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Chronic wound care - shin ulcer
Kümmelová, Tereza ; Hromádková, Jaroslava (advisor) ; Nikodemová, Hana (referee)
The bachelor thesis Chronic wound care - shin ulcer deals with the issue of chronic wounds focusing on tibial ulcers. The aim of the thesis was: To collect data on treatment options for and to study the available resources. To obtain data from the database "Care of the patient with a non-healing wound" at the University Hospital in Motol. These data were then assessed and statistically processed. To calculate a qualified estimate of the burden of nursing staff related to the care of patients with shin ulcer in internal medicine units, surgical units and in general in the University Hospital in Motol. The theoretical part of the thesis gives a basic overview of the problem. The empirical part of the thesis presents the results of the own investigation and their comparison with the results of previously conducted studies. The method of the research investigation was secondary data analysis from the database "Care of a patient with a non-healing wound" at the University Hospital in Motol. The research investigation included 164 patients with shin ulcer hospitalized in the period from January 1, 2022 to June 31, 2022 at the University Hospital in Motol. Results: It was found that more males were hospitalized with shin ulcer than females in Motol University Hospital during the period. More patients with...
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Change in Blood Flow in the Paravertebral Muscles during the Application of Compression Therapy
Jandera, Tomáš ; Pavlů, Dagmar (advisor) ; Vláčilová, Ivana (referee)
Title: A Change in Blood Flow in the Paravertebral Muscles during the Application of Compression Therapy Objectives: The main objective of this thesis is to investigate the effect of compression therapy on the blood supply to the paravertebral muscles when applying flossing tape around the trunk. The second aim is to theoretically introduce the compression methods used in practice to the readers. Methods: The study involved 33 probands who completed a questionnaire to obtain basic anamnestic information before the measurement. Furthermore, the range of motion of the lumbar spine was examined into flexion using a modified Schober distance and the electrode of the Précisé 8008 device was placed on the right paravertebral muscles at approximately the level of the Th/L transition to determine blood flow. Flossing tape was applied for 2 minutes around the trunk at the lumbar spine. After removal of the tape, the range of motion of the lumbar spine into flexion was measured again. The obtained data were processed by using descriptive statistics, paired T-test and linear model. The statistical significance for all T-tests was assessed at a critical significance level of 0.05. Results: Changes in the blood flow of the paravertebral muscles during and after the application of flossing have been proven....
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Knowledge of nurses about methods of treatment of the leg ulcer
Dvouletá, Zuzana ; Sojková, Monika (advisor) ; Pekara, Jaroslav (referee)
The topic of this thesis is "Knowledge of nurses about methods of treatment of the leg ulcer". The purpose of this thesis was to document current methods of treatment of the leg ulcer and to evaluate nurse's knowledge of this area. The thesis is divided into two sections - a theoretical and an empirical one. The theoretical section is devoted to the leg ulcer as a term and its causes, then it concerns wound healing and factors, which it is influenced by. It also describes the currently used methods of treatment of the leg ulcer and other chronic wounds. The empirical section is based on a quantitative research performed as a questionnaire study, which has been carried out in medical and surgical wards in three teaching hospitals in Prague. The goal of this research was to determine nurse's knowledge of chronic wounds, the leg ulcer, its risk factors and prevention, of wound healing, compression therapy and to find out, in which ways nurses get access to information on wound healing and treatment of the leg ulcer. This goal was met. The findings of the research are summarized in the conclusion of the thesis. Key words: moist wound healing; leg ulcer; wound; chronic wound; debridement; compression therapy; nursing care
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Knowledge of nurses about methods of treatment of the leg ulcer
Dvouletá, Zuzana ; Sojková, Monika (advisor) ; Pekara, Jaroslav (referee)
The topic of this thesis is "Knowledge of nurses about methods of treatment of the leg ulcer". The purpose of this thesis was to document current methods of treatment of the leg ulcer and to evaluate nurse's knowledge of this area. The thesis is divided into two sections - a theoretical and an empirical one. The theoretical section is devoted to the leg ulcer as a term and its causes, then it concerns wound healing and factors, which it is influenced by. It also describes the currently used methods of treatment of the leg ulcer and other chronic wounds. The empirical section is based on a quantitative research performed as a questionnaire study, which has been carried out in medical and surgical wards in three teaching hospitals in Prague. The goal of this research was to determine nurse's knowledge of chronic wounds, the leg ulcer, its risk factors and prevention, of wound healing, compression therapy and to find out, in which ways nurses get access to information on wound healing and treatment of the leg ulcer. This goal was met. The findings of the research are summarized in the conclusion of the thesis. Key words: moist wound healing; leg ulcer; wound; chronic wound; debridement; compression therapy; nursing care
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Influence of compression therapy on wound healing
NOSKOVÁ, Pavlína
Theory background Compression therapy (CT) is an efficient, easily accessible and simple nursing treatment most frequently used in patient with chronic venous insufficiency and the consequently occurring venous leg ulcers. These occur often in still mobile elderly. In CT an elastic garment is applied around the leg causing increased blood circulation which helps to decrease swelling, improve venous return, narrow enlarged blood-vessels, contradict insufficient function of venous valves and promotes wound healing. Every nurse should possess the skill of correctly applying the bandage and suitably explaining the significance of the treatment to the patient. All depends on the mutual collaboration between doctor, nurse and patient. It is necessary for the nurse to be manually skilful and have sufficient knowledge on the topic of CT. Unfortunately this treatment is often underestimated by health care practitioners, especially in connection to chronic wound healing. Aim of thesis The first research aim consists of mapping the effectivity of compressional therapy for treatment of chronic wounds, where we focus on the degree to which CT helps the process. The second aim is to find out about the influence on correctly conducted technical approach to CT regarding wound healing, where the question is how correct technique of CT influences wound healing. Used methods Qualitative research was used for this thesis in the form of in-depth interviews. The majority of the interviews were recorded and subsequently transcribed; the rest was transcribed directly by hand and paraphrased. First research group consisted of respondents with chronic wounds undergoing compression therapy. Second research group was comprised of nurses who treat wounds and use compression therapy as a part of treatment. Results Answers obtained during the interviews were analysed by the pen and paper method by open coding. Nine categories resulted from this analysis. The important finding are: education, its content and the way it is conducted as well as the instruction the nurse gives on applying the bandage are most significant together with positive reaction from the patient regarding protecting the wound and releasing pain. Materials for wound treatment are selected according to necessary criteria from a wide offer of products. The technique is conducted according to individual given steps based on the condition of the wound and with suitably chosen materials. The procedure steps must be correctly followed from beginning to end. The positive influence on wound healing is manifested by increased blood supply to the limb, better blood circulation, decrease of swelling and faster wound healing. The results show that nurses agree CT is an irreplaceable supporting treatment of venous insufficiency and leg ulcers. The patient learns about the effect of CT seeing the improvement in wound healing, feeling swelling decrease and by having the wound treated and bandaged by the nurse. The influence of CT on quality of life is connected to bio-psycho-social side with both positive and negative effects on the patient. . Conclusion Due to the time demanding treatment of wound healing, compression therapy method is very beneficial for the patient. It is beneficial also for the nurse as if conducted correctly and consistently, it gives very good results over which both the patient and the nurse can feel satisfaction.
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