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The quality of life of patients after liver transplantation
Štrynková, Monika ; Kordulová, Pavla (advisor) ; Dynáková, Šárka (referee)
The face of transplantation has changed in recent decades. The improvement can be observed not only in terms of survival, but also the improved quality of life after this demanding procedure. This is one of the reasons why quality of life is one of the factors to consider (Durant, 2019). This is also due to the fact that in today's modern society one does not only want to survive, but wants to live fully. He wants to benefit his family and the society in which he lives. He wants to do his hobbies. Everybody wants to be active physically and also mentally. Today, quality of life is considered an indicator suitable for assessing physical, mental and social health (Chrastina, 2015). Methodology: The aim of this work is to evaluate how patients after liver transplantation perceive different domains related to quality of life and whether the results are different depending on the time elapsed from transplantation. For the purposes of the research was chosen a quantitative method using a questionnaire. A standardized WHOQOL BREF was used. The questionnaire contains 24 closed questions, which contain four domains and two questions themselves. Two separate questions assess the overal quality of life and overall health. The questionnaire was supplemented by two questions, which were aimed at obtaining...
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Nursing process of the tracheostomized patient
Körblerová, Jana ; Kordulová, Pavla (advisor) ; Maffei Svobodová, Ludmila (referee)
Tracheostomy is a mutilating procedure and It may be a source of physical, psychological and social trauma for the patient. An average of 170 permanent tracheostomies per year are performed in the Czech Republic. In the theoretical part I focused on species, indications and complications of tracheostomy and tracheostomy cannulas. I also described a complex care of a patient with the permanent tracheostomy including education. I drew on information from the available materials of the Czech Society of Otorhinolaryngology and Head and Neck Surgery of the ČLS JEP, from guidelines of the Australian Agency for Clinical Innovation Chatswood and The Royal Children's Hospital Melbourne. My other resources of information were BMC, EBSCO, ProQuest, Medline databases. In the case study, I described the nursing and educational process in the patient who underwent total laryngectomy surgery, from admission to dismiss. The case study includes an assessment of the patient's health status according to Majory Gordon's functional health model. I got all the information from an interview with a patient, from medical records, and from the provision of nursing care. Methods: The case study of the patient after the total laryngectomy surgery including the model of functional health, according to Majory Gordon. Aim of the...
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Influence of Midline and PICC catheters use on frequency of complications associated with venous lines in hospitalised patients
Hromádková, Jaroslava ; Hocková, Jana (advisor) ; Kordulová, Pavla (referee)
Presented dissertation deals with the problematics of optimal choice of venous access for each hospitalized patient at standard internal wards. Introduction of vascular access must be safe for the patient and must allow the fulfillment of all the goals for which it was indicated. In recent years, in addition to peripheral cannulas and non-tunneled central catheters, introduction of midline catheters and PICC gets into everyday practice. The choice of optimal vascular access device since adminition can bring benefit to the patients in the form of decline of complications. Goal: The goal of master thesis was to prove that the use of new types of vascular access devices has influence on the decline of vascular access devices related complication occurence. Methods: To reach the goal we used a quantitative method of data collection during certain time period using created collection protocols. Research investigation took place from November 2017 to February 2018 at two standard wards of Department of Internal Medicine FN Motol. Results: A total of 350 venous access devices (271 peripheral cannulas, 54 midline catheters, 35 PICC) in 187 hospitalized patients was monitored. Prevalence of complications, average length of placement and reasons for extraction of individual vascular access devices was...
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Ebola as a medical and social problem
Gantsetseg, Purevsuren ; Hladká, Petra (advisor) ; Kordulová, Pavla (referee)
Introduction: The aim of bachelor thesis is about the preparedness of health care facilities. The unexpected epidemic of Ebola 2014 in West Africa has become an international concern and the preparedness of health care facilities, prevention and control of this disease have become a major issue of concern. Methodology: For the development of the thesis, we chose a qualitative method, a form of research was an interview. The questions were designed in our own creation. The interview was conducted by epidemiological workers in surveyed health care facilities. The main objective of the research was to determine, what the methodologies in health care facilities are during admission and stay of a patient with Ebola. Results: From our analysis, the survey indicates that the organizational structure of hospital care ensures that patient with Ebola are handled according to the Government decree no. 15/2013 and health care facilities proceed according to the directive for unified procedure. In the development of an extraordinary incident, this is subjected to the International Health regulations in relation to the occurrence of highly dangerous infectious diseases in a health care facility. Another finding is that health professionals are familiar with the procedures in care of an Ebola patient by developed...
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The development of job descriptions theatre nurses across half a century
Kalašová, Veronika ; Prošková, Eva (advisor) ; Kordulová, Pavla (referee)
Bachelor thesis is focused on the history of the profession operating nurses, from 1953 to the present, primarily on the development and changes in workload of operating nurses at this time period and educational possibilities. The theoretical part explains the basic concepts of the theme, such as perioperative care, job descriptions of the staff in the operating theatre, operating theatre equipments et cetera. The thesis is focused on the differences development in the workload and competencies of the operating nurses throughout the entire period, and the increasing need to understand the technical equipment in the operating theatre and its operation. The aim of this thesis is to map the development in the education and legal regulation for the operating nurses. The second objective is to determine the differences in the character of the operating nurses' work nowadays and 50 years ago. Bachelor's thesis is theoretical and practical nature. To meet the goals and answer research questions was chosen the form of qualitative research, studying of archival documents and the period literature, which has been within the options complemented with structured interviews with witnesses (nurses, even. doctors, and other health care professionals). Keywords: perioperative care, operating rooms, theatre nurse,...
