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Impact of intestinal stoma of daily activities
Kougl, Jiří ; Nikodemová, Hana (advisor) ; Křivková, Jana (referee)
In the theoretical part I am devoted to the history, anatomy, types of stoma, concept of stoma, indications for an establishment of stoma, pre and postoperative care, treatment of stoma, instruments and the influence on daily activities of a client while having a stoma. In the practical part I am following my own research of the impact of stoma on daily life's activities of klients with a stoma.
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Ostomy Devices Utilization in Practice
Štroblová, Martina ; Hošťálková, Monika (advisor) ; Otradovcová, Iva (referee)
The thesis is focused on the use of stoma care in practice. The work consists of two parts. The first part is theoretical. This section is devoted to the anatomy and physiology of the gastrointestinal tract, additional chapters are devoted to the main theme, which is colostomy. There is history and development of stoma care, indications for the colostomy performance and possible complications. Another large part of the total is the nursing part where I attend nursing care of the patient with colostomy, this includes stoma care, peristomal area care, mental health care, nutrition and hydration care. There is also included a chapter about education of the patient and family members. The empirical part focuses on the research, where the method of the data collection is an anonymous questionnaire. The survey was conducted in the surgical clinic with 48 patients with colostomy. The aim of the research was to objectively evaluate and to highlight the advantages and disadvantages of stoma care, find out in which areas of daily activities the largest problem with colostomy patients occurred in terms of the adaptation process, and to improve the lives of the patients with ostomy as well.I found out how much needed a qualified stoma nurse is. I see her importance in the care of stoma patients.
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The impact of colostomy on the patient's life
JELÍNKOVÁ, Adéla
This bachelor thesis is focused on the problems of colostomy patients, especially on changes in life from previous life without the colostomy. The aim of this work was to find out what changes occur in life of patients with colostomy. To achieve the goal, we used a high-quality research survey that was conducted through semi-structured interviews with colostomy patients and stomist nurses. In the research, we found many facts about the changes in the lives of these patients. There have been changes mainly in their social life, eating habits, defecation; fewer changes have occurred in the social sphere, including jobs, sporting activities, hobbies and even travel. From interviews with patients, we have also confirmed the complications that appears after establishment of colostomy. These were particularly early complications, especially of the skin nature (redness, soreness, skin maceration, rash). Another, very fundamental change in life of these patients has been the treatment of colostomy. With this change, patients are helped by a stomist nurse who helps them with choosing stomic aids and teaches them how to take care of colostomy on their own. From interviews with stomic nurses, we learned about changes in the psyche. Patients experience depression, embarassement, inferiority complex and social isolation. The help of patient's family is very important while helping with these issues. The elaboration of this work created a clear material for seminars of health workers, especially nurses.
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Colostomy as a nursing problem
PÓLOVÁ, Markéta
This bachelor thesis deals with the colostomy-nursing issue. Colostomy means an artificial opening the colon through the abdominal wall and it is followed by a big effect to a life of a patient. Older patients undergo colostomy more and more often (Šváb et al., 2008). The aim of this bachelor thesis is to find out the specificity of a nursing care for patients with a colostomy. For this aim was established these exploratory questions: What expertise do nurses have? What is a specificity of a nursing care for patients with a colostomy? For the implementation of the empirical part of this bachelor thesis, we chose qualitative research. The data collection was made by a semi-structured interview with nurses and stoma care nurses. There were eight nurses and two stoma care nurses in the research group. All of them work at the Department of Surgery. The interview was recorded and afterward literally transcribed. All the obtained information were coded and categorized. This research was taken during February and March 2018. As the interview shows, all the nurses have some knowledge about colostomy care and all of them treat colostomy. The research also shows that nurses have a deficit to some extent. Some of the nurses were not sure with their answers. It was found out that most of the nurses refer colostomy patients to stoma care nurses. The outcomes of the research will be realized in a seminar designed for nurses and should help to their improvement in this issue. We have better chance to avoid complication when nurses are well informed how to use all the equipment in a good way and when they know how to treat colostomy patients.
