|
|
Specific needs of a child with type 1 diabetes mellitus in pre-primary and primary education
PRAGEROVÁ, Kateřina
This bachelor thesis deals with the issue of children and pupil´s education and with type 1 diabetes mellitus. It focuses on the ways to meet the specific health disadvantages needs and how the child with diabetes is integrated into the school activities. At the beginning of this work, the substance of this chronic disease, its treatment and methods of compensation using the latest technologies in blood glucose monitoring and insulin administration is characterized. Furthermore, the possible risky situations that can be encountered during the child's educational process and how to respond to these situations are described. The practical part is based on the direct experience of parents whose diabetic children attend a kindergarten and a primary school.
|
|
|
Nursing care about child with glycogen storage disease I. type
ŠŤASTNÍKOVÁ, Hana
Abstract Present Situation: Research investigation deals with nursing care of the child with glycogen storage disease type I., as well as its diagnosis, nutritional management and complications. Glycogen storage disease (GSD) belongs among rare hereditary metabolic disorders. There are several types of GSD, divided into hepatic, myopathic and generalized forms. Early diagnosis is essential for effective treatment of the disease, the signs and symptoms of which first appear in babies soon after birth. The aim of this thesis was to describe the nursing care of the child with glycogen storage disease type I and identify the problems parents of affected children have to face. Methodology: Quantitative research method was used for empirical part of the thesis. The data collection was carried out through In-depth interviews with paediatric-ward nurses and a mother of the child with GSD type I. All interviews were audio recorded, transcribed and coded using paper-and-pencil method and finally categorized. The research sample consisted of nine paediatric-ward nurses and the mother taking care of the child with glycogen storage disease type I, also known as Gierke's disease. Selection of the sample was purposive and its size was determined by theoretical saturation of data. Results: Nursing care of children with glycogenosis type I requires regular feedings of a special diet enriched with corn starch substances to maintain the level of glycemia in the physiological range and to avoid dangerous hypoglycaemia. Problems for nursing staff mainly involve the unstable health condition of a child, fluctuating glycemia levels and limited knowledge of the disease. Parents not only worry about potential health complications of their child but they are also concerned about technical problems with feeding aids, poor recognition of hypoglycaemia and the child's mental welfare. The disease presents increased physical and emotional demands on the patient and their family. Conclusions and recommendations for practice: The thesis presents an outlook on the issue of paediatric-ward nursing care of the child with glycogen storage disease type I and indicates the common problems of the family with a child affected by the disease. The effort was to thoroughly understand the nature of the disease and to identify basic nursing care procedures which can benefit nurses in other facilities dealing with the same diagnosis. The results of the research will be presented in the magazine "Pediatrie pro praxi" in the nursing section.
|
|
|
Fear of hypoglycemia in adults with diabetes I. type in nursing process
Tomanová, Iva ; Javůrková, Alena (advisor) ; Raudenská, Jaroslava (referee)
This bachelor thesis discusses the fear of hypoglycemia at patients who have diagnosed diabetes mellitus of first type. This thesis is divided into two parts. There is a theoretical part, which deals with problematic of diabetes mellitus, with its characteristic, symptoms, diagnostic, treatment and complications. Next theme of this theoretical part is deals with fear, anxiety, depression and emotional structure or attachments. Empirical part of this bachelor thesis is dedicated to fear of low level sugar in blood in relation to depression, anxiety, emotional attachments and other demographic and clinic factors. The conclusion of the practical part describes the sample of respondents and determines the results of the research. The research for this thesis was based on six questionnaires, which respondents received in this order - a non-standardized anamnesis questionnaire, research of low level of sugar in blood at adults (HFS - II), Beck's self-judged scale of anxiety (BAI), Beck's Depression Scale (BDI- II), Experiences in close relationships (ECR) and Generalized Anxiety Disorder - 7 (GAD - 7). After evaluating the questionnaire according to their scoring manual, were used statistical tools. The methods that were used were based on established hypotheses about a relationship between the given...
|
|
|
Acute Complications of Type 1 Diabetes Mellitus
Pošustová, Kristýna ; Malá, Michaela (advisor) ; Vilikus, Zdeněk (referee)
Title: Acute Complications of Type 1 Diabetes Mellitus Objectives: The main aim of my thesis was to gather information from a group of young diabetics, suffering from type 1 Diabetes mellitus, about acute complications they have suffered. In the research I inquired about occurrence, frequency, the most common causes, symptoms and first aid during the state of the acute complications. Methods: The research method of gathering information was an anonymous questionnaire comprising of 25 closed questions divided into 3 thematic areas. The target group was made up of 40 respondents, at the age between 10 and 26 years, from whom 32 were children and 8 were adults. The questionnaire was distributed in cooperation with The Civil Association of Parents of Children Suffering from Diabetes and Celiac Disease (Diacel) based in Pisek. The collected data are presented using tables and graphs. Results: Based on the collected data I found out that the most common acute complication among the respondents is hypoglycaemia. More than half of the respondents experienced a severe attack of hypoglycaemia at least once in their life. Furthemore, it was found that the respondents not always had a source of sugar on them to stop the progression of hypoglycaemia. None of the cases of hyperglycaemia was so severe that an...
|
|
|
Impact of the disease on the socialization process
BOJKOVÁ, Alena
The work deals with the influence of diabetes mellitus type I on the socialization process of a child in a family, where the child grows up. It describes the treatment regimen, which results from small individual needs of the patient and the specifics due to the age of the individual periods. An important element of socialization is shaping attitudes towards leisure activities. Part of the education diabetic child is meeting the distinctive needs, treatment-related illnesses, to be able to gradually take responsibility for individual medical actions and compensated diabetes. The final section includes two case reports of diabetic boys.
|
|
| |
|
| |
|
| |
|
| |
|
|
Analysis of hypoglycemia by Continuous Glucose Monitoring in patients with Type 1 diabetes
Hrubantová, Tereza ; Šoupal, Jan (advisor) ; Flekač, Milan (referee)
This bachelor's thesis presents an analysis of type 1 diabetes patients' hypoglycemia using continuous glucose monitoring. The thesis aims to evaluate the occurrence of hypoglycemia, the prevalence of impaired awareness of hypoglycemia and to investigate how patients treat hypoglycemia. The theoretical part of the thesis presents a summary of the general knowledge of type 1 diabetes diagnosis, focusing on the hypoglycemic issues and diabetes compensation improvements using continuos glucose monitoring. The practical part analyses hypoglycemia frequency and duration using continuous glucose monitoring. Occurrences of the impaired awareness of hypoglycemia, as well as the ways in which patients treat hypoglycemia, are evaluated according to a modified Clark Method. The research shows that the actual occurrence of hypoglycemia is significantly higher than its occurrence as perceived by the patients. Continuous one-week blind glucose monitoring shows that hypoglycemia occurs in 85 % of patients at night and 95 % of patients during the day. In total, patients suffered hypoglycemia 7.2 % of the week, i.e. approx. 12 hours, of which 4 hours and 40 minutes occurred at night while 7 hours and 21 minutes they were experiencing hypoglycemia during the day. The impaired awareness of hypoglycemia prevalence...
|
guest ::
