Search

Introduction: Fear affects the mental state of the patient during invasive and therapeutic procedures. Can we intervene in the development of anxiety? Objective: 1) How many patients had the presence of fear and worry before bronchoscopy, 2) How many patients had the presence of stress after bronchoscopy, which segments were most feared, 3) How many patients reported that they would want more oral than written instructions about the procedure Methods: Data were collected from three months, the target group were all patients who came to the diagnostic bronchoscopy in Clinic for lung disease (N=50). Anonymous survey was conducted on a sample of 50 subjects, both sexes. We used Likert9s five-stage scale for stress and fear where 1 means no stress or fear, and 5 the strongest intensity of stress or fear. Results: 1) Prior to the procedure, respondents reported the level of fear 3=40% and level 4=30%, all participants were concerned about the procedure 100% (N=50), 2) After the procedure, respondents reported the level of stress 3=54% and level 4=12%, 60% of respondents reported fear due to the passage of the instrument through the throat (N=50). 3) 92% respondents find it more useful to have oral information about the procedure (N=50). Conclusion: Fear is the reason for the heavy submission of the diagnostic procedure bronchoscopy. Based on the results we came to the conclusion that active listening and counseling can reduce anxiety. Further work should focus on conversation nurses with the patients, more detail verbally explains the principle of the procedure, learn the breathing exercises and monitor nonverbal communication in conversation with the patients.

Introduction: Communication in multidisciplinary team it is necessary to assess the risk of interventional bronchoscopy. Objective: 1) Display of patient safety for interventional bronchoscopy, 2) Display complications during the procedure, 3) Display of complications after the procedure. Methods: Data were collected during 2016.g. The target group were all patients who came to interventional bronchoscopy at the Clinic for lung disease (N=90). We used anaesthesia, physicians and nursing documentation to assess the safety of patients during and after bronchoscopy. We collected data: bleeding, bronchospasm, infection, death, withdrawal of the procedure. Results: 1) Assessment of patients safety: 5% of patients did not continue procedures for established risk (N=90), 2) Display of complications during the procedure: 40% of patients had mild bleeding, 5% patient had severe bleeding (N=85), 3) Display of complications after procedure: 2% of patients had bronchospasm, there were none reports of any cases of infection and death. Conclusion: Team work represents an essential segment of the quality of professional activity for the purpose of patient safety.