|
|
Placing the patient after total hip replacement and nursing care.
KUBEŠOVÁ, Hana
Today, a total hip replacement is often the only way for millions of people around the world how to return to normal life and live a full life without pain. To returning to a full life after a total hip replacement it is needed, however, sufficient information provided by nurses, given not only to patients but also to their relatives. A nurse plays an important role in giving information, because she accompanies a patient not only during the entire hospitalization period, but also during the whole preoperative period, related to a patient´s visits to the outpatient section. A nurse should not only be fully aware of the nursing care before and after surgery, but should be able to adequately inform patients before the hospital admission and to ensure patients´ smooth return to normal life. The survey was carried out through in-depth interviews with ten randomly selected patients after a total hip replacement. The patients were hospitalized in the orthopedic department of the hospital in Tábor. The research group consisted of five women and five men. The patients were asked several additional questions to determine how and when they had been informed about the total hip replacement. It was also necessary to find out how they had been informed about the movement regimen before the hospital admission, and if there had been any problems during hospitalization that might have been associated with the discharge to home care. The main objective of this study was to methodically determine the patients´ awareness before the total hip replacement, to identify the most frequent problems of patients after the hip surgery and to analyze the needs of patients after the total hip replacement before the hospital discharge. The research survey has found that patients had been given information by the nurses in a sufficient extent, but only at the time of hospitalization, which in some cases proved to be inadequate. Some patients did not manage to adequately prepare their domestic environment, including compensation aids facilitating the movement after the hip joint replacement and had to deal with this issue through the mediation of their family during their hospitalization. Owing to the information submitted late, for example, the period of hospitalization may be prolonged unplannedly because the patient is not sufficiently prepared to be discharged to home care. The investigation has shown that it would be desirable to enhance the awareness of patients before the hospital admission to the hip surgery, e.g. through the form of information meetings. Then patients would have the opportunity to get ready both compensation aids suitable for the movement regimen after the total hip replacement and the home environment before the surgery so that they could be discharged to home care at any time. Patients´ awareness before the surgery is an important part of quality nursing care provided to patients and leads to patients´ satisfaction.
|
guest ::
