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Atresia of gastrointestinal tract and possibilities of physiotherapeutic intervention
Zdobnická, Barbora ; Šonská, Kristýna (advisor) ; Štefanová, Petra (referee)
This bachelor thesis deals with atresia of the gastrointestinal tract and possibilities of physiotherapeutic intervention. The thesis is presented in the form of a review with a case study. The review part contains information about the development and anatomy of the parts of the gastrointestinal tract that are most often affected by atresia. The classification, diagnosis and surgical treatment options of individual atresia are also mentioned. The options of physiotherapy intervention include scar treatment, respiratory physiotherapy, physical therapy, basal stimulation and orofacial stimulation. The practical part of the bachelor thesis is presented in the form of a case study of a patient after gastrointestinal atresia surgery. The content includes the examination before and after the therapy in the physiotherapist's ambulance and the follow-up after 2 months of regular therapy. The positive effects of physiotherapy are documented by photodocumentation and by using the Alberta Infant Motor Scale to evaluate motor development. The practical part also includes an educational handout for parents about the implementation of respiratory physiotherapy after discharge from hospital, which will be subsequently used in the Department of Paediatric Surgery at FN Motol.
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Úloha sestry v mobilizaci pacienta po operaci kýly
KRAMÁŘOVÁ, Iva
This bachelor thesis deals with the nurse´s role in mobilizing patients after hernia surgery. Post- surgery care partially consists of early mobilization of patients from their bed. Mobilization is movement, i.e. getting up from the bed, sitting up in a chair and walking practice. Early getting up after surgery helps increasing the venous circulation which prevents the development of a tromboembolic disease. Three objectives were set. Find out in what ways nurses mobilize their patients after hernia surgery. Find out what steps nurses follow when mobilizing patients after hernia surgery from the perspective of education and find out how patients perceive the nurse when taking care of them after hernia surgery. For the purpose of these objectives, four research questions were set. The thesis contains two research samples. The first research sample consisted of 6 nurses and the second research sample of 4 patients. The empirical part was implemented using qualitative research, interviewing method, the technique of standardized interview with nurses and patients on the surgical inpatient department. Interviews were transcribed word for word, analysed, and then coding was carried out. The method of ´pen and paper´ was chosen. The survey was run during March, April and May 2021. The results of interviews done with the nurses have proven that all of the interviewed nurses mobilize the patients after hernia surgery by getting up over their hip, however, they do not follow all other steps of correctly carried out mobilization. Nurses educate their patients orally, they use oral education right before the first getting up from bed. Some nurses, together with the oral education also clearly show their patients how to get up from bed. Further, it was found out that patients are being given sufficient amount of time by the nurses. The results of this bachelor thesis may serve as study material to students of medical subjects or nurses as inspiration for supplying high quality care of their patients. The survey results will be passed on to the workplace where the survey was carried out. Based on specific findings, the current educational methods may be updated including the means of improving after-surgery care for patients after hernia surgery. Thesis results are divided into individual categories. In Nurses´ survey, they are Mobilization, Education and Environment. In Patients´ survey, they are named as Communication, Mobilization, Nurse´s Surveillance when Getting Up from Bed and Nursing Care.
