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Case study of physiotherapy care of a patient after bilateral nephrectomy
Balatka, Adam ; Kučerová, Ilona (advisor) ; Sárazová, Daniela (referee)
Title: Case study of physiotherapy care of a patient after bilateral nephrectomy Objectives: The aim of this work is a conclusion of theoretical knowledge about autosomal dominant polycystic kidney disease. Then elaboration a case study of physiotherapy care of a patient after bilateral nephrectomy because of this disease. Methods: The bachelor thesis consists of theoretical and special parts. The theoretical part contains information about polycystic kidney disease. It also deals with treatment, prognosis and physiotherapeutic methods normally used for this disease. The special part is a case study of the patient after bilateral nephrectomy, hospitalized in IKEM. This part includes a detailed description of therapeutic sessions and their results. The case study was elaborated during an internship in IKEM in time of 10. 1. 2022 - 4. 2. 2022. Results: Main results of the therapies were strengthening the muscles of lower limbs, increase in the range of motion in the hips, breathing stereotype correction and overall condition improvement. Keywords: autosomal dominant polycystic kidney disease, chronic kidney failure, hemodialysis treatment, physiotherapy, rehabilitation
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Unilateral nephrectomy from the patient´s point of view
KAČÍRKOVÁ, Michala
The subject of the diploma thesis is unilateral nephrectomy from the point of view of the patient. The work is divided into a theoretical and practical part. The theoretical part focuses on kidney diseases, the nephrectomy problems from the patient's as well as the nurse´s perspective, and further on the role of nurses. . The second part is research. The research was realized in urological departments in selected hospitals of South Bohemia. For the research was selected qualitative research was conducted through semi-structured interview with two sets of research. The first experimental group consisted of 10 patients after nephrectomy, five respondents after classical open nephrectomy and five after laparoscopic nephrectomy. The second experimental group consisted of 10 nurses working in the urology department of the bed. This thesis diploma was focused on the experiences (feelings) or if at how the patient perceives surgical removal of the kidney. We wanted to know how is the issue seen from the perspective of a patient who is in the hospital experiencing a number of concerns and negative emotions. We also investigated whether a different view of nurses and patients on the issue exists. We have identified three objectives and six esearch questions for this work. The first objective was to determine how the patient perceives urological unilateral nephrectomy. The second objective was to determine what are the most common fears which faces the urology patient before and after surgery. The third objective was to determine what proportion of the nurse to patient information. The first research question was how the patient perceives urological unilateral nephrectomy. The second research question was, how urological patient after unilateral nephrectomy perceive their body image. The third research question was, what are the most common concerns of the patient before surgery. Further, patients who often address their concerns. The fifth research question was how the nurse involved in patient awareness. The last research question was, how often nurse informs the patient. The results of the diploma thesis can serve to nurses when working with urological patients and for the improvement of the nursing care for them. We have created an information map that can serve to patients as an assistant, through which they can prepare themselves for the entire course of hospitalization.
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Quality of life after unilateral nephrectomy
BUREŠOVÁ, Lenka
At present, quality of life is a closely monitored and discussed topic not only in the medical field, psychlogy and other social sciences. The diploma thesis ``Quality of life after unilateral nefrectomy{\crq}q deals with this issue from the subjective point of view of those who were subjected to unilateral nefrectomy on their quality of life. The diploma thesis aims at reporting on the subjective quality of life of patients after unilateral nefrectomy and to compare it with the quality of life of the common population. The standardized questionnaire SQUALA was used to study the quality of life. Partial goals of the paper were the diagnosis and comparison between the quality of life of the patients after unilateral nefrectomy and the quality of life of common population in particular fields determined by the above mentioned research tool. The fields are: abstract values, health, relations with the next of kin, leisure time and basic needs. A hypothesis was set for the research: The quality of life of people who had suffered a unilateral nefrectomy does not significantly statistically differ from the quality of life of the common population. The basic file was created by patients treated after having been subjected to unilateral nefrectomy. The criterion for choosing the informants was the diagnosis (patients who were subjected to nefrectomy since they suffered from tumor nefrectomy), the time period since the nefrectomy had been carried out (the informants were subjected to nefrectomy at least one year before), occurrence of other diseases (patients who did not suffer from recurrence of the tumor and who have one fully functional kidney). The control group was made up by patients who do not suffer from any serious chronic disease and whose age corresponds to the age of the patients in the unilateral nefrectomy group.
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