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Specifics of nursing care about a patient after a plastic operation with a free lower or upper limb flap
DVOŘÁKOVÁ, Jindřiška
The thesis is aimed at nursing care about a patient after a plastic operation with a free lower or upper limb flap. A free flap or muscle tissue transfer is exploited in plastic operations after devastating or dilacerating injuries, particularly on limbs. It is also sometimes used for treatment of necroses, osteomyelitis, and oncological defects. These operations are performed at specialized workplaces under guidance of plastic surgeons. Nursing care about patients with a free flap requires knowledge and skills as it has its rules and specifics. In the theoretical part of the thesis we concentrated on mapping all the specifics that the treatment of a patient with a free flap has. The practical part on the other hand deals with the question whether general nurses have the knowledge and skills necessary for providing nursing care to such patients. The thesis had two goals. The first one was to identify the specifics of the nursing care about patients with a free lower or upper limb flap. The other one was to find whether a doctor or a nurse is the person who mainly informs a patient on the treatment regimen. Four hypotheses were postulated to reach both the aims: a general nurse has the knowledge necessary for providing nursing care to patients after a plastic surgery with a free lower or upper limb flap, a general nurse has the skills necessary for providing nursing care to patients after a plastic surgery with a free lower or upper limb flap, a general nurse concentrates her nursing care on the bio-psycho-social needs of a patient after a plastic surgery with a free lower or upper limb flap, and the last one, that a doctor informs on the treatment regimen before and after operation more than a general nurse. We confirmed all the hypotheses upon evaluation of quantitative research by means of a questionnaire designed for nurses and qualitative method of collection of data among the participants by hidden observation of nurses during providing nursing care. The thesis was used for preparation of a treatment manual for care about patients after a plastic surgery with a free lower or upper limb flap. It might also be helpful in education of general nurses and extend the range of available sources on the free flap issues.
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