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Satisfaction of women in childbed with nursing care on obstetric auditorium
MAŠKOVÁ, Jitka
The nursing care has in the care for health unreplaceable position. The attribute of the present nursing are individualized care and an independent working of the obstetricians centred on the prevention and on the support of the patients health. The satisfying and the dissatisfying of the patients needs reverberates in their consciousness as subjectively felt content or discontent with the care. The effort of the obstetricians has been the focus on the client. The new philosophy of the health services is to meet patients wishes and achieve therethrough their contentment. The patient{\crq}s satisfaction with the nursing care is an important information which predicate about the functioning of the individual departments in the health care institutions. {\clqq} The patient{\crq}s notifications is an valuable advice as well as an important motivating step to the improvement of the care quality.{\crqq} The nursing sees the patient with all the negative as well the positive sides and therethrough the patient{\crq}s contentment is understood as the priority objective wich cannot be marginalized. The satisfied patients have more confidence in the physicians in the nurses. They also much better cooperate during the labour. The objective of this thesis has been to state if the patients are satisfied with the nursing care on the labour ward. The supposal saying that ``The patients are satisfied with the nursing care on the labour{\crqq} ward has been stated. The supposal should be confirmed or disproved on the basis of the executed research. Hereat has been chosen the quantitative research in the questionnaire form. The question forms have been given to the mothers after the physiological labour on the confinement department in the hospital in České Budějovice, Tábor and Jindřichův Hradec. For research it has been used the set of 145 properly filed questionnaire forms. The research has proved that from the total number of questioned mothers 145 (100 %) the number of 142 mothers (97,9 %) were satisfied ewith the nursing care on the labour ward. The supposal has been confirmed by the research, the patients are satisfied with nursing care on the labour ward. The thesis shall be used within the tuition in the University of South Bohemia, published in the specialized publications and on the internet. An absolute majority of the patients has been satisfied with the nursing care on the labour ward. It is very pleasant conclusion of this thesis. In formed times to the patient has been often dictated what should or should not be done and therethrough the possible effect on the labour has been limited. Present is many respects different. It is more disposed for the changes in the nursing and puglic health in general. There is bigger space for the cooperation between the obstretricians group and the patient. It creates the safe enviroment in which both the patients and the nursing taff feel considerably better.
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Romany paras versus hospitalization in hospitals
BABKOVÁ, Lucie
In my bachelor thesis I was engaged in Romany questions namely the problems of Romany women. My work is devided into two parts. The first part is theoretical and the second part encludes the research work. In the first part I dealt with Romany comunity from its history until present. I tried to refer to some hot themes such as the Romany family, education, living Romany attitude to their health, etc. In the end of the theoretical part I´ve briefly mentioned the transcultural nursing which should help us (meaning the medical staff) with our approach to the Romany ethnic group. I´ve made the research by the help of 29 closed question questionnaires. The questionnaires were given to 100 Romany women in South Bohemia. 70 filled in questionnaires were given back to me and this was the sample I worked with in my research of my bachelor thesis. The answeres in the questionnaires ought to confirm or to displace the set hypothesis. The fist hypothesis {--} the Romany women take the negative line to a longer hospitalization. The second hypothesis- the Romany women are leaving hospital before they were relased on the ground of outlasting conventional model of Romany family. On the basis of the answeres gained from the questionnaires it is possible to say that neither the first or the second of the set hypothesis in this work wasn´t acknowledged. The Romany women don´t have any negative attitude to the hospitalization not even to the medical staff. In case that they have some reservations to the hospitalization those are only reservations concerning to lack of something (TV, choise of meals, prohibition of smoking and others). The second hypothesis was disconfirmed by the fact that 60% of Romany women after childbirth left the hospital after they were released by the doctor. In case that the women left hospital even it was for a short therm only the medical staff was informed by them. The most frequent reason leading to leaving hospital was the anxiety of children who were left at home. This was in a close connection to the age and to the number of already birthed children. The elderly expectant mothers having more children left hospital more often without the awareness of the medical satff or on declaration written undertaking then the younger expectant mothers that got over less births and having less children at home. For denying of this second hypothesis it is possible to assume the weakening of the influence of conventional model of Romany family.
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Need visiting service of midwife near mothers in post partum period
BRABENCOVÁ, Iveta
Midwifes in visiting service are specialists for all problems, that annoy women and children in their lying-in. Full care of midwifes at mother{\crq}s house comes immediately after the medical care and provides health services trying to ensure well-timed and professional help. According to our law of health insurance is the care of midwifes provided usually 1 visit before and 3 visits after the birth of a child.
