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The issue of Nursing Care for the Patients with fractured Humerus.
JORDÁNOVÁ, Hana
Primary theoretical basis: The fractures of humerus are mostly results of hit or fall (15). The cure of humerus fractures is developing not only because of material options, but also thanks to medical technology development. (20). Purpose of the work: Main purpose of this bachelor work was to find out through qualitative research, if nurses have theoretical knowledge in the nursing care of the patients with fractured humerus. To this goal was defined research question: Do nurses have knowledge about nursing care for patients with fracture of humerus? Related investigation was about patients, with humerus fracture, preference needs during the time of hospitalization, according to his self-care deficit. To this goals were defined research questions: How big is the deficit rate in self-care with humerus fracture? Which patient's needs are on the first place during humerus fracture? Quantitative research with patients revealed Research questions were defined subsequently: How high is appearance of humerus fracture according to age? How high is appearance of humerus fracture according to hobby? How high is appearance of humerus fracture according to unsports or other leisure activities? Methodics: Empirical part of bachelor work was written on mixed research basis. Quantitative research was realized using data collection from Traumacentrum České Budějovice, a.s. patient's documentation. Research included 152 patient respondents. Qualitative research was realized using half structured interviews, on which participated nurses from Traumacentrum Nemocnice České Budějovice, a.s. and patients with humerus fracture here hospitalized. The research group consisted of six patients and six nurses. Data collection took place since May 2013 to June 2014. Results: From nurse research results came out following categories: Preoperative patient care, Post-operative patient care, Rebandage specifics, Rehabilitation factors, Complications and symptoms. In preoperative patient care five of six nurses focus on pain, sensitiveness, and perfusion. In post-operative on the other hand all nurses observe coverage and pain. In complication category were mostly recorded infections, nervus radialis harm and compartment syndrome. By nervus radialis harm all nurses recorded posibility of limb functional changes. As rehabilitation factors in this category five nurses mentioned as effect of infection, pain and size of the wound. By patients came out following categories: Self-care activities: Dressing, Day routine, Motions on the bed, Hygiene, Toilet, Eating, Preferred needs. In category dressing four patients can't put on T-shirt. Regarding category of eating, here all patients recorded complications with holding the food tray. Preferred needs category reveals that all six patients values family relationships. In quantitative part of work thanks to data collection formed these graphs: Percentage: Participation of patients, Average age, Age categories, Participation of age categories, Influence of activity on injury formation. As percentage participation was found out that 68% of patients are women in average age of 58 years. These data by men are 32% and 54 years. The injury is mostly appeared considering age in women category in the age of 66-70, in 9,21%. In men category in the age of 61-65, in 4,61%. Hobby injury appeared more in men category 8,55%, in women category are more frequent leisure activity injuries, 64,47% . Conclusion: From research result we can say the nurses have great knowledge. However in all categories are knowledge gaps leaving space for knowledge supplement. Patients mostly fumble with self-care activities deficit in all spheres, this category and family relationships are most preferred categories. In qualitative research is obvious that women are twice more hospitalized with humerus fracture.
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