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Trends in the Consumption of Drugs Used for Treatment of Diabetes over the Period 2005-2010
Štipčáková, Lucie ; Lešetický, Ondřej (advisor) ; Střítecký, Rudolf (referee)
This diploma thesis presents an overview of current trends in the consumption of drugs for diabetes treatment in the Czech Republic, summarizes the current drug therapy recommendations in the context of professional medical societies and points to future developments and trends. Diabetes in recent years is referred as an epidemic of 21 century. Constantly increasing prevalence alarms professional society to active approach to address this issue. Cost of diabetes treatment grow every year and make 20 billion CZK a year. 10 to 15% from this amount are pharmacotherapy expenses. This amount represents about 7% of total expenditure on health. Total expenses for diabetes drugs reached CZK 2.4 billion in 2010, which represents 58 % growth compared to 2005. An average diabetic consumes about 10 packs of drugs per year, which is about two more than in 2005. Unhealthy lifestyle, increasing incidence of child's obesity, active screening of high-risk people and longer life expectancy of diabetics predispose to a growing trend in the consumption of drugs.
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Informedness about lifestyle of patients with diagnosis Diabetes mellitus
BEČKOVÁ, Věra
This thesis aims to depict the contemporary situation in diabetes patients{\crq} awareness of healthy life style and to determine whether the information on healthy life style is reasonably accessible and comprehensible to patients or not and whether they abide by the rules. I set four assumptions for this thesis: 1. The diabetes mellitus patients feel that the information on healthy life style within the frame of their illness is sufficient and accessible. 2. One third of the informants feels that the information on healthy life style in terms of their disease is not accessible. 3. One third of the informants has difficulties with apprehension of the information on healthy life style in terms of their illness. 4. More than half of the informants abides by the information on healthy life style in terms of their illness. The selected group of informants consisted of diabetes mellitus patients. The data were extracted from anonymous questionnaire intended for the patients of two diabetology clinics in Znojmo regardless their age, sex or diabetes type. 150 questionnaires were distributed. The finite number of questionnaires used for data compilation after elimination of erroneously or incompletely filled items was 118. The results of the research revealed that most of the patients feel sufficiently informed and that the information on healthy life style is reasonably accessible. Nevertheless only 22,9% of informants abide by the information on healthy style, the rest of the informants is not able to manage all the rules they should be conformant with or cannot change their life styles in accordance with the advices of professionals. I would like to emphasize the importance of information on healthy life style in the frame of diabetes mellitus that can help the patients to prevent the unfavourable complications of this disease and therefore improve the quality of their lives. Nevertheless also the patient must feel the consciousness and need to abide the rules of healthy life style. That is why I consider the distributing information on healthy life style of diabetics very important and hope that my thesis will also serve this purpose.
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Diabetes mellitus type 1 as a health, nutriotial and social problem for children up to 18 years of age.
FRIDRICHOVSKÁ, Pavlína
Work specifies the problems of children with diabetes mellitus type 1 - of site for health, in nutrition and social problems. The theoretical part is characterized by diabetes mellitus type 1, its causes, symptoms, treatment with diet and takes into account the specific problems arising from this condition for age. The practical part comprises the results of the questionnaire survey, which focuses on the problems of diabetes mellitus type 1 in childhood, and the level of knowledge about diabetes. The survey was performed in 40 families with a child that has been diagnosed with diabetes mellitus type 1. The results showed that diabetes mellitus type 1 affects the lives of families in the area of catering, sports, travel, school teaching, but also the future development of the child itself and its involvement in other activities.
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Patients Knowing about Diabetes Mellitus and a Costs of this Diet
Bačovská, Martina ; Střítecký, Rudolf (advisor) ; Lešetický, Ondřej (referee)
The aim of this thesis is clear up patient access to diabetes mellitus. The studied areas are eating habits, access to physical activity and health treatment, which are directly related to the disease. The chapter on diabetic diet will bring knowledge about the monthly cost of food in these patients. This analysis answers the question, whether the amount of the monthly cost of diabetic diets is higher than the cost of food of a person with a rational diet.
