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Knowledgeability of clients about postoperative care at orthopaedic department
LIŠKOVÁ, Jana
Clients suffering from musculoskeletal system problems are hospitalised at the orthopaedic department. Most clients must undergo a surgery here. Surgery is a stressful situation for many clients. They are in foreign environment and do not know what to expect, they are afraid. A nurse at an orthopaedic department has a very important function. She accompanies the client before, during and after the surgery. She aims to provide her clients with enough information to calm them and to make their stay in a medical facility pleasant. Quantitative research performed by means od anonymous questionnaires was used to collect data. We addressed nurses from traumatological wards in the following hospitals: Nemocnice Písek, a.s. and Ústřední vojenská nemocnice Prague. We also contacted clients hospitalized in orthopedic and traumatological ward in the two identified hospitals. We collected identification data and information about the general awareness of postoperative care and postoperative complications. Three objectives were determined in the bachelor essay. Determination of the level of clients´ awareness, the means used by nurses to provide information about postoperative care and about postoperative complications. And whether nurses provide information through the nursing process. Results of the research were fulfilled. Three hypothese were determined. The first and the second hypothese were to confirm that clients are sufficiently informed about the postoperative care and postoperative copmlications and that nurses provide clients with the nursing care through the nursing process. These hypotheses were confirmed. Nurses inform clients about the postoperative care and they provide nursing care through the nursing process. The third hypothesis was supposed to confirm that nurses utilize all means to inform clients about the postoperative care. This hypothesis was not confirmed; nurses inform clients only orally. The research showed that clients address thein inquiries to both nurses and doctors. Clients´ awareness of postoperative care was sufficient and there is no need to increase it, however, the awareness of postoperative complications is weaker and clients would like to obtain more information from doctors. In spite of that, most of them say that postoperative complications cannot be prevented by better awareness anyway. Postoperative care is a part of the recovery period after a surgery {--} knee ligament athroplasty. Sufficient awareness of clients and timely rehabilitation is an integral part of that. Therefore, it is necessary to provide clients with sufficient amount of information. The results of the bachelor assay will be submitted to nurses in orthopedic wards in the two identified hospitals, i.e. Nemocnice Písek, a.s. and Ústřední Vojenská Nemocnice Prague, where the research was performed; the results could also be used as a source of information in workshops not only for nurses working in orthopedic wards, but for everyne who is interested in this topic. The results could also enhance the postoperative care within the nursing prosess.
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Providing the patient´s privacy after total hip replacement operation
RŮŽIČKOVÁ, Michaela
Abstract In our company the emphasis in the field of nursing care has increasingly been focused on preservation of a patient`s dignity and intimacy. In daily activities in a pacient the privacy and intimacy the patient may be affected which causes different reactions of such a patient. One might say that even after the routine procedure such as total hip replacement it is very important that the patient has enough privacy. The aims of this study were to assess how the intimacy in the postoperative care is ensured in patients undergoing total hip replacement at the intensive care units and to find out the level of knowledge of the nurses as for adherence to intimacy after total hip replacement. The research group consisted of patients who were hospitalized at the intensive care and standard units in the Hospital České Budějovice, a.s. (PLC), Faculty Hospital Olomouc and Military Hospital Olomouc. The second research group consisted of the nurses who worked at the intensive care and standard units in the Hospital České Budějovice, a.s. (PLC), the Hospital Šumperk, a.s., Faculty Hospital Olomouc and Military Hospital Olomouc. The research investigation was performed by the method using two ananymous questionnaires. The first defined hypothesis was confirmed. The patients at the intensive care units are more satisfield as for their intimacy compared to the patients at the standard units. The second hypothesis was also confirmed. The nurses have not enough time to ensure intimacy of the patient after total hip replacement. The third hypothesis was confirmed. The nurses have enough information of how to take care of the intimacy in the postoperative period. The fourth hypothesis was not confirmed. The nurses at the intensive care unit do not care about the intimacy with a higher interest compared to the nurses at the standard unit. The findings of this investigation show that the patients after total hip replacement at the intensive care unit are more satisfield with the provision of intimacy in the postoperative care compared to patients at the standard unit. Although the nurses do not have enough equipment to ensure the intimacy of a patient in the postoperative care, they know how to take care of intimacy in the postoperative care.
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The differencis of nurse treatment by Patients with TEP(total hip replecament) and with CCEP(cerviko capital replecament).
BUKÁČKOVÁ, Kristýna
This bachelor thesis focuses on the differences in nursing care of patients after TEP (total endoprosthesis) and after CCEP (cervical-capital endoprosthesis). The reason that led me to deal with this subject was the fact that I consider the knowledge of this matter as well as observing its principles by nurses for necessary. The objective of the thesis was to find out whether nurses know the difference in the nursing care of patients after TEP and CCEP, and whether they observe the differences in the nursing care. These objectives were fulfilled in the bachelor thesis. Two hypotheses were laid down. Hypothesis 1: Nurses know the difference in nursing care of patients after TEP and CCEP. Hypothesis 2: Nurses observe the difference in nursing care of patients after TEP and CCEP. The hypotheses were confirmed. The theoretical part of the thesis is focused on the anatomy and physiology of the hip bone and the historical development of endoprostheses. Further, the subject of the TEP and CCEP is dealt with here. It contains descriptions of the differences in the nursery care that nurses should put a lot of emphasis on and observe them. In the research part, the quantitative investigation by means of the questioning method, in the form of a questionnaire, and the qualitative research by means of the method of participating hidden observation, were chosen to verify the hypotheses. In practice, this thesis may be used in seminars, in which even the results of investigations may be dealt with, thus increasing the quality of the nursing care of patients after TEP (total endoprosthesis) and CCEP (cervical-capital endoprosthesis).
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Information problems of the client after operaion of the knee joint prosthesis prior to doischarge from the hospital
KAŠPÁRKOVÁ, Lucie
Presently a number of people who need to replace disabled knee-joint for artificial one is rising. The issue of a client{\crq}s awareness about necessity to keep the supportive measures would deserve much more attention. The theoretical framework deals with the post-operation care for a patient following a complete knee-joint replacement operation and the issue of the patient{\crq}s awareness, which is considered an important one in nursing nowadays. From results of research ensued that nurse's role is very important for patients' awareness about postoperative care after complet knee-joint replacement. A nurse should be an active part and should give the relevant informations to patients about postoperative care so that the stage of therapy will be without complications.
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