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View therapist of necessity for an ad'vancement community health care in Czech Republic
NAGYOVÁ, Věra
Community nursing services provide health care services in communities outside health care institutions. They are targeted at the sick people in their own home environments, especially providing disease prevention, health support and health care assistance. The goal of community health services is to improve the whole community health, especially of those people who are exposed to risky lifestyles and who are under risk of petting sick, or of dech, and to provide a specific care to them. The introductory part of my thesis contains the theory and elementary parts and types of the health care system in the CR as well as categorized structures and functions of the World Health Organization. It also includes the primary health care goals as well as the goals of the European Union and of the Czech Ministry of Health for the health care system development. In the second part the theory deals with the meaning of the community care, its foundations, the past and the present in the CR. It also describes the nurses´ job descriptions. In the course of the quantitative research I chose the technique of a questionnaire on the grounds of a stratified selection. It was made up by questions used in interviews with nurses. In the frame of qualitative research I chose a method used in interviews with workers in health insurance companies in which I used a guided interview. The goal of my thesis was to find out whether health care workers are aware of health care deficits. I asked for the workers´ opinions on the necessity of community care development in the CR. The goals of my work were reached. The research question was used to find out what the of health care insurance companies representatives´ opinions on the necessity of the community care in the CR are. On the grounds of the questionnaire it was found out that the representatives of health care insurance companies have a positive opinion on the necessity of the community care development in the CR. I did not prove the first hypothesis which stipulated that nurses working outside hospitál facilities do not feel any deficit in providing health care services referring to the provided care. The second hypothesis was proven stipulating that nurses working in hospital facilities can see the most serious deficit in the the fact that people lack their interest in their own health. The third hypothesis was proven, too. The health care workers´ opinions on the the necessity of the community care in the CR are positive.
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Obesity at immobile patients - the factor affecting the quality of nursing care
NAGYOVÁ, Věra
The prevalence of obesity is increasing in an alarming rate not only in developed countries, but in developing countries in the last time, too. The high prevalence of obesity in some of the developing countries is connected with the economic development which currently reached the acceptance of western lifestyle including eating habits and automobilization. Obesity has nowadays became a serious problem in countries, where had hardly occurred before that time. In the beginning of the theoretical part of this work are medical pieces of knowledge about obesity, their complications, treatment and prevention. There are introduced different ways of treatment as the dietary treatment of obesity is, cognitively behavioural treatment of obesity, locomotive activity in a therapy of obesity of the immobile patient, pharmacotherapeutical treatment of obesity and surgical treatment of obesity. The influence has there a suitable education to a healthy way of living. In the second theoretical part of this work the role of nurse in the care about obese immobile patient is included, syndrome of immobile and psychosocial and spiritual needs of the immobile patient. Indeed, there should not be omitted the importance of rehabilitation of immobile patient in this chapter. To the quantitative research I used the questionnaire method on the base of the specific choice, which was created by questions and focused on nurses, who are taking care of immobile patients which are hospitalised in hospitals on the after-treatment care and medical institution for the long - term lying in the Czech Budweis and at the internal and surgical ward in Prachatice. The aim of this work was to find out how obesity influences the quality of provided nursing care in the area of hygiene and prevention of decubitus by immobile patients hospitalised in at the after-treatment care in the Czech Budweis hospital. From the given hypothesis it was confirmed the first one. In the hospital in the Czech Budweis at the after-treatment care are hospitalised immobile patients with BMI 30 and higher. The hypothesis number two was not confirmed. Obesity by immobile patients hospitalised at the after-treatment care did not influence the quality of provided nursing care negatively. The results show that the nursing staff provides quality comparable nursing care by immobile patients as well as immobile patients without overweight.
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