|
|
Birth oriented to woman
KUBÁTOVÁ, Petra
Nowadays, respecting individual wishes of the woman in labor and her partner, the effort that pregnant women bring the child to the world in a quiet and friendly environment is accentuated. The target is that women see the birth as an important event in the life and not only as unpleasant and painful moments. From the professional point of view the alternative obstetrics consist in the effort to fulfill the wishes of women in labor without endangering the safety of the woman or of the child. In the theoretical part, the possibilities of the alternative ways of birth are summarized with focus on the birth outside the hospital facility, ambulatory births, influence of the environment of the birth room on women during the birth, accompanying persons present at birth and first of all the non-pharmacological way of softening the labor pains. From the pharmacological methods, only the epidural analgesia and spinal analgesia are mentioned in the thesis. The practical part focuses on perceiving the environment by women in labor, her satisfaction with the staff and wishes of women in labor. To treat the given issue and to achieve the postulated goal, the qualitative research examination was chosen. The investigation was performed in the form of the non-standardized talk with women after the birth which have given birth in any hospital in the Vysočina region. The target of the thesis was to find out the needs of women leading to the higher quality of the nursing care during the birth. The target was achieved. Based on the elected target, 4 research questions were formulated. The first research question was: Whose presence as member of the staff is preferred during the birth and what is expected from him/her? The research question number two: How is the environment perceived by women during the delivery? The research question number three: Would the women elect another kind of birth leading based on preceding experience? The last research question number four was: What is seen by women giving birth for the first time as negative factor during the birth? All the research questions were answered. This bachelor treatise may be a source of information for following future midwives or pregnant women preparing for the birth. It may be utilized also by midwives who can acquire in this way the survey of what is expected by women in labor from them, how these women perceive the environment and what alternatives they appreciate.
|
|
|
Satisfaction of Women in Labour with Nursing care Provided in the district Hospital Jindřichův Hradec.
PEROUTKOVÁ, Anna
This thesis is focused on satisfaction of women in labour with nursing. The theoretical part of the thesis is divided into eleven chapters and is focused on theoretical grounds of obstetrics and nursing, midwifery and satisfaction of the clients. The research part is focused on the satisfaction of the women in labour with nursing provided in delivery rooms at the district hospital in Jindřichův Hradec. The elaboration of the thesis at hand was based on three objectives. Objective No. 1: was to find out whether the women in labour are satisfied with nursing provided in the delivery rooms. Objective No. 2: was to observe whether the women in labour are satisfied with the equipment in the delivery rooms. Objective No. 3: was to identify what element the women in labour consider most important in the process of giving birth. A quantitative method was used in the research. Data were collected by the technique of anonymous questionnare. The research corpus comprised of 82 women after spontaneous delivery. Three working hypothese were tested. H 1: women in labour are satisfied with nursing provided in the delivery rooms. H 2: women in labour are satisfied with the equipment in the delivery rooms. H 3: empathetic attitude of midwives is found to be the most important element in the process of giving birth by women in labour. Based on the results of the research, it is possible to state that all three hypotheses have been confirmed and all three objectives have been met. The satisfaction of the patients is one of the most important indicators of the quality of health services. The outcomes of patients satisfaction surveys are irreplaceable source of stimuli for improving the quality of nursing. The information contained in this thesis may be interesting and motivating to all healthcare professionals, doctors and/or other medical staff, that participate in providing health care and nursing to women giving birth. The outcome of this research is an information brochure for expectant mothers distributed by the department of obsterics of the hospital in Jindřichův Hradec.
|
|
|
Euthanasia from the point of view of staff nursing
LENKOVÁ, Gabriela
The title of the thesis is Euthanasia from the Point of View of Nursing Staff. The work is divided into the theoretical and practical part.The objective of the thesis is to map nursing staff?s views of euthanasia. I set two research questions. 1. Do the nurses at selected wards tend to the opinion that euthanasia should or should not be legalized? 2. What circumstances lead to their opinion? I applied qualitative research, the method of questioning and the technique of a semi-structured interview. The research group consisted of nine nurses from selected wards of the Hospital of České Budějovice Inc. On the basis of the analysis answers to the research questions were set. Answer No. 1 - Nursing staff tend to the opinion that euthanasia should be legalized in the Czech Republic. Answer No. 2 - The opinion of nursing staff is influenced by these factors ? the length of practice, education, treating terminally ill people, their personal interest in the issue of euthanasia, knowledge of basic concepts, attitude towards free choice of a human to have right to decide on his/her death and situation in Czech Health, palliative care above all, that is not sufficiently developed and not available to all
|
|
|
The possibility of pain management in prehospital emergency care
GUIDA, Mario
I chose the topic Possibilities of pain management in pre-hospital emergency care for my bachelor thesis as pain belongs to the most frequent symptoms of patients in the care of the Emergency Medical Service. The goal was to map the possibilities of pain management in pre-hospital emergency care in South Bohemian Region. The second goal was to map the awareness of pain management in pre-hospital emergency care among South Bohemian medical rescuers. The theoretical part deals with the present situation of the Emergency Medical Service, education and competences of rescuers. In the next part I focused on various types of pain, assessment and subsequent treatment of pain. The last, theoretical part describes the caring process in pre-hospital emergency care for a patient in pain. The research was performed by means of quantitative method in the form of a questionnaire with semi open and closed questions. The questionnaires were distributed at Emergency Medical Service regional centres of South Bohemia. The results show that pain is sufficiently managed in pre-hospital care. Another fact was confirmed, that rescuers are familiar with the pain management possibilities and prefer pharmacological methods of pain management. We also found out that non pharmacological interventions were used less frequently than they could be. One of the hypotheses was refuted, two were confirmed. The quantitative research results show that there is still a relatively large reserve in using non pharmacological methods. Rescuers might use them more, particularly the quick emergency crews, or they might be applied in situations not requiring immediate pharmacological treatment. Educational seminars at the individual workplaces might improve the awareness of non pharmacological intervention techniques. A patient in pre hospital emergency care suffering from pain of various intensity should be given primary professional care from qualified rescuers.
