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Nursing procedures as the essentials of respiratory tract in clinical praxis.
SVÁROVSKÁ, Tereza
The main goal of this bachelor thesis was a comprehensive mapping of airway care in clinical practice. Before entering practice, we must become nursing students and gain the appropriate knowledge and skills in care, so this research is focused not only on the hospital environment, but also on campus in teaching nursing procedures to teachers and students. The goals of the thesis were to map the Standards in nursing care of the respiratory tract, which can serve as a theoretical and practical basis for students and nursing staff. Another goal was to examine the theoretical teaching of students and, if necessary, to discover gaps in the teaching of respiratory care and to suggest improvements in teaching. The last stated goal of the research was to search for innovations that are used in respiratory care. The methods of semi-structured interview and non-participant observation were used in the quvalitative survey. The first research method involved a semi-structured interview has been addressing 3 groups of participants and adding subcategories to them. The first group of participants was consisted of nursing staff and the subcategory was focused on the characteristics of the research group of participants, who were selected from the internal medicine, infectious and surgical departments. The condition was to work with the AIRVO 2 device and the tracheostomy cannula. The research questions focused on the specifics of respiratory care. The introductory research question was set in such a way as to map the specific care of the nasal cavity in modern high-flow oxygen therapy using the AIRVO 2 device. This is confirmed by the results of nurses who do not know these specifics and are therefore not sufficiently trained about possible complications and their solutions. Another issue examined was the study of the Standards in the care of the oral cavity with an established tracheostomy cannula. The research has shown that most nurses motivate the self-sufficient patient to take care of themselves and contribute to the aids that the patient uses. This research with students showed that oral care in a patient with an established tracheostomy cannula is not taught at all. Means that reduce bacterial colonization in the oral cavity are little used. The third question focused on the time allocation for teaching nursing procedures focused on respiratory care. The research has shown that most participants perceive the time allowance as sufficient. Teaching is realized in 4-hour blocks. My research also included mapping the tools that students have available to teach this issue. Students and teachers presented selected aids, all aids were sufficient, except for the model of the Trachcare system at tracheostomy cannula, which lacks an outlet for airway lavage and flushing of the Trachcare system. According to research, It is perceive the AIRVO 2 medical device as an innovation, which reduces care costs, time and, most importantly, is easy to handle. The last question which was mapped the students' knowledge. All the research could serve not only as a support for students, but also for nurses in practice.
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The Effect of Airway Clearance Techniques on Patients with Chronic Obstructive Pulmonary Disease
Milibari, Hussam ; Pavlů, Dagmar (advisor) ; Vomáčková, Helena (referee)
Title The effect of airway clearance techniques on patients with Chronic Obstructive Pulmonary Disease. Objective The main purpose of this study is to expose and evaluate the efficacy of airway clearance techniques on patients with Chronic Obstructive Pulmonary Disease by using pulmonary functions and Quality of Life measurements from recent studies. Methodology This thesis is literature review. The selected studies were according to inclusion and exclusion criteria. The selections of recent studies were published from the year of 2000 until 2017 in English language. The following research databases were selected to identify the relevant topic: PubMed, MEDLINE, Embase, Cochrane, PEDro, and CINAHL. The parameters' results from the articles have been also selected by evaluation the statistical differences according to the P-values. Results Twenty-three articles out of 117 have been found according to inclusion criteria, exclusion criteria, and outcome measures. The techniques were active cycle of breathing technique (ACBT), positive expiratory pressure (PEP), temporary of positive expiratory pressure (T-PEP), Oscillating positive expiratory pressure (O-PEP), high-frequency chest wall oscillation (HFCWO), slow expiration with glottis opened in lateral posture (ELTGOL), postural drainage, and autogenic...
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The Effect of Airway Clearance Techniques on Patients with Chronic Obstructive Pulmonary Disease
Milibari, Hussam ; Pavlů, Dagmar (advisor) ; Vomáčková, Helena (referee)
Title The effect of airway clearance techniques on patients with Chronic Obstructive Pulmonary Disease. Objective The main purpose of this study is to expose and evaluate the efficacy of airway clearance techniques on patients with Chronic Obstructive Pulmonary Disease by using pulmonary functions and Quality of Life measurements from recent studies. Methodology This thesis is literature review. The selected studies were according to inclusion and exclusion criteria. The selections of recent studies were published from the year of 2000 until 2017 in English language. The following research databases were selected to identify the relevant topic: PubMed, MEDLINE, Embase, Cochrane, PEDro, and CINAHL. The parameters' results from the articles have been also selected by evaluation the statistical differences according to the P-values. Results Twenty-three articles out of 117 have been found according to inclusion criteria, exclusion criteria, and outcome measures. The techniques were active cycle of breathing technique (ACBT), positive expiratory pressure (PEP), temporary of positive expiratory pressure (T-PEP), Oscillating positive expiratory pressure (O-PEP), high-frequency chest wall oscillation (HFCWO), slow expiration with glottis opened in lateral posture (ELTGOL), postural drainage, and autogenic...
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