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Nursing care for patients with gastric and duodenal ulcer disease after surgery
JANKŮ, Jana
This bachelor thesis deals with nursing care for patients with gastroduodenal ulcer disease (GDUD). The goal of the thesis is to map specifics of nursing care for patients with GDUD in the pre-operational and post-operational period and to find out how satisfied patients were with the care given to them. The research included ten interviews with nurses working in the department of surgery and gastroenterology and ten interviews with patients who have undergone surgery with GDUD. The interviews were carried out using the in-depth interview method and later processed with a coding method. Based on interviews, it can be concluded that the first step done by nurses before the operation is monitoring basic physiological functions, followed by giving the patient informed consent for signature, and taking the patient's blood for testing and deposition. Meanwhile, patients get Controloc continually. Afterwards, patients get a nasogastric tube, and the nurses start preparing the operation field. Meanwhile, nurses apply bandages of inferior extremities, and they apply pre-medication. In terms of post-operational care, nurses monitor basic vital functions, draining from the nasogastric tube, and other drains. They also monitor bleeding, the level of the patient's pain, and the results of blood tests. Besides that, nurses must write down all interventions done by doctors and the patient's statistics to the documentation. This research shows that nurses are acquainted with knowledge of all the specifics and differences in the nursing care of patients with an acute and a chronic form of this disease. Nurses from the research are properly educated in the nursing care of patients with other associated diseases, such as DM, ischemic disease of the lower extremities, chronic obstructive pulmonary disease or cordial diseases. Nurses also have enough information about the most common complications associated with GDUD - perforation and bleeding. The research also shows that nurses know how to communicate with patients about necessary examinations, how to educate them, and explain possible complications as well as later home care. On the other hand, several patients stated that the communication from the doctors and the nurses was not always adequate. Patients usually explain this fact by the lack of nurses' time. Due to insufficient communication the patients are also forced to look up information by themselves. On the other hand, most patients state that the provided nursing care was sufficient. The nursing care that the patients described also agrees with the standards and recommendations. Based on the interviews, we can conclude that the patients who participated in the research are well informed about pre-operational and post-operational care. They are well educated about home care, regime measures, and ways that can decrease the risk of emergence of new peptic ulcers.
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Women's views on caesarean section
PUMPROVÁ, Karolína
This bachelor's thesis is dealing with women's opinions about Caesarean section. The thesis consists of two parts - theoretical and practical part. The theoretical part is describing the course of vaginal delivery. We also focused on the description of the caesarean section. The next chapter deals with the midwife's care for a woman before and after caesarean section. We also processed the care of the scar after a caesarean section. Finally, we focused on the complications and consequences of a caesarean section. The practical part describes the research investigation. The aim of this bachelor thesis was to map the opinion of women on caesarean section. Two hypotheses were established. H1: Women prefer vaginal delivery rather than caesarean section. H2: Women think that caesarean section does not affect the health of the child. To achieve set goal, we chose a quantitative research survey using a questionnaire. 19 questions were used in the questionnaire - closed questions and 1 open question. 209 respondents participated and completed the survey. These were women active on social media. The questionnaire was designed for all women, regardless of age. Women who had experience with pregnancy and childbirth or even those who did not have this experience could respond. The study involved women who were or were not pregnant. Most respondents, 92 (44%), were aged 18-25. The most frequent response to completed education was a high school with a high school diploma. The questionnaires were evaluated using the chi square test. The significance level was determined to be 5%. In the research survey, 87.6% of women said that they would prefer vaginal delivery to caesarean section. According to a statistical survey, the p-value was less than 0.05, thus confirming hypothesis 1 "Women prefer vaginal delivery rather than caesarean section". Furthermore, hypothesis 2 was tested using the questions. 64.5% of women answered that they do not think that children after a caesarean section have worse immunity than children after a vaginal birth. Furthermore, 82.5% of women do not think that these children suffer from more allergies. 60.4% of women believe that caesarean section has no effect on breastfeeding. 53.5% stated that separation after a caesarean section does not affect the child's mental health. According to a statistical survey, the p-value was less than 0.05, which means that the second hypothesis was also confirmed. The findings of this thesis could be used in seminars for midwives or in antenatal courses.
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Strategy how to deal with a fear before surgery
ROSOVÁ, Monika
The diploma thesis deals with the strategies that the nurse uses in her practice to alleviate preoperative fear in patients. Waiting for surgery or being taken to the operating room can be stressful events for the patient. The overall mental state of the patient has a significant effect on the postoperative outcome, especially on the length of hospitalization or infection. The aim of the research was to find out patients' expectations from nurses and their attitude to nursing interventions to manage fear, factors influencing patients' fear, communication techniques of nurses and information that nurses provide to patients in the preoperative period. The research was carried out using a qualitative method, the technique of semi-structured interviews. The obtained data was analyzed by the technique of open coding with subsequent division into categories and subcategories. The research sample consisted of two groups of respondents. The first research sample was general nurses working in the surgical department. The second research sample consisted of patients who were hospitalized in the surgical department due to surgery. 21 open-ended questions were used to interview general nurses, focusing on information provided by the general nurse in the preoperative period, measures related to the COVID 19 pandemic and their impact on preoperative preparation, but also on nurse interventions used to alleviate patients' fears. 24 open-ended questions were used to interview patients, focusing on the impact of the hospital environment, factors affecting the patient's fear, awareness in the preoperative period, or COVID 19 measures and their effects on the patient. The results of the research survey showed that medical staff, the family and the hospital environment have a major impact on reducing fear. For the interviewed patients, the approach of general nurses, the influence of co-patients, the family and awareness have an irreplaceable role in reducing preoperative fear. The interviewed nurses consider the most important intervention to be an individual and empathic approach, proper education with an explanation of all risks. They use educational cards or notice boards for education. Measuring fear instruments are not used in practice. The patient's expressed confidence in the medical staff has a fundamental effect on reducing preoperative fear. The output of the work is the creation of a new scale for measuring preoperative fear. This scale should very easily and quickly find out how much fear the patient is experiencing.
