The aim of the dissertation was to find out the specifics of nursing care in clinical and community practice with patients with colorectal cancer using the model of M. E. Levine. Furthermore, to find out which of these specifics are missing in the mentioned nursing model and to modify the nursing documentation according to the chosen conceptual model of M. E. Levine. In the empirical part we used a combination of qualitative and quantitative research which was carried out as part of the grant project GAJU 048/2015/S. The pre-research, conducted interviews with 8 informants was used to identify the key data for answering research questions and creating a custom-designed questionnaire. A non-standardized questionnaire was distributed across the Czech Republic to 300 patients with colorectal cancer. We also designed nursing documentation, which was verified by focus group with 35 nurses from clinical and community practice. The results show that patients are limited in areas of contact with friends, normal traffic, traveiling, and fear for themselves and their loved ones to maintain social integrity. In the principle of maintaining structural integrity, problems with diet, alcohol consumption, diarrhea, current treatment management, stoma and stoma type have been identified. In the field of energy conservation the influence of length of diagnosis and colonoscopy performed as part of preventive examination, pain sensation, and enough energy for normal daytime life have been confirmed. In the principle of conservation personality integrity, we have found that the length of time determines the fear of getting stoma, learning individuals with the same disease, experiencing negative feelings, and limiting private life. The work provides a comprehensive framework of the issue of patients with colorectal cancer. It provides evidence of the possibility of using M. E. Levine's conceptual model in colorectal cancer patients.
| Identifer | oai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:396412 |
| Date | January 2019 |
| Creators | DUŠIČKOVÁ, Tereza |
| Source Sets | Czech ETDs |
| Language | Czech |
| Detected Language | English |
| Type | info:eu-repo/semantics/doctoralThesis |
| Rights | info:eu-repo/semantics/restrictedAccess |
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