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The Process of Education of Patients after hysterectomy
Skalická, Lenka ; Vachková, Eva (advisor) ; Poláková, Hana (referee)
97 11. ANNOTATION Author: Lenka Skalická Institution: Department of Social Medicine LF UK in Hradec Kralove Department of Nursing Title of the work: Educational process in patients after hysterectomy Academic advisor: Mgr. Eva Vachková, Ph.D. Number of pages: 113 Number of attachments: 5 Defended in: 2015 Key words: education, hysterectomy, myoma, illnes beliefs This bachelor thesis deals with the education of patients after hysterectomy. The theoretical part is devoted to the pathophysiology of benign uterine disorders, causes, diagnosis, symptoms and treatment. It describes the most common method of therapy - hysterectomy and notes in particular the education of woman patients after surgery. Another part of the thesis deals with the concept of personal illness beliefs whose knowing is a guide to an effective education. The centre of the work lays in the quantitative and qualitative research using two different tools, questionnaires IPQ-R-CZ and MIQ-CZ interviews in the target groups of patients. A key objective of the work is to design an educational material intended for clinical use for women who underwent surgical removal of the uterus.
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Nursing process of women after laparoscopically assisted vaginal hysterectomy in the working age.
Košťálová, Karolína ; Marsová, Jana (advisor) ; Kulhavá, Miluše (referee)
This thesis deals with the nursing process in women with laparoscopically assisted vaginal hysterectomy. The thesis is divided into theoretical part and empirical part. The theoretical part is focused on the anatomy and physiology of the uterus and female reproductive organs. Next chapter is dedicated to hysterectomy and its performace realization. The individual subsections are focused on varions ways of operating and complications of hysterectomy. The last chapter of the theoretical part describes the process of care, which is divided into pre- and postoperative period. The empirical part includes detailed nursing history of a patient after laparoscopically assisted vaginal hysterectomy in the form of a nursing case study. In conclusion, there are established nursing diagnoses and their elaboration. The work is complemented with an educational plan, which describes how the patient should be educated.
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The role of nurse in the care of patients with lymphedema.
DUŠKOVÁ, Lucie
Current situation The title of this bachelor's thesis is: "The Role of the Nurse in the Care of Patients with Lymphedema". As the title indicates the topic is the role of the nurse if the care of patients suffering from lymphedema. Lymphedema is a condition when the lymphatic system retains the fluid in the body and the fluid causes lymphatic tissue swelling. The lymphedema can be inherited or caused by a birth defect, in such a case it is a primary lymphedema. When we talk about secondary lymphedema, it means the lymphedema was caused by lymphatic system malfunction. The causes of secondary lymphedema can be surgeries with inevitable interventions in the lymphatic system, most frequently interventions in sentinel nodes. Other interventions increasing the risk of lymphedema are radiotherapy, chemotherapy, iatrogenic lesions and/or accidents. The most frequent causes are surgical interventions, in particular in case of breast ablation and/or gynaecological cancer. Objective of the thesis Two objectives were selected for the research part of the bachelor's thesis: Mapping the role of the nurse in the care for patients with lymphedema from the nurse's perspective and Mapping the role of the nurse in the care for patients with lymphedema from the patient's perspective. Methodology In order to fulfil the first objective we decided to use the technique of qualitative research survey, in particular in-depth interviews. The research set consisted of six nurses from gynaecological and surgical departments of the Nemocnice Rudolfa a Stefanie Benešov, a.s. Hospital. In order to achieve the second objective we chose the same technique of qualitative research survey in the form of in-depth interviews. The research set consisted of six patients suffering from lymphedema. We carried out altogether fourteen interviews within the research between March and June 2017. All respondents came from the Central Bohemia Region near the town of Benešov. Upon the transcription of the interviews in Microsoft Word the data was classified and processed by open coding. Results Upon analysing the data four categories of results from the interviews with nurses appeared. The categories were: Nurses' knowledge of the problem, Regime measures, Specificities of the nursing care and Education of patients after a risk intervention. The results of the interviews with patients were classified into five categories: Occurrence of lymphedema, Treatment of lymphedema, Regime measures, Specificities of the nursing care and Education focused on prevention. Conclusion The objective of the bachelor's thesis was to map the role of the nurse in the care of patients with lymphedema from the nurse's as well as the patient's perspective and we also wanted to study in more detail the issue of lymphedema and specificities of care for patients suffering from this condition. The thesis focuses also on the education provided by the nurse regarding primary prevention. The analysis of the acquired data revealed deficiencies in the education and generally primary prevention, and therefore an information leaflet for nurses was prepared.
