Issue of nursing care within patiens reliant on domestic oxygen therapy and inhalation therapy.

Abstract

Theory basis: Oxygenotherapy is a method using the oxygen for the treatment. In present time is not usable only in the medical facilities, but also in the home enviroment. Important fact is, that there's a certain life quality improvement at all aspects due to home oxygen therapy. This thesis is focused on issues of the nursing care of the patients dependent on home oxygen therapy and inhalation treatment. Theoretical part of thesis starts with enlightenment of oxygen therapy, utilization of the oxygen and its source. Other chapters of thesis are focused on terms such as oxygen therapy, diseases treated by this method and patients indication for the home oxygen therapy, followed by available sources of the oxygen in the Czech republic, nurse procedures for oxygen application, oxygen therapy equipment and important regulations and policies for oxygen manipulation. There's also mentioned procedure to approach a proper effect of the oxygen therapy and knowledge given by a nurse with the patient release into the home environment. One chapter is dedicated to the nursing care of the patients dependent on home oxygen therapy and inhalation treatment. There's a section in this part touching a care problems with patients. Theoretical part of thesis is closed by a chapter about inhalation treatment, which is used by the patients dependent on home oxygen therapy. Two objectives of the research, and two research questions were defined for this thesis. First goal was to determine which informations are given by nurses to the patients dependent on home oxygen therapy and inhalation treatment. Second goal was to determine what are the most common problems of patients dependent on home oxygen therapy and inhalation treatment. The method of research: Empirical part of this thesis is done by qualitative method in the form of half-structured interview. Results: Three main categories were defined based on data retrieved from interviewees. Categories are divided into subcategories. In the first main category, named "Nurses cooperation", was found, that nurses are cooperating with patient's family, practitioner, pulmonologist, physiotherapist, technical support and homecare agency. From the second main category, named "The range of the patient's awareness", research show us, that nurses inform patients about policies for oxygen manipulation, strict smoking prohibition and the need of periodical check from practitioner. Subcategories in this category are "Introduction to oxygen concentrator", "Oxygen therapy equipment", "Policies for oxygen manipulation" and "Methods of breathe rehabilitation". In subcategory "Introduction to a oxygen concentrator" was found, that nurses are not informing patients. In subcategory "Oxygen therapy equipment" was found, that most interviewed nurses are using informational leaflets except one of the nurses, which is not using any helpful materials. In subcategory "Policies for oxygen manipulation" was found, that nurses are informing patients about restrictions to work with greasy hands, avoiding open fire and strict smoking prohibition. Some of nurses also mentioned policies for the oxygen concentrator, which was a surprise for us. In last category, named "Methods of breathe rehabilitation", research show us, that nurses are recommending aids such as Treshold PEP, Accapela and breathe trainer. We also found, that one of the nurses is not recommending and aids. Third main category, named "Nurses recommendation", consist o