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Specifics of nursing care for patients with diabetic foot syndrome undergoing larvae Lucilia sericata treatment - from the perspective of the patient
POLÁKOVÁ, Daniela
Abstract The bachelor thesis titled Specific Aspect of Nursing Care of Patients with Diabetic Foot Syndrome Undergoing Treatment with Lucilia Sericata Larvae ? From Patients? Perspective is divided into a theoretical part and a practical part. The theoretical part focuses on the historical development of Lucilia sericata larvae in medicine, the present use of larvae in medicine, and the analysis of the standard surgical treatment procedure and the larval therapy. The following section of the theoretical part describes the role of nurses in the standard surgical treatment and the larval therapy. The thesis also analyses diabetes mellitus and its complications, and especially the diabetic foot syndrome. The first objective of the thesis has been to determine how much information patients have about the treatment with Lucilia sericata larvae. The second objective has been to present the specific aspects of the care of patiens undergoing treatment with Lucilia sericata larvae. The third objektive has been to determine patients? needs when undergoing the treatment with Lucilia sericata larvae. The fourth objective has been to find out the awareness of nurses of the procedure of nursing care during the treatment with Lucilia sericata. The last, fifth, objektive has been to Compaq the surgical treatment and the alternative treatment from the perspective of patients. In order to find out the results, four patients and four nurses in the surgical ward at the hospital in Slaný were contacted. The research part includes four case reports and four transcribed interviews with the patients who undewent the treatment with Lucilia sericata larvae. The patients answered the prepared sets of questions in inteeviews. Afterwads, interview with four sisters who work in the surgical ward at the hospital in Slaný were conducted. All the patients included in our research group were satisfied with the alternative treatment with Lucilia sericata larvae, although the outcome of the treament of one of them was not satisfactory. Our research suggests that treament with Lucilia sericata larvae has a positive effect on patients and,in addition,according to the findings, the alternative treatment is cheaper and shorter than the traditional surgical procedure. In practice, the thesis could be used as an information and educational material for the method of treatment with Lucilia sericata larvae for patients as well medical staff.
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The nursing care for the patients with "diabetic leg" after using SONOCA 180 in combination with the damp healing technic
VÍTÁMVÁSOVÁ, Kateřina
Abstract The Bachelor Thesis ?Treatment for ?diabetic foot? after application of SONOCA 180 apparatus in combination with wet healing technique? is divided into a theoretical and a practical part. The theoretical part analyses the development of wound healing from history to present. It also describes diabetes mellitus disease, its classification and complications. The issue of diabetic foot syndrome we are dealing with in the Thesis is related to diabetes mellitus. The disease may be treated traditionally or applying modern methods, which include the ultrasound apparatus SONOCA 180 and wet healing of wounds. This ultrasound technique combined with wet healing of wounds is the main topic of our thesis. The practical part involved a qualitative research method ? semi-controlled interview and case studies of patients with diabetic angiopathy, who were treated by the SONOCA 180 apparatus combined with wet healing of wounds. We applied the method to a patient with diabetic angiopathy, who had been treated traditionally. We first prepared the case studies and then we talked to them about selected topics. We prepared 14 questions that directed our interviews. Patients hospitalized at the surgery ward or visiting the surgery outpatient room of České Budějovice Hospital were the respondents; we spoke to 4 patients A semi-controlled interview was conducted with 5 nurses of the surgery ward of České Budějovice Hospital. The interview consisted of 10 questions and dealt with the topics of diabetic foot syndrome treatment, SONOCA 180 ultrasound method combined with wet healing of wounds. The aim of the work was to discover the effect of SONOCA 180 application in combination with wet healing on treatment of wounds. The second goal was to find out the differences in healing after standard treatment and after application of this technique and to find out the opinion of patients on the technique. The research among the respondents showed that SONOCA 180 greatly contributes to healing of wounds, but it has individual effect on each patient. SONOCA 180 provided quicker healing of wounds than the traditional method, but the treatment as a whole also depends on the patient?s health condition, the appearance of the treated defect and the phase of healing. Our Thesis might serve in practice as a guide for closer familiarization with the SONOCA 180 apparatus in combination with wet healing of wounds and thus provide the clients with the diabetic foot syndrome with more information on this method, and medical staff with wider knowledge of this new technique. This is why a brochure (Annex 15) was prepared to inform patients and medical staff on the SONOCA 180 apparatus and wet healing of wounds.
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