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Impact of intestinal stoma of daily activities
Kougl, Jiří ; Nikodemová, Hana (advisor) ; Křivková, Jana (referee)
In the theoretical part I am devoted to the history, anatomy, types of stoma, concept of stoma, indications for an establishment of stoma, pre and postoperative care, treatment of stoma, instruments and the influence on daily activities of a client while having a stoma. In the practical part I am following my own research of the impact of stoma on daily life's activities of klients with a stoma.
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Ostomy Devices Utilization in Practice
Štroblová, Martina ; Hošťálková, Monika (advisor) ; Otradovcová, Iva (referee)
The thesis is focused on the use of stoma care in practice. The work consists of two parts. The first part is theoretical. This section is devoted to the anatomy and physiology of the gastrointestinal tract, additional chapters are devoted to the main theme, which is colostomy. There is history and development of stoma care, indications for the colostomy performance and possible complications. Another large part of the total is the nursing part where I attend nursing care of the patient with colostomy, this includes stoma care, peristomal area care, mental health care, nutrition and hydration care. There is also included a chapter about education of the patient and family members. The empirical part focuses on the research, where the method of the data collection is an anonymous questionnaire. The survey was conducted in the surgical clinic with 48 patients with colostomy. The aim of the research was to objectively evaluate and to highlight the advantages and disadvantages of stoma care, find out in which areas of daily activities the largest problem with colostomy patients occurred in terms of the adaptation process, and to improve the lives of the patients with ostomy as well.I found out how much needed a qualified stoma nurse is. I see her importance in the care of stoma patients.
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Nursing care for the colostomy from the perspective of patients
CHOMOVÁ, Sandra
Present situation This bachelor thesis deals with nursing care of colostomy, namely from patients' point of view. The theoretical part focuses on the anatomy of colon and rectum. The chapter Stoma explains this term. The thesis also contains chapters dealing with the history of stomas and the history of their treatment. It is useful to know what the care looked like in the history and what it looks like now to gain comprehensive insight. The part dedicated to the indication of colostomy application is important as well, because there is not just one reason but more. The necessity of surgery is logically linked to the indication. Another chapter thus deals with pre- and post-surgery care and also mentions the differences from "normal" pre surgery preparation. Poor post-surgery care may lead to various complications of stomas particularly early complications in the post surgery stage. Later complications are mostly caused by poor care after longer time from the operation. This is why the proper education by a stoma nurse is necessary. One of the next chapters, stoma nurse and her role deals with the main tasks of a stoma nurse. Stoma aids also form an inseparable part of colostomy treatment. This aids are divided into a one-piece system and a two-piece system, and various accessories are also worth mentioning. There are of course small differences in replacement of the one-piece and the two-piece system, which are mentioned in the chapter replacement of the one-piece system and the two-piece system. Proper nutrition and water intake are important part of colostomy treatment. This chapter explains proper and improper habits and food. The last chapter of the thesis deals with the clubs of ostomists as these are able to help a patient cope with the stoma. Goals of the thesis and research questions Goal 1: To find the differences between the nursing care provided by a stoma nurse and a nurse from a standard ward. Goal 2: To find how a patient copes with colostomy treatment after being released to home care. Research question 1: What activities does a stoma nurse perform within colostomy care? Research question 2: What activities does a standard ward nurse perform within colostomy care? Research question 3: What problems does a patient face in colostomy treatment in home environment? Research question 4: What knowledge was a patient given before being released to home care? Results The results have shown that the main role of a stoma nurse is based on patient education. A worrying finding was that there had been insufficient education before the operation. As for the nutritional information, each patient was informed to different extent, some were not informed at all. The information on complications seems to be sufficient, the nurse informed the patients on the basic possible complications. The standard ward nurse most often redressed the post-surgery wound within colostomy care and asked about pain and administered painkillers. As of direct colostomy care she changed the pouch or the flange. The respondents however often mentioned that she was not experienced enough in their responses. When the nurse changed the pouch, she always check whether the colostomy was draining, how much stool was in the pouch, she checked and treated the colostomy surrounding and the colostomy itself. The standard ward nurse did not teach the patient any new skills, only the stoma nurse taught them. None of the respondents has faced any serious complications yet. Respondents of higher age have problems with cutting the hole in the flange. Before the end of hospitalization all the respondents were provided with comprehensive information on colostomy treatment and the nurse checked whether they do it properly. All the respondents were also given contact.
