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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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Nurses' approach to patients with dementia in general hospital wards
VAN HORIK, Nina
This bachelor thesis focuses on the approach of nurses to patients with dementia in standard wards. The thesis consists of a theoretical and an empirical part. The theoretical part contains the definition of the term dementia, distionction of individual types and stages, distinction of symptoms, pharmacologic and non-pharmacologic therapy. Furthermore, it deals with communication and attitudes towards patients with dementia and problematic behaviour stemming from the disease. In the empirical part of the thesis, the aim was to identify general nurses' approaches to patients with dementia, the factors that may influence their approach, and then compare approaches of nurses with each other. A quantative method using a non-standardised questionnaire was chosen to conduct the research. The questionnaire was used to examine the approach of nurses to patients with dementia and to their awareness of specific and modern methods used in the care of patients with dementia. The responses of respondents from four types of standard wards were then statistically analysed. The results show that neither the length of practice nor the highest educational attainment affects the approach of nurses to patients with dementia, on the contrary, what affects their approach is the type of ward. It was also found that the use of modern methods does not depend on the education of the nurses, but again on the type of ward. The results of the investigation highlight the divergent approaches of nurses to patients with dementia and what factors may influence the approach. The result of the thesis can be used to develop a seminar to inform about modern methods in the care of patients with dementia and how to communicate and treat the patients.
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Visiting field service - part of nursing practice in a general practitioner's clinic
SŮVOVÁ, Nikola
This bachelor thesis deals with the visiting field service as part of the work of a nurse in an adult general practitioner's office. The visiting field service is relevant for elderly patients, patients with chronic diseases, disabled patients or patients in recovery. It carries with it a host of benefits, keeping the family together, keeping the patient in a home-like environment, providing infusion therapy, and performing wound dressings. The visiting field service provided by a nurse from an adult general practitioner's office is quicker than home care, the nurse communicates directly with the physician who assigns the appointments. The aim of this thesis is to determine the awareness of patients from adult general practitioners' offices of the possibility of using a visiting field service by a nurse in the home setting. And to find out the benefits of a visiting nurse outreach service and the perceptions of patients from adult general practitioners' offices. In this bachelor thesis, quantitative research is used, interview method is used and self-administered questionnaire is used as a technique. The research findings show that there is little awareness of the visiting outreach service. However, patients who have used the visiting field service evaluate it positively and perceive it as beneficial to their health condition. The practical output of this thesis is an information leaflet to raise patient awareness of the outreach service and to encourage patients to enquire about the service with their general practitioner.
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Nursing care of patient with liver cirrhosis
MATIÁŠOVÁ, Michaela
Abstract This bachelor thesis is focused of nursing care about patient with liver cirrhosis and problematics. Liver cirrhosis is disease characterized by nodular transformation of liver which prevalence is increasing By this disease is nursing care focused on pacient´s needs, importatnt is also the education of the patient about regime measures. The aim of this bachelor thesis was to find out what are the specifics of nursing care of a patient with liver cirrhosis. The practical part was processed by using a qualitative research survey. The first research group consisted eight nurses working on gastroenterology department. The second research group consisted seven patients with diagnosed liver cirrhosis. The semistructured interview became the technique of data collection. The results of the research show that the nurses don´t adequately assess the risk of malnutrition. Further we found out, patient aren´t sufficiently informed about potential compliacations of liver cirrhosis. The results also showed us that nurses have good knowledge about liver cirrhosis and they haven´t deficiences in nursing care. Patients were satisfied with nursing care during their hospitalization. Some patients, even they were properly educated about regime measures, were unable to change their lifestyle, so they had to be admitted in hospital again. Based on the results, was designed an information brochure. It can be used as a study material for students or can be used in practise for nurses and patients.
