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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Pacientų su žarnyno stomomis stacionarinės priežiūros poreikiai ir slaugos ypatumai / Requirements of hospital care and nursing features in patients with intestinal stomas

Turba, Žana 09 July 2011 (has links)
SANTRAUKA Pacientų su žarnyno stomomis stacionarinės priežiūros poreikiai ir slaugos ypatumai Slaugos magistrantūros studentė Turba Ž. Darbo vadovas – doc. Simutis G. Vilniaus universitetas, Medicinos fakultetas, Vidaus ligų pagrindų ir slaugos katedra Vilnius, 2006 birželio 14 Pacientų su žarnyno stomomis problemos ir priežiūros poreikiai pooperaciniu periodu yra aktualus šiuolaikinės slaugos klausimas. Darbo tikslas: nustatyti, kokie yra pacientų su žarnyno stomomis stacionarinės priežiūros poreikiai ir slaugos ypatumus pooperaciniu periodu. Darbo uždaviniai: 1. Anketavimo būdu nustatyti pacientų problemas po žarnyno stomos suformavimo operacijos ankstyvuoju pooperaciniu periodu. 2. Ištirti pacientų lūkesčius po žarnyno stomos suformavimo operacijos. 3. Įvertinti, ar atitinka slaugytojų teikiamos priežiūros paslaugos pacientų poreikius po žarnyno stomos suformavimo operacijos. 4. Nustatyti priežiūros ypatumus pacientų po žarnyno stomos suformavimo operacijos. 5. Įvertinti slaugytojų kompetencijas slaugant pacientus su žarnyno stomomis. Tyrimui buvo panaudotas anketinės apklausos ir statistiniai dokumentų analizės metodai. Apklausai naudoti du klausimynai. Apklausta 30 pacientų po žarnyno stomos suformavimo operacijos ir 64 slaugytojos dirbančios pilvo chirurgijos skyriuose Vilniaus miesto klinikinėse ligoninėse. Atlikta 73 ligos istorijų statistinė analizė. Rezultatai ir išvados: 1. Dažniausios pacientų problemos po žarnyno stomos suformavimo operacijos yra nerimas, baimė... [toliau žr. visą tekstą] / SUMMARY Requirements of hospital care and nursing features in patients with intestinal stomas Master Final Work by Nursing Department Student Turba Ž. Research Adviser–Docent Simutis G. Vilnius University, Medical Faculty, General Medicine Practice and Nursing Department Vilnius, June 14, 2006 The problems of patients with intestinal stomas and the requirements of their care after surgery are the major questions in the nursing nowadays. Aim of the investigation: to define the hospital care needs and nursing features for patients who underwent surgery with the formation of intestinal stomas. Tasks of the investigation: 1. To define problems during early postoperative period after stoma formation using the method of survey. 2. To analyze the expectations of patients after stoma formation. 3. To evaluate if the nursing services are efficient for patients after intestinal stoma formation. 4. To define nursing features after intestinal stoma formation. 5. To evaluate the competence of nurses in providing care for patients with intestinal stoma formation. The methods of survey using two questionnaires and statistic analysis of documents were used. 30 patients with intestinal stomas and 64 nurses of surgical departments in Vilnius hospitals were questioned. The analysis of 73 cases was performed. Results and conclusions: 1. The most common problems after intestinal stoma formation are fear and concern with the quality of life (70%), postoperative pain (67%), lack of knowledge of... [to full text]
2

Pacientų poreikių pirminėje sveikatos priežiūroje tenkinimas gydytojų ir pacientų požiūriu / Satisfaction of patients' needs in primary health care in physicians and patients opinion

Marcinkevičiūtė, Vaida 23 June 2006 (has links)
The aim of the study – to evaluate patients‘ and physicians‘ opinion about the satisfaction of patients needs in primary health care. The objectives: 1. To explore patients‘ opinion about satisfaction of their needs in primary health care and dimensions of health care service quality. 2. To explore physicians‘ opinion about the satisfaction of patients’ needs in primary health care. 3. To compare patients‘ and physicians‘ opinion about the satisfaction of patients’ needs in primary health care. Methods. The study was conducted in Centro outpatient clinic in January-March, year 2006. The participants of the study were 394 patients 16-65 years old and 23 physicians. The study material was gathered using self-administrated anonymous questionnaires. The questionnaire for the patients covered 31 questions, questionnaire for the doctors – 29 questions. The data analysis was performed applying the statistical package SPSS version 12,0. The statistical procedures were employed by Chi- square’s (χ2) parameters, degree of freedom and statistical significance. Results. 48,9% of patients evaluate negatively the environment of the outpatient clinic waiting – room, 51,8% – the work of the registry, 56,85% of patients‘ - possibility to get medical consultation in convenient time, 64,28% - waiting time at the physician‘s office. 51,27 % of patients consider, that doctor is not attentive enough for them, 61,42% – doctors don‘t spare enough time for them, 53,81% - don‘t thoroughly evaluate... [to full text]
3

