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Modes of regime measure and their adherence in pacients with diabetes mellitus
MAURICOVÁ, Barbora
Introduction: The bachelor's thesis focuses on the methods of regimen measures and their adherence in patients with diabetes mellitus. The theoretical part deals with the disease diabetes mellitus and its regimen measures. Diabetes mellitus is currently a widespread chronic disease and its incidence is increasing. Research is therefore important to conduct to improve education, awareness and support diabetics in adhering to the measures. Aim: The aim of the study was to find out how patients adhere to the regimen. Methodology: For this thesis, data collection was carried out using a quantitative survey method. The data was collected using a customized non-standardized questionnaire. Data collection took place were in the South Bohemian hospital in standard and intesive care wards. The questionnaire consisted of 23 questions containing identification data and focused on adherence to regimen measures in diabetic patients. The data obtained were subsequently processed into tables and graphs, on the basis of which the hypotheses were evaluated. Results: The research sample was made up by 82 respondents (100 %). The results show that 17,1 % people follow a diabetic diet, 79,3 % take isnulin regularly, 82,9 % see their doctor regularly and 45,1 % keep a diary of their glucose levels, while 50 % don´t. The results show that adherence to the regimen is influenced by educational level and also by gender. Conclusion: Adherence to regimen measures in diabetics is a very important factor for a proper quality of life and to influence the treatment of this disease. Nutrition and exercise are essential components of the regimen. The results of our research have shown that diabetics do not follow a diabetic diet very well. Adequate awareness, education and motivation are essential for better adherence. This bachelor thesis offers material summarizing the findings on the disease itself, diet, physical activity and more.
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Nursing care of patient with liver cirrhosis
MATIÁŠOVÁ, Michaela
Abstract This bachelor thesis is focused of nursing care about patient with liver cirrhosis and problematics. Liver cirrhosis is disease characterized by nodular transformation of liver which prevalence is increasing By this disease is nursing care focused on pacient´s needs, importatnt is also the education of the patient about regime measures. The aim of this bachelor thesis was to find out what are the specifics of nursing care of a patient with liver cirrhosis. The practical part was processed by using a qualitative research survey. The first research group consisted eight nurses working on gastroenterology department. The second research group consisted seven patients with diagnosed liver cirrhosis. The semistructured interview became the technique of data collection. The results of the research show that the nurses don´t adequately assess the risk of malnutrition. Further we found out, patient aren´t sufficiently informed about potential compliacations of liver cirrhosis. The results also showed us that nurses have good knowledge about liver cirrhosis and they haven´t deficiences in nursing care. Patients were satisfied with nursing care during their hospitalization. Some patients, even they were properly educated about regime measures, were unable to change their lifestyle, so they had to be admitted in hospital again. Based on the results, was designed an information brochure. It can be used as a study material for students or can be used in practise for nurses and patients.
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Case report of a patient with hip dysplasia
Buršová, Denisa ; Pokorný, Ladislav (advisor) ; Hájková, Jana (referee)
V ANGLICKÉM JAZYCE: The bachelor thesis deals with the problem of congenital hip dysplasia. It is a case study of a patient with this disease. The main aim of the thesis is to describe and describe the congenital developmental disorder of the hip joint and to record the development of the disease from birth to the current state through case studies of individual patients and then to compare them with each other. In addition, to gain insights from a healthcare professional that could be of benefit to both patients with this type of condition and parents of patients. The bachelor thesis consists of two parts. The theoretical part is devoted to a detailed description of the disease. The description includes definition, division, occurrence, manifestations of the disease and methods of treatment. The practical part deals with the analysis of the disease in a particular individual. The research was conducted primarily through the medical reports of two patients. The patients were further compared with each other. Based on the information from the theoretical part and the medical reports, I then compiled interview questions for the physiotherapist. From the interview I tried to find out mainly information from a practical point of view, which is not given in professional publications but is central to...
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Possibilities of physical activities in women after breast cancer surgery
Trödlerová, Marie ; Sládková, Petra (advisor) ; Majorová, Simona (referee)
Title: The Possibilities of Physical Activities for Women after Breast Cancer Surgery Objectives: The aim of this thesis is to expand upon the theoretical knowledge concerning the issue of breast cancer and the possibilities of physical activities after surgical treatment of this disease. Furthermore, the thesis aims to design a suitable exercise program for the home environment, to monitor the progress of the intervention through online consultations and then to evaluate its benefits. Methods: The case study method was used with three women after surgical treatment at the ages of 38, 44 and 52. Participant observation, questionnaire survey and qualitative content analysis of the document were used to develop these case studies (measurement results, questionnaire results). Results: The movement intervention was found to improve shoulder joint mobility on the operated side and to increase the level of motor activity. The individually designed movement programme was perceived positively by the women and some advantages and disadvantages of the online consultation came to light. Keywords: exercise unit, shoulder joint mobility, individual movement program, telerehabilitation, regimen measures, level of physical activity
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New strategies in pharmacotherapy and prevention of migraine
Kovaříková, Gabriela ; Červený, Lukáš (advisor) ; Vokřál, Ivan (referee)
Charles University Faculty of Pharmacy in Hradec Králové Department of Pharmacology & Toxicology Student: Gabriela Kovaříková Supervisor: doc. PharmDr. Lukáš Červený, Ph.D. Title of diploma thesis: New strategies for the treatment and prevention of migraine Abstract: Migraine is a severe neurological disease, which has many subtypes. Migraine affects patient's physical and mental well-being and also work and family relationships. Migraine manifests as characteristic pain accompanied by vomiting and nausea or other symptoms. The first part of this paper deals with the current knowledge on pathophysiology of migraine, factors which affect migraine, degree of heritability, and specifics of chronic migraine. Diagnosis of migraine is also included and that based on MIDAS questionnaire are addressed in the diploma thesis. The second part is devoted to the therapy of acute attacks and prophylaxis of migraine, describes drugs used in these indications, characterizes them in more detail and lists their limitations. This section also outlines new pathophysiological findings and molecules that may receive future attention. New biological therapies and progress in terms of monoclonal antibody registration are also described. Nonpharmacological strategies for migraine treatment are mentioned as well. In addition, the...
