|
|
Use of NIC, NOC classification of patients after spinal surgery
MACHOVÁ, Karolina
Generally, the main topic of the thesis is the use of NIC and NOC classification of patients after a spinal surgery. The theoretical part of the thesis deals with a trauma of the spine as well as a non-traumatic affection of the spine and its symptoms, diagnostics, and treatment. Further, it focuses on nursing care of patients before and after a spine surgery. Firstly, general terms of the nursing care, such as control of vital functions, are analysed. The next part is devoted to the specifics of nursing care with respect to every segment of the spine after surgery. The next chapter of the theoretical part of the thesis describes the nursing process with emphasis on every phase thereof, and related medical documentation with its use and rules. Moreover, the respective chapter deals with the nursing diagnoses NANDA, NIC and NOC classifications and Alliance 3N. The first goal of the thesis was to find out what knowledge nurses have regarding nursing care for patients after spinal surgery. My research has revealed that the majority of nurses are well-oriented in nursing care for patient after spinal surgery, despite some of nurses' lack of knowledge. The second goal set for this thesis was to determine what are the benefits of NIC, NOC classifications for providing nursing care for patients after spinal surgery. According to the results of my research, we can conclude that most nurses consider the classification of NIC and NOC in practice rather unhelpful. This piece of information also answers the established research question: Is NIC and NOC classification according to nurses beneficial in practice? Furthermore, the following two goals: to find out what NIC interventions nurses use by patients after spinal surgery. To find out what goals of NOC classification are typically used by nurses, are contained in Tables 3-10. The result of the research question, what do nurses think about the NIC and NOC classification, showed mostly negative opinions. For another research question: How satisfied are nurses with the created nursing documentation with respect to nursing care for patients after spinal surgery, we found out that most nurses are rather dissatisfied with the submitted nursing documentation. Furthermore, two hypotheses were established: H1: Knowledge of the principles of nursing care for patients after spinal surgery are affected by the experience, was rejected. H2: Knowledge of the principles of nursing care for patients after spinal surgery are affected by education, was also rejected. Despite the fact, that NIC and NOC classifications are not used in health care services in the Czech Republic, many nurses knew them. Because of the fact that many nurses have rather negative attitude with respect to the classifications, we can assume that if the classifications were adapted to the conditions of the Czech healthcare system and there would be certain changes such as simplification or shortening of content, nurses might have a more positive approach to the classifications. Therefore, NIC and NOC classification could be part of the nursing standards of practice, as they are verified tools for providing nursing care.
|
|
|
Variables predicting the effects of surgery in patients with low back pain
Hollasová, Sára ; Kavka, Tomáš (advisor) ; Šembera, Martin (referee)
Variables predicting the effects of surgery in patients with low back pain Abstract The theoretical part of the thesis summarizes the knowledge about pain and its types, especially chronic pain. Than we focus on low back pain and currently used approaches in the treatment of this syndrome. In this work we summarize the influence of central sensitization and adverse life experineces and posttraumatic stress disorder on pain (especially low back pain). In the practical part, we investigated the effect of central sensitization and adverse life events and posttraumatic stress disroder on the effect of spinal surgery in low back region. The results were obtained using Central Sensitization Inventory (CSI), PTSD Cecklist dor DSM-5 (PCL- 5) a Life Event Checklist (LEC-5 Standard), Short Form 36 Helth Survey Questionnaire (SF- 36), NASS Lumbar Spine Questionnaire. The obtained data were statistically evaluated and processed. Higher scores of CSI and LEC-5 (more adverse life events) were both statistically significantly correlated with worse low back surgery outcomes. At the same time, a statistically significant relationship between PCL-5 (checklist of PTSD symptoms) and CSI was confirmed. Keywords Pain, central sensitization, adverse life experiences, adverse life events, PTSD, posttraumatic stress disorder,...
|
|
|
Case of study of physiotherapy care of the patient after surgery of intervertebral disc in the lumbar spine
Císař, Tomáš ; Novotná, Irena (advisor) ; Reckziegelová, Petra (referee)
Title: Case of study of physiotherapy care of the patient after surgery of intervertebral disc in the lumbar spine Objective: Summarisation of theoretical findings and case report of the patient after surgery of intervertebral disc at L5-S1 segment. Summary: The thesis consists of two parts. The general part includes anatomical and biomechanical description of the spine with an emphasis on the lumbosacral area. Then there is brought closer pathophysiology of prolapse of intervertebral disc and the ways of its evaluation. A special section is dedicated to the case study and rehabilitation plan for the patient. Therapy aims to reduce pain, improve muscle strength and increased mobility of the patient. Case of study was elaborated during practice from 05. 01. to 30. 01. 2015 in ambulatory part of rehabilitation department in the Oblastní nemocnice Kladno a.s. Keywords: intervertebral disc, casy of study, neurology, prolapse, spinal surgery
|
guest ::
