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The issue of permanent urinary catheter exchange in men - outpatient care vs. home health care
CAHOVÁ, Veronika
This bachelor's thesis addresses the issue of exchanging a permanent urinary catheter in men - outpatient care vs. home health care. The theoretical part of this work focuses on the catheterization process, proper nursing care of the urinary catheter, and also mentions the most common complications arising from catheter insertion. A significant portion also focuses on home care and education. The objective was to map the exchange of the permanent urinary catheter and to identify differences in the exchange process between a urological clinic and home care, and lastly, to compare patient experiences with both forms of exchange. A qualitative research method was used, employing semi-structured interviews. Four nurses from home care and four from a urological clinic were interviewed, as well as four patients from home care and four from the urological clinic. Three objectives were set, each associated with one research question. The research questions investigated specifics in catheter exchange and nursing care for the urinary catheter both in the urological clinic and in home care. The last research question examined the roles of nurses in this procedure. The research results show a difference in the thoroughness of nurses. Nurses from the urological clinic do not adhere to the proper guidelines during catheterization of the bladder. Patient education occurs in both the urological clinic and home care, but nurses from home care educate patients better and more frequently than nurses from urology. Education should focus more on catheter movement to prevent complications. Patients are satisfied with both forms of exchange, but it is clear that home care is not only more advantageous for the patients but also easier for hospitals. The output of the work is a basis for improving deficiencies in performance, but can also serve as motivation for expanding collaboration between hospitals and home care.
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Care of patients with permanent indwelling urinary catheters - patient education material
Vachtová, Šárka ; Hromádková, Jaroslava (advisor) ; Klokočková, Šárka (referee)
This bachelor's thesis is focused on the topic of ,,Care of patients with permanent indwelling urinary catheters - patient education material''. The thesis consists of a theoretical and an empirical part. Objectives: The main aim of this thesis was to map out the theoretical and practical knowledge of nursing care in patients with an inserted permanent urinary catheter. Methods: Using the method of a questionnaire survey, we performed research of the foreknowledge of hospitalized patients with an inserted permanent urinary catheter in two hospitals - Motol University Hospital and Na Homolce Hospital. The total amount of respondents from both hospitals was 100. All gethered research was processed through statistical methods and interpreted using graphic charts. Results: From the results of predefined hypotheses, we found out the existence of correlation betwenn the patients awareness and their place of hospitalization. We have discovered if patients were able to manipulate correctly and independently with the urinary bag. Subsequently we performed a comparison between the two hospitals concernig patients awareness about hygienic care, the correct placement of urinary bag when walking, and the adherence to recommended daily water intake. Conclusion: In the conclusion of this thesis, we evaluated the...
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Post-qualification education of urological nurses in Czechia and other EU countries
Potúčková, Pavlína ; Jirkovský, Daniel (advisor) ; Haluzíková, Jana (referee)
This bachelor's thesis is focused on mapping out the possibilities of post-qualification education of nurses working in the field of urology in the Czech Republic and in chosen countries of the European union, which are Sweden, Ireland, Denmark, Netherlands, Germany, and Poland. It documents the history of education of nurses, as the history of urology. It offers a more detailed description of the current educational system of nurses and the possibilities of post-qualification specialisation in the Czech Republic and the six chosen countries. In the discussion part of the thesis is a summary of information from scientific studies and sources relevant to the topic pointing to the benefits of wider possibilities of post- qualification education of nurses in urology, and to the importance of a continuing education.
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Examination of the kidneys and urinary tract in radiodiagnostic medicine and in nuclear medicine
SÝKOROVÁ, Simona
Title: Examination of kidneys and urinary tract in radiodiagnostics and nuclear medicine Theoretical part: The theoretical part of the thesis describes 3 chapters. At the beginning, the anatomy of the kidneys and urinary tract is briefly described. Subsequently, the basic diseases that we may find by patient are notified. Finally, are described the most common examination methods that can be used to image the diseases of kidneys and urinary tract in radio diagnostics and nuclear medicine. These mostly it means examinations via ultrasonography, X-ray examinations, computer tomography, magnetic resonance imaging etc. In nuclear medicine we are using a kidney scintigraphy. Aim of the work: The aim of the work is to analyse individual imaging methods used for examination in kidney and urinary tract diseases. The research question is based on the empirical part: Is the general public sufficiently informed about the presence of kidney disease? Methods: A quantitative survey was determined for the processing of the empirical part of the work. This is a questionnaire method that was completely anonymous, and the results were intended only as research for my bachelor's thesis. Respondents answered a total of 16 questions. These were mostly questions that were supposed to find how sufficiently general public is informed about the problem. The questionnaire also included questions about the respondent's experience with the disease and with examination methods. Subsequently, the results were processed into graphs. Results: A total of 100 respondents of different ages were contacted, the most of them were women aged 20-30. Although the research is aimed at the general public, health professionals have been involved as well. It was found that almost half of the respondents had experience with the urological diseases in the past. Almost everyone stated that it was an inflammation of the urinary tract or bladder. Urinary tract infections are among the most common diseases, which has been confirmed by research as well. The main topic was the awareness of lay public. The results were clear, the general public is informed about the problem on average level. Respondents mostly answered correctly, although they did not know answer of the professional questions. Only health professionals provided the correct answer to these questions. Conclusions: Urological diseases are very common, the most women have problems with them. Therefore, these diseases and examination methods are recorded in the form of a bachelor's thesis. The bachelor's thesis should serve as a teaching material of the urological system and its individual examinations. It could help students or patients who want to learn more about the issue.
