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Nursing care of women after operative deliveries
KREJCAROVÁ, Jana
Nursing Care in Women after an Operative Delivery The bachelor thesis focuses on nursing care in women after an operative delivery terminating pregnancy. The theoretical part describes the individual surgical procedures (forceps delivery, vacuum extraction, cesarean section), nursing care and educational activity accompanying them. Further, it also includes a brief history of these methods. In the practical part, four basic goals and hypotheses were stated. The goal of the work was to identify differences in taking care of women after operative deliveries, to find out whether the care is conducted in the form of a nursing process, whether the care follows nursing and obstetrical standards in the selected delivery wards. With the view of these goals the following hypotheses were formulated: nursing care in women after operative deliveries differs in selected delivery wards and that midwives use a nursing process meeting the nursing and obstetrical standards in care of women. The research was conducted by a quantitative method. Data were collected through the use of anonymous questionnaires. These questionnaires were given to midwives in selected delivery wards (České Budějovice, Plzeň and Písek). The respondents were nurses working in delivery rooms, puerperium wards and gynecologic intensive care unit. The goals of the work were fulfilled. The hypothesis regarding the differences in care between individual delivery wards was confirmed. The second hypothesis that the care in women after operative deliveries is conducted in the form of a nursing process was proved in 72% cases. The third hypothesis confirms using of nursing standards in this care in 92% and the fourth hypothesis reveals that obstetrical standards are met in 75%. The results for the analyzed set of cases as a whole show certain definite tendencies, however the care differs among individual places and even among various wards within one institution. Therefore it would be useful to asses the organization of work, technical conditions and possible modifications that could improve the nursing care.
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Comparison of post-operation course in women after abdominal or vaginal hysterectomy and after laparoscopically assisted vaginal hysterectomy.
HUDÁ, Zuzana
The bachelor thesis is divided to two parts (theoretical and practical). In the theoretical section I engage with three kindes of hysterectomy, with its indications, complications and with the following treatment of the patient after the intervention. I further desribe the psyche of the patient and her life after the operation. Hypthesises and goals have been set in the practical section of this work. I tried to disprove or aprove these hypothesises on the basis of research. It follows from the outcome of the research that the postoperative condition after hysterectomy differes individualy from patient to patient.
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Problems in nursing care for klient with general and epidural, spinal anesthesia
PŘEDOTOVÁ, Jana
Abstract:Problems of nursing care for a client with general and epidural spinal anaesthesia.The topic of the Bachelor Thesis is ?Problems of nursing care for a client with general and epidural spinal anaesthesia?. The Thesis has three goals. The first goal is to map the knowledge of the general anaesthesia issues among nurses. The next goal is to map the knowledge of epidural spinal anaesthesia among nurses and the last goal is to check adherence to the nursing care principles in general and epidural spinal anaesthesia.The work consists of a theoretical part and a practical part. The theoretical part deals with definition of general and epidural spinal anaesthesia, their indications and counter indications, the spinal canal anatomy, applied pharmaceuticals and nursing care before, during and after general and epidural and spinal anaesthesia.The research part is based on quantitative data collection method by means of a questionnaire. Standard surgical, gynaecology and orthopaedic wards and an intensive care unit including casualty ward were involved. The questionnaire was designed for nurses and consisted of 35 questions, which may be divided into identification and knowledge ones.The goals of the Thesis have been met. Hypothesis No. 1 ?Nurses are better informed in the field of general anaesthesia then spinal, epidural anaesthesia? was refuted. Hypotheses No. 2 ?ICU and casualty ward nurses adhere to the principles of nursing care for clients with general and epidural spinal anaesthesia better than those at standard wards? and No. 3 ?Nurses adhere to the principles of nursing care for clients with general and epidural spinal anaesthesia? were refuted. Hypotheses No. 4 ?Nurses of standard wards care about more patients after general anaesthesia?, No. 5 ?ICU and casualty ward nurses valuate epidural spinal anaesthesia higher than general anaesthesia? and No. 6 ?Nurses observe that patients prefer general anaesthesia to epidural spinal anaesthesia if they can choose? were confirmed.The research results show that nurses do not have sufficient information in the field of general and epidural spinal anaesthesia. This is why this Thesis may be used for further education of nurses to improve their knowledge and to make them adhere to the nursing care principles in the field of general and epidural spinal anaesthesia. This is why educational material dealing with the general and epidural spinal anaesthesia will be prepared, designed for nurses to improve their information. Better information for nurses might lead to improvement of the health care provided.