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The quality of life of the patients after surgery of the dominant upper limbs
VESELÁ, Kateřina
Human health is considered to be one of the most important values but it is often damaged. Often it is by an injury of the upper limb. Injuries of the upper limb may be caused by carelessness, inattention, or by a complete accident. However, there are also non-traumatic disorders of the upper limb that limit its functions, which are indicated for surgical treatment. On the upper limb, the most frequently area that undergoes surgery is the shoulder, elbow, wrist and hand. The surgery of the dominant upper limb and the associated subsequent convalescence brings patients complications such as movement restriction, pain, dependence on the environment, difficulties in self-service and household operation, inability to work, and can significantly affect the patient's quality of life, which can be changed for a short term, for a long term or permanently. The aim of this work is to analyze the opinions of patients, who have undergone a surgery of their dominant upper limb, the changes of their quality of life both in the short postoperative period and in the long time after. The research itself was carried out through a quantitative research. The chosen data collection technique was a non-standardized questionnaire. The non-standardized questionnaire was designed for patients who have undergone a dominant upper limb surgery. Information was collected in hospitals at the Department of Surgery, Orthopedics and Traumatology. The information obtained showed in what areas of life of patients after the operation of the dominant upper limb the quality of life changed and that it varied according to the location of the injury. It also revealed that the areas in which the quality of life of patients after surgery has changed according to sex. Attention was also paid to the importance of rehabilitation after surgery. The results of the work may contribute to improving the quality of life of patients with this type of injury.
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Nursing care for paediatric patient after orthopaedical surgeries
WEISSOVÁ, Eva
Abstract Current situation Current range of orthopaedics is not only surgery of musculoskeletal system, but it also deals with diagnostics of congenital defects, injuries, illnesses, metabolism disorders and their after-effects on musculoskeletal system. A paediatric nurse plays a key role in taking care of a paediatric patient after an orthopaedical surgery. She helps children to overcome an unpleasant situation and tries to minimize physical and psychological complications. Cooperation with child's family is essential. Child's pain, suffering and fear can be moderated by proper nursing care. Aim of the work We determined three aims in this diploma thesis. The first aim was to map children awareness before orthopaedical surgeries and during hospitalization. The second aim was to analyse satisfaction of parents during hospitalization. The third aim was to assess the importance of psychological pre-surgery preparation of children and hospitalization of parents in overall perception of child's hospitalization. Methodology A quantitative research by means of a paper and electronical survey was used for the empirical part. The research group was made up of 104 respondents, it means 52 parents and 52 children. Those were parents and children from two selected hospitals and from general public. The surveys were processed statistically afterwards. A descriptive analysis of all the questions was used and four determined hypotheses were tested. Results It was found out that most of the children felt sufficiently informed before and during the hospitalization. It could be claimed that better awareness of a nurse means better feeling of child's sufficient awareness. Furthermore, we found out from the results that most of the parents were sufficiently informed by the nurse and that their overall satisfaction depends on children awareness provided by the nurse. Based on results, nurse education in the area of children care and manipulation with children during hospitalization is very important and leads to satisfaction of both children and parents. Based on other results, a child's hospitalization with a parent is very important because 97% of children said that they were calmer because of the presence of a parent. We can claim this about parents as well, because the presence of a parent is perceived by parents themselves as a very important factor improving the perception of a stay at a hospital. Hospitalization of a parent with a child depends on the age of the child, in which case a child at the age of 5 and less was always hospitalized with a parent. Moreover, it was found that compared to the presence of a parent, parents claim the psychological preparation (talking in form of play or with the help of a therapist) has slightly more important point. That was confirmed by the children as well. We can obviously see from the response that they stand the hospitalization better if they are prepared for the surgery. Conclusion The research has shown that most of the children felt informed enough during the hospitalization and before the surgery. I find the psychological preparation of children for a surgery very important. That was also confirmed both by the children and parents, who consider the psychological preparation to be one of the most important factors. The hospitalization of a parent with a child depends on the age of the children. We trust that this work could serve as a study material for paediatric nurses working at corresponding postoperative departments, besides other things as a study material for students of medical subjects. This diploma thesis can describe given illness or the care of a child after an orthopaedic surgery to both parents and children.