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Effect of physiotherapy treatment on primary and secondary lymphedema
OBOŘILOVÁ, Vendula
This bachelor thesis discusses the treatment options for lymphoedema and the influence of individual regimens on the treatment of this disease. I have divided the theoretical part into four chapters. In the first chapter I explain the anatomy of the lymphatic system, the second chapter describes its physiological function and then its pathology. The third chapter is devoted to lymphoedema, I explain the principle of the different types of lymphoedema, how to prevent them, how to diagnose them and what complications can occur. The last chapter of the theoretical part discusses in detail the methods of treatment, the essential method is manual and instrumental lymphatic drainage, then I discuss bandaging, physical exercise, breathing excercises, selected types of physical therapy and last but not least I mention skin care, pharmacotherapy and spa treatment. The practical part of the research was carried out in the form of qualitative research. I worked with 4 patients, two of them are treated with primary lymphedema and two with secondary lymphedema. The patients practiced every day an agreed exercise unit, which was uniform for all of them, at the same time, based on the doctor's recommendation, they attended manual and instrumental lymphatic drainage at the outpatient clinic, while following the regimen, in which there were minor nuances for each patient. I evaluated the results by means of an entrance and exit kinesiological analysis, in which somatometry and goniometry played a major role, an entrance and exit interview and a comparison of photographs. I compared the objective results according to the results of somatometry and goniometry, where there was an improvement in reduction of swelling and increase in range of motion in 3 out of 4 cases. Subjective evaluation was provided by the patients based on semi-structured interviews, which I used to find out what lifestyle change the patients found most influential. Here the results were quite different, with the primary lymphoedema patient reporting feeling the greatest improvement after showering with cold water, and the secondary lymphoedema being most affected by bandages and regular exercise.
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The role of the nurse in regime measures for a migraine sufferer
PAPOUŠKOVÁ, Veronika
In the presented bachelor thesis were set two main gals. The first one was to map needs of the sufferer with migraine. The second one was to describe regime meassures of the sufferer with migraine. Four research questions were developed to adress the objectives, which are as follows: How do patients subjectively describe the course of migraine attacks? What are the needs of a patient with migraine attack? What factors influence the frequency and course of migraine attacks? How much are patients with migraine attack inform about regime measures? The Empirical part of bachelor thesis was developed by using qualitative research methods. To the process of collect datas was used semi-structures interview technique. The interview consisted 28 questions, which are presented in Appendix 1. The findings were processed using open coding, pencil-and-paper technique. The research population consisted of a total od 9 informants who suffer from migraine. The subjects had to be over eighteen years of age and their experience of migraine had to be at least five years. The results of the research part are presented in the bachelor thesis trough tree main kategories. The first category focuses on the subjective description of the course of migraine attacks of individual informants. This category includes the frequency of migraine attacks, the description of the period before the attack, the course of the attack itself, and finally the posta-attack period. The secon category delas with the needs of migraine sufferers. Here is description of the informants´ behaviour during the attack, how much the informants are affected by migraine, and how the informants manage migraines pain. The last category focuses on regime measures. In this category, migraine patients describe migraine triggers, the regime measures followed by migraine patients, how informed the yre about migraine conditions, and what information they miss about migraine. The results of the bachelor thesis will be used by health professionals to expand information about the needs of migraine sufferers. The information found cant hen be used by nurses to map out the regime measures of patients with migraine. The obtained informations can also be used by migraine patients who would be able to better understand migraine-related conditions and regime measures based on the thesis.
