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Nursing Care for Patients with Percutaneous Endoscopic Gastrostomy.
KUBŮ, Eva
The topic of thesis is nursing care provided to people, whether we call them patients or clients, with percutaneous endoscopic gastrostomy. According to experts, ercutaneous endoscopic gastrostomy is a relatively simple surgical procedure the outcome of which is very effective. By using a medical endoscope, the physician introduces an ostomy cannula into the stomach, one end of which leads right into the stomach and the other is led out through the skin of the abdomen. The cannula is then used to administer nutrition.Two objectives were stated in the research. The first objective was to determine the challenges in nursing care for percutaneous endoscopic gastrostomy in clients within the nursing process from the perspective of nurses. The second objective was concerned about the level of utilization of nutritional screening in the nursing process in clients with percutaneous endoscopic gastrostomy. These objectives were followed by four research questions.To obtain data for the research survey, the qualitative research method was chosen. For the data collection an in-depth semistructured interview was conducted with five nurses from DÚSP in Černovice. Within the qualitative research, the interviews with nurses were supplemented with the respondents observation, followed by the findings recording into the record sheet.The research outcomes show that nursing care for clients with percutaneous endoscopic gastrostomy has its own specifics, such as at serving meals and taking care of the stoma catheter. It has also been proved that from the perspective of nurses this care is more demanding, for example by placing demands on the nurses´ knowledge relating to the PEG and its treatment. It is obvious that nursing care for clients with percutaneous gastrostomy is the care that must be provided in a comprehensive way, within a holistic approach to the client.The survey results will be provided to the medical facility where the investigation was conducted and they may serve to improve nursing care for clients with gastrostomy to create or modify the current standard of nursing care for the PEG site.
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