|
|
|
The Pain and Delivery
VICÁNOVÁ, Romana
The topic of my bachelor thesis is pain and confinement. The reason why I selected the topic is that it holds my interest. The theoretical part contains general information explaining what pain is and stating what kinds of pain there are. I aimed to describe in detail in particular parturition that is closely associated with confinement. It is a natural state accompanying almost every confinement. I focused on the mechanism of pain origin and the methods of parturition alleviating. Nowadays parturition can be prevented by various methods. The methods are divided into pharmacological and non-pharmacological. In my bachelor thesis I set three objectives and hypotheses associated with them.The research set were women in the puerperal ward of Nemocnice a. s. České Budějovice. The method of quantitative research was used and the data were collected by means of an anonymous questionnaire.100 questionnaires were distributed, of which 90 were returned.The research part has revealed that hypotheses 1 and 2 have been confirmed and hypothesis 3 potvrena not. The bachelor thesis could be used as an information material for the women in childbed who are not aware of the opportunity to utilize pain relieving methods.Furthermore, as information material for students of medical science.
|
|
|
Pectoris angina as a symptom of acute myocardial infarction in urgent care
ŠVORC, Jaroslav
This dissertation deals with the topic of stenocardia as the symptom of an acute myocardial infarction in prehospital emergency care. The goal of my work is to map the time lag from the first symptoms of an acute myocardial infarction to giving an urgent non-hospital first aid. The introductory part summarizes basic terms of anatomy and physiology of the considered system. The theoretical part of my work includes an ischemic disease and the most frequent risk factors which patients bear. The theoretical part is mainly dedicated to an acute myocardial infarction, i.e. its origin, symptoms, diagnostics, and treatment. The final part deals with issues concerning education of a patient from a medical rescuer's point of view. My work also involves a research part including the file of patients with diagnosed acute myocardial infarction. I nave got the data using retrospective analysis of the outgoing cards of the patients of the Medical Rescue Service Team of Ústí Region, with diagnoses of an acute myocardial infarction. The data has been processed into a table from which other graphs and tables in research part result. It observes the time lag from the first symptoms of an acute myocardial infarction to calling for help and giving an urgent non-hospital first aid. I also follow the main symptoms of an acute myocardial infarction (pain, propagation of pain). The research part results into conclusion, that the majority of patients calls for Medical Rescue Service Team within 3 hours after appearing the first symptoms of stenocardia. The patients mainly call for help within 1 hour after the first problems appear in this 3 hours interval.
|
|
|
Influence of chronic backache on everyday-life activities
TŮMOVÁ, Hana
Despite developing medical technology and pharmacology, the number of people suferring from back pains has been rising. Almost 80% of adult population experience the pains in their life time. Chronic back pain implies both physical and mental problems which strongly affect common activities of patients. Subsequently the back pain is reflected into the patient´s behaviour as a whole. The aim of this Bachelor´s work was to map common activities which are affected by chronic back pains and to find out any differences which can be noticed between men and women patients. There were two research questions developed: 1. Which common patients´ activities are affected by chronic back pains? 2. Do men and women patients with chronic back pains differ while dealing with common daily activities? The research was carried out through qualitative research technique of semi-structured interview. The research data required were collected from patients of the Hospital of Rudolf and Stefanie in Benešov from December 2009 to February 2010. Eight patients with chronic back pains were polled (4 men and 4 women), all of them after the spinal operation. The data obtained were presented casuistically and summarised into tables. The research goal was completed. Based on the research survey the following hypotheses were developed: H1: Chronic back pains affect common daily activities of patients after the spinal operation. H2: Chronic back pains after the spinal operation limit the patients when applying for jobs. H3: Chronic back pains affect leisure time activities of the patients. H4: Chronic back pains affect more women than men when they do their housework. H5: Women are trying to prevent back pains more often than men.
|
|
|
Specifics of nursing care of a child patiens with oncological pain.
