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Nursing care by children on biological treatment for Crohn's disease
 KOUBOVÁ, Marta
This bachelor's work with the title: Nursing care of children with the Crohn´s disease going through biological treatment concerns with the care specifics which are necessary for the child´s patient during biological treatment giving. The Crohn´s disease has been along with the ulcerous colitis called by omnibus term for idiopatic intestinal inflammation characterised also by the abbreviation IBD from the English Inflammatory Bowel Disease. It refers to chronic inflammatory intestinal disease which affects intestine segmentally with intestine mucous membrane hitting in total thickness and has been characterised by remise and relapse phases. In the treatment connection, the aim is life quality improvement not only at the children but also at the adults. In the curative scheme the biological treatment has a high therapeutic potential which is from the costs viewpoint applied at relatively small sample of patients. For this bachelor´s work objects fulfillment was qualitative research investigation. Within research investigation were two aims determined. First goal was finding if nurses know specifics of the nursing care of children with the Crohn´ s disease. Second goal was to find out if nurses know biological treatment giving principles. On the basis of mentioned bachelor´s work aims the explorative questions were set: Which knowledge do nurses have of care at the children with the Crohn´s disease going through biological treatment? How do nurses ensure specific nursing care of children with the Crohn´s disease going through biological treatment? Which principles do nurses consider important at the care of the Crohn´s disease children going through biological treatment? The empirical part of bachelor´s work was processed in the form of data qualitative analysis using semi-structured talks and participated hidden monitoring. The research file consisted of eight respondents who participate upon applications of biological treatment at children with the Crohn´s disease diagnostics. Respondents answerred on the basis of own knowledge and acquired experience. The conversations were processed using open coding technique method pencil and paper. The categories and codes were processed into thought maps representing also respondents answers. The research investigation was added by semi-structured talk with the child´s gastroenterologist ensuring the biological care. The hidden participated monitoring was other used method taken at the same research file during the biological treatment application with focus on nursing care. Under the bachelor´s work will be organized the course on the basis of theoretical part and acquired results in the children´s ward of the České Budějovice hospital with orientation on nurses applying biological treatment and also on nurses unknowing in this problems.
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