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Rehabilitation treatment of patients with severe movement disorders
STEINBAUEROVÁ, Iveta
Current status: The numbers of patients with some sort of movement disorder (mostly caused by genetic load, unhealthy lifestyle, falls and collapses, carelessness during sport activities and also car crashes) grows every year and the rehabilitative treatment becomes increasingly important. Subject: The objective of this study is to determine whether nursing staff actively approach rehabilitative treatment care according to the development and improvement of the patients mobility. Following four hypotheses were defined to achieve the objectives. H1: rehabilitative treatment treatment of patients with severe movement disorders is conducted in a multidisciplinary team. H2: The effectiveness of the treatment is continuously recorded in the nursing documentation. H3: Nursing management inspects the rehabilitations treatment. H4: The nursing staff plan their rehabilitative treatment actions according to the progress and improvement of the patients' condition. Methodics: To ensure the data required for this bachelor thesis, was used a quantitative research survey using questionnaires. The questionnaire consisted of several parts and was composed of 30 questions, which were later used for identification of the respondents and subsequently to confirm or refute the hypotheses. A total of 60 questionnaires were distributed (100%) with a 88% return rate. For further data analysis was then used 53 (100%) questionnaires. Participants: The survey was answered by nurses employed in the inpatient physiotherapeutic wards of the following hospitals: Nemocnice České Budějovice a.s., Nemocnice Tábor a.s., Nemocnice Písek a.s., Nemocnice Havlíčkův Brod, Městská nemocnice Plzeň Privamed a.s. and Institute of Oncology and Physical Rehabilitation Na Pleši s.r.o. Nurses filled the survey voluntarily, anonymously and with approval of the Directors of nursing and head nurses. Results: The research part was focused on collaboration with the multidisciplinary team. The answers indicate that the nursing staff collaborate with all team members (see grafh no. 23). Mostly, they cooperate with physiotherapist (100%) and with physician (96%). Also 96% of respondents admitted they cooperates with other nurses (see graph no. 24). The hypothesis was confirmed. One of the other objectives was the question of regular and continuous recording of the documentation. This hypothesis was also confirmed according to the obtained data: nursing staff regularly updates the progress into the documentation during their shift each day (see graph no. 18). Most nurses (90%) make records into the general nursing documentation, but there is one health facility in my list of participants with specialised physical rehabilitation documentation. According to the data received from survey, nursing management performs inspections of the rehabilitative treatment (see graph no. 25). Checks are performed by head nurses or ward nurses. In most cases the inspections take place at regular intervals or at random without notice. Thus, this hypothesis was also confirmed. Last surveyed areas was whether nursing staff plan their treatment interventions based on development of the patients' condition. Of the 53 nurses, 85% of them reported that they plan their intervention based of the patients' progress (see graph no. 16). The most commonly used interventions are positioning, education about self-sufficiency and mobility aids. The hypothesis was confirmed. Conclusion: The obtained results show that all of my hypotheses were confirmed and objective of this thesis fulfilled. In case of interest, the results of this research may be provided to all personnel responsible for quality assurance of provided healthcare and to head and ward nurses of all participating facilities as well. Results of this thesis may be provided also to students interested in this issue.
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