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Needs of patients with thyroid disease
HANUSOVÁ, Kateřina
This bachelor thesis deals with the needs of patients with thyroid disease. The work is divided into two parts, theoretical and practical. Thyroid diseases include goiter, inflammation, tumors, hypothyroidism and hyperthyroidism. This work is focused on the needs of patients with hypothyroidism and hyperthyroidism. The two diseases differ in thyroid function, which is reduced in hypothyroidism and increased in hyperthyroidism. Both diseases are accompanied by many non-specific symptoms that occur in all systems. The treatment of the disease takes place in hypothyroidism in the replacement of thyroid hormones and in hyperthyroidism either also in the replacement of hormones or it is solved operatively or with the help of radioactive iodine. It is important to adhere to the treatment, as even in these two diseases, symptoms may increase and subsequent myxedema coma or thyrotoxic crisis may occur, which are life-threatening conditions. In the theoretical part, we also deal with the hierarchy of needs, because the nursing process is derived from this knowledge. The disease can affect the patient's needs in some way and in case of their dissatisfaction, the patient suffers in the physical, mental or social area. In the practical part of the bachelor thesis we dealt with qualitative research. This study consisted of ten probands treated with either hypothyroidism or hyperthyroidism. The method of semi-structured interview was chosen for data collection, which was used in communication with probands suffering from thyroid disease. The interviews were formulated on the basic of the set goal: To map the needs of patients with thyroid disease. The research was conducted at home. The results we obtained from the interviewees through interviews were divided into several categories and subsequently processed. According to our research, a different need is important for each patient. However, I would like to note that even after using the medication, some respondents still struggle with fatigue, which they try to overcome to a certain extent, but even so they are sometimes forced to succumb to fatigue and go to rest during the day. I would also like to mention the reduced tolerance of the warm environment, which appeared in some respondents, and even after the use of medication in patients did not disappear. Finally, I would like to point out that, according to our research, some respondents are afraid of pregnancy due to their illness, which is likely to limit them in the future. This work will serve students to obtain new information about the disease and could also serve as a source of information for newly diagnosed patients.
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