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The role of the nurse by patient with Holter transmitted home
ČEČKOVÁ, Monika
Diseases of the cardiovascular system rank among the most frequent causes of death. This thesis called ``The role of the nurse taking care of patients with the Holter monitor when they are discharged home`` deals with this non-invasive examination of the cardiovascular system. Timely diagnostics is of high importance to show a number of diseases. The theoretical part of the thesis deals with diseases of the cardiovascular system. The diseases mentioned include: the syncope, arrhythmia, ischemic heart disease and hypertension. Further, it deals with the non-invasive examination by means of the Holter monitor, which is connected with the diseases mentioned before. This is followed by informing the patient in connection with this examination, communication skills of the medical staff with the patient and the education in this non-invasive examination. The practical part of the thesis lays down three objectives. The first objective was to find out whether patients with the Holter monitor, when being discharged home, have sufficient information on this examination. The second objective focused on nurses, and finding out the way nurses view their role as the educator of the patients with the Holter monitor. The third objective was to find out whether patients were afraid of this examination. Next, three hypotheses were set up. The first hypothesis supposed that nurses working in outpatient and inpatient cardiac care facilities had enough information on the electrocardiograph monitoring and blood pressure by means of the Holter monitor. The second hypothesis supposed patients with the Holter monitor, when being discharged home had sufficient information on this examination. The third hypothesis supposed that nurses educated patients with the Holter monitor on discharging them home. All objectives were fulfilled and hypotheses confirmed. To fulfil the objectives and confirm the hypotheses, I used the quantitative method. To collect data I used a questionnaire for patients and another one for nurses. The research set consisted of nurses working in selected outpatient facilities of the Kardiologie Medipont s.r.o. and Kardioecho s.r.o. in České Budějovice and in selected inpatient cardiac care facilities. Further, a questionnaire investigation with patients with the Holter monitor from the same health care facilities as the nurses. 80 questionnaires were handed out to patients and 80 questionnaires to the nurses. 53 questionnaires were given back by the patients and 39 questionnaires by the nurses. This thesis could acquaint the public and medical staffs with the prevention and symptoms of cardiovascular diseases, thus attracting their attention to the importance of timely diagnostics and treatment. Further, it could be of beneficial to inform the health care facilities the survey was conducted in, with the results. Nurses have a lot of roles during their work. Their role as the educator, which undoubtedly ranks among them, is essential in the diagnostics by the Holter monitor.
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