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Centre for conditional of kardiology patients
MATOUŠKOVÁ, Monika
ABSTRACT This diploma thesis is focused on cardiac fitness and rehabilitation centres. The reason why I have made this choice for my thesis was the fact that despite all recommendations of professional associations dealing with cardiovascular disease issues, adherence to secondary prevention and treatment regimen measures is absolutely poor also in patients who had been given superior and costly care during their acute medical condition. Adherence to secondary prevention guidelines includes treatment regimens and measures to reduce risk factors. Theoretical part of the thesis lists risk factors highly involved in coronary diseases. An integral part in maintaining good physical condition of cardiac clients is residential spa treatment and following care in cardiac fitness and rehabilitation canters. Involvement of nurses in care for patients with coronary diseases would be just in the area of secondary care and regimen measure adherence. Use of their competencies and joining non-medical facilities addressing this issue could improve the gaps in secondary prevention. The goal of this thesis was to map out the patient requirements for cardiac fitness and rehabilitation centers within secondary prevention. To determine the difference in secondary prevention effectiveness between clients visiting cardio clubs and clients living in location without any cardio club. Another goal was to research the connectivity of cardiac clients in the follow-up care after their discharge from ward departments and possibilities of cardio clubs and in cardio club management, to find out the possibility to involve a nurse in cardiac client care. Qualitative research with semi-structured interviews and quantitative research relied on a questionnaire have been used in this study. Research group consisted of healthcare professionals and cardiac patients. Goals of the thesis have been met, research questions answered and hypotheses confirmed. The results can be served as a base for establishment of other cardiac fitness and rehabilitation centers and involvement of nurses. Output of this thesis is an encouragement for general nurses and can be used in risk factors of coronary diseases.
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Public awareness concerning risk factors leading to hypertension
LEPŠÍKOVÁ, Leona
The public´s awareness about risks of hypertension Cardiovascular diseases are the most frequent causes of morbidity and mortality in the Czech republic. It is widely known that arterial hypertension is one of the factors that may subsequently lead to irreversible changes and death. Arterial hypertension together with its high prevalance among adults in industrial nations (20 - 30 %) represent a serious health problem. It is one of the most major risk factors of ischemic heart disease along with diabetes, hyperlipoproteinemia, obesity and smoking. The aim of this work is to establish whether the public are aware of and adhere to precautionary measures which lessen the risk of hypertension. There are two hypotheses: 1. The public know the risk factors in the rise of hypertension. 2. The public fail to maintain precautionary measures preventing the rise of hypertension. The research group was formed by the public in the Vysočina region. Data was collected using questionnaires. The questionnaires were addressed to respondents of all age groups. There were distributed 160 questionnaires altogether. The final number of questionnaires used for data processing amounted to 126 questionnaires. The results showed that the public in the Vysočina region are informed about risks of hypertension (obesity, overeating, a high intake of salt in food, excessive alcohol consumption, lack of physical exercise and stress) and maintain precautionary measures preventing the rise of hypertension. To prevent hypertension from a frequent occurrence, it is essential to know of and avoid risk factors, to learn a healthy lifestyle and to realize that we ourselves are responsible for our health. It is, therefore, important to pay more attention to this problem and keep the public educated, e.g. through leaflets in GPs´ surgeries, and also this dissertation may serve the purpose.
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Use of Educational Programs in the Care of Cardiac Patients.
