease, its causes in neonatal, childhood and adulthood, symptoms of patients of all ages and treatment options. The empirical part of the thesis is based on quantitative research investigation, analysis of the obtained data and comparison of the results of the thesis with similar works. The research method chosen was a quantitative survey using a non-standardized questionnaire. The questionnaire survey was carried out at the Neurosurgical Clinic of Motol University Hospital and the 2nd Medical Faculty of Charles University, after prior approval of the deputy for nursing care and with the consent of the management of the clinic. The results of the survey showed that 86.11% of the respondents reported an improvement...
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Recent findings in the therapy of postoperative scars and their complicatoin in the abdominal region - literature research.
Smolej, Július ; Malá, Jitka (advisor) ; Novotná, Irena (referee)
Title: Recent findings in the therapy of postoperative scars and their complicatoin in the abdominal region - systematic review Objective: The main objective of this diploma thesis is the evaluation of different therapeutic approaches in the therapy of postoperative scars in their proliferative phase of healing and postoperative scar pain in the abdominal region, based on the available resources corresponding to the established inclusion criteria. This thesis makes effort to evaluate which therapeutic method is most often used in the proliferative phase of healing and is most effective in acute and chronic postoperative scar pain treatment. The inclusion criteria for this review are the POSAS, VSS and NRS scales. Method: This thesis is processed in the form of a systematic review. The search of sources was carried out in specialized Internet databases and electronic portals UKAŽ, Google Scholar, Scopus, Springer Link, Pubmed, EBSCOhost, PEDro, Medline, Web of Science based on keywords. The first part of the thesis contains a theoretical introduction to scar tissues. The second part is descriptive-analytical in nature and contains an analysis of the individual studies included in the literature search examining different interventions in the treatment of postoperative abdominal scars. Results: A...
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Taking Care of Prostatectomy Patients Making Use of the Callisty Roy Nursing Programme
KRAMÁŘOVÁ, Iva
This diploma thesis deals with nursing care for prostatectomy patients using Callista Roy´s nursing programme. The situation, after prostate surgery, is a new life experience for men, that takes adaptation. Callista Roy, the author of Adaptation Model, was dealing with patient adaptation. The diploma thesis has set three aims. The first aim was to find out what interventions are used by nurses to support patient adaptation after prostatectomy in individual Callista Roy´s adaptation models. The second aim was to find out what stimuli nurses observe while providing prostatetomy patients with nursing care, and the third aim was to find out what problems prostatectomy patients face in individual adaptation modes. Three research questions were determined for these three aims. The diploma thesis contains two research files. The first research file are Urological Intensive Care Unit nurses and the other one are patients hospitalized at the Urological Standard Unit. Data was collected using qualitative research, methodology of questionnaires, interviewing technnique in prostatectomy patients at a hospital facility and nurses taking care of these patients. The survey is made complete by participant observation. The survey was carried out in February and March 2023. Nurse interview results have proven that nurses apply elements of the adaptation physiological mode when providing prostatectomy patients with nursing care. Patient interview results have proven they do not observe any problem in adapting to hospital environment nor in adapting to the state after having their prostate removed. The patient interview results have implicitly proven that they downplay the problems, and they would appreciate some help supporting their adaptation. The results of this diploma thesis may serve as a study material for healthcare field students. The diploma thesis may serve as inspiration for nurses supporting patient adaptation to carried-out prostatectomy.