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Women?s Awareness When Preparing for a Gynaecological Surgery
BICANOVÁ, Martina
When making decisions on future issues it is very important to be informed in all aspects. This applies to the health issues in particular. Being informed before every surgery on pre-operative procedure, the surgery in question and subsequent post-operative care is crucial for the patients? trust in us, medical staff. It is a communication between a health worker and a patient that is concluded with signing the informed consent. The theoretical part is focused on activities related to pre-operative care, activities related to post-operative care and communication between a health worker and a patient. The practical part is focused on the level of women?s awareness of pre- and post-operative care and activities related to them. A quantitative research method was selected in order to handle the issue and to ascertain the goals mentioned. The research was conducted using questionnaires that were anonymous. They had been designed for women undergoing a surgery at a gynaecological and obstetric department. Two goals and hypotheses related were stated. The goals of the thesis were to find out whether women are informed on pre- and post-operative care in case of a gynaecological surgery and to find out which sources women use to get the information on pre- and post-operative care. Both goals were met. Hypothesis 1 ?Most of information on pre-operative care was provided by a midwife? was not confirmed. The hypothesis 2 that most of information on post-operative care had been provided by a midwife was not confirmed, too. Hypothesis 3 ?Women search for the information on the Internet? was confirmed. This bachelor thesis can be used as a source of information and educational material for women who will undergo a planned surgery. An educational leaflet for women undergoing a gynaecological surgery is the result of the research.
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The nursing care with clients after aesthetic plastic surgeries
MÍLOVÁ, Veronika
Aesthetic plastic surgeries are highly specific operations which help patients both physically and mentally. This bachelor{\crq}s thesis focuses on breast reshaping, reduction and augmentation, liposuction, face-lift and abdominoplasty, predominantly on nursing care for clients after these operations. Nurses working in the department of plastic surgery must be perfectly skilled in preoperative and postoperative nursing care, but they should also be familiar with surgical techniques related to nursing care. Nurses must know about compression garments, the monitoring of physiological functions, postoperative massage techniques, and so on. Nurses working in this area of surgery should remember that the client is a biopsychosocial-spiritual being with psyche, perceptions, and feelings. They should provide clients with support and help, while maintaining a professional approach. The investigative part of this thesis examines nursing care for patients after aesthetic plastic surgery from a nurse{\crq}s viewpoint. We decided to study this issue in particular because every aesthetic plastic operation has certain specifics. We wanted to find out whether nurses are aware of these differences and well versed in them. This knowledge should include in particular choosing the correct size of compression garments and how to apply them, parameters and values of physiological and vital functions, communication with foreigners, analgesia, redressing, recovery from anaesthesia and surgery. Moreover, rehabilitation nursing, and help with the patient{\crq}s self-care are also part of a nurse{\crq}s work in the department of plastic surgery. The primary objective of this thesis was to find out whether nurses are skilled at providing nursing care after aesthetic plastic surgery. The other objective was to reveal if they know the specifics of nursing care after respective types of operations. Both these objectives were met in this Bachelor{\crq}s thesis. A total of five hypotheses were formulated as follows: nurses are proficient in providing nursing care after aesthetic plastic surgery, they know specifics of nursing care following breast surgery, liposuction, abdominal surgery, and face-lift. All these hypotheses were confirmed. The work is divided into two parts, theoretical and practical. The theoretical part is focused on aesthetic plastic surgery, specifically breast surgery, abdominal surgery, face-lift and liposuction, and nursing care before and after these procedures. The practical part is based on data acquisition using anonymous questionnaires, and candid objective observations. The research population were nurses providing nursing care after aesthetic plastic surgery. The questionnaires were filled out by nurses from Prague, České Budějovice, Plzeň, and Třinec. Observations were conducted at the Department of Plastic Surgery in České Budějovice. This work can be used in practice for example during seminars or to formulate standards of nursing care.
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Knowledgeability of clients about postoperative care at orthopaedic department
LIŠKOVÁ, Jana
Clients suffering from musculoskeletal system problems are hospitalised at the orthopaedic department. Most clients must undergo a surgery here. Surgery is a stressful situation for many clients. They are in foreign environment and do not know what to expect, they are afraid. A nurse at an orthopaedic department has a very important function. She accompanies the client before, during and after the surgery. She aims to provide her clients with enough information to calm them and to make their stay in a medical facility pleasant. Quantitative research performed by means od anonymous questionnaires was used to collect data. We addressed nurses from traumatological wards in the following hospitals: Nemocnice Písek, a.s. and Ústřední vojenská nemocnice Prague. We also contacted clients hospitalized in orthopedic and traumatological ward in the two identified hospitals. We collected identification data and information about the general awareness of postoperative care and postoperative complications. Three objectives were determined in the bachelor essay. Determination of the level of clients´ awareness, the means used by nurses to provide information about postoperative care and about postoperative complications. And whether nurses provide information through the nursing process. Results of the research were fulfilled. Three hypothese were determined. The first and the second hypothese were to confirm that clients are sufficiently informed about the postoperative care and postoperative copmlications and that nurses provide clients with the nursing care through the nursing process. These hypotheses were confirmed. Nurses inform clients about the postoperative care and they provide nursing care through the nursing process. The third hypothesis was supposed to confirm that nurses utilize all means to inform clients about the postoperative care. This hypothesis was not confirmed; nurses inform clients only orally. The research showed that clients address thein inquiries to both nurses and doctors. Clients´ awareness of postoperative care was sufficient and there is no need to increase it, however, the awareness of postoperative complications is weaker and clients would like to obtain more information from doctors. In spite of that, most of them say that postoperative complications cannot be prevented by better awareness anyway. Postoperative care is a part of the recovery period after a surgery {--} knee ligament athroplasty. Sufficient awareness of clients and timely rehabilitation is an integral part of that. Therefore, it is necessary to provide clients with sufficient amount of information. The results of the bachelor assay will be submitted to nurses in orthopedic wards in the two identified hospitals, i.e. Nemocnice Písek, a.s. and Ústřední Vojenská Nemocnice Prague, where the research was performed; the results could also be used as a source of information in workshops not only for nurses working in orthopedic wards, but for everyne who is interested in this topic. The results could also enhance the postoperative care within the nursing prosess.
