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Support of the patients indicated for coronary artery bypass graft surgery
KALVASOVÁ, Eliška
The bachelor thesis deals with the support of patients indicated for coronary artery bypass graft (CABG) surgery and their satisfaction with it. Psychological support of patients played an important role in preventing complications and therefore it was important to focus on the patient as a holistic human being. The objective of this bachelor thesis was to find out the method of patient education; to map the knowledge of healthy lifestyle, non-adherence to which led to indication of coronary artery bypass graft surgery; and to find out the level of mental support of patients indicated for coronary artery bypass graft surgery. To achieve these objectives, a qualitative investigation method was used, where data was further collected through semi-structured interviews with patients after coronary artery bypass graft surgery. A total of 10 patients were interviewed just after this procedure. The result of the research investigation which indicated that patients had not enough information regarding a healthy lifestyle, non-adherence to which led to the indication of coronary artery bypass graft surgery. Another shortcoming resulting from our research was the fact that patients had not have enough psychological support before the procedure, despite the fact that it was so important for physical health. However, the patient education by medical staff was satisfactory in our research. The research showed that the staff provided sufficient and good quality education in verbal as well as demonstrative form. The information booklet for patients undergoing cardiac surgery, which they all received before the procedure, was very positively evaluated by the patients as part of the education. According to the results, it was recommended that it would be appropriate to appeal to the necessity and need to offer psychological support to patients during their hospitalization as part of staff training.
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NURSING CARE OF CANCER PATIENTS WITH HAEMATOPOIESIS DISORDER IN CONNECTION WITH ANTITUMOR CHEMOTHERAPY
BENEŠOVÁ, Petra
Abstract The aim of this thesis was to find the specifics of nursing care of cancer patients with haematopoiesis disorder in connection with antitumor chemotherapy and to map out the compliance with the specific measures for haematopoiesis disorder as a result of chemotherapy. We also focused on complications which emerged with administering chemotherapy, patient education about regime measures and on patient evaluation of the nurses' nursing care and their cooperation. Methodology and research file: to meet the target, a qualitative research was used in the form of semi-structured interview with the nurses and patients. The results of the interviews were analysed with the help of open coding with the pencil-paper method and subsequently divided into categories with subcategories. For nurses 3 categories with 4 subcategories were created and for patients 5 categories with 2 subcategories. The first research file consisted of twelve nurses working in oncology departments of five hospitals in the Czech Republic. The second research unit consisted of seven patients chosen with deliberate selection method. The results: It was found that the nurse in the care of cancer patients with haematopoiesis disorder works as a provider of barrier nursing care. The nurse takes the role of an educator during the application of chemotherapy and during the discharge of the patient into home healthcare, when she informs the patient about the need to comply with the specific measures which are diet regime, limited contact only to immediate family, the unsuitability of visiting restaurants, specific habits and using respiratory protection. All of the patients agreed that they try to follow the recommended regime measures. Simultaneously, they evaluated the measures as limiting both in work and personal life. The results for practice: The result of this research can be a theme for creating a information brochure for cancer patients or a topic for an educational seminar for nurses discussing this issue.
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Psychological support and communication with family on newborn resuscitation, ICU
Morávková, Tereza ; Mellanová, Alena (advisor) ; Novák, Ivan (referee)
UNIVERZITA KARLOVA V PRAZE 1. LÉKAŘSKÁ FAKULTA Studijní program: Specializace ve zdravotnictví N5345 Studijní obor: Intenzivní péče MIP 5345T024 Bc. Tereza Morávková Psychická podpora a komunikace s rodinou novorozence na ARO/JIP Psychological support and communication with family on newborn resuscitation, ICU DIPLOMOVÁ PRÁCE Vedoucí diplomové práce: PhDr. Alena Mellanová, CSc. Praha ABSTRACT This diploma thesis is theoretical and empirical, and focuses on emotional support and communication with parents of a newborn in a resuscitation department or ICU. It analyzes the approach that the medical staff has towards these parents, specifically psychological support in the form of sufficient and adequate communication. The theoretical section begins with the classification of newborns. Next the reasons for intensive and neonatal care for very premature babies are discussed. The following chapter contains an analysis of the psychological changes that the parents of a newborn in a resuscitation department or ICU may experience. This chapter describes the general characteristics of fear and anxiety. The next section describes the reasons, possible manifestations and consequences of this fear and anxiety experienced by the families. The next chapter sets out the principles of communication with a family in a...
