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Monitoring methods in cardiovascular disease from the nurses point of view
PROCHÁZKOVÁ, Anna
Theoretical basis: This thesis briefly describes the current status of cardiology and diagnostic methods conducted in this area. For diagnose of heart disease are used many diagnostic metods. Such as anamnesis , physical examination. Which include, view, palpation, percussion and auscultation. Diagnostic methods can be divided into invasive and non-invasive. Invasive methods measures central blood pressure, heart catheterization, coronary angiography and electrophysiological testing. Between noninvasive methods are include blood pressure monitors, ECG, echocardiography, tilt table test, stress test and X-ray examinations. The aim of the thesis: In the empirical part of this work are conducted interviews with nurses working at the Cardiological Department in selected South Bohemian hospitals. The goal of the research was to find out which methods are used by nurses in ECG and complications that nurses know the context of the implementation coronarographic examination. Methodology: The research survey has revealed the specifics of nursing care in coronary examinations and methods which nurses perform during an ECG. The research was conducted through qualitative based on interviews with nurses. The interview contained twenty-two issues that were focused on Coronary and ECG. Inteviews were recorded on an electronic recorder after permission nurses. During the interviews, I took notes on paper. All interviews were then transferred to Microsoft Office Word. Before starting the interviews, had been sent a request for approval in writing to head nurse in selected South Bohemian hospitals. Before beginning the interviews I've printed out twenty-two questions prepared in advance. Questions were divided into three categories. The identification part, the part concerning examination and coronarographic part focused on an ECG. Results: The interview shows that nurses from cardiology department know the basic complications which may be invoked in connection with the examination of the coronary. The most common complication which could nurses experience is pain, hematoma and bleeding. Nurses don´t offten meet with less frequent complications, although they know these complications. Nurses know what to follow in order to avoid complications. Nurses are aware that proper preparation of the patient for testing and subsequently monitoring the patient's condition after the examination can prevent complications. Nurses also warn patients to avoid straining of their limb. The research shows that for nurses is ECG well known and is conducted several times a day. For the examination nurses are preparing EKG machine, water or gel, wipes, disinfecting apparatus, and gloves. Some nurses also prepares disposable razor. Conclusion: This thesis should more extend overview about diagnostics metods of cardiovascular system. I also strive to make diagnostic methods more well-known for nurses outside the cardiology department. In cardiology is constantly improving the quality of diagnostics methods and prognosis of patients is still improving. I hope that my work will bring quality and complete summary of the investigative methods in cardiology and becomes a learning tool for someone else.
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