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Quality of life in patients before and after total hip replacement
ŠIDÁKOVÁ, Alena
The objective of this thesis is to assess quality of life of patients before and after total hip replacement. To determine HRQoL {--} Health Related Quality of Life I used standardized questionnaire SF-36 which assesses eight basic qualities (domains) of life. This thesis has 2 parts: a theoretical part and a practical part. Anatomy of the hip, total hip replacement, quality of life in general and quality of life in chronic diseases are described in the theoretical part. The practical part was prepared using quantitative research, the technique of anonymous questionnaire SF-36. The respondents were clients of the orthopaedic outpatient clinic of hospital in Klatovy. The final sample comprised 18 women and 11 men. Results were recorded in electronically. The Department of Clinical Pharmacology of hospital in České Budějovice provided evaluation of the results. Data obtained about probands were compared with results of Oxford Healthy Life Survey and also with each other. The results were made into well-arranged graphs and charts. The structure of charts is uniform, the value from research and the value from Oxford (always 100%) are stated next to each other. Results obtained from the practical part can be used to supplement education materials which relate to this issue. The results are very encouraging. Quality of life after total hip replacement has improved. Especially in the domain of bodily pain (P) where the probands reached the results of 86.79%. The difference between Oxford {--} 100 % (healthy population) is therefore only 13.21 %. Probands achieved best result in domain General health perceptions (GHP) 141.38 %. Two hypotheses were stated in the introduction. Hypothesis 1 was: Quality of life of patients will improve after total hip replacement. Hypothesis 2 was: Consumption of analgesics will decrease after the surgery. Both hypotheses were confirmed. Obviously, the results in some domains will remain lower compared to healthy population but the overall quality of life of patients after total hip replacement has improved. The objective of the thesis was accomplished. Resources used are listed in the conclusion of the thesis. Appendix includes for example the questionnaire SF-36 or information leaflet with obtained data (pain reduction, improvement in certain domains of quality of life etc.) which will be used to educate patients in waiting rooms in outpatient clinics.
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The Nurse{\crq}s Role in Relieving Pain in Patients Suffering from Coxoarthrosis.
JANÍKOVÁ, Radka
The objective of the paper is to underscore the nurse{\crq}s role in this problem area, and the importance of the nurse{\crq}s ability to familiarize patients with the side effects of medication and offer them alternative methods of pain relief. At present, we are briefed on the anatomy and physiology of the hip joint, describe the problems arising from coxoarthrosis and the treatment thereof. We focus on the patient and on the nurse{\crq}s role in taking care of such patients with particular emphasis of alleviating these patients` pain. Five goals were set out for us: Mapping ways of finding information about patients with coxoarthrosis. Mapping information that is available to patients with coxoarthrosis in the area of pain relief. Mapping the role that a nurse can play in relieving the patient{\crq}s pain from the patient{\crq}s perspective. Creation of educational material for patients with coxoarthrosis. Application of educational material for patients with coxoarthrosis. We have set out research issues before ourselves: How do patients obtain relevant information? What information is available to patients with coxoarthrosis in the area of pain relief? What role can a nurse play in relieving the patient{\crq}s pain, from the perspective of patients with coxoarthrosis? Do patients with coxoarthrosis use and benefit from educational material about pain relief? In order to attain our goals, we conducted qualitative research. Using a data collection technique, we opened a non-standardized dialogue with 10 patients suffering from coxoarthrosis waiting for total hip replacement and coming for checkups to the orthopedic outpatient clinic in Třebíč. Initially, a discussion was held with each respondent, followed by educational enlightenment, handing out of educational material, whereupon a second discussion was held that was simultaneously used as feedback. Our research investigation answered certain question marks that we formulated into hypotheses and one answer. Analysis of the results led to the following hypotheses. Hypothesis 1: Educational process has effect on the way of finding information on relieving pain in patients with coxoarthrosis. Hypothesis 2: Education focused on relieving pain in patients with coxoarthrosis has a positive effect patients{\crq} knowledge. Hypothesis 3: Patients with coxoarthrosis view the role of nurses as providers of information on pain relief. Analysis of the results helped us formulate the answer to research question 4, as follows: Answer 1: Patients use educational material for pain relief and use the skills acquired through education. However, they still prefer personal contact with the nurse to acquiring information from educational material. The results of our research indicate that the role of a nurse as educationalist and information provider, as well as actual educational are quite necessary. It is, however, important to remember that education is a process that is constantly developing and adjusting it to the needs of the educated subject is therefore very important. The lesson to learn from this paper for clinical practice and for work in medical and social fields is that the role of nurses as educationalists and information providers is as substantial as educational enlightenment in the area of pain relief in patients with coxoarthrosis. Presumed application of this paper in practice as part of educational material on pain relief in patients suffering from hip joint arthrosis with coxoarthrosis.
