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Nursing care for patients with faecal incontinence.
JŮZKOVÁ, Hana
This bachelor thesis concerns with the problems of faecal incontinence. Incontinence is defined as a state, when the patient?s urine or stool is released spontaneously. Women have to deal with incontinence more often, which is related to childbirth and complications connected with it. As far as the age is concerned, we encounter leakage of stool more among seniors than young people. As well as with any other disease, a thorough diagnostics is important with these problems. There may be a many of causes, psychical reasons, chronic constipation, injuries from surgical operations and childbirth, and degenerative changes. Nowadays we have a plenty of tools at disposal, so we can choose a tool for each patient to help him maintain being as self-sufficient as possible. It is important to focus on holistic approach to the patient, because he or she cannot be seen as an incontinence problem, but a human being as a whole. Nursing such a patient requires education and preparing the person for home care. For the practical part of this thesis, a quantitative survey was used, which took place in March and April 2012 in the Hospital České Budějovice, JSC. These questionnaires were provided to the standard departments, intensive care department and anaesthesiology and resuscitation department. As the goals of our bachelor thesis we have set to determine the knowledge of nurses in the field of incontinence care, whether they use all the tools available at the department and how they?re informed about the closed system Flexi Seal. Based on the selected goals, hypotheses were determined: The nurses have sufficient knowledge in incontinence care. The nurses use all tools available at the department. The nurses have sufficient information about the closed system for stool retaining. The questionnaire consisted of 23 questions. In the conclusion of my thesis the established results either do or do not affirm the determined hypotheses, the output of this thesis is to hand over the results to the hospital management as a material suitable for improving care among patients with incontinence.
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Physiotherapy for Female Urinary Incontinence in Middle-aged
SMRČKOVÁ, Kamila
Urinary incontinence is defined as a condition which leads to inability to control the loss of urine. It represents a socio-psychological problem, which negatively influences the quality of live. In the theoretical part of the thesis there is summarized the knowledge of anatomy and kinesiology of pelvis and pelvic floor, physiology and neurophysiology of micturition, and theory of a urinary incontinence. There are also described types of urinary incontinence, their symptoms, prevention and risk factors of this disease. Furthermore there are involved ways of diagnosing and methods of conservative and invasive treatment. The practical part of the thesis consists of three case studies of women with different stages of stress urinary incontinence. It involves medical history, kinesiological analysis, procedure of the rehabilitation and output examination with a general evaluation of a state of the patients. The aim of the thesis was to evaluate the influence of physiotherapy and its methods on improving urinary incontinence of middle-aged women.
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Health and social impacts on women after complicated childbirth.
KAIFEROVÁ, Jitka
In the diploma thesis, objectives were set that were intended to find out medical, mental and social problems of women after complicated childbirth and to compare the problems with those of women after physiological childbirth. The other objective was to find out what kinds of complicated deliveries occur in Nemocnice Písek, a.s. /Písek Hospital/ the most. Hypotheses were set for the objectives. The first hypothesis was to confirm that birth injuries after complicated childbirth are healed per secundam. The second hypothesis was to confirm that women after complicated childbirth feel that they will not manage care for their family. The third hypothesis was to confirm problems with economic support of a family in the cases of single mothers after complicated childbirth. The fourth hypothesis was to confirm that women after complicated childbirth do not have enough information about social security. The fifth hypothesis was to confirm that in Písek Hospital, the most frequent complicated deliveries include Cesarean sections.
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Childhood nonorganic Enuresis
MIKEŠOVÁ, Jana
My bachelorship paper deals with the impact of a chronic disorder {--} enuresis nocturna. I have concentrated on bed-wetting which is of non-organic origin and thus the cause of enuresis is not to be found in the pathology of the urogenital tract. The objective of my paper has been to detect how the children of the studied group from the nephrological practice of the Paediatric Ward of the Hospital in Český Krumlov experience their disorder (bed-wetting without an organic cause) and how the parents of these bed-wetting children comply with the recommendations of the physician {--} the preventive- therapeutic measures within the enuresis treatment. The theoretical part of my paper is focussed on the treatment of enuresis, on therapeutic measures, the enuretic regime as well as the theory of family and parenting. Its practical part is based on two preliminary hypotheses. The first hypothesis H1 was tested under the application of a standardised interview with enuretic children and the testing of the H2 hypothesis was based on a questionnaire designed for parents of bed-wetting children. It has been proved that most children experience their problem with lots of anxieties and that a part of their parents fail to comply with the paradigms related to the treatment of enuresis-the enuretic regime.
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