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Ostomy Devices Utilization in Practice
Štroblová, Martina ; Hošťálková, Monika (advisor) ; Otradovcová, Iva (referee)
The thesis is focused on the use of stoma care in practice. The work consists of two parts. The first part is theoretical. This section is devoted to the anatomy and physiology of the gastrointestinal tract, additional chapters are devoted to the main theme, which is colostomy. There is history and development of stoma care, indications for the colostomy performance and possible complications. Another large part of the total is the nursing part where I attend nursing care of the patient with colostomy, this includes stoma care, peristomal area care, mental health care, nutrition and hydration care. There is also included a chapter about education of the patient and family members. The empirical part focuses on the research, where the method of the data collection is an anonymous questionnaire. The survey was conducted in the surgical clinic with 48 patients with colostomy. The aim of the research was to objectively evaluate and to highlight the advantages and disadvantages of stoma care, find out in which areas of daily activities the largest problem with colostomy patients occurred in terms of the adaptation process, and to improve the lives of the patients with ostomy as well.I found out how much needed a qualified stoma nurse is. I see her importance in the care of stoma patients.
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Quality of life of patients with a stoma
Jánská, Pavla ; Nikodemová, Hana (advisor) ; Hlaváčová, Marie (referee)
Thesis "Quality of life of patients with a stoma 'is about what all includes the patient's life with a stoma. The theoretical part acquaint with issues related to each stoma. Describe the anatomy of the digestive and urinary tract, history and basic division stoma. Shortly in my work, I also described diseases that can be dealt with stoma. Describe preoperative and postoperative care, devoted to the care and stoma aids. I mention also stoma complications and deal with the patient's quality of life . In the empirical part of the work I present results obtained using a structured questionnaire, which I compiled for purpose of work. In conclusion mention of findings arising from my investigation and my assessment of the objectives.
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The issue of acceptance of self-care about stoma after intestinal surgery.
MOCKOVÁ, Jana
Basic theoretical background: Stoma as a part of the surgical treatment of digestive tract diseases usually radically affects the life of the patient and his relatives. The patient has to face not only the severe diagnosis but also the result of the surgery concerning one of the most intimate human spheres. A significant part in the return to a full life is the acceptance of the stoma by the patient and his ability of being active when taking care of stoma. The theoretical part in the introduction describes the Theory of self-care deficit. The second part of the theoretical work summarizes basic information regarding the issue of derivation of intestinal stoma and the issue of acceptance of the changed body image and self-care. Objectives and hypotheses: The aim of this work is to find out differences in the acceptance of stoma and care for stoma among patients after intestinal surgery. To achieve the objective of the work, there were set three hypothesis. H1: Patients with a permanent stoma experience major changes in the psychosocial area than patients with temporary stoma. H2: In the postoperative period, women approach practising the stoma care differently than men. H3: Patients under 55 have more information about living with stoma than older patients. Methodology: The research part of the work has been carried out through quantitative research. The form of data gathering was an anonymous questionnaire. The only criterion of the selection of the respondents was the state of health after the intestinal surgery with the subsequent stoma. During the search of the respondents were addressed organizations joining the patients with stoma, stoma and proctologic ambulances of selected hospitals, hospices and homes for elderly people. The obtained data were processed by descriptive statistics in graphs by the help of Microsoft Office Excel 2010. Further on, the statistical evaluation of hypotheses was carried out. Hypotheses were tested by chi-square test in a PivotTable, the average values were compared by T-test. The chosen significance level was 5 %. Conclusion: The work provides a comprehensive look at the issue of acceptance of stoma self-care after intestinal surgery. Creating of stoma, regardless of age or sex of the patient and also regardless of its eventual duration radically influences the patient's life. This is necessary to remember all the time from the long lasting preoperative preparation to aftercare when the stoma patient should be provided by comprehensive care by nurses. The nurse should also help the patient to return to a normal life.
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Use NIC, NOC classification of patients with a stoma.
JEDLIČKOVÁ, Eva
The thesis deals with the application of NIC, NOC classifications in patients with stoma. Every nurse uses a classification system of health care which describes activities or interventions done by nurses as a part of planning phase of nursing process in connection with creation of nursing care plan. These classifications also focus on developement of nursing care objectives and evaluating of the effect of nursing care results. Due to these classifications, the nursing care results are mesurable. In the theoretical part of the thesis, we focus on classification systems of nursing care, then on GIT diseases which lead to insertion of stoma, its care, care of patients with stoma and last but not least, on nursing documentation. Several objectives were set to meet the main target of the thesis. Firstly, to map nurses' opinion on nursing classifications; secondly, to find out which NOC indicators are usually judged by nurses in the care of patients with stoma; thirdly, to find out which activities are usually used by nurses in the care of patients with stoma; fourthly, to check up on application of NIC, NOC classification in the care of patients with stoma. The qualitative reserch was hold in two phases. In the first phase of the qualitative research, a nursing documentation was created on the basis of NIC and NOC classification related to care of the patients with stoma. In the second phase of the qualitative research, we interviewed ten nurses who had worked with the particular nursing documentation.