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Mistakes and errors in giving of the nursing care
TOMANOVÁ, Dana
In this bachelor{\crq}s work are presented the problems including some mistakes and errors during providing nursing care. The target of investigation was to identificate the most common mistakes in nurses` establish errors in the frame of nursing care then to identificate whether the public have ever met these mistakes in medical care. For conversion necessary information was chosen quantity research by questionary. There were determinated two research complexes. The first one were nurses who study adult education at the Health Social College in České Budějovice and second one were respondent of the public from South Bohemia Region.
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Specifity nurse care about oncology patients in terminal stage
PFEFFEROVÁ, Eva
Terminal stage is gradual failure of life functions with death as it`s consequence. This stage lasts hours, days or weeks in some cases. Continuous must be taken to satisfy biological, psychical, social and spiritual needs of a dying patient. In nowadays, care in terminal state is being provided by after care departments, by oncological department and hospics.
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The cooperation of family members and healthcare staff in the care of seniors in rest homes
SLADKÁ, Iveta
Abstract Old age is an inevitable part of every living being`s life. It is the final time phase of life with a lot of changes a person has to deal with. The overall physical appearance is changing, the number of wrinkles is rising, the hair turns grey, the muscular strenght is decreasing and the memory fails. Also, there are psychological and social changes taking place. Old people become emotionally unstable and their personality is changing. The characteristics of their personality is intensifying. The intensity of relationships with close ones does not usually change. On the contrary, the family importance is yet again on the rise with passing years. An old person usually keeps the important role of a parent, grandparent, perhaps even great-grandparent. Just like an old person performs an irreplaceable family role, the family performs an irreplaceable role in taking care of this old person as well. It used to be common that children took care of their old parents, nowadays` society puts self-sufficiency, independency and economic profits first. It is much easier for many families to provide their aging members with professional care rather than rearrange their own to meet their needs. Old people feel that leaving their home, their place means leaving behind the past with everything that their lives have consisted of. To enter the world of social-service facilities is a very serious matter. The employees of these facilities, as well as the family, have to realize that this change is very challenging, and they have to be especially supportive to help the elders overcome this difficult part of their lives. The purpose of this work was to find out if family members try to participate in caregiving and if they cooperative with the healthcare professionals. Two assumptions have been reached: family members take an active part in caregiving for the elders in RH (retirement homes) (A1) and (A2) family members cooperative with healthcare professionals in caregiving for the elders in RH. A quantitative research has been used to compose this practical part of Bachelor task on the topic {\clqq} Cooperation of family members witha healtcare professionals in the care of elders in RH``. The method of survey polling was use to collect all data. Observational group from RH Máj and RH ÚSP Hvízdal in České Budějovice, RH Mistra Křišťana in Prachatice and RH Hluboká nad Vltavou. There were 80 question-form handed out to RH` s clients and 100 forms to the personnel. These forms were kept anonymous and consisted of 17 questions for seniors and 13 for personnel. The results suggest that 55 clients get regular visits from their family members, 67,7 % of those questioned replied that their family members take an active role in the care for them while 40,3 % of the nurses stated that the families take an active role in the care and 33 % of nurses further stated that the families get involved in the care occasionaly. 40,3 % of the nurses confirm that the families actively seek a way to cooperate with the healthcare personnel and 75,7 % clients` answers confirm that majority of the families cooperate with the healthcare personnel. Both the assumptions have been proved correct. The result of this research can serve not only to the families with their uneasy part as caregivers but also to the families who do not take an active part in care for the senior and boost their interest in the care for the senior. At the same time I would like to appeal to the healthcare personnel and encourage them to be active in seeking a cooperation with the families.
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Problems of nursing care about patient with apalic syndrom
DRÁBKOVÁ, Kateřina
This thesis deals with problems in nursing care of clients with apallic syndrome. There were 4 hypotheses. The first hypothesis presumes that nurses give patients care focused mostly on treating developed complications. After evaluation of the results focused on nursing care, we found out that some nurses know the correct processes while others do not. This means that patients are sometimes given the correct care and sometimes not. So hypothesis 1 was proved valid. The presumption for the other three hypotheses was that nurses do not have information about BS conception, do not know about possibilities of its usage, and do not use this conception in their care of clients with AS. However, the results concerning BS conception were very positive. Nurses know the conception and use it in their care about clients with AS. Hypotheses 2, 3, and 4 were not proved valid.