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Physiotherapy after total hip joint replacement
ŠUHÁJKOVÁ, Pavla
Pain in a hip joint can dramatically affect the chance of having active life. The recent years have seen a significant progress in the results achieved while implanting artificial hip joints. This type of operation is simultaneously becoming increasingly more often especially when we take into consideration the increasing age of population. Implanting total hip joint replacement results in improving the quality of life, which can only be achieved through interdisciplinary collaboration of doctors, complex rehabilitation treatment, and positive approach of the subject alone. The aim of this bachelor?s thesis was to process case reports of patients after total hip joint replacements and to put together rehabilitation plans for these subjects. With the established objective in mind, the author summarizes outcomes dealing with the issues relating to total hip joint replacement, physiotherapy, occupational therapy, and spa treatment following such operation. The research part of the bachelor?s thesis was accomplished by qualitative research. Data were collected by observing, interviewing and analysing documents. The data were gathered by individual in-depth interview and using case reports, which included author?s own observations, a draft of rehabilitation plan and implementation of the therapy, and subsequent outcomes from the assessment of therapy. The research corpus comprised of two patients who underwent a planned total hip joint replacement because they had been suffering from advanced primary coxarthrosis. The research was carried out at an in-patient orthopaedic department of the Hospital Pelhřimov in March 2011, when the subjects were being hospitalised. Quality and appropriately managed rehabilitation allows quicker improvement in the patient?s health following the operation. It is used as a prevention of complications, it improves engagement of functional potential in the operated joint and it consolidates appropriate motion stereotypes. The outcomes of the research confirm that such pre-operational and post-operational rehabilitation carried out during the stay in hospital leads to a decrease or complete removal of pain, an increase in joint?s mobility and muscular power, getting used to walking on flat surfaces and up and down staircases, and the level of independency in everyday activities.
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Effectiveness of early Physiotherapy After the Operation Total Acetabulofemoral Articulation
MALECHOVÁ, Kateřina
In the bachelor thesis called Effectiveness of an early physiotherapy after an operation of the total hip joint replacement, there are theoretical bases related to the given issue in the first part. In the research part there are worked up case studies of two clients who had the same disease, were operated in the orthopaedic ward at the Hospital of České Budějovice and a total hip joint endoprosthesis was made to them. The aim of the thesis is a complex evaluation of physiotherapy methodologies at the patients after an operation of the total hip joint endoprosthesis and an evaluation what could be improved in this issue, so that the postoperative rehabilitation could be a little more efficient. At each patient during the hospitalization were differences in the success of the therapy. In conclusion it is possible to say, that an important role in the effectiveness of the postoperative treatment is a completing of a preoperative rehabilitation. The patient, who completed the preoperative rehabilitation, better managed a verticalization, walking and self-sufficiency after the operation in contrary to the patient who did not complete the preoperative rehabilitation. The significant problem was that she would have had to commute for the preoperative rehabilitation and it was a problem for the patient. Patients waiting for the operation of the hip joint replacement are often constrained by a pain while walking and they are discouraged by a thought to commute to the preoperative rehabilitation. I propose to carry out the preoperative rehabilitation already during the hospitalization, several days before the operation. The thesis can serve as a theoretical study background for students from Medical universities or it can become, in terms of physiotherapy, an inspiration in a clinical practice at physiotherapists engaged in those issues.
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