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Community care for the women recovering from a gynaecological surgery
VALENTOVÁ, Daniela
The subject of this thesisis community care for the women recovering from a gynaecological surgery. Community care is, by definition, a policy that provides help and support to people at the right time, at the appropriate level, and in the suitable form to enable people to achieve the highest possible level of independence, self-sufficiency and control over their lives. It is a set of health, social and other services provided to the sick as well as healthy persons, their families, or groups of a specific community.The objective is to provide as much as care at home as possible, even in the event of disablement, reliance on others, or chronic disease. With the growth of the nursing care, it is exactly the individual work and qualifications of the nurses and midwives caring for healthconsolidation, protection and recovery that is one of the basic characteristic features of an advanced health system. Generally, the time spans of institutional care are getting shorter and this trend can be seen in gynaecologyas well. The primary care is gaining more and more importance. The ongoing health reforms are based on the principles of primary health care which strives to encourage individuals as well as the society to accept responsibility for their health and their healthy lifestyles. Care in the community focuses on the support of health and, in the primary care, is to provide protection of health and prevention of the disease formation.It is more directed at groups of persons and entire communities and draws on their specific needs. The theoretical part of this Bachelor Thesis provides explanations of terms such as "community nursing care", "community", "community care history", and on the practice of thedomiciliary care system in the Czech Republic. The next part focuses on the work of midwives in the primary gynaecological care. Because gynaecology belongs largely to a field of surgery, the thesis also provides categorization of surgical approaches in the gynaecological surgery. The research part of this Bachelor Thesis is concerned with the post-operative period from the perspective of the women. Two main aims were set down. The first aim was to findout whether women undergone genealogical surgeries are interested in community care provided by midwives.The second aim was to find out what is the woman expectation from community care and midwives. Two questions come out from research aims. What is the need of woman undone genealogical surgery after coming home? And how would woman perceive care of midwife? The collection of data was worked out as half structured individual interview. To ensure privacy for all the participants, the interviews were held at a quiet, prearranged setting from February to April 2015. All the respondents provided only oral consent. The information thus obtained was subsequently analysed, sorted into several categories and subcategories and, in order to be clearly understood, represented in well-arranged charts. Direct quotations were used in this thesis. It is written in italics. The research group was made of nine women who went through serious gynaecological surgery. They were able to evaluate their post operative period. In the text they are marked as R1-R9. The results of the research show that the majority of the interviewed women have no idea how community care works. However, they all - with but one exception- showed great interest in the service that would enable them, after they had time to think things over, to call the midwife in order to discuss their problems with a professional person in the quiet of their homes. And indeed, the research discovered that the women are in bad need of such service. For most of the respondents, their first visit at their local gynaecologistfor removal of stiches was a most stressful experience. They all complained about having to wait too long in the doctor's office and about their physicians and nurses being too busy to answer all their questions.
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