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Education of parents of a child with epilepsy
MIKEŠOVÁ, Barbora
Epilepsy is a chronic neurological disorder characterised by serious brain illness that causes unprovoked, repeating seizures. The seizure is characterised as excessive and abnormal electric activity in an individual s brain. Epilepsy is caused by various factors, among them for example genetic factors, birth defects, traumatic brain injuries, surgery, undertaken stress, infection or other illnesses and it can appear at any age. Seizures manifestation can vary in type, development, cause and treatment. A suitably indicated treatment and appropriately educated parents about epilepsy issues and lifestyle measures are the basis for an optimal child s participation in a common group without major restrictions. The aim of this thesis was to find out how the medical personnel is devoted to education of parents and a child with epilepsy diagnosis and in the same time to find out the extent of parents knowledge of suitable treatment and lifestyle measures related to this diagnosis. For the research construct, qualitative research was selected, using a half-structured interview, particularly an interviewing method. In the frame of better quality of result processing, the interviews were recorded on a dictaphone and then re-written exactly and analysed. The results were analysed through a pencil and paper method that uses coding. There were 5 fields categorised: Content of education from the side of medical personnel, Implementation of education from the side of medical personnel, Parents knowledge about lifestyle measures, Sources of information concerning lifestyle measures from the side of parents with a child with epilepsy and educational activities from the point of view of children nurses concerning lifestyle measures. The individual categories are formed by further sub-categories, in which the resulting data are represented systematically. The results are provided in a clear way in individual tables and charts of the practical part of this thesis. From the research emerged that the medical personnel is devoted significantly to parents education and their children with epilepsy in the field of diagnosis, treatment, lifestyle and first aid. However, it was interesting to discover that this education is provided mostly by a doctor, lifestyle measures including, while a nurse provides only additional education in this field. From the results also emerged that the medical personnel try to select suitable educational environment and time intervals according to needs of children as patients and their parents. The parents also have general information about the epilepsy issue and lifestyle measures. It turned out that the parents have enough information concerning medicamentous first aid and the way of given medicaments delivery, but we encounter unfamiliarity of a time border of this medicament's delivery. Parent's ignorance was also discovered in general first aid principles. From the research also emerged that the information about common issues in the field of lifestyle measures was looked for by the parents most frequently outside the hospital environment, that is in the surroundings and on the internet. We decided to form an educational plan based on the results, that can be used as a model base for practical usage by nursing personnel. The educational plan concerns the education about lifestyle measures and first aid during a seizure.
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Compliance with mode measures by the anticoagulative treatment in primary medical care
PROCHÁZKOVÁ, Alexandra
The goal of my bachelor´s thesis has been a description of state compliance with patients taking Warfarin and afterwards the relationship between measurement of compliance and occurrence of complications related to the treatment with Warfarin. Concurrently, compliance from the point of age and gender has been meant to be supported. The theoretical part has been dedicated to anticoagulative treatment with emphasis on Warfarin, education and patient´s compliance by observance of mode measures related to treatment with Warfarin. Quantitative research survey has been chosen to process this bachelor´s thesis with using of technique of data collecting with a form of an anonymous unstandardized questionnaire survey. The survey team has consisted of the patients in České Budějovice taking Warfarin. Three hypotheses have been specified in connection with the goal of this thesis. We have assumed by the two mentioned hypotheses such a kind of relation between the state compliance connected to their age, then between mode compliance and their gender. By the third hypothesis we have claimed that occurrence that could have been related to the mode compliance. Thanks to the given results we have found out that there is no relation to their age or gender by the patients taking Warfarin, but there is a relation to the patients taking Warfarin and mode compliance. Beyond the given goal we have come to the conclusion that compliance is related to the achieved education and also it decreases with its length. The results could be used as a material for nurses´ education in surgeries or for general practitioners in some other hospitals. There has been pointed out the necessity of a proper education, patients awareness and importance of mutual relations and communication. These facts could influence the patient´s contribution to mode treatment and increase its success rate. This work provides complete information regarding treatment with Warfarin and also possible consequences by using wrong patient´s compliance.
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NURSING CARE OF CANCER PATIENTS WITH HAEMATOPOIESIS DISORDER IN CONNECTION WITH ANTITUMOR CHEMOTHERAPY
BENEŠOVÁ, Petra
Abstract The aim of this thesis was to find the specifics of nursing care of cancer patients with haematopoiesis disorder in connection with antitumor chemotherapy and to map out the compliance with the specific measures for haematopoiesis disorder as a result of chemotherapy. We also focused on complications which emerged with administering chemotherapy, patient education about regime measures and on patient evaluation of the nurses' nursing care and their cooperation. Methodology and research file: to meet the target, a qualitative research was used in the form of semi-structured interview with the nurses and patients. The results of the interviews were analysed with the help of open coding with the pencil-paper method and subsequently divided into categories with subcategories. For nurses 3 categories with 4 subcategories were created and for patients 5 categories with 2 subcategories. The first research file consisted of twelve nurses working in oncology departments of five hospitals in the Czech Republic. The second research unit consisted of seven patients chosen with deliberate selection method. The results: It was found that the nurse in the care of cancer patients with haematopoiesis disorder works as a provider of barrier nursing care. The nurse takes the role of an educator during the application of chemotherapy and during the discharge of the patient into home healthcare, when she informs the patient about the need to comply with the specific measures which are diet regime, limited contact only to immediate family, the unsuitability of visiting restaurants, specific habits and using respiratory protection. All of the patients agreed that they try to follow the recommended regime measures. Simultaneously, they evaluated the measures as limiting both in work and personal life. The results for practice: The result of this research can be a theme for creating a information brochure for cancer patients or a topic for an educational seminar for nurses discussing this issue.
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