Stomické sestry a jejich podíl na práci se svépomocnými skupinami nemocných

Bc. Olga ŠŤASTNÁ

Master's thesis

Stomacare nurses and their share in the work with self-help groups of patiens.

Abstract:

Svépomocné skupiny, stomasestry a pacienti se stomií jsou v neustálém spojení a stále spolu pracují. Úkolem naší práce bylo zjistit, jaký má stomasestra podíl na práci ve svépomocných skupinách stomiků. Začátky s tímto onemocněním bývají složité, a proto v nemocnicích pracují tzv. stomasestry, což jsou specializované sestry, které jsou zaškolené v ošetřování stomií a vším, co s tímto problémem souvisí. Stomasestry navštěvují pacienty na odděleních a připravují je na život stomika. Seznamují je s možnostmi pomůcek, s jejich dodavateli, i komplikacemi, které mohou nastat. Učí je, jak reagovat, na koho se obrátit a kde si obstarat pomůcky. Také je informují o sdruženích stomiků a o svépomocných skupinách, protože slyšet vzájemně různé problémy, moc pomáhá každému pacientovi. Ve svépomocných skupinách platí principy rovnoprávnosti, vzájemné pomoci a výměny zkušeností. Velkou roli hrají stomasestry, které jsou v každodenním kontaktu se svými pacienty. Měly by umět poradit s mnoha psychologicko etickými problémy. Cílem práce bylo zjistit, zda si stomasestry uvědomují význam svépomocných skupin pro stomiky. Dále pak, zda sestry informují pacienty o svépomocných skupinách, zda spolu vzájemně spolupracují a jaký je podíl stomasestry v těchto skupinách. Také jsme chtěly zjistit, jaký význam přikládají pacienti se stomií svépomocným skupinám.

Abstract:

Stoma nurses and their contribution to work with self-help groups of patients. The diploma thesis dealt with the cooperation of stoma nurses with self-help groups of stoma patients in ten regions of the Czech Republic. The aim was to find out if stoma nurses recognize the importance of self-help groups for stoma patients, how their work contributes to self-help groups, if stoma nurses cooperate with self-help groups and if they inform stoma patients about the existence of self-help groups. Another objective was to determine the level of significance stoma patients give to self-help groups. The goals of the work were met. The theoretical section addresses the issues of self-help groups, the history, benefits, risks, stoma nurses and their education. Cooperation between doctors, stoma nurses and the club of patients is also mentioned. The contexts of a stoma - preoperative and postoperative care, nursing care complications, the stoma aids - are involved in the conclusion of the thesis. In the practical section an investigation through qualitative in-depth interviews with stoma nurses on the base of five research questions was carried out. Do stoma nurses consider self-help groups important in the life of a stoma patient? What information do stoma patients ask for when stoma nurses participate in self help groups? What is the cooperation of stoma nurses with self-help groups in individual regions? Do stoma patients take part in activities within self-help groups? Which age groups of patients, according to stoma nurses´ opinion, prefer to work in self-help groups? On the basis of a qualitative research hypotheses were established for a quantitative investigation. This quantitative research survey through questionnaires was conducted in patients with a stoma, also in ten regions. H1: Stoma nurses recognize the importance of self-help groups for patients with a stoma. H2: Stoma nurses cooperate with self-help groups of stoma patients. H3: Stoma nurses inform stoma patients about self-help groups. H4: The biggest benefit of stoma nurses for stoma patients in self-help groups is giving information about the use of aids. H5: Stoma patients consider self-help groups very important. All hypotheses were confirmed. Stoma nurses as well as stoma patients consider self-help groups very important in their lives. Currently stoma nurses cooperate with self-help groups in all regions, they inform new stoma patients about opportunities to take part in self-help groups and do not forget to give advice about aids and stoma nursing, which is the most valuable information for the stoma patient especially at the beginning of treatment. The results were consistent in both investigations and will be offered to individual stoma nurses for improvement of mutual cooperation. And in the regions where self-help groups do not exist yet or are being established, I firmly believe that the results of this thesis will help in self-help groups activities. The research survey has proved that the stoma nurses´ work is meaningful owing to its results and goals. Stoma nurses have a large share of the self-help groups work.

Keywords

Svépomocná skupina, Stomasestra, Spolupráce, Stomie, Pomůcky

Language used: Czech

Date on which the thesis was submitted / produced: 24. 5. 2010

Accessible from:: 24. 5. 2010

Identifier: 17031

Thesis defence

• Date of defence: 14. 6. 2010

UNIVERSITY OF SOUTH BOHEMIA IN ČESKÉ BUDĚJOVICE

Faculty of Health and Social Studies

Master programme / field:
Nursing / Nursing in Selected Clinical Disciplines