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Specifics of nursing care of a child patiens with oncological pain.
ČAŇKOVÁ, Helena
The topic of the thesis is: Specifics of nursing care of a child patient with oncologic pain. Children{\crq}s pain is a phenomenon surrounded by many myths and false information. It is also not sufficiently assessed and treated and often bagatelized by both nurses and doctors. Nurses play irreplaceable role in pain treatment, they are with the child patient more frequently then the doctor and are in close touch with the child{\crq}s parents. The care of a suffering child is a serious task in nursing. Treatment of a patient in pains requires a complex, holistic approach. Nurses, even if they diagnose pain properly, do not set an adequate nursing care plan and do not carry it out. Nurses have to defend interests of the sick child and must not let him/her suffer. The data was obtained by quantitative and qualitative research. The quantitative research was carried out by the technique of anonymous questionnaire. The questionnaire was made for the parents of children with oncologic disease. The qualitative research was carried out by the technique of semi-structured in-depth interview. The research sample consisted of nurses working at the Department of children{\crq}s oncology One of the aims of this thesis was to outline the problems in nursing care of a child patient with oncologic pain from the point of view of the parents. We observed if the parents had been informed about their child{\crq}s pain, if they know what symptoms they should watch in their child, if they know all the aspects of pain to be assessed and treatment methods to relieve the pain and also how nurses respond to their child{\crq}s pain. For this aim, a following hypothesis has been set forth: The parents of children patients with oncologic pain are educated about the possibilities of nursing care focused on relieving the pain. This hypothesis was confirmed by statistic testing. Another aim of this thesis was to find out the specifics of nursing care of a child patient with oncologic pain. Nurses think that the specifics of nursing care of a child patient with oncologic pain are not different from any other care of a child in pains. They just state that an oncologic disease is associated with pains caused by the disease itself or by diagnostic or therapeutic procedures. Therefore they consider a specific feature the fact that the pain is observed more intensively and the staff is more precise in relieving the pain. It is obvious from the research that it would be effective for both parties, both for the nurses and the parents, to use educational materials on pain intended for them. I suppose that if there were such materials available, the parents would not need to contact nurses repeatedly. There was also a positive finding in the research that 92.5% of parents stated that nurses respond to children{\crq}s pain within 10 minutes. Further, that nurses believe that the child has pains, which was stated by 98.2% of the parents.
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