Objetivo: Avaliar a efetividade da instituição de um protocolo fisioterapêutico padronizado no pós-operatório imediato de pacientes pediátricos submetidos à ressecção pulmonar. Métodos: Estudo retrospectivo e prospectivo, intervencionista, descritivo e quantitativo. Foram incluídos no estudo cento e vinte e três pacientes pediátricos submetidos à ressecção pulmonar. Em cinqüenta e duas crianças foi realizado o protocolo padronizado de fisioterapia enquanto o grupo controle (n=71) recebeu várias técnicas fisioterapêuticas sem padronização específica e com variabilidade na data de início e número de atendimentos diários. Foram avaliadas as complicações pulmonares pósoperatórias, necessidade de fibrobroncoscopia pós-operatória, tempo de permanência do dreno torácico e permanência hospitalar após a cirurgia. Resultados: O grupo que recebeu atendimento baseado no protocolo fisioterapêutico padronizado desenvolveu menos complicações que o grupo controle (17,3% vs. 30,9%; p ≤ 0.0001). Os pacientes do grupo controle necessitaram de mais intervenções por fibrobroncoscopia para higiene brônquica (n=14, 19,7% vs. n=5, 9,61%; p ≤ 0.0001). Não houve diferença significativa no tempo de drenagem torácica e permanência hospitalar entre os grupos. Conclusão: A implantação de um protocolo fisioterapêutico padronizado após ressecção pulmonar em crianças diminui o aparecimento de complicações pós-operatórias, porém não reduz o tempo de permanência de dreno torácico e a duração da internação hospitalar. / Background: Early physiotherapy reduces pulmonary complications after lung resection in adult patients. However, the effectiveness and the techniques used in postoperative physiotherapy in children undergoing lung resection have not been well described. Therefore, the standardization of a physiotherapeutic attendance after lung resection in children is necessary. Methods: This is a retrospective and prospective, interventional, descriptive and quantitative study. We evaluated 123 pediatric patients undergoing lung resection. Fifty-two children were prospectively submitted to a standardized physiotherapy protocol that included a mask with a positive expiratory pressure (EPAP) of 10 cmH2O, expiratory rib cage compression, coughing, lifting the upper limbs and ambulation starting within the first 4 hours after surgery and continuing three times each day. A historical control group of 71 patients received physiotherapeutic techniques without specific standardization and with variability in the start date and number of days attended. We recorded the presence of postoperative complications, prolonged air leak, postoperative bronchoscopy, the time of chest tube removal and the length of the hospital stay following surgery. Results: The group that received a standardized protocol of physiotherapy had fewer atelectasis than the control group (15.4% vs. 7.6%; p ≤ 0.01). Patients in the control group were more likely than those in the intervention group to require fiberoptic bronchoscopy for bronchial toilet (n = 14, 19.7% vs. n = 5, 9.61%; p ≤ 0.0001). There was no difference in the time of drainage or length of hospitalization between the groups. Conclusion: Implantation of a standardized physiotherapeutic protocol after lung resection in children decreases atelectasis but does not reduce the time of chest tube removal or the duration of the hospital stay.

Submitted in fulfillment of the requirements for the degree of Masters of Health Sciences in Clinical Technology, Durban University of Technology, Durban, South Africa, 2016. / Introduction: The immediate post-cardiopulmonary bypass (CPB) immune responses and organ injuries in immune- compromised patients remain poorly documented. We conducted a prospective clinical study to determine whether or not human immunodeficiency virus (HIV) seropositive patients generate higher acute systemic inflammatory response and suffer greater myocardial injury, compared to HIV seronegative patients. Methodology: Sixty-one consecutive patients i.e. Thirty HIV seropositive patients and Thirty-one seronegative, undergoing elective cardiac valve(s) replacement were enrolled, over a period of nine months from a single center hospital, after informed consent was acquired. The C-reactive protein (CRP) and Erythrocyte sedimentation rate (ESR) were used as biomarkers of acute inflammatory response, and cardiac troponin I (cTnI) as a biomarker for measuring postoperative myocardial injury. Single tests were measured preoperatively and postoperatively, in both groups, and these were compared and correlated to perioperative events and CPB parameters. Results: The mean age group was similar between the HIV seropositive and negative group (37.8 and 37.1 years, respectively). Preoperatively both groups had relatively equal CRP levels (p=0.388), ESR levels (p=0.817) and cTnI (p=0.489). The CPB events and durations