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Importance of Psychological Support for to-be Mothers During Pregnancy and Childbirth
Juristová, Mária ; Presslerová, Pavla (advisor) ; Levínská, Markéta (referee)
The thesis examines the importance of psychological support from a supplementary person provided to mothers during their pregnancy and mainly during the process of childbirth. Such person may be a partner, relative, midwife, doula, doctor, etc. The aim of this thesis is to find out why the mother chooses to give birth in the presence of the specific person, how important is the psychological (and sometimes also physical) support from an accompanying person for such woman during delivery, or what specific action the mother considers psychologically supportive during the pregnancy and childbirth. Theoretical part describes a psyche of the mum-to-be and her need for psychological support during the pregnancy and the delivery and names the types of support in relation to a person, who is supporting. Practical part will be based on qualitative research carried out as half-structured interviews with mothers, who delivered a baby with accompaniment. The interpretative content analysis will be used to evaluate the interviews. Key words: woman, mother, motherhood, pregnancy, delivery, childbirth, psychological support, partner, doula, midwife
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Psychosocial factors influencing the experience of parents of premature babies
Stránská, Monika ; Pavlíková, Pavla (advisor) ; Houšťková, Hana (referee)
The thesis is focused on psychological experience of premature newborns parents. The theoretical part deals with psychosociological factors: stress, social environment of a newborn resuscitacion department, needs of parents and their emotion, nurse-parent relationship, parent-child relationship developement, communication and psychological parent support. To provide a complex view of the problemacy, one single chapter deals with premature birth, premature newborn and ilnesses that put the newborn due to the premature birth into major risk. The empirical part aim were findings concerning: what factors influence the parent experience of newborns most, how an healthcare team and a premature newborns department affect parents. The research was also aimed at finding if men and women experience this demanding life situation the same way or not and how can the healthcare team help to improve the psychological condition of paretns. To implement the researcch a non-standardized questionnaire method was applied. The research sample contained 43 respondents. The findings show clear differencies between men and women concerning settling with a premature birth of a child and in needs of psychological support. There were found reserves on the side of medical workers.
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Psychological support and communication with family on newborn resuscitation, ICU
Morávková, Tereza ; Mellanová, Alena (advisor) ; Novák, Ivan (referee)
UNIVERZITA KARLOVA V PRAZE 1. LÉKAŘSKÁ FAKULTA Studijní program: Specializace ve zdravotnictví N5345 Studijní obor: Intenzivní péče MIP 5345T024 Bc. Tereza Morávková Psychická podpora a komunikace s rodinou novorozence na ARO/JIP Psychological support and communication with family on newborn resuscitation, ICU DIPLOMOVÁ PRÁCE Vedoucí diplomové práce: PhDr. Alena Mellanová, CSc. Praha ABSTRACT This diploma thesis is theoretical and empirical, and focuses on emotional support and communication with parents of a newborn in a resuscitation department or ICU. It analyzes the approach that the medical staff has towards these parents, specifically psychological support in the form of sufficient and adequate communication. The theoretical section begins with the classification of newborns. Next the reasons for intensive and neonatal care for very premature babies are discussed. The following chapter contains an analysis of the psychological changes that the parents of a newborn in a resuscitation department or ICU may experience. This chapter describes the general characteristics of fear and anxiety. The next section describes the reasons, possible manifestations and consequences of this fear and anxiety experienced by the families. The next chapter sets out the principles of communication with a family in a...
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