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OPTION TREATMENT HYPERTENSIVE IN ČR AND THEIR INFLUENCE OVER NURSE CARE
HOLAROVÁ, Erika
The diploma paper was prepared on: Alternative treatment of hypertension in the Czech Republic and its impact on nursing care. Hypertension is one of the most common diseases of the cardiovascular system and it is the most frequent cause of morbidity and mortality in the Czech Republic. High blood pressure occurs more and more often nowadays and it is frequently underestimated by patients. Therefore, its treatment as well as its prevention is important. A nurse should be able to guide patients with hypertension along the right path and to advise them, especially in relation to preventive precautions against hypertension origination, but also a nurse should be close during the treatment of high blood pressure using other methods. Two types of interviews were carried out with nurses and patients at the cardiology department of hospital Nemocnice České Budějovice, a.s, at the cardiology department of hospital Na Homolce, a.s. and at the department of internal medicine at hospital Nemocnice Klatovy, o.p.s. In both the interviews, we first focused on the identification data of the nurses and the patients, and then questions were directed at answering our research questions specified in advance. According to the results of the data obtained from the interviews with the nurses and the patients, it was found that there was no difference in the nursing care provided to patients treated pharmacologically and patients with non-pharmacological treatment. The individual variants of hypertension treatment therefore have no impact on nursing care. Research question 1 was: Are there any differences in nursing care between pharmacological hypertension treatment and alternative hypertension treatment? Research question 2 was: Do alternative hypertension treatment methods affect nursing care? Both of these research questions have been answered by the data obtained from the interviews with the nurses as well as with the patients. Research question 3 was: Do patients view alternative hypertension treatment as part of the treatment of this disease? This question was answered by the data obtained from the interviews with the patients. Since the survey found that there are not any differences in the nursing care provided to patients with pharmacological therapy or non-pharmacological treatment, and that alternative hypertension treatment methods have no effect on nursing care, the two groups of patients should be educated properly and checked for high blood pressure. An appropriate recommendation is to organize additional research to the problems of educating patients on regimen precautions during non-pharmacological treatment of arterial hypertension.
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The observation of non pharmacological possibilities of the therapy by decreasing the risk faktors of atherosclerosis from the patients view.
REICHERTOVÁ, Stanislava
Atherosclerosis and its risk factors represent one of the most significant health problems of the western civilization; they are one of the most frequent causes of death and they limit significantly the quality and length of life. Atherosclerosis also causes invalidity. More than fifty thousand people die of heart and blood vessel related diseases in the Czech Republic every year. Non-pharmacological therapy, based on changing life habits, is an integral part of treating atherosclerosis. These measures include the reduction of body weight, suitable physical activities, changes of eating habits, preventing stressful situations, and absolute termination of smoking. The objective of the paper was to find out about the awareness and subsequent observance of non-pharmacological treatment measures in patients who have been diagnosed with at least one risk factor. Nurses play a very important role in non-pharmacological treatment. Their task is to inform patients about the non-pharmacological treatment, to provide assistance in acquiring required habits, to change behaviour of patients, and to help patients cope with the care of themselves. Therefore, it was necessary to find out about nurses? education, experience, potential, time and enthusiasm for educational activities at various departments. The data for this paper was collected using a quantitative research strategy by means of questionnaire method. A questionnaire for patients contained 31 questions and a questionnaire for nurses contained 23 questions. The results were processed in a graphic form. The research was carried out at the medical inpatient department and the specialized outpatient departments of cardiology, diabetology, internal, and industrial doctor at Mulač Hospital in Pilsen. Three hypotheses were formulated: 1 Patients know the principles of non-pharmacological treatment of atherosclerosis risk factors. 2 Patients observe the principles of non-pharmacological treatment of atherosclerosis risk factors. 3 There are differences in providing education at the inpatient and outpatient departments to patients with a confirmed atherosclerosis risk factor. The research resulted in the finding that patients with a confirmed atherosclerosis risk factor know the principles of non-pharmacological treatment but they do not observe these principles. The first hypothesis has been confirmed, the second one was disconfirmed. It has also been found out the there are differences in methods and means available to nurses to provide education as impatient and outpatient facilities. The third hypothesis has been confirmed. The results of our research obtained through the work on this paper will be used as background material for nurses? educational activities and thus they may contribute to increasing the preventive measures for patients with a confirmed atherosclerosis risk factor.
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