Nemalonių pojūčių raiška ir jų valdymas moterims, kurioms buvo atlikta histerektomijos operacija

Ramanauskienė, Ilma

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Nemalonių pojūčių raiška ir jų valdymas moterims, kurioms buvo atlikta histerektomijos operacija

Ramanauskienė, Ilma

URI: http://dspace.kaunokolegija.lt//handle/123456789/1496

Data: 2019-04-12

Santrauka:

Analizuojama nemalonių pojūčių raiška ir valdymas po histerektomijos operacijos, ankstyvuoju pooperaciniu laikotarpiu. Nustatomas nemalonių pojūčių pasireiškimo dažnumas ir valdymo efektyvumas.

Description:

4347 surgeries of hysterectomy were performed in Lithuanian in 2014. In 2015 the number of these surgeries reached 4371. The most common reasons, why hysterectomy is performed, are uterine myoma, endometrioses and uterine prolapse. The intensive care about patients in the early post-surgical period is important in order to be able to prevent complications and to have smooth post-surgical course. Purpose of the work – to reveal manifestation of unpleasant sensations and their management after hysterectomy during the early post-surgical period. Tasks of the work: 1. To explain theoretically the manifestation of unpleasant physiological and psychological sensations and their management during the early post-surgical period. 2. To determine frequency of manifestation of unpleasant sensations after hysterectomy. 3. To assess management effectiveness of unpleasant sensations after hysterectomy during the early post-surgical period. Research methods. The observation and survey methods of the patients were used for this research. The respondents for the survey were selected according to the following criteria: patients, whose uterus was removed using the vaginal, abdominal and LAVH method (they were observed for 4 hours), and the respondents, who have given written consent to take part in the scientific research before the surgery. The case history of the observed respondents and their prescription sheets were analysed. The research was carried out in November 2018 – December 2018. Results. The majority of respondents were 41 - 50 years old women (35 percent), whereas the main cause of hysterectomy was uterine myoma (35 percent). Having assessed the unpleasant sensations of the patients, it was noticed that pain, dryness in the mouth and thirst were manifested the most frequently after the abdominal and LAVH surgeries, while bloody secretion from vagina was common after vaginal surgery. The survey of the most usual nursing actions revealed that pain intensity was performed, pain was suppressed, the position was changed, the lips were moistened, and the interest in the patients’ condition was shown. Conclusions. 1. The medicaments and other tools are used to eliminate unpleasant physiological sensations (nausea, thirst, pain) during the early post-surgical period after hysterectomy, whereas the medical staff help to overcome anxiety and fear. 2. The research results 5 revealed that the following unpleasant sensations were manifested the most frequently during the early post-surgical period after hysterectomy: after abdominal surgery – tremor and pain, after vaginal surgery – bloody secretion, after LAVH – thirst and mouth dryness. 3. Having assessed the unpleasant sensations after hysterectomy, it was noticed that the most frequent nursing actions are evaluation and suppression of pain, interest in the patients’ condition, reduction of mouth dryness and thirst, change of position, usage of blankets

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