were significantly different between the two groups, CPB duration (p=0.021). Other CPB events include, clamp aortic duration (p=0.026), CPB blood transfusion (p=0.013), CPB total urine output (p=0.035) and CPB peak lactate (p=0.040). Postoperatively we observed significant increased biomarkers level in both groups, with no significant difference between the groups: mean CRP (p=0.115), mean ESR (p=0.214) and cTnI (p=0.363). We observed a significant negative correlation between the mean change in CRP levels and mechanical ventilation (r=- 0.548, p=0.002) in the seropositive group, but not in the uninfected group (r=0.025, p=0.893). The correlation between the difference in CRP and ICU stay was not significant between in both group (r=-0.231, p=0.229 and r=0.25, p=0.975, respectively). A significant positive correlation between postoperative cTnI and the inotropic support duration (r=0.384, p=0.040) was seen in the seropositive groups, but not in the negative group (r=0.092, p=0.622). Furthermore we observed a significant drop in CD4 cells postoperatively (p=<0.001) in the HIV seropositive group. Antiretroviral treatment appeared to influence the degree of change in CD4 cells postoperatively. Conclusion: We conclude that HIV positive patients’ postoperative reactions to cardiac surgery supported by CPB are similar to those of HIV seronegetive patients. We further report non-paralleling correlations between the biomarkers and perioperative events; however these do not seem to affect the overall outcomes between the two groups. / M

Bakgrund: Konfusion är ett akut förvirringstillstånd som är vanligt förekommande efter kirurgi där en desorientering av tid, rum, situation eller person sker vilket kan leda till längre vårdtider, ett ökat behov av rehabilitering samt en ökad dödlighet. Detta innebär dels ett lidande för patienten, men även en ökad belastning på vården med ökade kostnader på grund av den längre vårdtiden. Genom att förebygga postoperativ konfusion skulle de negativa konsekvenserna kunna förhindras och patientens lidande därmed minska. Syfte: Syftet med studien var att identifiera vilka icke-farmakologiska åtgärder som beskrivs i vetenskaplig litteratur för att förebygga postoperativ konfusion på somatiska vårdavdelningar.  Metod: En deskriptiv litteraturstudie som baserats på tio kvantitativa originalartiklar publicerade år 2015–2020. Databaserna som användes var PubMed och Cinahl. Artiklarnas kvalitet granskades och de sammanställda artiklarnas resultat analyserades och resultatet delades in teman och kategorier för ge en bättre överblick inom området.  Resultat: Som förebyggande åtgärder för postoperativ konfusion identifierades i det sammanvägda resultatet fem teman. Dessa var kunskap, orientering, miljö, basal omvårdnad och smärta. Inom temana identifierades även kategorier där kommunikation, utbildning av personal samt ett nära samarbete med närstående visades vara en viktig del i att förebygga postoperativ konfusion på somatiska vårdavdelningar.  Slutsats: Med icke-farmakologiska förebyggande åtgärder riktade mot kunskap, orientering, miljö, basal omvårdnad och smärta kunde fler fall av postoperativ konfusion förebyggas. Genom detta kunde därmed även patientens lidande och belastningen på vården minskas. / Background: Delirium is an acute state of confusion that is common post surgery where a disorientation of time, situation and person occurs which can lead to longer length of stay, an increased need for rehabilitation and an increased mortality. This leads to suffering for the patient but also an increased burden on healthcare. By preventing postoperative delirium the negative consequences could be avoided and the suffering of the patient thereby decrease. Aim: The aim of this study was to identify non-pharmacological measures that are described in scientific literature to prevent postoperative delirium in somatic wards.    Methods: A descriptive literature study based on ten quantitative peer reviewed articles published between 2015–2020. The databases that were used were Pubmed and Cinahl. The compiled results were evaluated and the compiled results were analyzed and then categorized into themes to give a better overview of the field.  Results: As preventive measures for postoperative delirium five themes were identified in the result. These were knowledge, orientation, environment, nursing care and pain. Within these themes categories were also identified and communication, staff education and a close cooperation with relatives were an important part in preventing postoperative delirium in somatic wards.   Conclusion: With non-pharmacological preventive measures aimed towards knowledge, orientation, environment, nursing care and pain more cases of postoperative delirium could be prevented. These preventive measures could thereby decrease the patients suffering and the burden on healthcare.

