|
|
The impact of nephrostomy to the standards of the life of the patient
TÁBORSKÁ, Adéla
This bachelor thesis deals with an issue of the impact of nephrostomy on patient´s standard of life. The bachelor thesis is divided into theoretical and empiric parts. The theoretical part deals with an inserted nephrostomy catheter as well as with a nursing care about patients with an inserted nephrostomy catheter. The theoretical past focuses on how an inserted nephrostomy influences everyday life and which part of it. The empiric part of the bachelor thesis is performed through a qualitative survey which has two aims and four research questions set. The first aim of the survey construction was focused on a possible impact of nephrostomy on patient´s life comfort. This aim is connected with the first research question which investigated how an inserted nephrostomy influences patient´s common daily activities. The second research question surveyed possible changes in patient´s life after inserting nephrostomy. The second set aim dealt with possible problems of nursing care about nephrostomy patients. For reaching the second aim, the third and fourth research questions were set. The third research question deals with patient´s possible problems during nephrostomy nursing. The fourth research question focused on possible complications during nephrostomy nursing. The data for processing the research construction was collected through halfstructured interviews with six patients with a long-term inserted nephrostomy. Obtained data was processed, categorised and assessed. Results of the research construction revealed, among other things, insufficient education of medical personnel in the field of patient´s awareness of inserted nephrostomy. Based on this fact, a recommendation for general and practical nurses was created, which contains the most important information in points, which should a patient obtain from nurses.
|
|
|
Nursing care of patients with nephrostomy
ZIKOVÁ, Jana
The subject of the Bachelor thesis is Nursing care of patient with nephrostomy. Despite the fact that creation of nephrostomy is not as common as for example colostomy, patients with nephrostomies are on the increase. Nursing care is based not only on complex nursing of patient but also on careful raising his awareness and education contributing to complete self-sufficiency in the area of the care of nephrostomy. Nurse has to approach patients with nephrostomy individually with consideration to their current needs. The Bachelor thesis is divided into a theoretical and an empirical part. In the theoretical part there is a description of nephrostomy intervention itself, its indication, complications, advantages and disadvantages. In the next chapter notion of nursing and of nursing process is defined. It is followed by a description of nursing care in the preoperative period. In the postoperative period there is described the work of nurse which is monitoring physiological functions of the patient. Next, the thesis focuses on patient´s life after the creation of nephrostomy and on its skills in the area of care of nephrostomy. In the empirical part it is detected if nurses of chosen departments of the České Budějovice Hospital (Department of Internal Medicine, Department of Surgery and Aftercare Department) have not only theoretical knowledge in the area of the care of nephrostomy, but also the fact if they know particularities of the care and if they are able to care of patient with nephrostomy. Research inquiry was realised also at patients with an inserted nephrostomy. Three aims of the bachelor thesis were set. First aim detect if nurses are able to care of patient with nephrostomy. Second aim detect if patient is limited in relation to inserted nephrostomy and third aim detect if patient is able to care of nephrostomy. In the thesis three hypotheses were set. The first hypothesis nurses are not able to care of patient with nephrostomy. The second hypothesis patients in the home milieu are able to care of nephrostomy and the third hypothesis nephrostomy limits patients in everyday life. To verify hypotheses questionnaire method of data collection was used. Research inquiry was realised in the period from December 2013 to March 2014 at the Department of Internal Medicine, at the Department of Surgery, at the Aftercare Department and at Urology Ambulatory Surgery. First questionnaire was designated for nurses. Definitely 105 questionnaires were processed, 31 from the Aftercare Department, 36 from the Department of Surgery and 38 from the Department of Internal Medicine. Second non-standardized anonymous questionnaire was designated for patients with nephrostomy who are regularly dispensarized at the Urology Ambulatory Surgery or hospitalized at other departments of the České Budějovice Hospital. Because of relatively low occurrence of patients with nephrostomy 70 questionnaires were distributed altogether. From it 10 questionnaires did not return and it was not possible to use 5 questionnaires because of data incompleteness. Results of questionnaires were then processed by means of computer programme Microsoft Excel 2010 and transferred into charts. From the research inquiry it results that nurses are able to care of patients with nephrostomy, that is why the first hypothesis was not confirmed. The inquiry confirmed the second hypothesis that patients in the home milieu are able to care of nephrostomy. The third hypothesis was also confirmed, patients feel limited in everyday life. The thesis should serve to familiarization with nursing care for nephrostomy and to a possible elimination of mistakes which could arise at general sisters in relation to care to these patients. Results of the thesis will be used in practice in the form of an information booklet. This booklet could be used not only by sisters but also by patients to acquire knowledge and skills related to this issue.
|
guest ::