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Cooperation of a stoma nurse with multidisciplinary team
VOTRUBOVÁ, Veronika
A stoma is an opening of a hollow organ on the surface of the body. The care for a stoma aims at returning a patient to ordinary life and it is exactly in this process that a stoma nurse should help the patient. The stoma nurse guides the patient through the pre-operative preparation, the post-operative preparation and also through the outpatient preparation in which the patient visits the stoma nurse in a stoma clinic. Cooperation of the stoma nurse with other members of the multidisciplinary team is important because it makes it possible for the stoma nurse to meet all the needs of the patient. The theoretical part deals with the anatomy and physiology, definitions stoma stoma and also the history of its development in nursing. The next chapter deals with the indications, types of stoma and possible complications. The chapters on preoperative and postoperative care, nutritional advice and clubs for stoma patients. Other chapters are devoted to stoma nurses. The primary intention of the thesis is to meet one objective which is to find out how a stoma nurse cooperates within the framework of a multidisciplinary team in various departments of a healthcare facility. The following hypothesis was set for this objective: "The integration of a stoma nurse in a multidisciplinary team is different in every department." The research question was: "How is a stoma nurse integrated in a multidisciplinary team?" The research was carried out by means of a quantitatively qualitative investigation. A method of questioning using the technique of questionnaires was used for collecting data in the quantitative research of the bachelor's thesis. The questionnaires were addressed to nurses in the internal medicine and surgical wards. The collected data were evaluated by means of processed graphs. The qualitative research was carried out with stoma nurses in the surgical ward by means of interviews. The quantitative survey implies that the shift nurses in a surgical ward cooperate much better with the stoma nurse than nurses in an internal medicine ward. In the surgical ward the cooperation is better in terms of communication with shift nurses because they exchange information about patients with stomas, the occurrence of complications and the nursing procedure. On the other hand, in the internal medicine ward this communication in many cases does not work. In most cases the nurses at the internal medicine ward do not feel a need to communicate and discuss the care for a patient with the stoma nurse. The stated objective was achieved using the research question and the confirmation of the hypothesis. From a qualitative investigation implies that stoma nurses are integrated in the education of patients before and after operations. The pre-operative preparation includes also the drawing of a suitable place for a stoma on the body of a future stoma patient. In most cases they discuss a suitable procedure of caring for a stoma patient with shift nurses and inform each other about the occurrence of complications. If they are interested, the stoma nurse informs the nurses of new appliances and findings from seminars. She has got also her own specific documentation where she writes down details about patients. Two stoma nurses also point to the option of cooperating with a nutritional therapist as a part of the nutritional consultation of a patient with a stoma. When cooperating with a physical therapist the stoma nurse informs him of the patient's overall condition and the physical therapist provides total rehabilitation. The results of the findings established by this bachelor's thesis will be provided to the management of hospitals where this research took place.
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Meet the psychosocial needs of stoma patiens
GREGOROVÁ, Jana
For a person stoma means change both in the health as well as psychosocial area. It is necessary to perceive the person as a bio-psycho-socially-spiritual being requiring satisfaction of all his/her needs. Shortage of satisfaction of psychosocial needs can have very serious impacts on the overall health condition of the client. Stoma nurses and stoma clubs significantly contribute to satisfaction of needs. Stoma nurses deal not only with a preoperative, postoperative care for stoma suffering people, their education but they also help them to solve problems, which occurred in connection with stoma, answer their questions and are their consultants and support. Stoma nurses are a great benefit for stoma suffering people and their families. Stoma clubs are voluntary associations where people suffering stoma meet. Their task is to defend the interests and rights of stoma suffering people, organise meetings, special seminars, cultural events and stays. Versatile activity of the clubs is involved in client?s stoma adaptation, improvement of his/her life and making satisfaction of psychosocial needs easier. The target of the Diploma Thesis was to find out the most frequent psychosocial problems of stoma patients and whether stoma stresses more ileostoma patients than colostomy ones. Targets of the thesis were met. There were defined five hypotheses for the targets. First hypothesis dealt with the question, whether stoma patients suffer lack of satisfaction of psychosocial needs. Second hypothesis analysed, whether stoma disturbed partner life of the stoma patient. Third hypothesis analysed, whether stoma nurses bring benefit to a stoma patient and the fourth one, whether stoma clubs are beneficial for a stoma patient. These hypotheses were proved. The fifth hypothesis analysed, whether stoma stresses more ileostoma than colostomy patients. This hypothesis was not proved. To collect data I used the form of quantitative research using non-standardised questionnaire for people suffering ileostoma and colostomy. This Diploma Thesis shall point out the necessity of satisfaction of psychosocial needs of stoma patients in practice.
