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Posttraumatic stress and posttraumatic growth in members of fire rescue service
Holubová, Markéta ; Niederlová, Markéta (advisor) ; Boukalová, Hedvika (referee) ; Honzák, Radkin (referee)
Posttraumatic stress and posttraumatic growth in members of fire rescue service (Abstract) Firefighters often work under circumstances that endanger their lives or physical integrity and witness traumatic experiences of other people while managing effects of devastating emergency situations. As a result of this exposure they can suffer from trauma and stress related disorders. However, traumatic experiences may also offer potential for growth. This thesis is aimed at posttraumatic stress - symptoms of posttraumatic stress disorder (PTSD) and posttraumatic growth in members of fire rescue service. The main objective is widening of existing posttraumatic research in professional rescuers with findings from multinational sample of firefighters. Sample consisted of firefighters from Czech Republic (N=302) and six other European countries (N=2241). Study was carried out through questionnaire-based data gathering. Symptoms of posttraumatic stress were assessed via self-rating measure Impact of event scale - revised, posttraumatic growth via Posttraumatic growth inventory - short form. Comparison of Czech and European firefighters was made with the premise that among members of this professional group there would be found no differences. Subtle dissimilarities were, however, observed in several measured...
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Dying and Death on ICU
Pfefferová, Eva ; Bartůněk, Petr (advisor) ; Honzák, Radkin (referee)
Thesis deals with death and dying on intensive care wards from the perspective of nurses. In the theoretical part are concepts such as death, dying, Thanatology etc. explained. The work also highlights the status of nurses in palliative care. In the last chapter of the theoretical part is briefly described the type of workplace of ICU, care of patient in this ward and patients needs . Empirical part of this work is focused on finding out problems and feelings eventually knowledge of nurses working on the ICU for the care of dying and dead. To obtain data for research part was chosen quantitative research, data collection techniques structured questionnaire. There were chosen 4 goals of this thesis. Objective 1: Identify the most common feelings of nurses working on the ICU during the care of dying and death. The second goal: Identify what is most frustrating for nurses during the care of dying and death on the ICU. The goal 3: Investigate hierarchy of dying patients needs from the perspective of nurses working on the ICU. Goal 4: Identify interest of nurses working on the ICU in further education in the sphere of care of the dying and the provision of palliative care at the ICU.
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Influence of psychosocial factors on emotional status, rehabilitation and quality of life of patients after myocardial infarction
Pilipčincová, Alexandra ; Hrachovinová, Tamara (advisor) ; Honzák, Radkin (referee) ; Kebza, Vladimír (referee)
Objective: To examine the impact of dispositional optimism/pessimism, social support and coping strategies on emotional distress (symptoms of depression and anxiety) of patients with myocardial infarction (MI) during hospitalization and one year after the discharge. To identify predictors of recovery and factors affecting quality of life of these patients. Methods: The sample consisted of 102 patients (25 women, 77 men) with diagnosis of acute MI, 2 - 4 days after MI. The age of men patients was lower than 65 and of women lower than 75. During the follow-up, one year after the discharge, we interviewed 63 patients (45 men, 18 women). The group used for comparison consisted of 1% random sample of Czech population from Benešov district, matched with regard to age and sex, selected during epidemiological survey PostMONIKA. Results: Patients with acute MI were significantly more depressed than the subjects from comparison group (ll% vs. 3% p<0.05). One year after MI, the prevalence of depression symptoms among patients was the same as in the comparison sample. Patients with acute MI reported anxiety symptoms only rarely and denial as a coping strategy was associated with diminished occurrence of anxiety symptoms. An association between emotional coping, distraction cop1ng, lack of social support, dispositional...
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Problematic internet use in adolescent hematooncological patients
Mládková, Petra ; Honzák, Radkin (advisor) ; Vondráčková, Petra (referee)
BACKGROUND: The Problematic Internet use among adolescents is an increasingly discussed topic in connection with the continuous development of technologies. If it enters to the period of adolescent age factor of hematoncological disease, which requires long term tratment and isolation for a long time, the risk of growth of non-substance addictive behavior is likely to increase in this context. AIM: The main aim of the research was to find out the prevalence of Problematic Internet use in a group of adolescent patients after the intensive cancer treatment within the Department of Pediatric Hematology and Oncology of the University Hospital in Motol (KDHO). Another aim was to map specific characteristics that may be a predictor of later risk behavior and to find out possible correlation between these characteristics and problematic Internet use. METHODS: The concept of the research is based on quantitative methods of epidemiological cases and controls study. The data were collected through a screening questionnaire survey using a compilation of a short version of the Problematic Internet Use Questionnaire (PIU Q- SF 6) and Substance Use Risk Profile (SURPS) personality traits). Data were evaluated using descriptive statistics and the χ2 test. The p value p < 0,05 was determined as statistically...