SOUKUPOVÁ, Lenka
The topic of the bachelor´s work is Utilization of the educational plans in the care of cardiac patients. Heart & blood vessels diseases belong to the civilisation diseases. Circular system diseases are the most frequent cause of death in the advanced countries of the western civilisation, including the Czech Republic. The theoretical part is focused on heart and blood vessels anatomy, ischemic cardiac disease, education, the methods and forms of education of cardiac patients, where dietary measures, physical burden in cardiac patients, the possibility of balneotherapy and other recommendations for cardiac patients are described. The bachelor´s work has two goals Goal 1. To find out whether education of cardiac patients is being done in selected cardio centres, who provides the education, whether they have educational plans in the selected cardio centres and whether they utilize them and what is the effect of the education. Goal 2. To create and realize an own educational plan in cardio centre at hospital in České Budějovice. For these goals, 6 research questions have been set. RQ 1. Is education of cardiac patients being done in the selected cardio centres? RQ 2. Does the nurse participate in the education? RQ 3. Do they have an educational plan in the selected cardio centres? RQ 4. Do they utilize the educational plan in the selected cardio centres? RQ5. Does the education of cardiac patients have a positive effect in keeping regime and curative measures? RQ 6. Is the created educational plan going to have an effect on the knowledge and skills of a patient? A qualitative form of research, by the technique of semi-standardised interview has been used for the achievement of the goals. The research set consisted of 8 selected cardio centres and 8 cardiac patients who were hospitalized at hospital in České Budějovice. After the qualitative research has been conducted, answers were acquired. Answer 1: Education of cardiac patients is being done in all cardio centres. Answer No.2: General nurse takes part in the education of cardiac patients. Answer No.3: Only 3 out of 8 selected cardio centres have an educational plan created. Answer No.4: Most of the cardio centres don´t have an educational plan created. An educational plan is utilized only in 3 cardio centres where they have created it. Answer No.5: The education of cardiac patients has a positive effect in keeping curative and regime measures. Answer No.6 The created educational plan has a positive influence on the knowledge and skills of patients. There was only 1 patients where the educational plan had no effect, 4 patients started to change their food habits. It is very important that the people know the risk factors of ischemic heart diseases and the possibilities of prevention. A properly conducted education will mediate this information to people and therefore it would be suitable to train the medical staff working in the cardio centre at Hospital in České Budějovice, for an education of cardiac patients. I think that the created educational plan could be used for the education of cardiac patients at Hospital in České Budějovice
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Role of a nurse in the care of patients with post-puncture cephalalgia after an operation in spinal anaesthesia
KŘIVKOVÁ, Jana
The objective of this diploma paper was to answer the question whether nursing for patients after an operation in spinal anaesthesia has any effects on the occurrence of post-puncture cephalalgia and on the satisfaction of patients with spinal anaesthesia. The paper is divided into two parts: a theoretical one and a practical research one. The theoretical part sums up the current knowledge of spinal anaesthesia; it provides anatomic and physiological aspects, possible complications and the importance of nursing in this type of anaesthesia. It deals with the syndrome of post-puncture cephalalgia in detail, the mechanism of its origin, typical symptoms, its treatment, and the importance of nursing for patients suffering from this syndrome. With regard to the importance of education in nursing jobs, one chapter of the theoretical part deals with education and educational process. The research part consists of qualitative as well as quantitative surveys. The research was carried out with a group of patients who were hospitalized at the surgical and gynaecological departments of Domažlická nemocnice a.s. (Domažlice Hospital Ltd.) and have undergone an operation in spinal anaesthesia. The quantitative survey was done using a questionnaire that contained 27 questions. Seventy-eight patients, selected at random, took part in this research stage. The objective of the qualitative survey was to find out the following: whether patients were aware of the aspects of spinal anaesthesia, whether they have experienced any complications in relation to the administration of spinal anaesthesia, how have they been informed, and what was their overall satisfaction with spinal anaesthesia. The qualitative part involved 10 patients who had been divided randomly into two groups: a group with ``standard{\crqq} education and a group with above-standard education using a purpose-made brochure. A semi-standardized interview, consisting of 18 questions, was carried of with each patient. The patients in the latter group were also asked additional questions aimed at the benefit of the informative brochure and the completeness of the presented information. The former group was asked whether they would be interested in a brochure focusing on spinal anaesthesia. Based on the results of this survey, the basic research question of the paper can be answered. Nursing does have positive effects on the occurrence of complications and on the satisfaction with spinal anaesthesia. A detailed result analysis shows that patients do not feel any subjective need to be educated by a nurse and they are not interested in the brochure. Most of the patients think they are informed sufficiently and they do not want more information. However, the results of the qualitative survey into the group educated by a nurse show a higher informedness about the method, lower occurrence of complications, higher satisfaction, better observance of recommended regimen measures, and highly reduced level of stress in relation to spinal anaesthesia. The educative brochure was accepted by the educated patients as beneficial and useful. Based on the above-listed results, the informative brochure, being an integral part of this paper, will be introduced as a standard education tool for patients undergoing an operation in spinal anaesthesia at Domažlická nemocnice a.s.
