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Personal view of a child on upbringing which took place outside their own families. (Analysis of case reports)
ŠVECOVÁ, Valentyna
Abstract This thesis focuses on an analysis of a publicly available monograph, which was chosen deliberately. It deals with an autobiographical story of a girl who grew up in institutional care since the age of four. The work is conceived as a systematically organized set of information. It consists of a theoretical and an empirical part. The theoretical part discusses issues concerning the child's personality, development and basic needs, including family influence on the child. It also describes the system of alternative educational care for children with emphasis on the psychosocial aspects, concerning a child living outside its own family. The empirical part presents the research itself. The aim of the thesis is to find out more about the girl´s personal experience and the way the child perceived the education outside its own family. The main research question reads: How has the institutional education affected the life of the child? This relatively broad research question was further divided into several specific questions: 1. What impact has the child's relationship with its parents had on the life of the child growing up outside its family? 2. What influence has the child's relationship with its siblings had on the life of the child growing up outside its family? 3. What effect has the child's relationship with the educators and to the children's home in which the kid lived had on the life of the child growing up outside its family? The research was conducted as a qualitative investigation on the principle of grounded theory using analysis of the monograph in the form of data collection technique. For our individual case we utilized the method of intensive study with emphasis on a categorized overview, including basic characteristics of the individual's personality, its development, significant experience and attitudes, as well as the individual´s relationships with parents, siblings and wider social environment. The detection of the personal experience and of the opinion of the child on its education outside its own family was carried out by means of qualitative research using grounded theory technique. The data was transferred into the hermeneutic matrix program ATLAS.ti and evaluated using a three-stage coding. The methodological analysis procedure was based on inductive procedures according to the grounded theory technique. In the first step, the data was reduced to the information related to the research. After that, particular codes were created through open coding. These codes were divided into individual categories. In the chapters graphics are used, formed as a part of the coding in the analytical software ATLAS.ti. The results were described, analysed and processed. By research survey, we concluded that the personal view of the child concerning the education outside its own family is positive. This thesis could be beneficial for children's homes and diagnostic institutions. The results of the research could be used to better understand the situation of children in institutional or foster care, by the members of staff and foster parents, as well as by the people who grow up or are brought up outside their own family. This paper could also represent an incentive to perform more extensive research, which would focus on the verification of the generated hypotheses.
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Quality of life of patients with stenosis of aortic valve
ŠVECOVÁ, Valentyna
This bachelor thesis is focused on the quality of life of patients operated for aortic valve stenosis. The aim of the thesis was to describe and compare the quality of the patients´ lives before the replacement of the native aortic valve with a mechanical or a biological valve to the state three months after the surgery. The research was done in the Cardio-Centre of the Hospital České Budějovice, a. s. The patients of the Cardio-Centre represented the studied group and were selected using the simple deliberate selection method. The research itself was done using the ?postal survey? method, i.e. without the assistance of the professional staff. Two hypotheses were established: Hypothesis 1 (H1): The quality of life of the patients suffering from aortic valve stenosis is negatively affected in the evaluated domains of HRQoL; Hypothesis 2 (H2): The quality of life of the patients with aortic valve stenosis is better three months after the surgery than before the surgery. Health related quality of life was studied using the quantitative research method based on the Short-Form SF-36 questionnaire, Generic type, in the HRQoL methodology in eight domains: physical functions, physical limitations in role activities, emotional limitations in role activities, physical and emotional limitations in social activities, pain, mental health, vitality, general perception of health status. The received data were converted into the electronic form using the related software that assessed the average score of the quality of life correlative of the state of health. The results before and after the replacement of the aortic valve were compared mutually and also to the international standard of HRQoL. The results have helped to prove that surgical replacement of the native aortic valve results in an improvement of the quality of the patients lives. It has been proved through the research that the quality of life had been improved in all domains, what confirmed the H2 hypothesis ? i.e. the quality of life of the patients with aortic valve stenosis is better three months after the surgery than before the surgery. It has been also discovered that the quality of life of the patients with aortal valve stenosis is significantly lower than the quality of life in health population represented by the results of the Oxford research. This confirmed the H1 hypothesis ? i.e. the quality of life of the patients suffering from aortic valve stenosis is negatively affected in the evaluated domains of HRQoL. The bachelor thesis may be of benefit to the cardio-centres and the cardiology departments. The results of the research may contribute to better understanding of the patients by the staff, to improve the hospital care and to widen the patients´ knowledge of this fact. A colloquium for the nursing staff aimed at the quality of life of patients suffering from a cardiovascular disease could be organized. The thesis may also be used to stimulate further research in comparing the quality of life dependent on different types of replacements or on the age of the patients.
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