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The nursing process by a patient with diagnosis Uterïne myomatosis
Klímová, Petra ; Kulhavá, Miluše (advisor) ; Di Cara, Veronika (referee)
The topic of the bachelor thesis is the nursing process of a patient diagnosed Uterus myomatosus. The chosen theme seems to be a truly current issue as the number of operations, particularly hysterectomy due to Uterus myomatosus, is on the top chart position (due to statistics of Registr komplikací gynekologické laparoskopie). Myomas are tumors hormonally connected with estrogenes. They are significant for every fourth woman in her productive age, most common at about 40 years of age. The goal of thesis is based on a specific case study of a patient of department of gynecology, who was supposed to have her uterus removed through laparoscopically assisted vaginal hysterectomy. Furthermore I wanted to inspect what is the education of such patients in terms of their stay at department of gynecology, particularly before and after the operation. The methods I used were: case study, casuistry of a patient of department of gynecology of a regional hospital. The sources of information were literature, professional Czech as well as foreign articles, interviews with the patient and the nursing staff and the patient's records. The analysis of nursing care at the department of gynecology showed, that nurses in performing nursing care department manages standards and recommended practices. Another result of my...
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The Process of Education of Patients after hysterectomy
Skalická, Lenka ; Vachková, Eva (advisor) ; Poláková, Hana (referee)
97 11. ANNOTATION Author: Lenka Skalická Institution: Department of Social Medicine LF UK in Hradec Kralove Department of Nursing Title of the work: Educational process in patients after hysterectomy Academic advisor: Mgr. Eva Vachková, Ph.D. Number of pages: 113 Number of attachments: 5 Defended in: 2015 Key words: education, hysterectomy, myoma, illnes beliefs This bachelor thesis deals with the education of patients after hysterectomy. The theoretical part is devoted to the pathophysiology of benign uterine disorders, causes, diagnosis, symptoms and treatment. It describes the most common method of therapy - hysterectomy and notes in particular the education of woman patients after surgery. Another part of the thesis deals with the concept of personal illness beliefs whose knowing is a guide to an effective education. The centre of the work lays in the quantitative and qualitative research using two different tools, questionnaires IPQ-R-CZ and MIQ-CZ interviews in the target groups of patients. A key objective of the work is to design an educational material intended for clinical use for women who underwent surgical removal of the uterus.
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Nursing care about patient with uterine prolapse
Chadrabová, Štěpánka ; Svobodová, Hana (advisor) ; Popelka, Jiří (referee)
This work deals with the nursing care about a patient related to uterine prolapse. The theoretical part provides information on anathomy and physiology of female reproduction organs, it summarises possible solutions of the problem of uterine prolapse and it briefly describes possible surgery. The clinical part presents a case report of a patient who underwent vaginal hysterectomy. The nursing process is based on the model by M. Gordon. A special attention is paid to the patient's mental state.
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Nursing process of women after laparoscopically assisted vaginal hysterectomy in the working age.
Košťálová, Karolína ; Marsová, Jana (advisor) ; Kulhavá, Miluše (referee)
This thesis deals with the nursing process in women with laparoscopically assisted vaginal hysterectomy. The thesis is divided into theoretical part and empirical part. The theoretical part is focused on the anatomy and physiology of the uterus and female reproductive organs. Next chapter is dedicated to hysterectomy and its performace realization. The individual subsections are focused on varions ways of operating and complications of hysterectomy. The last chapter of the theoretical part describes the process of care, which is divided into pre- and postoperative period. The empirical part includes detailed nursing history of a patient after laparoscopically assisted vaginal hysterectomy in the form of a nursing case study. In conclusion, there are established nursing diagnoses and their elaboration. The work is complemented with an educational plan, which describes how the patient should be educated.