Bakgrund: Postoperativ smärta och illamående så kallad postoperative nausea and vomiting (PONV) är bland de vanligaste postoperativa komplikationerna och är kopplat till fördröjd återhämtning med ökad komplikationsrisk. Individuella- och processrelaterade faktorer påverkar förekomst av postoperativ smärta och PONV. Tarmopererade patienter skattar jämförelsevis hög postoperativ smärta. Anestesisjuksköterskan har ett stort ansvar att tillgodose god smärtlindring och postoperativ omvårdnad. Syfte: Beskriva fördelning av postoperativ smärta, PONV, patientkaraktäristika i förhållande till kön hos tarmopererade patienter. Även att identifiera könsskillnader relaterat till postoperativ smärta och PONV samt samband mellan postoperativ smärta, PONV, patientkaraktäristika och processdata. Metod: En retrospektiv studie med kvantitativ ansats, patientdata från Svenskt Perioperativt Register (SPOR) användes. Patienter som genomgick operation på tunn- och tjocktarm (KVÅ-kod JF) på ett länssjukhus i Sverige åren 2019 och 2022 inkluderades, totalt 420 patienter. Data redovisades med deskriptiv och analytisk statistik. Resultat: Flera signifikanta samband påvisades; högre ålder korrelerade med lägre skattad postoperativ smärta och längre operationstid korrelerade med högre skattad postoperativ smärta. Patienter med generell anestesi utan tillägg av regional anestesi, elektiv operation och PONV skattade högre postoperativ smärta. Resultatet visade en signifikant könsskillnad, kvinnor drabbades i större utsträckning av PONV än män. Slutsats: Dessa samband och skillnader belyser att postoperativ smärta är komplext. Fler studier bör utföras i syfte att klargöra riskfaktorer för postoperativ smärta och PONV, och för att förstå underliggande mekanismer. Det är viktigt att vårdpersonal i ett tidigt skede förebygger, identifierar och behandlar postoperativ smärta och PONV utifrån patientens bakgrund och kända riskfaktorer. För att detta ska ske måste en individbaserad strategi utarbetas, för god behandling och återhämtning. / Background: Postoperative pain and postoperative nausea and vomiting (PONV) are among the most common postoperative complications and is associated with prolonged recovery. Individual and surgery-related predictors affect the prevalence of postoperative pain and PONV. Patients who underwent bowel surgery rated postoperative pain comparatively high. The anesthetic nurse has a responsibility in providing effective pain treatment and qualitative postoperative care. Purpose: To describe the distribution of postoperative pain, PONV, patient characteristics in relation to gender among patients undergoing bowel surgery. Also, to identify gender differences related to postoperative pain and PONV, but also correlations between postoperative pain, PONV, patient characteristics and surgery related factors. Methods: A retrospective register study with a quantitative approach, data from the Swedish Perioperative Registry (SPOR) were used. Patients included underwent bowel surgery in an operating ward at a county hospital in Sweden by 2019 or 2022, resulting in 420 patients. Data was performed with descriptive and analytic statistics. Findings: Findings demonstrated several significant correlations; higher age correlated with lower postoperative pain and longer duration of surgery correlated with higher postoperative pain. Patients with general anesthesia without complementary regional anesthesia, elective operation or PONV rated higher postoperative pain. Findings demonstrated a significant difference in gender, women tended to experience PONV more frequently than men. Conclusion: Findings illustrate the complexity of postoperative pain. More studies must be done to clarify risk factors for postoperative pain and PONV and understanding their underlying mechanisms. It’s essential that caregivers prevent, identify, and treat postoperative pain and PONV based on patient background and known risk factors. An individual-based strategy needs to be developed; to provide effective treatment and recovery.