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The importance of basal stimulation in patient care in the Department of Anaesthesiology and Resuscitation
MARKOVÁ, Aneta
The bachelor thesis includes the use of the concept of basal stimulation at the Anesthesiology and resuscitation ward and the specifics of nursing care of the patient in this ward. It deals with the application of the concept of basal stimulation in the Department of Anaesthesiology and Resuscitation. The concept of basal stimulation was developed by educator Andreas Fröhlich in the 20th century during his research project as a doctoral student. He proved that the most important thing is the stimulation of the so-called basal senses. This concept serves to support human perception and communication. It is based on scientific knowledge of the neurophysiological development of the child. The concept was first applied in the care of children with severe congenital disabilities. It is now being applied in palliative and intensive care, social services and psychiatric nursing. The aim of this study is to find out what elements of basal Stimulation are used in different hospitals in the ARO in the nursing care of the patient. For the research investigation, the ARO at the Pelhřimov Hospital and the České Budějovice Hospital were selected. For the practical part, two research questions were set. The first one describes the importance of basal stimulation in patient care in ARO and the second question deals with the applied elements of BS in Hospital Pelhřimov and Hospital České Budějovice. According to the data analysis, two categories and seven subcategories were created. From the research survey it was found that all respondents perceived the importance of basal stimulation applied in ARO very positively, and they try to apply this concept in their nursing care of patients. In the research investigation, it was found that the respondents agree on most of the applied elements and the most used element is the initiating touch.
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Patient awareness before coronarography
KVAČKOVÁ, Michaela
This bachelor's thesis dealt with informing patients before coronary angiography. Cardiovascular diseases are one of the major problems of today's population. An examination method called coronary angiography is used to quickly and effectively evaluate the condition of the coronary arteries. It is an invasive method thanks to which we can image the coronary arteries of the heart and find places that are narrowed or closed. The thesis was focused on informing patients who were to undergo this procedure. The aim of this bachelor's thesis was to map the awareness of patients before coronary angiography. To find out how the information was conveyed and what effect it had on the patient's sense of security. In the theoretical part, there is an overview of the obtained information about coronary angiography examination. Coronary artery disease is discussed here, followed by a chapter on coronary angiography itself and nursing care. The last two chapters of the thesis deal with education from the nurse's point of view and patient awareness with subsequent informed consent. The research of my bachelor's thesis was processed using a qualitative method with semi-structured interview. The interview consisted of twenty questions. The research sample consisted of patients who were admitted for coronary angiography. The data that was obtained was further processed using coding and the "pencil and paper" method.The resulting investigation revealed that patients are sufficiently informed about coronary angiography. The delivery of information by the doctor or nurse to the patients was effective. Patients were well informed about coronary angiography and their sense of security increased.
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Adherence to medical regimens by hypertensive patients
KUBÁTOVÁ, Veronika
Introduction: The bachelor thesis deals with an adherence of regime measures by patients with hypertension. Hypertension is one of the most common diseases of the cardiovascular system. Regime measures are the basis of treatment, which include weight loss, regular exercise, limiting salt in the diet, quitting smoking, abstinence from alcohol and reducing stress. The aim of the bachelor thesis was to find out whether patients over the age of 50 with hypertension are informed about the regime measures and whether they comply them. Methodology: A quantitative method was chosen for the research part of the thesis. The data was collected by using a self-constructed questionnaire that included 25 questions. The research group consisted of patients older than 50 years suffering from hypertension who were hospitalized in a medical facility in the South Bohemian Region. Results: It was found out that respondents' knowledge of lifestyle measures related to the treatment of hypertension differs statistically significantly by gender (p = 2%), but does not differ by age (p = 72%). The data shows that women have more knowledge than men. Compliance of regime measures also differs statistically significantly by gender (p = 1.8%), but does not vary by age (30.5%). Women follow the measures more consistently than men. Respondents aged between 61 and 70 showed the best results, both in knowledge and compliance, but the difference was not statistically significant. Conclusion: Although the results have provided a fairly satisfactory picture of patients' knowledge, it is still important that people with hypertension are regularly educated. The thesis can serve as a source of information for both laymen and paramedics. An educational leaflet has been created for hypertensive patients with basic information that every hypertensive patient should know.