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Case study of physiotherapeutic treatment of a patient after arthroscopic surgery of shoulder joint for impingement syndrome and subacromial bursitis
Gertnerová, Tereza ; Reckziegelová, Petra (advisor) ; Opatrná Novotná, Irena (referee)
Title: Case study of physiotherapeutic treatment of a patient after arthroscopic surgery of shoulder joint for impingement syndrome and subacromial bursitis Aims: The main aim of the bachelor's thesis is to provide a case study of physiotherapeutic treatment of a patient after arthroscopic sugery of the right shoulder joint for impingement syndrome and subacromial bursitis Methods: The bachelor's thesis was created on the basis of continous professional practises at the Beroun rehabilitation hospital in the days from 10.01. - 04.02.2022 under the guidance Mgr. Marcela Kvapilová. The practical part was taken there constists of the initial kinesiological analysis, determination of short-term and long- term therapeutic plan and the final kinesiological analysis, where the final effect of therapy was evaluated. The patient completed ten therapeutic units over the period of three weeks, each lasting 30 minutes. Examination and the therapeutic methods within the scope of bachelor's studies were applied in the bachelor study. Results: The therapy which the patient underwent had a positive effect due to his previous condition. The final kinesiological analysis showing and confirming improvement of patient's health. The most significant changes were achieved within the range of motion in shoulder joint into...
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Analysis of the shoulder girdle injury and therapy of overhead athletes in Czech republic
Vocásek, Jan ; Satrapová, Lenka (advisor) ; Nováková, Tereza (referee)
Author: Bc. Jan Vocásek Thesis title: Analysis of the shoulder girdle injury and therapy of overhead athletes in Czech republic Cíl: The aim of the thesis was to create a literal research for the shoulder girdle injuries of overhead athletes, theoretically to write the anatomical and kinesiological characteristics of the shoulder girdle, to analyze the biomechanics, injury mechanisms in individual overhead sports, rehabilitation treatment and to find out how frequent the injuries of athletes in the Czech Republic follow-up treatment varies from abroad. Methods: For the purpose of this research was established a non-standardized questionnaire, based on literature studied and research questions, and then was distributed to 6 selected physicians dealing with this issue in the Czech Republic, who anonymously filled out questions regarding the shoulder joint injury based on their own clinical experiences. Results: Four of the six hypotheses were confirmed from the data obtained. The number of patients with shoulder girdle injuries in overhead sports in the Czech Republic has risen year- on-year and the most common injury is SLAP lesion. It has also been confirmed that the most common injury is caused by ball overhead sports and on the dominant upper limb. Key words: shoulder girdle, overhead sports,...
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Information for patients about the treatment mode after hip surgery - Total joint replacement
Ondráčková, Eva ; Nikodemová, Hana (advisor) ; Tomová, Šárka (referee)
My bachelor thesis called "Patients' knowledge of therapeutic mode after surgery of hip joint - total endoprosthesis" deals with a problem of education of patients in case of mode after surgery on Orthopaedic department in St. Zdislava hospital in Mostiště. A theoretic part is focused on summary of findings about hip joint, causes of surgery, types of endoprosthesis, preoperative and postoperative cares, rehabilitation and potential complications after surgery of hip joint. In a practical part, there is introduced a method of research on Orthopaedic department, whose aim is to get into degree of patients' knowing, form of education and simple keeping of preventive measures. In a conclusion of my thesis the results of research and assessment of research acquisiton into practice are summarized.
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