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The influence of information on observance of the regimen precations in patients with deep venous thrombosis hospitalized in the internal ICU.
HRSTKOVÁ, Pavla
The aim of the thesis was to find out if the awareness of patients with deep vein thrombosis hospitalized in internal ICU influences the observance of regime precautions. The thesis is divided into the theoretical part and the part focused on the research. The theoretical part is focused on the data on the deep vein thrombosis: anatomy data, pathophysiology, causes, clinical signs, investigation methods, complication and treatment. Regime precautions are the necessary part of the treatment. Their observance influences not only easing the complaints, but also prevents the onset of complication development which might result in patient ´s death. A patient with deep vein thrombosis is hospitalized at an ICU of internal department. A part of the thesis is the description of the department and the description of patient{\crq}s admission to the department. Education, interview and observation are the part of nurse ´s work. That is why I described the bases of education, educational process and observation. Qualitative research was applied. The research was carried out at ICU of internal department in Český Krumlov. Research group was created by 8 patients; each second of them was educated in super standard way. In all patients the introductory interview was carried out. The aim was to find out if a patient understood the information given by a doctor, if he or she knows about the regime precautions and their reasons. Further, the part of the patients was educated in super standard way in the course of the whole hospitalization. For this education an educational plan and an information brochure were created. After that the observation of all 8 patients was carried out. The observation was divided into two parts; the plan of observation was created. In the first part called the period of immobilization, the record was carried out during the first three days of this period. This part was focused on the regime precautions concerning the rest of a patient in bed, hydration, elevation of an affected limb, application of cold compresses and movement activities carried out in bed. The second period concerning the first three days when a patient could leave the bed, it was observed if the patients keep the application of elastic roller bandages before they leave the beds, hydration and movement activities according to the doctor ´s recommendation. The aim of my thesis was fulfilled. The research question was aimed at a question if the patients{\crq} awareness influences the observance of regime precautions in case of the deep vein thrombosis. The results proved that the education of patients significantly influences the observance of regime precautions. These patients moreover ask and are interested in the problems of the illness. On the basis of research results hypothesis were stated: H1: The education of patients with deep vein thrombosis positively influences the observance of regime precautions in the period of immobilization. H2: The education of patients with deep vein thrombosis increases their interest in regime precautions at the discharge into domiciliary nursing. The results of the research will be used at the professional hospital seminar for nurses. On the basis of the research the educational plan focused on the regime precautions for the patients with the deep vein thrombosis and informative brochure for the patients were created. The brochure was adopted and started to be used at the education of patients with deep vein thrombosis.
