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Nursing management of hemato-oncological patients with damage to the oral cavity.
HRŮZA, Pavel
This bachelor thesis deals with one of the frequent complications of cytostatic or radiotherapeutic treatment. It is an oral mucositis that makes life difficult for a patient and becomes discomfort in all aspects. The thesis is divided into theoretical part where the basic hemato-oncological diseases are described including their treatment and complications. The analytical part is aimed on nursing care and all other aspects of caring of patients with this complication. The aim of the bachelor thesis is not only to find out the specifics of nursing care of patients whose oral cavity is affected in connection with hemato-oncological treatment but also to find out possible prevention of mucositis and option of pharmacological treatment of mucositis of hemato-oncological patients. Qualitative research using semi-structured interviews was selected for the analytical part. Eight nurses working at the Hematology and Oncology Unit of the Faculty Hospital in the West Bohemian Region were intentionaly selected for the research. The given interviews were processed by the open coding technique using pencil and paper. 7 categories were created while evaluating the interviews and were further elaborated according to their specialization. Some categories are divided into subcategories. The research shows that nursing care of hemato-oncological patients varies. It depends on selected cytostatic treatment. However, thorough and regular hygiene of the oral cavity is important not only in prevention, but also in treatment and overall care. Resources of its implementation, treatment and prevention were also identified. One of the most frequent preventive measures is cryotherapy and appropriate meal. One of the main tasks of nurse in taking care of patients with mucositis is education.

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