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Stomacare nurses and their share in the work with self-help groups of patiens.
ŠŤASTNÁ, Olga
Stoma nurses and their contribution to work with self-help groups of patients. The diploma thesis dealt with the cooperation of stoma nurses with self-help groups of stoma patients in ten regions of the Czech Republic. The aim was to find out if stoma nurses recognize the importance of self-help groups for stoma patients, how their work contributes to self-help groups, if stoma nurses cooperate with self-help groups and if they inform stoma patients about the existence of self-help groups. Another objective was to determine the level of significance stoma patients give to self-help groups. The goals of the work were met. The theoretical section addresses the issues of self-help groups, the history, benefits, risks, stoma nurses and their education. Cooperation between doctors, stoma nurses and the club of patients is also mentioned. The contexts of a stoma - preoperative and postoperative care, nursing care complications, the stoma aids - are involved in the conclusion of the thesis. In the practical section an investigation through qualitative in-depth interviews with stoma nurses on the base of five research questions was carried out. Do stoma nurses consider self-help groups important in the life of a stoma patient? What information do stoma patients ask for when stoma nurses participate in self help groups? What is the cooperation of stoma nurses with self-help groups in individual regions? Do stoma patients take part in activities within self-help groups? Which age groups of patients, according to stoma nurses´ opinion, prefer to work in self-help groups? On the basis of a qualitative research hypotheses were established for a quantitative investigation. This quantitative research survey through questionnaires was conducted in patients with a stoma, also in ten regions. H1: Stoma nurses recognize the importance of self-help groups for patients with a stoma. H2: Stoma nurses cooperate with self-help groups of stoma patients. H3: Stoma nurses inform stoma patients about self-help groups. H4: The biggest benefit of stoma nurses for stoma patients in self-help groups is giving information about the use of aids. H5: Stoma patients consider self-help groups very important. All hypotheses were confirmed. Stoma nurses as well as stoma patients consider self-help groups very important in their lives. Currently stoma nurses cooperate with self-help groups in all regions, they inform new stoma patients about opportunities to take part in self-help groups and do not forget to give advice about aids and stoma nursing, which is the most valuable information for the stoma patient especially at the beginning of treatment. The results were consistent in both investigations and will be offered to individual stoma nurses for improvement of mutual cooperation. And in the regions where self-help groups do not exist yet or are being established, I firmly believe that the results of this thesis will help in self-help groups activities. The research survey has proved that the stoma nurses´ work is meaningful owing to its results and goals. Stoma nurses have a large share of the self-help groups work.
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Reality of cooperation of a stoma nurse with shift nurses.
KRATOCHVÍLOVÁ, Markéta
Abstract Reality of cooperation of a stoma nurse with shift nurses Pernicious diseases of intestines and rectum often lead to creation of a temporary or permanent intestinal outlet alias stoma. Having been diagnosed, the patient is confided to the care of healthcare workers, in particular nurses, who endeavour to provide the patient with the highest possible quality care in the most intensive manner. At present, almost every hospital has a specially trained stoma nurse who should play the role of an advisor or coordinator in the nursing team. Regrettably, non-cooperation between shift nurses and the stoma nurse harm in particular the patient. Five hypotheses were raised. The first hypothesis was to confirm whether the shift nurses on surgical wards cooperate with the stoma nurse more efficiently than the shift nurses in other than surgical wards. This hypothesis was confirmed. The second hypothesis was to confirm whether the stoma nurse provides the shift nurses with regular information on developments in the concerned area. This hypothesis was not confirmed. The third hypothesis was to confirm whether the shift nurses cooperate with the stoma nurse as early as in the period before the operation; this hypothesis was aimed at surgical nurses and was not confirmed. The fourth hypothesis was to verify whether the shift nurses have sufficient information from the stoma nurse so that they could substitute her adequately when she is absent. This hypothesis was not confirmed. The fifth hypothesis verified whether the shift nurses ask the stoma nurse to provide them with information concerning correct handling of the stomal equipment. This hypothesis was not confirmed. The data were collected in the quantitative research supplemented with an interview with the stoma nurse. The shift nurses in surgical and non-operational wards obtained anonymous questionnaires. The research was conducted in seven hospitals in the Region of South Bohemia. The objectives were fulfilled. The information will be provided to deputy managers for the nursing care and stoma nurses. We believe that our results may contribute to higher efficiency of the cooperation between nurses, which will have a positive impact on provision of comprehensive care of patients with a stoma.
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