Manažment ošetrovateľskej starostlivosti o pacienta po endoprotézach
Authors:   Vysoká škola zdravotníctva a
            sociálnej práce sv. Alžbety, n. o. Bratislava, Bárta Richard , Popovičová Mária ,   Vysoká škola zdravotníctva a
            sociálnej práce sv. Alžbety, n. o. Bratislava
Published: May 2023

Introduction: We present a comprehensive view of the nursing management of
patients after endoprostheses. The paper also discusses the information given on
compensatory devices and their use in practice by patients after implanted
endoprostheses. Attention is focused on exploring the subjective perception of the
patient’s health status after endoprosthesis and the provision of information prior to
elective surgery. In the last area examined, the thesis investigates the relationship
between gender, occupation and associated diseases, which as external factors may
influence the implantation of an endoprosthesis. In the empirical part of the thesis,
the research problem was set to find out “How the implantation of an endoprosthesis can
affect the perceptibility of the patient’s health status.” In order to achieve the main
objective, we set individual sub-objectives: - To find out the difference in patient’s
perceptibility before and after total knee/hip arthroplasty implantation. - To determine
whether patients are provided with sufficient information about treatment options, risks
of surgery, medical, diagnostic and therapeutic procedures as well as potential risks
and consequences associated with healthcare prior to elective hip/knee replacement
surgery. - Determine whether, when receiving healthcare, the healthcare facility
informed the patient about the possibilities of providing and how to use compensatory
devices that affect the patient‘s health after the surgery. - Determine whether gender,
comorbidities, and occupation are factors that may affect the implantation of an
endoprosthesis. Methodology: In order to verify the hypotheses and fulfil the main
objective, we used quantitative research methods (questionnaire). On the basis of the
collected information, we have underlined the context of the analyzed areas, to obtain a
comprehensive picture of the studied topic. In order to achieve the aim of the work,
working hypotheses were established, for the processing of which chi-square test of
goodness of fit was used to evaluate the statistical data. The result is a set of
hypotheses, which are subsequently formulated into concrete suggestions and
recommendations. The respondent pool consisted of patients after hip/knee implantation,
of different ages and gender. A total of 120 questionnaires were distributed during the
research, namely 60 questionnaires at the Department of Trauma Surgery at Rastislavova
No. 43 in Košice and 60 questionnaires at theDepartment of Orthopaedics and Traumatology
of the Musculoskeletal System at the SNP Class 1 of the UNLP in Košice. The total number
of respondentswho participated in our research was 112 (93.33%) respondents, while the
return rate of questionnaires at the Department of Trauma Surgery was 58 respondents
(52%) and at the Department of Orthopaedics and Traumatology of the Musculoskeletal
System was 54 respondents (48%). Conclusion: Following the set objectives, the paper
brings answers to the issue of patient awareness and the connection between the above
mentioned external factors in relation to the implantation of the endoprosthesis. The
proposed recommendations for practice are intended to make the nursing care of the
patient after joint arthroplasty more effective.