Bakgrund: Postoperativa omvårdnadsåtgärder och bedömning av postoperativ smärta är viktig i vården av postoperativa neurokirurgiska patienter. Bristande postoperativa omvårdnadsåtgärder samt inadekvat lindring av postoperativ smärta är ett omvårdnadsproblem som orsakar vårdlidande hos patienter som genomgår spinala tumöroperationer. Det är sjuksköterskans ansvar att ge en optimal smärtlindring samt att utföra noggranna postoperativa omvårdnadsåtgärder för att patienter som genomgår spinal tumörkirurgi ska få en förbättrad livskvalité och förbättrade postoperativa resultat. Syfte: Syftet med studien var att beskriva sjuksköterskans postoperativa omvårdnadsåtgärder i samband med spinala tumöroperationer med fokus på smärta. Metod: För att svara på̊ syftet gjordes en integrerad litteraturöversikt enligt Friberg (2012). I studien inkluderades tolv vetenskapliga artiklar, fem kvalitativa studier och sju kvantitativa. Analysen gjordes med inspiration av Whittemore och Knafls (2005) beskrivning av integrerad innehållsanalys.Resultat: Studien resulterade i två huvudkategorier; att lindra smärta och att förebygga komplikationer. Huvudkategorinatt lindra smärta tilldelades underkategorierna att använda smärtskattningsinstrument och kommunikation. Den andra huvudkategorin, att förebygga komplikationer tilldelades underkategorierna mobilisering och standardiserade vårdförlopp. Slutsats: Sjuksköterskans omvårdnadsåtgärder i samband med postoperativa omvårdnadsåtgärder kan ofta vara en utmaning för den grundutbildade sjuksköterskan. Föreliggande studie beskrev de postoperativa omvårdnadsåtgärderna och hur sjuksköterskan kan arbeta för att förebygga komplikationer. Det framkom att sjuksköterskan har en ytterst viktig roll i smärtbehandlingen av denna patientkategori. Om inte sjuksköterskan ger en individualiserad smärtskattning, smärtlindring och smärtutvärdering finns risk att ett vårdlidande uppstår. / Background: Postoperative nursing measures and assessment of postoperative pain are important in the care of postoperative neurosurgical patients. Inadequate postoperative nursing measures as well as inadequate relief of postoperative pain is a nursing problem that causes nursing distress in patients undergoing spinal tumor surgery. It is the nurse's responsibility to provide optimal pain relief and to perform careful postoperative nursing measures so that patients undergoing spinal tumor surgery can have an improved quality of life and improved postoperative results.Aim: The aim of the study was to describe the nurse's post-operative care measures in conjunction with spinal tumor surgeries with a focus on pain.Method: An integrated literature review was made according to Friberg (2012). The study included twelve scientific articles, five qualitative studies and seven quantitative. The analysis was done with inspiration from Whittemore and Knafl's (2005) description of integrated content analysis.Results: The study resulted in two main categories; to relieve pain and to prevent complications. The main category of relieving pain was assigned to the subcategories of using pain assessment instruments and communication. The second main category, preventing complications, was assigned to the subcategories of mobilization and standardized care processes.Conclusion: The nurse's nursing measures in connection with postoperative nursing measures can often be a challenge for the newly graduated nurse. The present study described the postoperative nursing measures and how the nurse can work to prevent complications. It emerged that nurses have an extremely important role in the pain management of this patient category. If the nurses do not provide an individualized pain assessment, pain relief and pain evaluation, there is a risk that care suffering can occur.

Bakgrund: Konfusion innebär att patienten drabbas av ett akut förvirringstillstånd som bland annat påverkar kognitionen och medvetandenivån. Detta är en vanlig förekommande komplikation i den postoperativa vården. Tillståndet kan leda till ett ökat lidande och längre vårdtider som påverkar både individen, vården och samhället i stort. Syfte: Syftet var att beskriva den vuxna patientens upplevelser av en konfusion i ett postoperativt skede och hur vårdandet upplevdes i samband med detta. Metod: En allmän litteraturöversikt med kvalitativ ansats, där elva kvalitativa studier söktes i databaserna PubMed och Cinahl. Kvalitetsgranskningen genomfördes med kvalitetsgranskningmall från Statens beredning för social utvärdering. Resultatanalysen utfördes genom Fribergs analysmodell. Resultat: Totalt framkom tre kategorier och dessa var upplevelser av konfusion, upplevelser av omhändertagandet i vården och upplevelser av närståendes involvering i vårdandet. Resultat visade både negativa och positiva upplevelser av konfusion postoperativt, där majoriteten av upplevelserna skildrades som negativa. De negativa upplevelserna beskrevs som ett lidande och overklighetskänslor. Resultatet visade även upplevelser om omhändertagandet i vården vilket innefattade information, kommunikation, närvaro av personal och miljöanpassning. Patienterna beskrev även närståendes involvering i vårdandet, vilket ansågs ha en positiv inverkan på patienten. Slutsats: Postoperativ konfusion kunde leda till stora psykiska påfrestningar för patienten, vilket medförde ett lidande. Lidandet kunde beskrivas i form av ett vårdlidande, sjukdomslidande och ett livslidande. I framtiden bör fler studier genomföras för att få en ökad förståelse och ökade kunskaper kring området. Fortsatt kan detta vara aktuellt för att kunna möta samt möjliggöra en optimal vård för denna patientgrupp. / Background: Confusion means that the patient is affected by an acute confusional state, which affects cognition and the level of consciousness. Confusion is a common complication in postoperative care. The condition can lead to increased suffering and longer hospitalization, which has affects both on the individual, the health care and the society. Aim: The aim was to describe the adult patient’s experiences of confusion in a postoperative stage and how the care was experienced in connection with the hospitalization. Method: A general literature study with a qualitative approach where eleven qualitative studies, found in the databases PubMed and Cinahl, was applied. The quality review was carried out using the quality review template from the Swedish Agency for Health Technology Assesment and Assesment of Social Services. The result analysis was carried out using Friberg’s analysis model. Results: A total of three categories emerged and these were experiences of confusion, experiences about caring performance in healthcare and experiences of relatives' involvement in the care. The results showed both negative and positive experiences of confusion postoperatively, with the majority of experiences described as negative. The negative experiences were explained as suffering and feelings of unreality. The result also showed experiences about caring performance in healthcare, which included information, communication, presence of staff, and environmental adaptation. The patients also described the involvement of relatives in the care, which was considered to have a positive impact on the patient. Conclusion: Postoperative confusion is described as a psychological stress for the patient, which entailed suffering. The suffering could be described in the form of care suffering, disease suffering and life suffering. In the future, more studies are required to gain an increased understanding and increased knowledge of the area. Furthermore, this can be relevant to meet the opportunities and make an optimal health care for this patient group.