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Interaction of drugs used in gynecology and urology and their management
Kupka, Vojtěch ; Doseděl, Martin (advisor) ; Kostřiba, Jan (referee)
Interaction of drugs used in gynecology and urology and their management Author: Kupka Vojtěch Tutor: PharmDr. Martin Doseděl Ph.D., Department of Social and Clinical Pharmacy, Charles University in Prague, Faculty of Pharmacy in Hradec Králové Introduction: Drug interactions represent a serious health problem and they cause adverse drug effects and toxicity of drugs. Objectives: The goal of the thesis was to create an overview of possible drug interactions with drugs used in gynecological and urological practice. Methodology: From a theroretical introduction was selected registred drugs to 1 st January 2015 by State Institute for Drug Controle. Information about drug interactions were collected and collated from databases Vademecum Infopharm and Micromedex. From database Micromedex, the drug interactions were selected with quality of documentation "excellent" or "good". Pubmed database (www.pubmed.gov) with entering key words "basic drug", "drug interaction" and "interactive drug" was applied to create a current information. To complement the information was also gathered from magazines Practical Pharmacy and Clinical Pharmacology and Pharmacy. In case of not finding relevant information was drawn from the summary information of medicine (SPC). Results: The results were categorized into a research...
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Interaction of drugs used in gynecology and urology and their management
Kupka, Vojtěch ; Doseděl, Martin (advisor) ; Kostřiba, Jan (referee)
Interaction of drugs used in gynecology and urology and their management Author: Kupka Vojtěch Tutor: PharmDr. Martin Doseděl Ph.D., Department of Social and Clinical Pharmacy, Charles University in Prague, Faculty of Pharmacy in Hradec Králové Introduction: Drug interactions represent a serious health problem and they cause adverse drug effects and toxicity of drugs. Objectives: The goal of the thesis was to create an overview of possible drug interactions with drugs used in gynecological and urological practice. Methodology: From a theroretical introduction was selected registred drugs to 1 st January 2015 by State Institute for Drug Controle. Information about drug interactions were collected and collated from databases Vademecum Infopharm and Micromedex. From database Micromedex, the drug interactions were selected with quality of documentation "excellent" or "good". Pubmed database (www.pubmed.gov) with entering key words "basic drug", "drug interaction" and "interactive drug" was applied to create a current information. To complement the information was also gathered from magazines Practical Pharmacy and Clinical Pharmacology and Pharmacy. In case of not finding relevant information was drawn from the summary information of medicine (SPC). Results: The results were categorized into a research...
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Examination Methods in Kidney Disease and Urinary Tract from the Perspective of a Nurse
HOLÁNOVÁ, Klára
Theoretical part of the thesis: In the theoretical part, the most frequently used examination methods for kidney and urinary tract diseases are briefly described. For each examination method, the course of examination is described and also the information necessary for patients who are due to undergo it are included. Individual examination methods also include a description of the nurse's work which is related to the corresponding examination. Aims of the thesis: In the empirical part, two aims are set. The first aim was to ascertain the specificity of nursing care of a patient after a diagnostic cystoscopy, to which this question was posed: What information on the issues of complications after diagnostic cystoscopy do the nurses have? The second aim was to ascertain with what information the nurses provide patients before the sonography of kidneys and bladder. To this aim, following question was posed: With what information do the nurses provide patients before the sonography of kidneys and bladder? Methodology of the thesis: To create the empirical part, qualitative research using a semi-structured interview method was selected. The research sample was comprised of nurses from the departments of urology of selected hospitals of the South Bohemian Region. The data collection was carried out after the interview questions were approved by the head of the nursing staff and after an agreement with the charge nurse of particular department. The matter of this research was explained to every respondent and they were assured that their answers are anonymous and would be used only in the empirical part of this thesis. Due to the disagreement of nurses with recording of interviews, the interviews were written down in hand and then rewritten on a computer. The interviews contained a total of 15 questions ascertaining identification data, general nursing care, the most frequently performed examinations, problems of patients, preparation and providing information before a sonographic examination and a diagnostic cystoscopy. The data obtained were further processed into categorization groups and analysed. Results: In the empirical part, we ascertained from the results of the research survey that the nurse's care of patients at the department of urology is rather average, but the nurses are familiar with the basics of nursing and they know how to prepare patients for the examination. The research survey showed that nurses are not familiar with the preparation of a patient for a sonographic examination of kidneys not a single nurse stated the instructions to patient on non-flatulent diet on the day before the examination. The nurses are mostly familiar with care of a patient after a diagnostic cystoscopy and they are informed about possible complications associated with this examination. Conclusion: The theme of this bachelor thesis was chosen and written about to deepen my knowledge on this issue. The thesis could also be used as a study material for nurses who do not have enough information on this issue and would like to deepen their knowledge. It could also be suitable for patients who are not sure about the examination they should undergo.
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Statistical evaluation of percutan, ureteroscopic a robotic surgeries of ureteropelvic obstruction
Masarovičová, Martina ; Hebák, Petr (advisor) ; Chmelenský, Tomáš (referee)
The aim of this diploma thesis is statistical processing of a sample of patients that have been hospitalized and treated for ureteropelvic junction obstruction at the urological department of ÚNV Prague in last 20 years and to determine the optimal treatment method. Evaluation of surgical techniques from the surgical and economical point of creates a comprehensive image of advantages and disadvantages connected with application of a particular method and enables all participating subjects to decide in case of doubt. In this case the statistical analysis is a proper instrument, leading to find answers, however, it also gives an opportunity for discussion.
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