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Dentists literacy of non-medical staff
Havlíčková, Kateřina ; Kordulová, Pavla (advisor) ; Kulhavá, Miluše (referee)
(v AJ) Through the bachelor thesis I open the issue of dental literacy for non-medical health workers. The World Health Organization points out the importance of high health literacy and health education. Therefore, I decided to elaborate the final work on this topic and thus find out the level of dental literacy at various clinics. The theoretical part describes health literacy, anatomy and pathology of oral cavity and current knowledge of literacy in dentistry. The basis for the work I drew mainly on the basis of the research in the National Medical Library. From the catalog of the National Medical Library Medvik, the BMC database (Bibliographia medica čechoslovaca), the specialized databases CINAHL (Cumulative Index to Nursing and Allied Health Literature) and MEDLINE (Medical Literature Analysis and Retrieval System Online), from a personal source of professional literature, expert consultation with dental doctors and dental hygienists, own experience and other bachelor theses. The aim of this work is to create an information leaflet to address health professionals in the field of care. Methods: The work was elaborated on the basis of quantitative research by means of anonymous non-standardized questionnaire in printed form. The target group was non-medical health professionals. Objective: The...
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The quality of life of patients after liver transplantation
Štrynková, Monika ; Kordulová, Pavla (advisor) ; Dynáková, Šárka (referee)
The face of transplantation has changed in recent decades. The improvement can be observed not only in terms of survival, but also the improved quality of life after this demanding procedure. This is one of the reasons why quality of life is one of the factors to consider (Durant, 2019). This is also due to the fact that in today's modern society one does not only want to survive, but wants to live fully. He wants to benefit his family and the society in which he lives. He wants to do his hobbies. Everybody wants to be active physically and also mentally. Today, quality of life is considered an indicator suitable for assessing physical, mental and social health (Chrastina, 2015). Methodology: The aim of this work is to evaluate how patients after liver transplantation perceive different domains related to quality of life and whether the results are different depending on the time elapsed from transplantation. For the purposes of the research was chosen a quantitative method using a questionnaire. A standardized WHOQOL BREF was used. The questionnaire contains 24 closed questions, which contain four domains and two questions themselves. Two separate questions assess the overal quality of life and overall health. The questionnaire was supplemented by two questions, which were aimed at obtaining...
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The issue of blood donation from the perspective of doctors and the general public
Cicák, Filip ; Kordulová, Pavla (advisor) ; Kulhavá, Miluše (referee)
Introduction: The properties of human blood are so specific that it has not yet been possible to replace human blood with any other fluid than obtaining it as a blood gift from donors. In recent years, there has not been a sufficient number of new blood donors in the Czech Republic to compensate for the decrease in the number of donors due to the increasing incidence of a number of civilization diseases and age (Czech Red Cross, 2020). Blood donation and the need for blood products are constantly increasing with the development of the methods of treatment and medicine as a science. Ensuring a sufficient number of blood donors and sufficient deposition of blood obtained from donors is a permanent task of healthcare (Society for Transfusion Medicine of the Czech Medical Association JEP, 2019). Aim of the work: The main goal of the research was to map the issue of blood donation, to identify the factors by which blood donors are motivated to donate. Furthermore, what can cause stagnation in the growth of blood donors and what means doctors motivate potential blood donors. Methodology: A qualitative research method was chosen for the research survey. Data collection took place in the form of semi-structured interviews and was completed by achieving theoretical data saturation. In order to preserve...
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The issue of education of family members caring for patients with home mechanical pulmonary ventilation
Polášková, Veronika ; Kordulová, Pavla (advisor) ; Hocková, Jana (referee)
Introduction: The number of patients dependent on prolonged mechanical ventilation is still increasing (Chau et al., 2017). Once the child's condition is stabilized, it is possible for him to be discharged to home care and transferred to a home mechanical ventilator. The care of this patients is very difficult, therefore, it is important to prepare family caregivers on all necessary care (Borought a Dougherty, 2016). The aim of thesis: The aim of this thesis was to find out what is included in the educational process in intensive care unit. Secondarily, to get opinion of caregivers on the quality of the education process and finally to present problems, that family caregivers face at home. Methodology: The research was based on the qualitative study. Data collection was conducted by semi-structured interviews with family caregivers, who take care of children on home mechanical ventilation. A total of 9 respondents participated in the research survey. Data analysis was performed in open coding steps followed by categorization and subcategorizations. Result: The research identified important aspects about the education of family caregivers. We found that caregivers perceive the education very positively. However, they also met with several problems - lack of staff time to educate them in hospital, or...
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Teaching methods for hand hygiene
Hájková, Iveta ; Kordulová, Pavla (advisor) ; Kulířová, Veronika (referee)
Introduction to the issue and the importance of the topic: The subject of this diploma thesis is to focus on issues related to teaching methods for the practice of hand hygiene in health care professionals in medical facilities. The issue of increasing efficiency in education is today an increasingly relevant topic supporting the activity of every person. In medical facilities, we encounter a problem with employee motivation, mutual interaction and communication when practicing new nursing procedures (hand hygiene), (Cullen, 2017). Unfortunately, most lecturers still teach only traditional teaching methods and use activating methods minimally or not at all (Sitná et al., 2009). Such a stereotype in the teaching process often provides only mechanical reproduction of the learned content. There is no consideration of understanding and practical interconnection, which is often boring and cumbersome for employees (Duran et al., 2017). The lecturer should pass on theoretical knowledge and practical skills to the given employees and thus develop their attitudes necessary for the performance of their profession (Vengl, 2011). Although much attention is paid to education in the literature, the methods used are often briefly characterized and listed by the authors. The primary focus of this work is on...
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