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Unilateral nephrectomy from the patient´s point of view
KAČÍRKOVÁ, Michala
The subject of the diploma thesis is unilateral nephrectomy from the point of view of the patient. The work is divided into a theoretical and practical part. The theoretical part focuses on kidney diseases, the nephrectomy problems from the patient's as well as the nurse´s perspective, and further on the role of nurses. . The second part is research. The research was realized in urological departments in selected hospitals of South Bohemia. For the research was selected qualitative research was conducted through semi-structured interview with two sets of research. The first experimental group consisted of 10 patients after nephrectomy, five respondents after classical open nephrectomy and five after laparoscopic nephrectomy. The second experimental group consisted of 10 nurses working in the urology department of the bed. This thesis diploma was focused on the experiences (feelings) or if at how the patient perceives surgical removal of the kidney. We wanted to know how is the issue seen from the perspective of a patient who is in the hospital experiencing a number of concerns and negative emotions. We also investigated whether a different view of nurses and patients on the issue exists. We have identified three objectives and six esearch questions for this work. The first objective was to determine how the patient perceives urological unilateral nephrectomy. The second objective was to determine what are the most common fears which faces the urology patient before and after surgery. The third objective was to determine what proportion of the nurse to patient information. The first research question was how the patient perceives urological unilateral nephrectomy. The second research question was, how urological patient after unilateral nephrectomy perceive their body image. The third research question was, what are the most common concerns of the patient before surgery. Further, patients who often address their concerns. The fifth research question was how the nurse involved in patient awareness. The last research question was, how often nurse informs the patient. The results of the diploma thesis can serve to nurses when working with urological patients and for the improvement of the nursing care for them. We have created an information map that can serve to patients as an assistant, through which they can prepare themselves for the entire course of hospitalization.
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Nursing care of urinary stones patiens and evaluation of their diet habits
KAČÍRKOVÁ, Michala
Bachelor thesis Nursing care of patients with urolithiasis and assessment of their dietary habits drala with the issue of comprehensive urolithiasis and its prevention. Nurses working in urology departments are commonly encounte-red in providing nursing care with patients who have persistent colic pain due to movement concrement in the urinary tracts. For the most part in the formation concrement involved inadequate fluid intake and poor dietary habits, such as high intake of animal protein and salt. The task of nurses is sufficient to inform the patient of the change in dietary and drinking regime, not to have to relive severe pain. We can divide work into two parts. The first part of work focuses on the theoretical acquaintance with the problems of urolithiasis. In this section attention is paid to the history, causes of urolithiasis,its symptoms, diagnosis, treatment and prevention of disease. The nursing care of patients with urolithiasis is also described there. The second part is research. The research was realized in urolo-gical departments in selected hospitals of South Bohemia - in České Budějovice, Písek and in Tábor on the bed ward and outpatient departments of these departments. Research was conducted using questionnaires to patients and nurses. The aim of this work was to evaluate the dietary habits of patients with uroli-thiasis. At the same time we wanted to determine the educational extent of nurses in the prevention of urolithiasis. On the basis of the main objectives have been identified hypotheses. H 1: The Patients with urolithiasis keep diet regime. H2: The Patients with urolithiasis keep drinking regime. H3: Patients are enough informed about the diet. H4: Patients are enough informed about drinking regime. H5: Disease more frequently affects younger patiens than older patients. The aim of the work has been achieved and hypothese H1, H3, H4 and H5 were based on the research confirmed. Hypotheses H2 hasn´t been confirmed. The results and findings of the research will be offered to nurses working in urology wards and outpatient clinics where the research was conducted. They can help in the education of patients with urolithiasis and focus on areas that are most important for the patient-litiatic. It would be appropriate to attend at this issue one of its workshops in urological departments and not only there, to provide effectively education of patients by educator-nurse.
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