Thesis ((M.S.)?)--University of Michigan, (1993?).

Thesis ((M.S.)?)--University of Michigan, (1993?).

Este estudo teve como objetivos analisar o conceito náusea em pacientes no período pósoperatório imediato; avaliar a validade de conteúdo e clínica do diagnóstico de enfermagem Náusea no período pós-operatório imediato, considerando-se o modelo de Fehring; identificar a incidência do referido diagnóstico em pacientes no período pós-operatório imediato; verificar possíveis associações entre os antecedentes de náusea obtidos na análise de conceito e os identificados nos pacientes com náusea no pós-operatório imediato e verificar a frequência de ocorrência das características definidoras principais e secundárias do diagnóstico Náusea. A pesquisa foi desenvolvida em três etapas: análise de conceito, validação de conteúdo e validação clínica. A análise de conceito seguiu as oito fases propostas por Walker a Avant: selecionar o conceito, definir o objetivo da análise, identificar a utilização do conceito, definir atributos definidores, desenvolver casos-modelos, desenvolver outros casos, identificar antecedentes e consequentes e verificar as referências empíricas. Essa etapa foi fundamental para a realização das etapas posteriores (validação de conteúdo e validação clínica), permitindo a construção de definições operacionais e a elaboração de instrumentos de coleta de dados mais direcionados ao cenário do paciente com náusea no período pós-operatório. Participaram da validação de conteúdo 52 expertos que responderam a um instrumento que continha dados de identificação profissional e de validação do diagnóstico de enfermagem Náusea (enunciado, definição, posição que ocupa na estrutura taxonômica e características definidoras, descritas em uma escala tipo Likert). A maioria dos expertos considerou o domínio 12 (Conforto), a classe 1 (conforto físico) e o enunciado (náusea) adequados ao diagnóstico. Foram sugeridas modificações na definição atual do referido diagnóstico de enfermagem. Quatro características definidoras foram consideradas principais (relato de náusea, salivação aumentada, aversão à comida e sensação de vômito) e oito foram denominadas secundárias (deglutição aumentada, gosto amargo na boca, palidez, taquicardia, diaforese, sensação de calor e frio, alterações da pressão arterial e dilatação pupilar). Na etapa de validação clínica, 106 pacientes foram incluídos na amostra. Para a coleta de dados, foram utilizados o questionário de avaliação pré, intra e pósoperatória e a Escala Hospitalar de Ansiedade e Depressão. A náusea foi avaliada em duas etapas: 1) análise das manifestações objetivas (dois enfermeiros simultaneamente) e 2) subjetivas (um enfermeiro). A incidência de náusea foi de 21,70% e, na maioria das vezes, de moderada intensidade. Os antecedentes associados à presença de náuseas no pós-operatório foram: sexo, idade, tipo de anestesia, presença de dor, movimentação e alimentação pósoperatória e odores nocivos. Na etapa 1, a característica definidora denominada principal foi relato de náusea, e as manifestações secundárias foram sensação de vômito, palidez e deglutição aumentada. O índice de concordância variou de 86,95% a 100,00%. Na etapa 2, as características consideradas principais foram relato de náusea e sensação de vômito, e as características definidoras secundárias identificadas foram salivação aumentada e sensação de calor e frio. Os escores totais do diagnóstico de enfermagem Náusea foram de 0,79 e 0,73 para as validações de conteúdo e clínica respectivamente, considerado válido para a Taxonomia da North American Nursing Diagnosis Association - International (NANDA-I). Concluiu-se que o relato de náusea, sensação de vômito, palidez, salivação aumentada, deglutição aumentada e sensação de calor e frio são fortes indicativos do diagnóstico de enfermagem Náusea. / The aims of this study were to analyze the nausea concept in patients during the immediate postoperative period; to assess the content and clinical validity of the nursing diagnosis nausea in the immediate postoperative period, considering Fehring\'s model; to identify the incidence of this diagnosis in patients during the immediate postoperative period; to check for possible associations between the nausea antecedents obtained in the concept analysis and those identified in patients with immediate postoperative nausea and to verify the frequency of the primary and secondary defining characteristics of the Nausea diagnosis. The research was developed in three phases: