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Reducing labour pain using non-pharmacological methods
KOPKOVÁ, Iva
This bachelor thesis monitors non-pharmacological methods during labour, evaluates their efficiency on the visual analogue scale, and finds how women view them after childbirth. The theoretical part describes phases of delivery seen by a woman in labour and a midwife, and the matter of pain and specifically the labour pain. The last section of the theoretical part characterizes the non-pharmacological methods of easing labour pain. The empirical part contents qualitative observational research and a semi-structured interview. During labour, midwives observed women fighting the pain without any help of non-pharmacological methods and then with them. They wrote all findings into a record sheet. To be a part of this research, women in labour must not have used any pharmacological methods. Women, while being recorded, answered twelve questions in the interview no more than three days after their childbirth. The research from May 2021 shows which non-pharmacological methods women in the delivery room in the hospital in České Budějovice and Český Krumlov chose to use to ease their pain. The bachelor thesis refers to the importance of non-pharmacological methods in labour, although they cannot be equal to the efficiency of pharmacological approaches. The midwives and doctors may speak about the conclusion of this thesis at professional conferences or antenatal classes.
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Non - pharmacological methods of a solution agitation in patients with dementia
BUCHTOVÁ, Kristýna
Current state: Dementia is a very actual theme. The occurance raises every year. My bachelor´s work is focused on behavioral symptoms of dementia and nonpharmacological methods of a solution agitation in patients with dementia. The theoretical part of my work dealts with primary division of dementia, causes of development, symptoms, diagnostics and treatment of dementia. The last part was focused on pharmacological and mainly non-farmacological methods in demented patients. The objective: 1. The mapping of all using non-pharmacological methods for demented patients which are used in solution of agitation. 2. The comparison of knowledge of nonprofessional carers and nurses in the field of non- pharmacological methods in patients with dementia. Methodology: There was chosen the qualitative research method and the intentional choice of respondents for research survey. In the field of evaluation of the results of interviews and observation there were determined three fields. The field focused on dialogues with nurses included 15 categories. The dialogues with laic tenders created 14 categories and 4 categories contained observations of nurses. The collection of information was made up by using observation and half-structured dialogues. The research was situated into the care centre with special mode for elderly people. The scientific sample: The research sample was created by 4 non-professional carers and 8 nurses. The research: The research checked out the most frequent using methods in practice: individual attitude to a client, keeping the principles of the right communication, relationship of the patient and nursing staff, memorial treatment, pet therapy (especially canistherapy), basal stimulation, validation method, energisation of the clients and enviromental improvements. The recommendation for practise: The results of our work confirmed importance of using non- pharmacological methods in prevention of the troubled behavior at the persons with disease. The research results can be used by all nurses and non-professional carers who are concerned with it.
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Mothers perception of pain during labour.
MICHÁLKOVÁ, Monika
The subject of the thesis is the labor pain and methods of pain control. The theoretical part focuses on a description of the process of childbirth and the role of midwifes at each stage of labor. This is followed by a general description of pain as well as the labor pain, methods of pain evaluation and overview of pharmacological and non-pharmacological methods used in obstetric analgesia. The research part of the work explores women's experience of pain during childbirth and methods that women prefer in relieving labor pain. For research survey was used qualitative method of data collection, using semi-structured interviews. Information obtained were divided into two main categories: "Women's experience with labor pain" and "Methods of relieving labor pain" Both categories were further subdivided into categories. Results of the research showed that women during pregnancy did not want to think about the oncoming birth pain because these ideas evoked feelings of fear and apprehension. Most women have no way to prepare for labor pain and the character and intensity of labor pain surprised almost all women. The vast majority of women accepted the offer of pharmacological labor pain reliever even though they didn't intend to originally. In addition, majority of them felt frustrated by the low effects of pharmacological methods and they attributed greater analgesic effect to non-pharmacological methods, including the presence of close person during childbirth and positive attitude of medical staff. Midwifes' help in relieving labor pain was evaluated very positively by all respondents. The results shows that the most important thing is coaching pregnant women by midwifes in preparation for labor pain and thus reduce feelings of anxiety and fear of pain during childbirth.
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The possibility of pain management in prehospital emergency care
GUIDA, Mario
I chose the topic Possibilities of pain management in pre-hospital emergency care for my bachelor thesis as pain belongs to the most frequent symptoms of patients in the care of the Emergency Medical Service. The goal was to map the possibilities of pain management in pre-hospital emergency care in South Bohemian Region. The second goal was to map the awareness of pain management in pre-hospital emergency care among South Bohemian medical rescuers. The theoretical part deals with the present situation of the Emergency Medical Service, education and competences of rescuers. In the next part I focused on various types of pain, assessment and subsequent treatment of pain. The last, theoretical part describes the caring process in pre-hospital emergency care for a patient in pain. The research was performed by means of quantitative method in the form of a questionnaire with semi open and closed questions. The questionnaires were distributed at Emergency Medical Service regional centres of South Bohemia. The results show that pain is sufficiently managed in pre-hospital care. Another fact was confirmed, that rescuers are familiar with the pain management possibilities and prefer pharmacological methods of pain management. We also found out that non pharmacological interventions were used less frequently than they could be. One of the hypotheses was refuted, two were confirmed. The quantitative research results show that there is still a relatively large reserve in using non pharmacological methods. Rescuers might use them more, particularly the quick emergency crews, or they might be applied in situations not requiring immediate pharmacological treatment. Educational seminars at the individual workplaces might improve the awareness of non pharmacological intervention techniques. A patient in pre hospital emergency care suffering from pain of various intensity should be given primary professional care from qualified rescuers.
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The Pain and Delivery
VICÁNOVÁ, Romana
The topic of my bachelor thesis is pain and confinement. The reason why I selected the topic is that it holds my interest. The theoretical part contains general information explaining what pain is and stating what kinds of pain there are. I aimed to describe in detail in particular parturition that is closely associated with confinement. It is a natural state accompanying almost every confinement. I focused on the mechanism of pain origin and the methods of parturition alleviating. Nowadays parturition can be prevented by various methods. The methods are divided into pharmacological and non-pharmacological. In my bachelor thesis I set three objectives and hypotheses associated with them.The research set were women in the puerperal ward of Nemocnice a. s. České Budějovice. The method of quantitative research was used and the data were collected by means of an anonymous questionnaire.100 questionnaires were distributed, of which 90 were returned.The research part has revealed that hypotheses 1 and 2 have been confirmed and hypothesis 3 potvrena not. The bachelor thesis could be used as an information material for the women in childbed who are not aware of the opportunity to utilize pain relieving methods.Furthermore, as information material for students of medical science.
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