|
|
Airway analysis of prematurely born babies based on X-ray CT and MRI scans
Lázňovský, Jakub ; Harabiš, Vratislav (referee) ; Chmelík, Jiří (advisor)
Předkládaná Diplomová práce se zabývá analýzou a tvorbou modelů dýchacích cest předčasně narozených dětí. Nejprve je položen teoretický základ v oblasti vývoje dýchacího ústrojí a tvorby modelů dýchacích cest. Poté jsou představeny využité zobrazovací modality a popsány metody pro práci s obrazovými daty. Praktická část práce se zabývá vytvořením modelů dýchacích cest tří novorozenců. Všechny tyto modely jsou vytvořeny na základě klinických CT a MRI dat novorozenců narozených ve 30. týdnu gestačního věku. U těchto vytvořených modelů jsou dále analyzovány vybrané parametry související s anatomickou strukturou dýchacích cest. Na základě analýzy těchto parametrů byl následně navrhnut reprezentativní model, odpovídající dýchacím cestám novorozence daného gestačního věku.
|
|
|
Supportive Care for Premature Newborns with psychological and ethical Aspects
TOMANOVÁ, Věra Veronika
The thesis, or more precisely its theoretical part, introduces the field of Neonatology, namely the specification of premature newborns concerning supportive care for them. In the thesis, the basic concepts of Neonatology are presented as well as the system of neonatological care, including the needs of premature newborns, which are part of everyday nursing care. Following the above chapters, the thesis describes not only the nursing care as such but also the possibilities of psychosocial care in Neonatology. For a more comprehensive presentation of the issue of premature newborns, the thesis also includes findings concerning ethical issues in Neonatology and it introduces some organizations in the Czech Republic, which are an integral part of the supportive care. The character of the thesis should correspond with the program of nursing care, namely nursing in selected clinical disciplines - the module of paediatrics. In the empirical part of the thesis, qualitative research by interviewing has been used. Despite this scientific approach is more time-consuming, the author considered this method more meaningful and natural concerning the chosen topic because it concerns the support of the lives of these children and their families. Premature newborns are unique, affecting and enriching human being as such. The target of the thesis was firstly to find out how supportive care in premature newborns is perceived by its providers, secondly to disclose the considerations of the care providers regarding premature newborns in České Budějovice. The research was effectuated in connection with the above objectives, which have importance and a significant value for the author. Conclusions of the Thesis: The informants assumed that society didn't have enough information about the provided services. Almost all the informants collaborated on some research or project. As service providers, the respondents acknowledged the comments from the clients. The informants were interested in improving or enhancing the services. The addressed people have specified many factors and difficulties that make their work difficult. The informants concretized foreign experience. The respondents felt considerate enough. The informants expressed sincerely that there was a lot of space for improvement in their profession. The respondents mostly took a partner and gentle stand to the premature newborns and their families. The service providers gave due reasons for a specific approach in their statements. The informants expressed their respect for premature newborns and their families, giving a specific justification. They mostly expressed respect for the needs of the families, for the biorhythms of the baby, for the naturalness, the intuition and the personal pace of the baby. The thesis can be seen as a source of information for both the general and professional public, which could improve current practice. Based on the presentation of the issue through the thesis, the author has published a guide on premature newborns.
|
|
|
Nursig care about newborn within the perioperation care.
BENEŠOVÁ, Nikola
The topic of the thesis Nursing Care of Newborns in the Process of Perioperative Care deals with specific and distinct features of such care from the viewpoint of nursing. The main objective was to specify all tasks of nurses in the process of perioperative care and the procedures they use. Last but not least, we focused on how the nursing care differs with regard to the age of newborns. The selected research method was qualitative research using semi-structured interviews with nurses from perinatology centers. The research covered 10 respondents with various levels of education and lengths of practical experience. Nurses most frequently understand the term of perioperative care as the care provided before, during and after a surgery. Most of them actually perform preparation of the child before the surgery and then they provide postoperative care. Only 2 out of the 10 respondents are directly involved in the surgery procedure and thus accompany the newborns throughout the entire process of perioperative care. The care provided before the surgery most often includes identification of the child, checking of its vital functions, involvement in blood collection, including intravenous cannulation, administration of prescribed medication, preparation of the surgical site and communication with the parents. Children are most frequently accompanied by their mothers and nurses need to communicate with them. Nurses transport the child to the operating room, hand the child over and subsequently take it back after the surgery. They also record all those activities in the medical files and in some cases they check signed informed consents. Intraoperative care consists mainly of monitoring of the newborn, assisting to the physician in airway management - intubation and during the entire surgery procedure. The most common surgical procedures performed in children are hernia, bowel and heart surgeries. The nurses also generally mentioned surgeries of developmental disorders. After the surgery nurses usually move the child to the neonatology intensive care unit which is equipped with a ventilator, incubator and all types of medication. They regularly check and record child´s vital functions, monitor the surgical wound and its proximity, intake and excretion, they provide nutrition etc. Nurses also assess the pain, most frequently using the NIPS scale, and they educate the parents. Post-surgery complications occur only sporadically and they include infections, bleeding or abstinence syndrome after administration of opiates. The collected data have shown only one difference relating to the age of newborns who underwent a surgery. Specifically, certain surgeries, e.g. of necrotic enterocolitis, are performed more frequently on less mature newborns. In general, most of the surgeries are performed on prematurely born neonates and extremely immature neonates. When asked what they would like to change or improve in the perioperative care from the nursing point of view the nurses primarily mentioned more contacts between the mother and child and consistent compliance with aseptic procedures. The responding nurses were mostly content, they praised the highly specialized care and the good cooperation between the nursing team and the medical team which consists of pediatricians and specialists. Results of those teams thus contribute to continually decreasing mortality rate of high-risk and pathological newborns and to better quality of life of those children after the surgery.