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Nursing care and nourishment of premature baby
LONGÍNOVÁ, Ilona
NURSING CARE AND NOURISHMENT OF PREMATURE BABY A newborn baby isn´t a little adult, a newborn baby is basically a defenceless creature demanding a very complex care that aims at creating secure conditions for its life. It requires love, tenderness and a lot of devotion for the whole period of 24 hours. The bachelor´ s dissertation paper is dealing with the subject `` Nursing care and nourishment of a premature baby{\crqq} In the theory section the difference between a physiological and high risk newborn baby, the principles of care on the intermediary ward, the nourishment problems and the favourable consequences of breast feeding and breast milk not only on these children are described. Some of the aspects of the care are pointed out aiming at satisfying the basic needs of a baby. Dissertation objective: The paper itself is engaged in finding out something about how well mothers of high risk newborn babies, who are hospitalized on intermediary wards in Jindřichův Hradec and České Budějovice, are informed on a suitable care and nourishment procedures in their children. It should find out how far they have gone with their knowledge of the way their children should be taken care of before they leave the hospital. It is supposed to highlight the drawbacks of the staff , to remove these drawbacks and thus to improve the quality of care. Hypotheses: Two positive hypotheses were formulated referring directly to the particulars goals. 1/ The mothers who are hospitalized on the intermediary wards for newborn babies in Jindřichův Hradec and České Budějovice are aware of the necessity of properly nourishing the child. 2/ The mothers who are hospitalized on the intermediary wards for newborn babies in Jindřichův Hradec and České Budějovice are sufficiently informed about the proper care leading to meeting the needs of their children. Data Collecting: The research mentioned above was carried out on the intermediary wards in Jindřichův Hradec and České Budějovice. A questionnaire was composed to collect the relevant data. There were 22 questionnaires handed out in each ward and the research group was set up including 37 mothers of the hospitalized children. The questions included in the questionnaire referred predominantly to how well the mothers are informed about the child´s care and nourishing problems and they were supplemented with some identification. The gained information was properly processed and evaluated. The results were put in graphs. To get a more distinct picture of the results a pie chart was selected. The research results are assessed in the discussion and confronted with the hypotheses. Conclusions: Both the nourishing care and the nourishment of a premature baby are a subject involving a lot of medical, psychological and social problems. A maternity ward nurse plays a very important and definite role in the care of a premature baby. Supported by her profesonal abilities she is able to initiate such a method of work that reacts immediately to the needs of a child in a positive way. The educational contact with the child´s parents is eqally important and plays a very precise role. The fact how well mothers are informed is influenced by their age, by how much they are interested in getting information and its resources and how much they are willing to be educated by the medical staff on the intermediary wards in Jindřichův Hradec and České Budějovice where they are hospitalized with their children. The research results are very good.
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Prospective study: Influence of BMI, comorbidity and aplication of antibiotics on healing of laparotomical cuts by women
CIMLOVÁ, Ivana
ABSTRACT At the end of the 20th century, the rapid development of new information also affected the gynaecological surgery. Ever new diagnostic and therapeutic procedures have been proposed, huge quantities of ever more effective medicaments are being developed, the physicians are being confronted with the solution of problems resulting from the adverse effects of the environment on the modern man. The care for women and mothers has completely changed in the last twenty years. In the classical gynaecology the diagnostic methods and the classification have changed (the inflammatory diseases, for example), new surgical methods were introduced into the routine practice. In this paper, we address the classical gynaecological surgical methods - the surgical therapy which only uses invasive surgical methods. We monitor the surgical wound healing after abdominal laparotomies. The objective of our work was to ascertain and compare the surgical wound healing after laparotomy surgeries in women with different BMI{\crq}s [Body Mass Index] and to find out during the hospitalisation whether women with an elevated BMI (25.0-29.9) are treated with antibiotics after laparotomy surgery. Three hypotheses were proposed. The first hypothesis reads as follows: ``In women with BMI within the norm (BMI = 18.4-24.9), the operation wound heals per primam{\crqq}. The results have not confirmed this hypothesis completely. Even though the wounds healed per primam in an unequivocal majority of women, there were also women with wound healing per secundam. The second hypothesis says: ``In women with elevated BMI (25.0-29.9) and high BMI (equal or above 30.0) the surgical wound heals per secundam. The results represented in the graphs show that the second hypothesis was also disproved, there was not exclusive secondary healing in the groups with elevated and high BMI; nevertheless, the result was positive. The hypothesis 3 says: ``The women with elevated (25.0-29.9) and high (30.0 and more) BMI are treated with antibiotics during the hospitalisation. This hypothesis was confirmed. The quantitative investigation was carried out using the method of data collection from the medical documentation in randomly selected patients in the period August 2006 - November 2006. The data were collected in the archive of the České Budějovice Hospital, a. s. In this investigation, the healing of surgical wounds in women with different MBI{\crq}s was ascertained and compared. This work has brought us to the conclusion that the postoperative course is generally less complicated in women with BMI within the norm that in women with elevated or high BMI index. Therefore, attention must be paid to the increasing obesity and the connected complications, no only for health reasons. The results of this investigation can expand the health personnel{\crq}s information in the sphere of wound care after laparotomy surgery, and they could also serve as a basis for further investigations into this problem. This work can also be used in the teaching at the South-Bohemian University, published in professional journals and on the Internet.
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