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The use of elements of the Basal stimulation concept in long-term intensive nursing care department
KAFKOVÁ, Tereza
The bachelor thesis is focused on the use of the elements of the Basal stimulation concept in a long-term intensive care unit. The aim of this bachelor's thesis was to find out how nurses incorporate the concept of Basal stimulation into the care of patients on the LTINC unit. To achieve this aim, one research question was set, "How do nurses incorporate the concept of Basal stimulation into the care of patients on the LTINC unit?" The data collection technique was semi-structured interviews and overt non-participant observation. The research population consisted of 5 nurses working in the long-term intensive care unit of a selected hospital in the Vysočina Region. Based on the analysis of the interview data, 4 categories and 3 subcategories were created. The data collected by observation was divided into 6 categories. From the results of our work, it is clear that the nurses who formed our research population incorporate elements of the Basal stimulation concept into the care of patients hospitalized in the LTINC unit in every contact with them. The most used elements of this concept on this ward are the initial touch, addressing, positioning, placing patients in vibrating and conventional chairs and the use of the patient's favourite toilet aids. Patients most often respond to initial touch combined with addressing and their initial reactions include eye fixation, general calming and reduction of spasticity. Recommendations for practice: We recommend to include only 4 types of selected scents into the care of patients using olfactory stimulation.
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Possibilities of nurse activity in primary prevention of Chronic Kidney Disease
FIKAROVÁ, Anna
Introduction: Chronic Kidney Disease (CKD) is an incurable condition that is increasingly prevalent worldwide. Therefore, prevention is particularly important. Nurses in primary care encounter patients at increased risk for developing CKD and can contribute to its prevention by raising awareness about the disease and ways to prevent it. Objective: The main goal of the study was to determine the perception of nurses in the primary prevention of chronic kidney failure. Methods: The research part was conducted by qualitive research method in the form of semi-structured interviews. The research sample consisted of seven nurses working in a general practitioner's office for adults. The information gathered was analysed using open coding with the qualitative statistical program Atlas.ti, resulting in two categories and four subcategories. Results: The results indicated that nurses at general practitioners' offices for adults see their main opportunity in the primary prevention of CKD as educating patients, which they conduct through oral discussions and by offering informational leaflets. Nurses primarily inform patients about maintaining a healthy lifestyle, regimen measures, familiarising patients with the disease, its complications, and the importance of regular participation in preventive examinations. Nurses perceive screening tests, which allow for the identification of at-risk individuals for CKD, as an important element in primary prevention. Conclusion: The primary prevention of CKD is primarily hindered by patients' insufficient knowledge about the disease, from which patient cooperation is derived. To enhance the efficacy of primary prevention, nurses would benefit from increased time per patient and more comprehensive promotion of CKD.
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The needs of transplanted patients after a re-enrollment in a long-term dialysis program
DUŠKOVÁ, Denisa
Introduction: In this bachelor thesis, the needs of transplanted patients re-entering a long-term dialysis program were examined. The unsatisfied needs of such patients may lead to a deterioration in their health. It is therefore important to perceive the patient's desires and wishes. The issues addressed in this thesis can contribute to a better understanding of the patient´s needs not only by the nursing staff, but also by the patient's family and his surroundings. Objective and research questions: The main objective of this study was to identify the specific needs of these patients. Answers were sought to the questions such as what the specific needs are, how the needs changed before transplantation and after re-entering the dialysis, which needs are not met adequately, and which ones are the most important for the patients. Methods: The data were obtained through qualitative research in the form of a semi structured interview at a selected dialysis center in the South Bohemian Region. The data were processed by the coding method using the ATLAS.ti statistical program. Subsequently, 5 categories were identified with their subcategories. Results: From the resulting data it was found that patients most desire the need for sleep and rest, being pain-free, leading a normal life, and receiving sufficient support from family. However, inadequate satisfaction in the area of sleep does not prevent patients from engaging in a form of physical activity, which positively affects their mental well being. It was also noted that the most important aspect for patients during dialysis is a calm and uncomplicated process. Conclusion: Despite the results of this research, it is necessary to consider a person as an individual being whose needs may differ from the majority.
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