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The difference in nursing care between patients with paraplegia and quadriplegia.
 HŮLKOVÁ, Zuzana
Consequences of spinal cord impairment with subsequent paralysis have adverse influence on practically all aspects of patient?s life. A patient with paraplegia or quadriplegia is not only limited in terms of motor or sensory loss in some parts of the body, but is often threatened by various health complications and mental problems. The number of such complications in patients remarkably decreases with improvement of treatment and nursing care. The aim of the Bachelor Thesis was to find differences in nursing care for patients with paraplegia and quadriplegia at spinal units and surgery wards, then an assessment of differences in nursing care for paraplegic and quadriplegic patients. The research part of the Thesis was based on quantitative examination in the form of an anonymous questionnaire and quantitative data collection method by means of indifferent concealed observation was moreover used for complementation of the answers of nurses working at the spinal unit. The research sample for the monitoring consisted of 32 patients, 16 of whom with paraplegia and 16 with quadriplegia, from the Spinal Unit of the Casualty Hospital Brno and the Faculty Hospital Brno. The anonymous questionnaire research was performed at spinal units and casualty wards in the Czech Republic. The questionnaire consisted of 30 questions. 133 questionnaires were distributed, 78,9 % returned. There were five hypotheses set in total. The first hypothesis: Nursing care for paraplegic and quadriplegic patients at a spinal unit is mainly focused on the support of self-sufficiency and activation. The hypothesis was confirmed. The second hypothesis: Nursing care for paraplegic and quadriplegic patients at surgical wards is focused on satisfying the basic needs. The results confirmed this hypothesis as well. The third hypothesis: The risk of immobilization syndrome occurrence is higher in quadriplegic patients than in paraplegic ones from the point of view of nurses. This hypothesis was confirmed by the research. The fourth hypothesis: The risk of infection occurrence is higher in quadriplegic patients than in paraplegic ones from the point of view of nurses. In this case the hypothesis was not confirmed. The fifth hypothesis: The risk of mental disorder occurrence is higher in quadriplegic patients than in paraplegic ones from the point of view of nurses. The results obtained did not confirm this hypothesis. The set goals of the Thesis were met upon confirmation of three hypotheses of five. The Bachelor Thesis may be used as studying material for students of the South Bohemian University, Faculty of Health & Social Studies, for healthcare staff involved in caring for paraplegic and quadriplegic patients.
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