Nudegimų traumas patyrusių ligonių slaugos problemos bei jų kaita atskirais nudegimų traumų laikotarpiais / Nursing problems and their alternation in patients with the burns

Minkevičiūtė, Ilona 03 August 2007 (has links)
Tyrimo tikslas - ištirti pacientų, patyrusių nudegimo traumas, slaugos problemas ir jų kaitą. Tyrimo uždaviniai: 1. Ištirti pacientų, patyrusių lengvas, vidutinio sunkumo ir sunkias nudegimo traumas, slaugos problemas ir jų kaitą. 2. Ištirti pacientų, patyrusių nudegimo traumas, slaugos problemų priklausomybę nuo traumos sunkumo. 3. Parengti praktines rekomendacijas. Tyrimo metodika. Tyrimas vyko 2006 birželio - 2007 vasario mėn. KMUK Plastinės rekonstrukcijos ir chirurgijos klinikoje. Buvo tiriamos trys respondentų grupės: lengvas, vidutines bei sunkias nudegimo traumas patyrę pacientai (n=107). Atsako dažnis - 85,7 proc. Tyrimui taikyta dviejų etapų anoniminė anketinė apklausa: respondentai buvo apklausiami po patirtos traumos praėjus 10 dienų ir 17 dienų. Išvados. Lengvas nudegimo traumas patyrę pacientai I ir II vertinimo metu pacientai labiausiai skundėsi skausmu ir nerimu prieš miegą, mitybos trūkumu ir skausmingu vaikščiojimu. Vertinant problemų kaitą nustatyta, kad I vertinimo metu šios grupės respondentai dažniau skund��si padažnėjusiu šlapinimusi, o II vertinimo - vidurių užkietėjimu. Pacientai, patyrę vidutinio sunkumo nudegimo traumas, I ir II vertinimo metu dažniausiai skundėsi skausmu bei nerimu prieš miegą, karščiavimu bei papildomo maisto trūkumu. I vertinimo metu šios grupės respondentai dažniau skundėsi karščiavimu, ribotomis galimybėmis pasikeisti baltinius ir judėti. Niežuliu didesnė respondentų dalis skundėsi antrojo vertinimo metu. Pacientai, patyrę... [toliau žr. visą tekstą] / Object of the research - to investigate the nursing problems and their alternation in patients with burns. Goals of the research: 1. To investigate the nursing problems and their alternation of patients with minor, moderate and major burns. 2. To investigate the dependency upon the degree of burn trauma and the nursing problems. 3. To prepare practical recommendations. Methods of the research. The research was carried on from July, 2006 to February, 2007 in the Clinic of Plastic Reconstruction and Surgery in Kaunas Medical University Hospital. 3 groups of patients with minor, moderate and major traumas participated in the research. There were 107 respondents. The research was carried on in two stages: the questioning after 10 and 17 days of burn trauma. The interview was anonymous with the response rate of 85,7 per. Conclusions. During the first and the second interviews the patients with minor burn trauma complained about pain and uneasiness before bedtime, lack of feeding, painful walking. Evaluating the alternation in nursing problems it was found out that the patients more often complained about rapid urination in the first part of questioning and about constipation in the second part. During the first and the second interviews the patients with moderate burn traumas complained about pain and uneasiness before bedtime, fever and lack of extra feeding. Evaluating a change of problems, it was found out that in the first part of questioning the patients more often complained... [to full text]
4

Paliatyvios pagalbos paslaugų organizavimas slaugos ligoninėje / Organization of palliative care service in care hospital

Kabašinskienė, Rita 14 June 2005 (has links)
Summary Aim of the study: to assess the need for palliative care services in care hospital and to examine the possibilities of satisfying patients need for palliative care. Objectives: 1.) to analize patients applying for services according to social, demographic and medical factors; 2.) to assess patients relatives oppinion about the quality of received services; 3.) to analise financial side of applied services and to realistically assess costs of services; 4.) to compare recourses granted by government with actual costs of services 5.) to analize the possibilities of applying palliative care services in palliative care hospital. Methods: the research was executed with the help of qualitive and quantitive methods in few stages: I. patients applying for services were analised according to social, demographic and medical factors using data from KCH registering books of year 2001- 2003. II. Patient's relatives oppinion about the palliative care and quality of received services were analised. The relatives of patients in last stages of oncological and neuromothorical illnesses received questionnaires concerning this research. Research was executed 2004 July - December. 46 questionnaires were distributed. The response rate – 95,7%. The biggest part of respondens were women (61,4%). Data analysis was performed with the help of the statistical package SPSS 10.03. Statistical procedures: chi- square's test c2, the degree of freedom (df) and statistical value (p). The results... [to full text]

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