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The Nursing Care of the Patient after Kidney Transplant
Ondřichová, Adéla ; Bakusová, Tereza (advisor) ; Komínek, Tomáš (referee)
(v AJ) This bachelor thesis focuses on nursing care for a patient after kidney transplantation and presents a case study of a specific patient with chronic renal injury due to Alport syndrome, who underwent kidney transplantation from a cadaveric donor. The aim of this thesis is to describe and evaluate the nursing care provided to the patient after kidney transplantation. The theoretical part provides an overview of renal failure, elimination methods, aspects related to transplantation, and a crucial section, patient education after transplantation. In the practical part are described the basic steps of preparing the patient for kidney transplantation and following nursing care in the first few days after transplantation. The case study of the patient is presented by describing his health status before and after transplantation. At the end of this part are described nursing diagnoses, the results of nursing care, and its effectiveness in the context of the patient's overall health status. Key words: kidney transplant, nursing care, postoperative care, patient education, immunosuppressive therapy
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Pain management in the recovery room of the anesthesiology department
FRÜHAUFOVÁ, Tereza
The diploma thesis is focused on the issue of patients experiencing postoperative pain in a Post Anaesthesia Care Unit (PACU). The thesis is aimed at three basic goals. The first one is focused on the analysis of the pain a patient experiences in a PACU. The second goal is the in-depth comparison of the pain the patients experience after various surgeries and the third goal is to get the feedback on the nurses' approach to the pain assessment. The theoretical part of this thesis is focused on the detailed explanation and the division of pain, treatment of pain and the function and the equipment of a PACU. The research part of this thesis was carried out in the form of quantitative research. A form with 22 questions, which was targeted on nurses working at the PACU, was used for the data acquisition. The questions were aimed at obtaining detailed data related to the evaluation of postoperative pain, but also at obtaining the information regarding staffing in particular hospitals. 183 nurses working in 79 hospitals filled out the form. There was also monitoring of pain carried out with 83 patients in the PACU in the Military University Hospital Prague. The patients experienced various types of surgeries. The results could help to find suitable strategies of evaluating and postoperative pain treatment in the PACU. During the research, it became obvious that patients who underwent neurosurgical operations of the spine experience the most intense pain. On the contrary, patients who underwent urological surgeries experience the least intense pain According to nurses'opinion the most important factors in evaluating patient's pain are the verbal expression of the patients and the change of physiological functions. Neither the lenght of practice nor the education has statistically a significant influence on the final evaluation of patient's pain. The experienced nurses with long-term practice predominate in the PACU. Based on the information given by nurses, it is safe to assume that the current treatment of postoperative pain is sufficient. It's rather rare for a patient to have strong pain after running out of options in analgetic treatment. It's worth noting that there are significant differences in the staffing of the PACU across hospitals.
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The nurse's role in the education of patients on surgical ward
KUBEŠOVÁ, Miroslava
The theoretical part of the bachelor thesis defines the role of a nurse-educator, the education reality consisting of the educational process, constructs, and the environment, it also concentrates on more particular introduction of the individual education topics in the pre-surgery and the post-surgery periods on a surgical ward. Four research goals were set in the empiric part of the thesis. The goals of the thesis were to find out in what ways nurses educated patients in the pre-surgery and the post-surgery periods. Further goals were to map the educational needs of patients before and after the surgery. The qualitative research form and the technique of semi-structured interviews conducted with nurses from a surgery department and patients before and after a planned surgery were chosen for the implementation of a significant part of the thesis. The criterion for the selection of respondents was that they should be patients of a surgery department with planned hospitalization longer than 2 days. The same patients were also interviewed during the post-operation period. The criterion for the selection of the nurses-respondents was that they had really worked at the standard ward of a surgery department for more than 3 months. The research sample set consisted of 9 nurses and 5 patients. Final categories and subcategories were defined based on the analyses of the carried our interviews. Educational material was prepared based on the research carried out with the patients and the nurses as the outcome from this bachelor thesis. The material was prepared in a form that enables its availability for a patient for the whole time of hospitalization. The use of the educational material can support the patient education on the surgical ward.
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Nursing care after upper limb replantation
KOVÁČOVÁ, Michaela
The theoretical part of this thesis first deals with the anatomy of an upper extremity, then it provides an introduction into traumatology, where a reader learns about amputation injuries, particularly about the types of amputation injury and the elementary first aid in such injuries. Further on it concentrates on the pre-surgery preparation for patients with indication to replantation, the course of the operation, post-surgery care and nursing care for patients after replantation in the upper extremity. The goal of this bachelor thesis was to examine the specifics of the nursing care for patients after replantation in the upper extremity. Nurses caring about such patients have numerous uneasy tasks, which they have to fulfil dutifully and with consideration. To be able to provide these patients with the care corresponding with the standards of nursing care, nurses have to have sufficient knowledge, which was the second goal examined within this thesis. Quantitative methodology was chosen for the achievement of these goals in the practical part. Semi-structured interviews related to the research questions were prepared. The survey sample set consisted of nurses working at the department where amputation injuries are sent most often, the trauma surgery department. We found out that if nurses are not sure how to proceed in the care and do not know the exact principles, they either turn to a physician or to a more experienced colleague. The school curriculum in terms of replantation seems insufficient. As summarization and revision of procedures have their importance, preparation of a seminar Nursing Care for Patients after Replantation in the Upper Extremity appears to be reasonable and helpful for nurses providing care to patients with these problems.
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