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The role of the nurse providing therapeutic care for the patient embarking on a hemodialysis program, being on the kidney transplant waiting list.
ROUBALOVÁ, Gabriela
Abstract In the bachelor thesis we are dealing with the question ,,A role of the nurse in care of the hemodialysed patient waiting for kidney transplantation.`` In the theoretical part we have been dealing especially with the role of the nurse, nursing care of the hemodialysed patient waiting for kidney transplantation and also with the educational activities of the nurses. The goal of the research was to determine the role of the nurse from the patient{\crq}s viewpoint, the next goal was to determine how well are the patients informed about the hemodialysis program and the regime measures resulting from it and furthermore what roles result for the nurse from the nursing care of patients within the hemodialysis program. A method of a quantitative research with the use of anonymous questionnaires has been used for determination of the set goals and for verification of the preset hypotheses. The research set was formed of nurses working in the medical department and the hemodialysis department of the Hospital in České Budějovice, a.s., as well as of patients from the department where the research was conducted. A total of 50 questionnaires were distributed to nurses and 50 questionnaires to patients. The return rate was 62% for nurses and 70% for patients. Three hypotheses were preset within the research. In the first hypothesis we have assumed that the patients percieve the role of the nurse as an indispensable part of the nursing care. The first hypothesis has been confirmed. In the second hypothesis we have assumed that the patients in the hemodialysis program have enough information regarding the regime measures resulting from the problems of hemodialysis and kidney transplantation. The second hypothesis has been confirmed. In the third hypothesis we have assumed that the nurses within the nursing process by patients in the hemodialysis program represent a role of an educator for the most part. The third hypothesis has been confirmed as well. The results of the conducted research may lead to an improved awareness of the patients about the hemodialysis program and the regime measures resulting from it and also could be utilized as a feeback for nurses working with the hemodialysis patients. The nurses should be more and more actively interested in patient`s feelings. Furthermore they should have better supervision of patients` observance of the regime measures, although especially the patients should be responsible for their own health, because the regime measures play an indispensable role in the therapy process during the malfunction of kidneys. Furthermore it is important that the nurses actively offer help to patients who need it and try to ensure a quality nursing care, while the greatest reward for the nurse should be the patient{\crq}s satisfaction. It would be convenient to inform the head as well as stationary nurses about the results of the conducted research who would subsequently hand over this information to other nurses who work with the hemodialysed patients. Moreover this work may serve as a material for students who will be interested in these problems. Furthermore this work could lead to extension of educational activities of students regarding the problems of hemodialysed patients.
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