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The role of nurse in pain management after major orthopedic surgery
LUDVÍKOVÁ, Marie
This thesis is concerned with the role of the nurse in pain management after major orthopaedic surgeries. The thesis covers the topic of pain and its division and describes the role of the nurse in pain history and pain assessment as well as their role in postoperative pain management. Last but not least, the thesis focuses on the topic of alloplasty of large joints and anaesthesiology, namely the types of anaesthesia. The three main objectives set prior to the research were to map the role of the nurse in the management of postoperative analgesia after major orthopaedic surgeries, to assess the effect of different types of anaesthesia during surgery on postoperative pain intensity and the subsequent analgesic consumption, and to map the usefulness of epidural catheters in pain management in patients after major orthopaedic surgeries. Based on the stated objectives, the research question was established: What is the role of the nurse in the management of postoperative analgesia after major orthopaedic surgeries? This research was conducted using semi-structured interviews with nurses working in orthopaedic ICUs. The quantitative part of the research was conducted using two questionnaires to test hypotheses regarding whether there is a difference in postoperative pain intensity and subsequent analgesic consumption related to the type of anaesthesia used and whether pain is better managed in patients after major orthopaedic surgeries who have an epidural catheter in place. The first questionnaire was completed by nurses working in the orthopaedic ICU, but it was aimed at collecting the patient data so the patients' nursing records were needed for completion. The second questionnaire collected data from nurses working in orthopaedic ICUs and standard beds.
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