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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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Living with a permanent urinary catheter from the patient´s point of view
ZIKEŠOVÁ, Miroslava
The theoretical part describes the urinary system, history of urinary catheterization, types of urinary catheters, complications associated with catheterization and the most common diseases in which a permanent urinary catheter is inserted. Moreover, the issue of permanent urinary catheter care in the home environment and patient education are solved. The practical part of the thesis contains the results of a qualitative research obtained from interviews with patients with a long-term permanent urinary catheter and from the nursing observation at the urology department. In the practical part, the first aim was to elicit whether patients are sufficiently familiar with the care of a permanent urinary catheter before being released to their home environment. Therefore, two research questions were set up: What information does a patient with a permanent urinary catheter have before being released for home treatment? In what area does the patient lack information on care of a permanent urinary catheter? The second aim of the thesis was to elicit whether patients manage the care of an inserted catheter in their home environment. Hence, two research questions were set up: What problems does a patient encounter in the care of a permanent urinary catheter at home? How do patients solve possible problems associated with a permanent urinary catheter? A qualitative research survey found that patients are sufficiently familiar with the care of a permanent urinary catheter in their home environment and they are able to care of it without major problems. This bachelor thesis could serve as a basis for creating information material for patients who will be released into the home environment with a permanent urinary catheter.
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Guestion of nursing care in patiens with urinary catheter in their home environment {--} educational aktivity of nurses
JANÁKOVÁ, Šárka
This thesis focuses on patients with permanent urinary catheters, as well as on nurses who educate the patients when discharged from hospital to home care. The educating role of a nurse in this situation is particularly important. The nurses providing education to patients include those employed by hospitals, as well as by home care agencies and senior citizen homes. Not every patient is able to take care of the urinary catheter him/herself and therefore nurses from home care agencies are made available to assist. The nurses should educate the patients about all aspects of catheter application, e.g. the reason of application, complications (urinary infection, pull-out etc.), catheter maintenance (hygiene and aids, replacement of the collection bag etc.), catheter replacement (max. 21 days after the application), monitoring the urine color etc. The nurse should also ensure that the patient is educated in a quiet and agreeable place and, particularly, they should dedicate a sufficient time to each patient so that nothing is neglected. The first objective of this thesis was to find out whether nurses at the urology department educated patients with urinary catheters when they were discharged from hospital to home care. The second objective focused on nurses employed by home care agencies and senior citizens homes to check whether they got involved in education activities while taking care of patients with urinary catheters. The third objective was to find out whether patients with urinary catheters, when discharged from hospital to home care, were educated about how to take care of their urinary catheters. The objectives were assigned their individual hypotheses. The first hypothesis examined whether nurses employed at the urology department educated patients with urinary catheters about catheter replacement when the patients were discharged from hospital to home care. The hypothesis has been confirmed. The second hypothesis again focused on nurses employed at the urology department and investigated whether they educated clients with urinary catheters , when the patients were discharged from hospital to home care, about how to prevent urinary infections; the research has shown that the nurses indeed educated the patients in this field. The third hypothesis focused on nurses employed by home care agencies and senior citizens homes and investigated whether they educated clients with urinary catheters about how to prevent urinary infections. Also the third hypothesis has been confirmed. The fourth hypothesis concerned the patients and it investigated whether they felt informed about how to take care of their urinary catheters and whether they were able to recognize symptoms of urinary infections. It has been found out that although the patients are familiar with some symptoms of the infections, they are not familiar with all of them and therefore it is impossible to deem the hypothesis confirmed. The method used to meet the objectives of the quantitative research was that of anonymous questionnaires for nurses and patients. The questionnaire for nurses contained 21 questions and the questionnaire for patients contained 23 questions. The data were collected from March to May 2009. 100 questionnaires were distributed to nurses and 80 were returned, which means the response rate of 80 %. Out of 50 questionnaires distributed to patients 30 were returned, which means the response rate of 60 %. This thesis demonstrated that not all nurses provide a sufficient education in all aspects necessary for the patients. Also, not all the patients feel sufficiently educated in this field.
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