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Nursing care for patients after varicose vein surgery.
ZAJÍCOVÁ, Eva
The bachelor's thesis deals with the issue of diseases of the lower limbs and focuses on nursing care of patients after varicose vein surgery. It tries to evaluate the awareness of patients who have undergone surgical removal of varicose veins, about postoperative regimen measures and describes post-procedure care. The theoretical part consists of the anatomy and physiology of the veins of the lower limbs. It continues with the characteristics of chronic venous insufficiency, which is followed by the main topic, varicose veins of the lower limbs. Etiology, symptoms, risk factors, and diagnosis are discussed here. The work presents treatment options, preoperative and postoperative care In the research part, we focused mainly on postoperative care in patients after varicose vein surgery, where we tried to evaluate the patient's awareness of postoperative regimen. Then, after assessing the sawareness, we tried to describe the spefifics of nursing care in these patients. Aim of the study: to evaluate the awareness of patients after varicose vein surgery and to describe the specifics of nursing care. The research was conducted using a semi-structured interview. Twelve nurses from three surgical departments of different hospitals participated in the data collection. In the conclusion, the specifics of nursing care are presented and the patients' awareness of postoperative measures is evaluated. The results show that the specifics of care and education are individual and depend on the range of performance, condition and age of the patient. In selected hospitals, different procedures were found in the care of patients after these operations.
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Cyanoacrylate in treatment of great and small saphenous vein.
Novotný, Karel ; Pafko, Pavel (advisor) ; Lindner, Jaroslav (referee) ; Šebesta, Pavel (referee)
Introduction: Cyanoacrylate gluing technique is the least strenuous treatment of varicose trunks which does not necessitate tumescent anaesthesia and post procedural stocking compression. In response to the long-term unavailability of commercial kits with N-butyl-2-cyanoacrylate (Histoacryl) in the Czech Republic, we used a modified technique, which is based on the technique of endovascular treatment of AV malformations in the brain and uses a mixture of cyanoacrylate and Lipiodol to clog. We evaluated the success of the method, complications and clinical improvement of chronic venous insufficiency. Parts of the work are histological findings of collected samples of veins at various time intervals. In an in vitro experiment, we compared the bond strength of a bonded shear to a tear device. The adhesive mix values used were compared with those of commercially available adhesives for this purpose. Patients and methods: Fifty-six limbs in 49 patients suffering from great saphenous vein or small saphenous vein insufficiency in combination with symptomatic chronic venous insufficiency and complicating comorbidities were treated with a modified endovascular cyanoacrylate glue application technique. A histopathological examination was conducted on vein samples from six. In each patient a sample of the...
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Cyanoacrylate in treatment of great and small saphenous vein.
Novotný, Karel ; Pafko, Pavel (advisor) ; Lindner, Jaroslav (referee) ; Šebesta, Pavel (referee)
Introduction: Cyanoacrylate gluing technique is the least strenuous treatment of varicose trunks which does not necessitate tumescent anaesthesia and post procedural stocking compression. In response to the long-term unavailability of commercial kits with N-butyl-2-cyanoacrylate (Histoacryl) in the Czech Republic, we used a modified technique, which is based on the technique of endovascular treatment of AV malformations in the brain and uses a mixture of cyanoacrylate and Lipiodol to clog. We evaluated the success of the method, complications and clinical improvement of chronic venous insufficiency. Parts of the work are histological findings of collected samples of veins at various time intervals. In an in vitro experiment, we compared the bond strength of a bonded shear to a tear device. The adhesive mix values used were compared with those of commercially available adhesives for this purpose. Patients and methods: Fifty-six limbs in 49 patients suffering from great saphenous vein or small saphenous vein insufficiency in combination with symptomatic chronic venous insufficiency and complicating comorbidities were treated with a modified endovascular cyanoacrylate glue application technique. A histopathological examination was conducted on vein samples from six. In each patient a sample of the...
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Need of Instructing Patients after Operation of Varicose Veins.
HROMÁDKOVÁ, Alena
The paper is entitled the Need of Instructing Patients after Operation of Varicose Veins. It deals with the general issue of the disease, the role of a nurse in the treatment of patients after the operation of varicose veins and the instructions given as an inseparable part of the nursing care.The paper follows 4 essential objectives. Objective 1: Finding out what information patients have after the operation of varicose veins. Objective 2: Finding out what information the patients need. Objective 3: Finding out, in which way nurses in a surgery department instruct patients after the operation of varicose veins. Objective 4: Creating an instructional brochure for patients after the operation of varicose veins, based on the information obtained.There were 4 research questions asked. 1. What information do patients have after the operation of varicose veins? 2. What information do patients need after the operation of varicose veins? 3. In which way do nurses instruct patients after the operation of varicose veins? 4. Do nurses perceive instructions as an inseparable part of the nursing care?The research was carried out at Pelhřimov hospital, subsidized organization, with the consent of the head nurse. The research group consisted of 10 patients after the operation of varicose veins who were interviewed before leaving the hospital for home care, and 8 nurses from the aseptic section of the surgery department. All the respondents were asked using the technique of a non-standardized interview with questions prepared in advance. Based on the analysis of the respondents' answers, an informative brochure was drafted which was then tested by a questionnaire. It was found out that the brochure would be advantageous for the surgery department.The objectives of the paper were met. Improvement in the process of instructing patients after the operation of varicose veins could be reached by introducing an informative brochure. Not only patients, but also nurses working at a surgery department could benefit from the brochure.
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