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Trends in the Consumption of a chosen ATC Group A10 in the period 2005-2009: Comparing the Situation in the Czech and Slovak Republic
Písaříková, Zuzana ; Lešetický, Ondřej (advisor) ; Doležal, Tomáš (referee)
This thesis describes a methodology for expressing the consumption of drugs, a system of ATC/DDD, ATC classification and DDD recommended daily dose assigment. It acquaints readers with the most appropriate data source for consumption determining and also inform about diabetes mellitus. This involves also recommended standards of medical care in diabetes by the Czech Diabetes Association, with which is comparethe actual consumption of drugs in the Czech Republic and Slovakia at the conclusion. Czech and Slovak Republic are described using basic statistics. The practical part is devoted to the evaluation of the consumption of drugs in ATC group A10 2005 - 2009. To evaluation indicators DDD/1000inhab/day, Number of pack/1000inhab and Financial statements (EUR)/1000inhab. Consumption is process for the 4th level of ATC classification, as well as for the 5th level of ATC classification. In conclusion, the results of consumption are evaluated, which are compared with each other between the Czech Republic and Slovakia.
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Nursing care for patients suffered from diabetes mellitus, with severe eye disorder, being cured with insulin pumps
NOVÁKOVÁ, Kateřina
The reason why the issue of diabetes mellitus is a frequent topic is that diabetes is ranked among the most frequent diseases of infant as well as adult age. Diabetes has been accompanying the mankind for several centuries and the long-term research into diabetes treatment has brought substantial changes in recent years. From the original treatment, which our grand-parents still remember, by means of metal needles and metal syringes via disposable syringes with integrated needles, treatment with insulin pens, an insulin pump is becoming a great revolution in diabetes treatment. More and more diabetics are being converted to the insulin pump treatment and it is becoming a routine work of diabetologic nurses. Diabetologic nurses are those who are responsible for mastering the specifics of nursing care about diabetics during education in conversion to the insulin pump treatment. The late diabetes complication ? diabetic retinopathy is one of the most frequent indications for introduction of insulin pump treatment. The visual impairment caused by diabetic retinopathy means remarkable limitation for a diabetic in activities that might be a problem for a person without visual deficit. This is why these problems inspired me to elaboration of my Bachelor Thesis called ?Nursing care about patients with diabetes mellitus with heavy visual impairment, treated by insulin pump?. The theoretical part deals with the diabetes mellitus disease in general. It briefly summarizes definitions and the disease history, causes of occurrence and clinical picture of diabetes with complications. It also focuses on diabetes treatment. We are detailing the problems of diabetic retinopathy, visual impairment, insulin pump treatment and the specific of nursing care linked to the insulin pump treatment. The practical part is aimed at selected targets and research questions. The research sample consists of six respondents, diabetics with heavy visual impairment treated by insulin pump. Deep semi-standardized interviews were conducted with the respondents, extended by observation of the respondents during mastering the insulin pump operation. Sets of questions relating to the selected targets and research questions were prepared for all the respondents. The interviews were elaborated into case reports the research data into the output tables. Observation of the respondents during mastering the insulin pump operation was recorded into a prepared observation sheet. The output data were used for drawing conclusions and elaboration of recommendation for diabetologic nurses for providing nursing care to diabetics with heavy visual impairment, treated by insulin pump. The conclusion of the thesis summarizes the data obtained from interviews with the respondents and observation of the respondents during mastering the insulin pump operation and recommendation of possible procedures in problems arisen in providing nursing care to diabetics with heavy visual impairment, treated by insulin pump. This Bachelor Thesis may be applied as educational material for future medical staff ? students of secondary schools, higher professional schools and colleges focused on health care. It may also be used as study material for improvement of awareness among general nurses working not only in hospitals, but also external nurses from home care agencies at public seminars for general nurses.
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