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Nursing problems with a client suffering from pollen allergy
DOLEŽEL, Jakub
The seasonal allergic rhinitis, pollinosis, is the most common allergic disorder the occurrence of which, as well as other allergies, has substantially increased over recent years. It affects up to one fifth of population. This type of allergy may develop at any time during the lifetime, but it most frequently occurs between ages 15 and 25. The topic of the thesis is: Aspects of nursing in patients suffering from allergic rhinitis. The aim of my thesis was to find out if patients are familiar with regimen measures in allergic rhinitis, the role of a nurse in an allergic rhinitis patient´s education, if patients show interest in obtaining information on allergic rhinitis and which information sources on allergic rhinitis are used by patients. The coverage of the issue is based on specialist literature and the quantitative research conducted. The quantitative research is composed of two parts. The first research group was formed by patients suffering from allergic rhinitis who come to allergist´s office. The questionnaire technique was used to collect relevant data. The other research group was composed of nurses working in allergist´s offices. The data were gained by the interview method, the technique of a structured interview. The first hypothesis predicating that patients do not know the regimen measures was rejected both by the questionnaire technique and the interview method. The second hypothesis stating that nurses do not educate patients with allergic rhinitis was also rejected both by the questionnaire investigation and the structured interview. The third hypothesis claiming that patients do not show interest in obtaining information on allergic rhinitis was rejected both by the questionnaire technique and the interview method. The fourth hypothesis presuming that the most frequent source of information on allergic rhinitis are information brochures was confirmed by the questionnaire research. In my thesis I used excerpts from 22 resources of Czech and foreign literature dealing not only with the topic of allergic rhinitis.
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Security protection of the Czech republic police structures from current threats
RIEDLOVÁ, Martina
The thesis deals with security protection of the Police of the Czech Republic buildings against new kinds of safety threats and risks. In the thesis I specify possibilities, methods and means of the security protection aimed to eliminate or at least to diminish these threats as much as possible. In the first section called {\clqq}The legal framework for security protection of buildings{\crqq} I give an account of the the most important legal regulations. I analyse the current system of the fight against organized crime and terrorism and authorities established to be in charge of the fight. The following section of my thesis gives an analysis of crucial issues {--} safety measures for security protection of the police station buildings and the persons inside those buildings in the event of emergency incidents and breakdowns. It also refers to the Critical Incident Management Plan (CIMP). This is the basic framework for critical incident preparedness. It applies to all units to cover every unit´s individual needs. It specifies individual methods of protecting police station buildings {--} the security guard, the regime measures and the protection by technical means. It explains the regime measures to protect the buildings and specifies the technical means and states how these means can be used. It also mentions and assesses the possible risks and the exposure to hazard. The next section of my thesis examines the probability and possibility of an emergency incident as a result of trap explosive system usage. I describe the response to findings of such explosives or other suspicious objects in a police station building and the response to an explosion both in the inside and the outside of the police station building. The closing section of my thesis analyses activities necessary to be carreid out after a critical incident threat or a direct assault. There are four levels of measures according to severity and potential impact of emergency incident. To obtain the data on the police station buildings security protection I used the quantitative research. The research was conducted in the Prachatice region.
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Information problems of the client after operaion of the knee joint prosthesis prior to doischarge from the hospital
KAŠPÁRKOVÁ, Lucie
Presently a number of people who need to replace disabled knee-joint for artificial one is rising. The issue of a client{\crq}s awareness about necessity to keep the supportive measures would deserve much more attention. The theoretical framework deals with the post-operation care for a patient following a complete knee-joint replacement operation and the issue of the patient{\crq}s awareness, which is considered an important one in nursing nowadays. From results of research ensued that nurse's role is very important for patients' awareness about postoperative care after complet knee-joint replacement. A nurse should be an active part and should give the relevant informations to patients about postoperative care so that the stage of therapy will be without complications.
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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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Problems informedness of family members about offer of nursing to patients suffering from epilepsy
SCHWARZOVÁ, Blanka
The bachelor{\crq}s thesis titled ``The Issue of Family Members´ Awareness of Caring for Patients Suffering from Epilepsy{\crqq} deals with the field of knowledge and information that should be provided to members of families of patients suffering from epilepsy. For the thesis, goals and assumed hypotheses were defined; quantitative research was applied to verify them. Respondents from two selected workplaces took part in the research. The results of the research work show that close relatives of patients have certain basic knowledge of the disease, but the information they receive are not complete, not to say exhausting. There are areas, in which the patients and their family members tend to follow various prejudices and superstitions rather than scientific information, though they are expected to participate in caring for the patients. On the basis of the research, there was an attempt to define areas, in which respondents did not have enough important information, and to concentrate on them within more in-depth education of patients and their relatives.
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