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OPTION TREATMENT HYPERTENSIVE IN ČR AND THEIR INFLUENCE OVER NURSE CARE
HOLAROVÁ, Erika
The diploma paper was prepared on: Alternative treatment of hypertension in the Czech Republic and its impact on nursing care. Hypertension is one of the most common diseases of the cardiovascular system and it is the most frequent cause of morbidity and mortality in the Czech Republic. High blood pressure occurs more and more often nowadays and it is frequently underestimated by patients. Therefore, its treatment as well as its prevention is important. A nurse should be able to guide patients with hypertension along the right path and to advise them, especially in relation to preventive precautions against hypertension origination, but also a nurse should be close during the treatment of high blood pressure using other methods. Two types of interviews were carried out with nurses and patients at the cardiology department of hospital Nemocnice České Budějovice, a.s, at the cardiology department of hospital Na Homolce, a.s. and at the department of internal medicine at hospital Nemocnice Klatovy, o.p.s. In both the interviews, we first focused on the identification data of the nurses and the patients, and then questions were directed at answering our research questions specified in advance. According to the results of the data obtained from the interviews with the nurses and the patients, it was found that there was no difference in the nursing care provided to patients treated pharmacologically and patients with non-pharmacological treatment. The individual variants of hypertension treatment therefore have no impact on nursing care. Research question 1 was: Are there any differences in nursing care between pharmacological hypertension treatment and alternative hypertension treatment? Research question 2 was: Do alternative hypertension treatment methods affect nursing care? Both of these research questions have been answered by the data obtained from the interviews with the nurses as well as with the patients. Research question 3 was: Do patients view alternative hypertension treatment as part of the treatment of this disease? This question was answered by the data obtained from the interviews with the patients. Since the survey found that there are not any differences in the nursing care provided to patients with pharmacological therapy or non-pharmacological treatment, and that alternative hypertension treatment methods have no effect on nursing care, the two groups of patients should be educated properly and checked for high blood pressure. An appropriate recommendation is to organize additional research to the problems of educating patients on regimen precautions during non-pharmacological treatment of arterial hypertension.
Meet the needs communication near clients with dysacousia on ORL
HOLAROVÁ, Erika
The work was elaborated on the topic: Satisfaction of communication needs in patients with hearing disorder at ORL. Hearing disorders are most frequent diseases. Hearing goes impairing from puberty in human. In order that the nurse working at ORL can understand patients with hearing disorders, she must first understand their thinking and experiencing. Communication with such patients is very various and depends on the degree of seriousness of the hearing disorder with which the patients arrive to the hospital. The satisfaction of communication needs is integral part of nursing process. If the nurse conducts a conversation with the patient, she must pay attention not only to what the patient tells her, but she pays attention also to his nonverbal expression because it can indicate more than his verbal expression to the nurse. The nurse always selects suitable form of communication, which contributes to understand the patient. We have elaborated two types of questionnaires, for nurses and for patients. Both types included basic identification questions and further questions were directed so that we could find out whether the communication needs are being satisfied. From the data results obtained from the nurses, we found out that communication with patients with hearing disorders is not satisfied. It is confirmed also by the results of the questionnaires we had handed out to the patients. The hypotheses of our work was: The communication needs is more satisfied to clients with hearing disorders at ORL wards than at ORL outpatients department. This hypotheses is confirmed through the data obtained from the patients and the nurse. The work can be used for education of nurses of the Faculty of health and Social Studies and for improvement of nursing care performed by nurses working at the ORL ward and outpatients department.

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