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Nursing care of women before and after LAVH
MAREŠOVÁ, Petra
This bachelor thesis deals with nursing care of women before and after LAVH (laparoscopically assisted vaginal hysterectomy). It describes preparation of the patients before the procedure and nursing care before and after the procedure. The thesis also focuses on psychical preparation of the patients, because the woman's psyche plays an important role in this case.The thesis has a theoretical and a practical part. The theoretical part was done after researching scholarly literature and the latest knowledge in the domain. The practical part of the bachelor theses is focused on the research of the fear that the women feel immediately before the procedure and on the research of the change in the body image after the procedure. Two goals were set in this thesis: the first goal was to find out what the women are afraid of the most before the procedure. The second goal was to find out how the body image changed after the procedure. Four research questions were established on the ground of these goals. The first question was: "What techniques do the women use to mitigate the fear", second question: "What are the women afraid of the most before the procedure?", third: "How are the women informed about the procedure?", fourth: "How do the women perceive their body image after the procedure? "Qualitative research procedure was established to process the aforementioned problem. In two cases the data gathering was performed by non-structured depth conversations. On the ground of these two conversations several vital questions were established, which served as the foundation for the rest of the research, which was conducted in the form of semi-structured conversations. The research sample was represented by randomly chosen women that were to undergo LAVH in Příbram, who agreed with the cooperation. The conversations were conducted only after verbal agreement given by the respondents and they were completely voluntary. The respondents were informed that the obtained results would be processed anonymously in this thesis. The respondents are labeled as R1 to R10.The research was conducted during the month of March in the Regional hospital of Příbram after issuing a written request (see Appendix 2: Consent with conduction of a research). The research is broken down into two parts, a part before the procedure and a part afterwards.From the research we found out that the patients are afraid of the narcosis the most as this was confirmed by eight of the ten interviewed patients. The body image changed only by three of the patients who had counted with the change already before the procedure. As to the first research question, we learnt that the most commonly used technique to mitigate fear is conversation with the doctor, which is considered vital. Patients who learnt information from their gynecologists were advised the best. On the other hand, patients looking for information on the internet discussion forums had only inaccurate or misleading information, which they showed during the conversations. This answers our third research question. The last research question relates to the change in the body image and also closely relates to our second goal. We can say that the fact that patients' uteruses have been taken out doesn't mean the loss of their womanhood for most of them. The opposite is true for only three of the ten patients. In the future this thesis can serve as an information material for women who are to undergo LAVH and who want to learn something from the domain. Opinions of women patients who already underwent the procedure are important part of this information material.
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The task of a midwife by satisfying of woman´s needs after hysterectomy
FILIPOVÁ, Marcela
This bachelor thesis deals with the role of the midwife while satisfying women´s needs after hysterectomy. The bachelor thesis is divided into two parts; the theoretical part and the investigative part. In the theoretical part there are defined gynaecological surgeries, especially hysterectomy. There are also characterised indications which are used for hysterectomy and the description of the preoperative care and the postoperative course of hysterectomy. In the field of the preoperative care and the postoperative course there is described the role of the midwife. The theoretical part is made up by a chapter which describes the needs of the women. There are mentioned the needs of physical movement, safety, belonging and love. The theoretical part is closed by a chapter dealing with education of a woman after hysterectomy by midwives. Two objectives were set in this work. The first aim was to investigate what are the needs of women after hysterectomy. The next aim was targeted at satisfaction of the woman after hysterectomy by of midwife care. Three investigative questions were asked for these two targets: Which bio-psycho-social needs were mostly changed after hysterectomy? How do women after hysterectomy evaluate the care of midwife? What were the expectations of women after hysterectomy in connection with the midwife care? The investigative research was done via detailed, individual and semistructured interviews. The interviews were made with eight women who underwent hysterectomy in March and April in 2016. The interviews took place in selected gynaecological clinics in South Bohemia. Women and gynaecologists were made familiar with the topic and investigative targets of the bachelor thesis before the interviews. Women were assured that they would stay anonymous and the data would be used according to ethical standards. Accordingly requests for permission to co-operate were signed. The gained interviews were recorded with the consent of women, then they were rewritten into the printed form and analyzed using stained methods text. Based on the analysis of statement there were set the categories and subcategories. There were formed four main categories which were completed by fourteen subcategories. The first category dealt with a woman before the surgery, it focused on woman indication towards hysterectomy and the feeling of a woman before the surgery. The second category dealt with needs of the women. The third category was dedicated to postoperative course complications. The fourth category focused on the midwife care of woman after hysterectomy. The most frequent reason for undergoing hysterectomy was vaginal leiomyoma as stated by women W1, W2, W5, W7, W8 from the research sample of the conducted research survey. Other reasons for hysterectomy in my research sample were precancerous states, malign cervical tumours and uterus prolapse. Attention of the research survey was also paid to women's feelings before the hysterectomy. The results showed that women most frequently felt anxiety and distress before the surgery. Further there was an observation of women's needs changed after hysterectomy. The results showed changed needs of sleep and physical activity needs in post operative period. The change also took place in needs to fell safe and without pain. The midwife has an important role in satisfying these needs, because they are in close contact with the patient and are able to tend to her changing needs. It was found out that there were no major changes regarding breathing, hygiene, nutrition, sexual needs, sense of belonging and love after the hysterectomy procedure.The Bachelor thesis pointed out gaps (weaknesses) in midwife care of women after hysterectomy and as well as it tries to find appropriate steps for improving care of woman. The aim of the midwife work should be meeting the needs and looking at the and looking at the woman in the holistic way.
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