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Providing the patient´s privacy after total hip replacement operation
RŮŽIČKOVÁ, Michaela
Abstract In our company the emphasis in the field of nursing care has increasingly been focused on preservation of a patient`s dignity and intimacy. In daily activities in a pacient the privacy and intimacy the patient may be affected which causes different reactions of such a patient. One might say that even after the routine procedure such as total hip replacement it is very important that the patient has enough privacy. The aims of this study were to assess how the intimacy in the postoperative care is ensured in patients undergoing total hip replacement at the intensive care units and to find out the level of knowledge of the nurses as for adherence to intimacy after total hip replacement. The research group consisted of patients who were hospitalized at the intensive care and standard units in the Hospital České Budějovice, a.s. (PLC), Faculty Hospital Olomouc and Military Hospital Olomouc. The second research group consisted of the nurses who worked at the intensive care and standard units in the Hospital České Budějovice, a.s. (PLC), the Hospital Šumperk, a.s., Faculty Hospital Olomouc and Military Hospital Olomouc. The research investigation was performed by the method using two ananymous questionnaires. The first defined hypothesis was confirmed. The patients at the intensive care units are more satisfield as for their intimacy compared to the patients at the standard units. The second hypothesis was also confirmed. The nurses have not enough time to ensure intimacy of the patient after total hip replacement. The third hypothesis was confirmed. The nurses have enough information of how to take care of the intimacy in the postoperative period. The fourth hypothesis was not confirmed. The nurses at the intensive care unit do not care about the intimacy with a higher interest compared to the nurses at the standard unit. The findings of this investigation show that the patients after total hip replacement at the intensive care unit are more satisfield with the provision of intimacy in the postoperative care compared to patients at the standard unit. Although the nurses do not have enough equipment to ensure the intimacy of a patient in the postoperative care, they know how to take care of intimacy in the postoperative care.
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The differencis of nurse treatment by Patients with TEP(total hip replecament) and with CCEP(cerviko capital replecament).
BUKÁČKOVÁ, Kristýna
This bachelor thesis focuses on the differences in nursing care of patients after TEP (total endoprosthesis) and after CCEP (cervical-capital endoprosthesis). The reason that led me to deal with this subject was the fact that I consider the knowledge of this matter as well as observing its principles by nurses for necessary. The objective of the thesis was to find out whether nurses know the difference in the nursing care of patients after TEP and CCEP, and whether they observe the differences in the nursing care. These objectives were fulfilled in the bachelor thesis. Two hypotheses were laid down. Hypothesis 1: Nurses know the difference in nursing care of patients after TEP and CCEP. Hypothesis 2: Nurses observe the difference in nursing care of patients after TEP and CCEP. The hypotheses were confirmed. The theoretical part of the thesis is focused on the anatomy and physiology of the hip bone and the historical development of endoprostheses. Further, the subject of the TEP and CCEP is dealt with here. It contains descriptions of the differences in the nursery care that nurses should put a lot of emphasis on and observe them. In the research part, the quantitative investigation by means of the questioning method, in the form of a questionnaire, and the qualitative research by means of the method of participating hidden observation, were chosen to verify the hypotheses. In practice, this thesis may be used in seminars, in which even the results of investigations may be dealt with, thus increasing the quality of the nursing care of patients after TEP (total endoprosthesis) and CCEP (cervical-capital endoprosthesis).
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Information problems of the client after operaion of the knee joint prosthesis prior to doischarge from the hospital
KAŠPÁRKOVÁ, Lucie
Presently a number of people who need to replace disabled knee-joint for artificial one is rising. The issue of a client{\crq}s awareness about necessity to keep the supportive measures would deserve much more attention. The theoretical framework deals with the post-operation care for a patient following a complete knee-joint replacement operation and the issue of the patient{\crq}s awareness, which is considered an important one in nursing nowadays. From results of research ensued that nurse's role is very important for patients' awareness about postoperative care after complet knee-joint replacement. A nurse should be an active part and should give the relevant informations to patients about postoperative care so that the stage of therapy will be without complications.
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