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The importance of the ostomy nurse for the surgical department
ZRONKOVÁ BROŽOVSKÁ, Alena
Surgical procedures of gastrointestinal diseases often lead to the creation of an ostomy. The number of clients with an ostomy is increasing as the Czech Republic ranks among the countries with the largest incidence of malignant colon disease. Health care professionals in any field can often encounter the client with a stoma. Therefore, it is essential for them to understand and manage this issue well. Nursing care of such individuals is very extensive and specialized. Nursing team usually focuses only on physical care but other problems associated with stomas are pushed aside. The only highly knowledgeable and qualified expert in this area is a stoma nurse specialist (an ostomy nurse). This thesis deals with the importance of the role of the stoma nurse specialist in the postoperative phase from the perspective of nurses from surgical departments as well as from the perspective of patients with a colostomy. The thesis is divided into theoretical and empirical part. The theoretical part is further divided into four chapters: colostomy, care about stoma patients, life with a colostomy, an ostomy nurse. Two objectives were determined for processing of the empirical part. We used a combination of quantitative and qualitative research to achieve our goals. The first objective was to determine whether general nurses have the knowledge to care for a client with colostomy in the postoperative phase. To obtain data for the quantitative part of the survey the method of anonymous interviews using a questionnaire, in which the research group was formed by general nurses, was selected. The survey results revealed that nurses have sufficient knowledge to treat and educate clients with a stoma. Although not all general nurses encounter colostomy patients, they widely believe the knowledge of this issue is important for the occupation of a nurse. For the quantitative part three hypotheses were selected and tested statistically. Hypothesis 1: General nurses have the knowledge to treat the client with a colostomy. It was confirmed. Hypothesis 2: General nurses have enough knowledge to educate the client with a colostomy. It was confirmed. Hypothesis 3: General nurses positively evaluate the benefits of an ostomy nurse in care for stoma patients in the postoperative phase in the surgical department. It was confirmed. The second objective was to determine the significance of the stoma nurse for clients with a colostomy. For the qualitative part of the survey the method of direct questioning by means of a semi-structured interview with open questions was chosen. The study group consisted of patients with a colostomy. For this part of the survey a research questions was specified: What is the importance of an ostomy nurse for the stoma patient in the postoperative period? We concluded that the ostomy nurse is viewed as an educator, counselor and psychological support. The ostomy nurse is the only one who can provide stoma clients with coherent and comprehensive information they need to live with a colostomy. Both groups of respondents agree that the stoma nurse is the irreplaceable specialist. Shift nurses fail to provide comprehensive care stoma patients need. An ostomy nurse needs to be a part of nursing care not only in the postoperative phase, but also in the preoperative period. There is need for closer cooperation between general nurses and the ostomy nurse. Nurses indicate their willingness to be educated in this area, while preferring seminars, lectures and conferences. The results also led us to create information material Care of the client with colostomy, as the nurses indicated that they would welcome a brief, clear, visual information material.
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Specific eating habits of a stoma clients
OSADČÍ, Jana
This work focuses on eating habits of patiens with colostomy and ileostomy and their personal experience with observing the given nourishing rules. The number of such patients has been growing in the Czech Republic in the last time. Introduction of colostomy or ileostomy is a very difficult situation for every patient. When adapting to the new situation the patient needs all possible professional care. Many changes enter his life and one of them is the change in eating habits. There is no universal diet at present that could go for all such patients. In spite of the fact that correct nourishment and drinking regime are the most important for them. That is why we were interested in the patients experience in the area of nourishment. This work had two targets. The first one concentrated on the specific eating habits of the patients after colostomy and the other one the specific eating habits of the patients after ileostomy. There were two hypotheses connected with the targets. The first hypothesis tried to find out, whether the patients with colostomy have their specific eating habits. The other hypothesis tried the same for the patients with ileostomy. To be able to achieve the targets a quantitative research has been applied, implemented by means of an anonymous questionnaire. The questionnaire contained 27 questions. The data were collected in March 2009. 100 questionnaires were distributed, 80 percent of them were returned. This work has confirmed the fact that there is no universal diet that could be applied for all the patients. The nourishment must adapt to the individual requirements, because different people react in a different way to individual food and they must try out, what suits them. In this way they themselves find out the best eating habits with the course of time, they will not feel restricted and they will stop being afraid of the negative effects of food.
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