ČAŇKOVÁ, Helena
The topic of the thesis is: Specifics of nursing care of a child patient with oncologic pain. Children{\crq}s pain is a phenomenon surrounded by many myths and false information. It is also not sufficiently assessed and treated and often bagatelized by both nurses and doctors. Nurses play irreplaceable role in pain treatment, they are with the child patient more frequently then the doctor and are in close touch with the child{\crq}s parents. The care of a suffering child is a serious task in nursing. Treatment of a patient in pains requires a complex, holistic approach. Nurses, even if they diagnose pain properly, do not set an adequate nursing care plan and do not carry it out. Nurses have to defend interests of the sick child and must not let him/her suffer. The data was obtained by quantitative and qualitative research. The quantitative research was carried out by the technique of anonymous questionnaire. The questionnaire was made for the parents of children with oncologic disease. The qualitative research was carried out by the technique of semi-structured in-depth interview. The research sample consisted of nurses working at the Department of children{\crq}s oncology One of the aims of this thesis was to outline the problems in nursing care of a child patient with oncologic pain from the point of view of the parents. We observed if the parents had been informed about their child{\crq}s pain, if they know what symptoms they should watch in their child, if they know all the aspects of pain to be assessed and treatment methods to relieve the pain and also how nurses respond to their child{\crq}s pain. For this aim, a following hypothesis has been set forth: The parents of children patients with oncologic pain are educated about the possibilities of nursing care focused on relieving the pain. This hypothesis was confirmed by statistic testing. Another aim of this thesis was to find out the specifics of nursing care of a child patient with oncologic pain. Nurses think that the specifics of nursing care of a child patient with oncologic pain are not different from any other care of a child in pains. They just state that an oncologic disease is associated with pains caused by the disease itself or by diagnostic or therapeutic procedures. Therefore they consider a specific feature the fact that the pain is observed more intensively and the staff is more precise in relieving the pain. It is obvious from the research that it would be effective for both parties, both for the nurses and the parents, to use educational materials on pain intended for them. I suppose that if there were such materials available, the parents would not need to contact nurses repeatedly. There was also a positive finding in the research that 92.5% of parents stated that nurses respond to children{\crq}s pain within 10 minutes. Further, that nurses believe that the child has pains, which was stated by 98.2% of the parents.
|
|
|
Cardiac surgery patient with surgical wound dehiscence
BENDULOVÁ, Adriana
Dehiscence or wound spacing is characterized by failure of wound healing and it is a very serious postoperative complication that occurs most frequently in patients who suffer from an associated disease. It usually develops between the fifth and ninth postoperative day. The cause of dehiscence is an infection in the wound, which is caused by proliferation of bacterial strains. The thesis on "Cardiac surgery patient with surgical wound dehiscence{\crqq} is focused on theoretical and practical parts. The theoretical part deals with the development of cardiac surgery and important personalities, medical indications for a cardiac surgery, cardiac surgery, surgical wound healing, surgical wound complications and nursing care of patients with dehiscence. The practical part was carried out by a quality - quantitative survey. The research sample for the qualitative research, which was conducted by the semi-structured interview technique with open questions, consisted of four cardiac surgery patients with wound dehiscence. The research sample for the quantitative research, which was carried out through anonymous questionnaires, consisted of 100 nurses working in cardiac surgery centers, Czech Republic, and 30 cardiac surgery patients with wound dehiscence. The results were processed into tables, graphs and diagrams. This work may serve as a resource for the interpretation of the subject matter or as a source of information for Cardiac Surgery Centers to improve the needs satisfaction in patients with wound dehiscence.
|
|
|
Nurses´ care of patients with the epidural catheter.
BROŽOVÁ, Miroslava
The bachelor thesis research is focused on nursing care of patients with epidural catheter in cancer pain treatment from the perspective of nursing staff and patients. The pain accompanying this disease presents a serious problem. In recent years we have been witnessing the rising use of regional analgesia techniques with the potential to achieve cancer pain relief. This also has significantly improved the patient´s comfort and raised the standard of nursing care of patients with chronic pain. The thesis is divided into two parts, theoretical and practical. The objective of the thesis was to make a survey study on nursing care of cancer patients with epidural catheter and to determine the nurses´ knowledge of treatment principles in patients with epidural catheter. Another objective was to find out patients´ expectations after the epidural catheter introduction and to identify how the epidural catheter introduction affects patients with cancer pain. The practical research is based on data collection by using anonymous questionnaires. The questions were closed and half-open. The introductory questions had an identifying character, other questions were focused on specifics of nursing care. Qualitative survey was conducted by questioning, interview techniques. The respondents were oncological patients with epidural catheterization. The research was carried out in the health facilities mentioned below with the permission of the head nurse. The research sample consisted of six patients. Another sample for the research study consisted of nurses working in a standard department and in the outpatient pain department. 120 copies of questionnaires were distributed. The research sample was composed of nurses working in Motol Faculty Hospital, Rudolf and Stefanie Hospital in Benešov, Mulačovy Hospital Plzeň and Plzeň Faculty Hospital. The objective of the thesis is to confirm the hypothesis according to which nurses working in the outpatient pain department have better knowledge of nursing care of patients with epidural catheter than nurses working in standard departments. After the research conduction and evaluation, the hypothesis was confirmed. The objectives have been met.
|
guest ::
