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Problematika karcinomu čípku, zdravotně sociální dopady onemocnění
MÜLLEROVÁ, Jana
The objective of the bachelor thesis focused on this topic was monitoring of the system of prevention and therapy of precanceroses and cervical cancer, including the medicosocial impacts of the disease in a population of Czech women. The studied cohort consisted of women living in the South Bohemian region, Central Bohemia and Prague who underwent the complex treatment of cervical cancer. The experimental part of the thesis was performed using questioning strategy along with data collection using an anonymous questionnaire. Surprisingly, the research implies that most of the women became ill with cervical cancer despite undergoing the gynecological examinations regularly before disease onset. Thus, this prophylactic method was unable to prevent them from the disease development. The amount of information regarding the risk of internal genital cancer is insufficient, even if provided by a gynecologist. The strongest distress associated to the disease was represented by the course of treatment itself, both in somatic and psychic sphere. In half of the cases, the negative impact of treatment on the psyche of the women was confirmed. More than half of the women that underwent the treatment do not work. At the same time, it was revealed that the consequences of the disease have negative effects on intimate life with the partner, however, the partnerships didn{\crq}t break up. The results imply that it is necessary to evaluate and improve the interpretation quality of colposcopic and cytologic examinations at the level of local ambulances. At the moment, the planned vaccination seems to be the best measure in prevention of the disease. It is necessary to promote the level of awareness about the issue, preferably within the framework for sexual health education of girls in the primary schools and consequently during the preventive visits in gynecological ambulances. Based on physician {--} psychologist cooperation, the psychological distress in the course of treatment can be managed by providing psychological counseling already during the hospital treatment. The earlier return of the patient to work can be achieved by integrating the patients into the complex rehabilitation process. Cervical carcinoma represents a serious illness and it should be in the interest of our society to improve and perfect the system of its awareness and prevention.
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