|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
Experience of expecting mothers with spinal analgesia
VRHELOVÁ, Jitka
Obstetric analgesia has lately become a modern supplement during physiological birth as well as during births with increased risk. Spinal analgesia together with epidural analgesia represent important methods in obstetric analgesia and anesthesia during delivery. The objective and the core of my thesis is to make a survey of expecting mothers´ experience with spinal analgesia which is a less used method of obstetric analgesia than for example the epidural method. But because this method is entirely equivalent to the epidural method, it is advisable to get familiar with its adverse and positive aspects and especially with the expecting mothers´ response to this method. In the thesis I used combination of quantitative and qualitative research, with six objectives, six hypotheses and two research questions. Methods of collecting data were questionnaires and interviews. The research database consisted of women after vaginal as well as operative deliveries who had used spinal analgesia or anesthesia during delivery. Objective 1 {--} to find out the overall awareness of women about methods of obstetric analgesia was fulfilled and hypothesis 1 {--} women do not have enough information about methods of obstetric analgesia was confirmed. Objective 2 {--} to find out whether the spinal analgesia method brings expected comfort of painless birth to expecting mothers was fulfilled. Hypothesis 2 {--} spinal analgesia method brings expected comfort of painless birth to expecting mothers was confirmed as well. Objective 3 {--} to find out whether spinal analgesia has a positive effect on the course of delivery was fulfilled. Hypothesis 3 which stated that spinal analgesia method has a positive effect on course of delivery was confirmed as well. Objective 4 to find out how the spinal analgesia method influences condition of fetus during delivery was fulfilled. Hypothesis 4 {--} spinal analgesia method has a positive influence on condition of faetus during delivery was confirmed. Objective 5 was to find out side effects of spinal analgesia during delivery as well as in confinement. The objective was fulfilled and the hypothesis was confirmed as well. Objective 6 to compare postoperative condition of mothers after Caesarean section in spinal analgesia and total anesthesia was fulfilled. The hypothesis stated to objective 6 was also confirmed . Two hypotheses can be stated from the results of qualitative research which comprised two research questions. The first hypothesis claims that spinal analgesia has a positive effect on physical condition of expecting mothers during delivery. The second hypothesis claims that spinal analgesia has a positive effect on mental condition of expecting mothers. The findings from the field of obstetric analgesia and research results can be used in the nursing process not only in delivery rooms and obstetric wards but also in primary care where the pregnant woman gets into the very first contact with medical staff.
|
|
|
Caesarea section- perioperative nursing care during regional and total anesthesia
MAŠKOVÁ, Šárka
In my thesis I focused on perioperative nursing care for women with a caesarean section in regional and general anesthesia. The thesis is divided into a theoretical and research part. In the theoretical part of my thesis history, conditions, indications and contraindications, and also complications during a caesarean section performance are described. Information about anesthesia which is used for a caesarean section is also given. Conditions for general, epidural and spinal anesthesia administration are described. Advantages, disadvantages, indications, contraindications and complications of different types of anesthesia are also mentioned. A substantial part of the theoretical part is devoted to perioperative nursing care. The preoperative nursing care is described, the preparation for it is divided according to the type of anesthesia. Nursing care during the intraoperative and mainly postoperative phases is mentioned in detail. The aim of my thesis was to identify differences in perioperative nursing care for women with a cesarean section in regional and general anesthesia. My work was also focused on women's level of awareness about possibilities of anesthesia for caesarean section. Another goal of my work was to make up standards of perioperative nursing care for women during a caesarean section delivery in regional and general anesthesia, which is administered in the delivery room. Two hypotheses were stated. The first hypothesis is the supposition that women after a caesarean section need a different nursing care, which depends on the type of anesthesia administered. The second hypothesis is the supposition that women are adequately informed about the possibilities of anesthesia for a caesarean section. Quantitative research conducted through questionnaires was chosen to conduct the survey. Questionnaires were distributed to women after a caesarean section at the confinement department. Research results are shown in graphs .The both hypotheses were confirmed by the research investigation. The research has revealed a new finding that women need different nursing care not only after a caesarean section, but also during the intraoperative phase. I used this finding to develop a standard of perioperative nursing care for women during a caesarean section delivery in regional and general anesthesia. The standard is designed for midwives and is intended to improve nursing care for women in the course of a caesarean section delivery during the intraoperative phase. The research has proved that women with a cesarean section need a different perioperative nursing care, which depends on the type of anesthesia administered. It is therefore necessary to differentiate between the two groups and provide them with a different nursing care. The research has also shown that women feel sufficiently informed about anesthesia for a caesarean section. Women´s awareness is a prerequisite for a good cooperation with the patient and successful nursing and medical care. The nursing care provision according to the perioperative care standard will ensure a quality professional nursing care for women before, during and after a caesarean section.
|
|
|
Patient awareness of anesthesia prior to a planned surgery through the eyes of the patients and the anesthesiology nursesnurse.
HERMANNOVÁ, Blanka
Patient awareness of anesthesia prior to a planned surgery through the eyes of the patients and the anesthesiology nurses Abstract This Bachelor{\crq}s thesis focuses on the research and evaluation of the level of patient awareness of the progress of anesthesia prior to a planned surgery. The awareness of anesthesia is evaluated from the point of view of the patient and the anesthesiology nurse. The scope of the thesis also includes the issue of proper communication with the patient and the importance of winning his trust to the medical personnel during the general preparation for the surgery as well as in the course of his hospitalization. It also shows the patient{\crq}s opinions on the acquisition of information on anesthesia, which would certainly alleviate his fear of the surgery. This Bachelor{\crq}s thesis is primarily based on a quantitative survey of opinions of patients and anesthesiology nurses, conducted in the form of anonymous questionnaires in which both groups expressed their views on the specific hypotheses. The key purpose of the thesis is to confirm the hypotheses, which assume that patients are not given sufficient information on their anesthesia, in spite of their interest in obtaining better knowledge of the anesthetic process. Hypothesis 2, i.e. ``Patients are interested in information from the anesthesiology nurse,{\crq}q cannot be confirmed because, based on the survey, patients prefer doctors to anesthesiology nurses as the source of information. On the basis of the survey, the thesis confirms hypothesis 1, i.e. ``Patients are not informed about the progress of anesthesia by the anesthesiology nurse.{\crq}q The low share of anesthesiology nurses in the patient{\crq}s education prior to a planned surgery is demonstrated by the opinions of the participating anesthesiology nurses, whose share is extremely low and mostly involves situations just before the planned surgery, when the patient is already lying in the surgery room. As regards hypothesis 3, i.e. ``Anesthesiology nurses are not interested in informing the patients of the progress of anesthesia prior to a planned surgery,{\crq}q it is confirmed that anesthesiology nurses are really not interested in educating the patients for many reasons, such as their large workload, lack of time, insufficient motivation and unsatisfactory financial reward. As a possible solution, we have suggested a patient education standard for anesthesiology nurses and an information leaflet for patients, which could help them understand the progress of preparation for anesthesia and the possibilities of anesthesia in general. In no case should the leaflet substitute personal education by an anesthesiology nurse; its purpose is only to serve as on instruction for the patient to prepare questions which he would like to ask before the surgery.
|
guest ::