|
|
|
Formation and development of neonatal intensive care in the Czech republic
Uhlířová, Lucie ; Fendrychová, Jaroslava (advisor) ; Dynáková, Šárka (referee)
Diploma thesis deals with historical formation of neonatal intensive care in the Czech Republic. Its aim is to map the evolution of intensive care, from the very beginning up to the contemporary period, and provide a concise overview of events leading to Czech Republic being one of the countries where level of neonatal care is considered to be most advanced. Theoretical nature of the thesis required a study of historical and contemporary literature, particurarly artticles and books. As an extra supplement, authentic information have been gathered from the pathfinders. In the introduction to the thesis, reason for choosing the topic is described, then current status of knowledge in this area is summarized. Following that, process of creating of the historical analysis is described. Chapter on neonatology introduces and explains terms that are crucial for comprehending the context stated in the historical part of the thesis. Chapter which maps the historical evolution itself is divided into seven sub chapters which describe course of events in the particular periods. Evolution of perinatal care abroad is also shortly described. Thesis reviews an extraordinary evolution of neonatal intensive care which has occurred in very short period of time. During this period pioneers had to overcome many hurdles,...
|
|
|
Development of communication abilities in premature infants
Svobodová, Barbora ; Klenková, Jiřina (advisor) ; Mlčková, Marie (referee)
The presented thesis deals with the topic of development of communication abilities in preterm infants from the perspective of special education. The thesis is for clarity divided into several parts. In the first part of the text the issue of incidence of premature births in the Czech Republic is discussed, following subsections are devoted to the definition and distribution of characteristics bonding with immaturity of child and approach selected health problems associated with postpartum adaptation and subsequent psychomotor development of child. The following chapter which analyzes the system of care for premature newborns in the Czech Republic focuses on two forms of care, acute care and followed-up. Next part has been devoted to issue of premature infants from logopedical perspective and describes the physiological process of development of communication abilities of child and based on current knowledge, especially foreign research, analyzes the peculiarities of speech development of preterm infants. The last and key part of the work, based on case studies, analyzes the specifics of development of communication abilities of four originally extremely and very preterm children of multiple pregnancies in the background of the their overall psychomotor development. KEYWORDS premature infant,...
|
|
| |
|
|
Health literacy of mothers with premature infant
Vencová, Barbora ; Ivanová, Kateřina (advisor) ; Valešová Malecová, Barbara (referee)
Health literacy represents the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand and use information in ways which promote and maintain good health, according to WHO. Common health literacy level may be sufficient in the case of smooth pregnancy and natural childbirth. However, if there are some health problems, it is necessary to support an increase in health literacy level of mothers. Main objective of this thesis is to describe the objective health literacy level of mothers with premature baby and to identify areas that are for these mothers most problematic. The theoretical part deals with demographic data related to premature births, the basic definition of prematurity, an essential characteristic of neonatology and organization of care, premature baby, the most common medical complications and prognosis. Defines and operationalizes health literacy of mothers with premature baby. Research used a qualitative methodology. Data were collected using semi-structured interviews. Respondents for interview were physicians who care for preterm infants. The selection of respondents was conducted using the snowball sampling to facilitate data analysis, were interviews transcribed and then analyzed using the cluster analysis. Results were...
|
|
|
Psychosocial factors influencing the experience of parents of premature babies
Stránská, Monika ; Pavlíková, Pavla (advisor) ; Houšťková, Hana (referee)
The thesis is focused on psychological experience of premature newborns parents. The theoretical part deals with psychosociological factors: stress, social environment of a newborn resuscitacion department, needs of parents and their emotion, nurse-parent relationship, parent-child relationship developement, communication and psychological parent support. To provide a complex view of the problemacy, one single chapter deals with premature birth, premature newborn and ilnesses that put the newborn due to the premature birth into major risk. The empirical part aim were findings concerning: what factors influence the parent experience of newborns most, how an healthcare team and a premature newborns department affect parents. The research was also aimed at finding if men and women experience this demanding life situation the same way or not and how can the healthcare team help to improve the psychological condition of paretns. To implement the researcch a non-standardized questionnaire method was applied. The research sample contained 43 respondents. The findings show clear differencies between men and women concerning settling with a premature birth of a child and in needs of psychological support. There were found reserves on the side of medical workers.
|
|
|
Premature Newborn Care Now and in the Past
Kopřivová, Lenka ; Kulhavá, Miluše (advisor) ; Smíšek, Jan (referee)
v anglickém jazyce The thesis deals with the care of premature newborns. The structure of the thesis is divided into several chapters, which focus on the definition of neonatology and development of the neonatal care in the Czech Republic and abroad and on the definition of premature newborn and their most common diseases. Substantial part is devoted to development of the care of premature newborn and its current status. The final part of the thesis is devoted to interviews with the nurses, who have been working in the neonatal intensive care unit for long time. The thesis is formed by description and used it in written and electronic resources. The aim of the thesis is overview of the development of care of premature newborn in the past and present. Key words: Neonatalogy, development of neonatalogy, Oxygen therapy, Kangaroo mother care, history of incubators, Virginie Apgar, UPMD history, classification of the newborn, resuscitation of the newborn, congenial defects, history of Gynaecology and Obstetric Clinic VFN, history of the Institute for the care for mother and child, newborn screening, newborn nutrition
|
|
|
Design of Infant Incubator
Brávková, Markéta ; Tvarůžek, Martin (referee) ; Křenek, Ladislav (advisor)
The topic of this master’s thesis is design of infant incubator. The thesis concerns own design of infant incubator that meet the basic technical, ergonomical and social requirements and also brings a new look and shape as solution to the main topic. The infant incubator is designed in regard to modern materials and technologies.
|
guest ::