concept analysis, content validation and clinical validation. The concept analysis followed the eight phases proposed by Walker and Avant: select the concept, define the aim of the analysis, identify the use of the concept, define defining attributes, develop model cases, develop other cases, identify antecedents and consequences and check empirical references. This phase was fundamental to accomplish further phases (content validation and clinical validation), permitting the construction of operational definitions and the elaboration of data collection instruments that were better directed at the context of postoperative nausea patients. Fifty-two specialists participated in the content validation, who answered an instrument with professional identification data and the validation of the nursing diagnosis nausea (wording, definition, position in taxonomic structure and defining characteristics, described on a Likert scale). Most experts considered domain 12 (Comfort), class 1 (physical comfort) and the wording (nausea) adequate for the diagnosis. Modifications were suggested in the current definition of the referred nursing diagnosis. Four defining characteristics were considered primary (reported nausea, increased salivation, aversion toward food and gagging sensation), while eight were called secondary (increased swallowing, sour taste in the mouth, pallor, tachycardia, excessive sweating, feeling hot and cold, blood pressure alterations and pupil dilation). In the clinical validation phase, 106 patients were included in the sample. For data collection the pre, intra and post-operative assessment questionnaire and the Hospital Anxiety and Depression Scale were used. Nausea was assessed in two phases: 1) analysis of objective manifestations (two nurses simultaneously) and 2) subjective (one nurse). The incidence level of nausea corresponded to 21.70%, in most cases of moderate intensity. The following antecedents were associated with the presence of nausea and vomiting: gender, age, anesthesia type, presence of pain, postoperative movements and meals and harmful smells. In phase 1, the defining characteristic that was considered primary was reported nausea and the secondary manifestations were gagging sensation, pallor and increased swallowing. Agreement levels ranged between 86.95% and 100.00%. In phase 2, reported nausea and gagging sensation were considered primary characteristics, while increased salivation and feeling hot and cold were identified as secondary defining characteristics. The total scores of the nursing diagnosis Nausea corresponded to 0.79 and 0.73 for the content and clinical validations, respectively, which are considered valid for the Taxonomy of the North American Nursing Diagnosis Association - International (NANDA-I). In conclusion, reported nausea, gagging sensation, pallor, increased salivation, increased swallowing and feeling hot and cold are strong signs of the nursing diagnosis Nausea.

The objectives of the work The objective of this work has been set as the mapping of degree of patient's contentment/ rate of patient's satisfaction in view of the nurse's approach within the scope of the post-thoracic operation care and the evaluation/ assessment whether the needs of the aforementioned patients have been satisfied. Another objective of the research enquiry has been set as finding out the level of the nurse's awareness regarding the ways and possibilities of the subsequent care. Methodology For the purpose of the research enquiry the form of qualitative research has been chosen and adopted, which has been applied and performed by means of using a method of interviewing i.e. putting questions which have been prepared beforehand, well in advance. Research array of patients consisted of 10 patients from one hospital (which is not going to be specified in this work) as well as 8 nurses whose job was to take care of the post-operative patients/ the post-thoracic operation patients. The results of the research have been processed by applying the method of open coding, pencil-paper method. Assets and Benefits of this Work The research enquiry has showed certain level of absence of desirable knowledge as well as ignorance of the staff taking care of the patients regarding the ways of subsequent care. Nurses should be educated about the possibilities of home care, hospice care as an integral part of their profession. The results gained by research enquiry process could be presented at seminars, conferences aimed at the subsequent care.