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Posttraumatic stress and posttraumatic growth in members of fire rescue service
Holubová, Markéta ; Niederlová, Markéta (advisor) ; Boukalová, Hedvika (referee) ; Honzák, Radkin (referee)
Posttraumatic stress and posttraumatic growth in members of fire rescue service (Abstract) Firefighters often work under circumstances that endanger their lives or physical integrity and witness traumatic experiences of other people while managing effects of devastating emergency situations. As a result of this exposure they can suffer from trauma and stress related disorders. However, traumatic experiences may also offer potential for growth. This thesis is aimed at posttraumatic stress - symptoms of posttraumatic stress disorder (PTSD) and posttraumatic growth in members of fire rescue service. The main objective is widening of existing posttraumatic research in professional rescuers with findings from multinational sample of firefighters. Sample consisted of firefighters from Czech Republic (N=302) and six other European countries (N=2241). Study was carried out through questionnaire-based data gathering. Symptoms of posttraumatic stress were assessed via self-rating measure Impact of event scale - revised, posttraumatic growth via Posttraumatic growth inventory - short form. Comparison of Czech and European firefighters was made with the premise that among members of this professional group there would be found no differences. Subtle dissimilarities were, however, observed in several measured...
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Operators on the emergency line 155. Reviewing operators control over calls (with callers) by means of transactional analysis
Čepická, Blanka ; Šípek, Jiří (advisor) ; Hartl, Pavel (referee) ; Honzák, Radkin (referee)
The work focuses on reviewing phone calls to the 155 emergency line of the Emergency Medical Service, by means of transactional analysis. The review concentrated on how the operators controlled the phone calls. We studied their ways of dealing with the requests that were the subject matter of the emergency line calls. Transactional analysis has proved to be a good instrument to analyze procedures the operators had chosen to conduct the calls. The outcomes helped describe characteristics of both constructively and unconstructively conducted calls. The results can provide good basis for complementing the currently purely medical training of the emergency line operators, to include the dimension of psychological variables, which may affect the course of calls.
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A problematic patient at the Intensive Care Unit
Hricová, Ivana ; Hošťálková, Monika (advisor) ; Honzák, Radkin (referee)
Thesis on "The aggressive patient in intensive care, "focuses on obtaining information relating to violent patients, their behavior, the occurrence of selected sites, how to respond, behavioral health personnel to these patients and obtaining information relating to completing the incident report aggressive patients. This thesis is divided into theoretical and empirical. The theoretical part deals with the acquisition of theoretical knowledge of care intensity, aggression, communication with aggressive behavior, physical aggression, aggressive techniques to calm the patient, psychotherapy, pharmacotherapeutic treatment, prevention of aggressive behavior and incidents. The empirical part of the thesis presents results of quantitative data collection through a questionnaire survey using anonymous questionnaires. Three Prague hospitals were involved in the research (TTH, General University Hospital, Motol), 9 health facilities in total with the approval of Chief Nurses. Total of 178 nurses working in ICU were involved in the data collection. Survey results will be statistically processed into detailed charts. The results revealed that nurses surveyed hold the correct attitude to communication and aggressive patient right off reports of the incident. KEY WORDS: Aggression, ICU, resuscitation...
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Burnout by Nurses in Intensive Care
Jánová, Simona ; Mellanová, Alena (advisor) ; Honzák, Radkin (referee)
Burnout by nurses in intensive care Abstract: Objective of this thesis was to determine incidence of the risk of burnout by nurses in intensive care in the Motol University Hospital in Prague, compare to risk of burnout among nurses in intensive care for childern and adults and by age, sex, marital status, education, length of experience in health care and on the current department, satisfaction and performance in the workplace. The research method for data collection were two anonymous questionnaires: one prepared by author of the thesis and a standardized questionnaire by dr. Pines to determine the risk of burnout. It was found that more than hlaf of nurses in FN Motol had low risk of burnout and has not demonstrated that nurses have on children's or adult wards increased risk. Results confirmed that discontent and the increasing intensity of stress in the workplace is proportional to the risk of burnout. This research confirmed that although most nurses achieved good results has been shown a high percentage of nurses with alarmig score and even burnout. Therefore we should not ignore this issure, but rather to warn him and avoid unpleasant consequences through educational seminars, pleasant working environment and do not overload nurses. Keywords: burn-out, stress, nurses, intensive care, mental hygiene
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