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Analysis of educational materials for patients with coeliac disease
ZIMMELOVÁ, Hana
The Dissertation deals with educational materials for patients with celiac disease. It describes general requirements for teaching materials and the didactical principles suitable for educational materials for patients with celiac disease. It presents a draft criteria for assessment of web sites intended for people suffering of celiac disease. Five Czech, as well as foreign Internet-based resources, have been selected and assessed for compliance with the criteria given by technical properties, contents, page structures, criteria evaluating credibility of the sites and educational criteria. All the sites assessed can be used for education of patients with celiac disease, but they are rather information sites with a low content of educational characteristics.
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Nursing Care for a Client with Celiac Disease
KAŠPAROVÁ, Marie
I chose {\clq}qNursing Care for a Client with Celiac Disease`` as the subject of my bachelor´s work to outline this problem and to point out the difficulties celiacs face. Celiac disease is a hereditary autoimmune disease of the small intestine, which is caused by the intolerance of proteins contained in grain gluten. On the mucous membrane of the small intestine, mucous villi disappear. Typical difficulties include a disorder of the digestion of compound sugars and insufficient absorption of proteins, fats, vitamins and iron. Celiac disease cannot be cured, however, it can be treated successfully. The only, and at the same time quite sufficient curative measure is a complete elimination of gluten from food {--} gluten-free diet. The work is divided into two parts. The first part is theoretical, where I go into the substance of the disease, its diagnostics and therapy. The research part has been processed in a qualitative method. The goal of the work was to evaluate the possibilities of people suffering from this disease and their way of life. When doing interviews, I interrogated patients of all ages. For the purposes of this work I used the casuistry of individual celiacs. I focus on the course of the disease, troubles before and after the diagnosis being determined or the experience of patients with catering out of home. Furthermore, I assess the way of instruction (the form it was carried out and by whom), as well as the financial aspects of a particular family. Another part of the research is focused on state registered nurses. The aim of this research is to determine the role of nurses in caring for clients with celiac disease. In gastroenterological centres, care for those suffering from celiac disease takes the form of a complex approach. This approach enables frequent diagnostics, therapy and dispensarisation. It leads to improvement in the state of health and quality of lives of sick celiacs. The awareness of people of celiac disease is very low. However, more and more attention is paid nowadays to the problems of celiac disease, both from the point of view of cure and research, and on the part of the producers and dealers of gluten-free foods.
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Prevalence of obesity in children in a classical kindergarden and a healthy life style kindergarden in České Budějovice
HORNÁTOVÁ, Klára
Children obesity is a frequently discussed issue nowadays as it becomes the extents of an international epidemic. It occurs in greater frequency in lower age categories, which is caused mainly by change in eating habits, a wrong composition of meals and great lack of motion. Children nowadays prefer sitting in front of their computers or television. Children obesity brings along mental harm to the child. He/she is often being laughed at for his/her weight and causing the child to feel alone and seeking solitude and many children thus succumb to overeating. Besides obesity causes health problems such diabetes mellitus, hypertension, asthma, locomotive organs disease and mental problems. Therefore kindergarden is so important since children meet other eating habits than at home. The family is often the trigger of unhealthy eating habits. Quantitative research was applied in the bachelor thesis by means or a questionnaire for the parents. The researched file represented preschool children in the age of 3 to 6 years of age. The questionnaires were distributed in two kindergardens, one of which was a healthy life style kindergarden and the second was a classical kindergarden. Two goals were set in the paper. To assess the rate of obesity growth in children in kindergardens and to monitor the attitude of children and parents to the topic of food and obesity. The research has shown that obesity rate keeps increasing, however there is a smaller rate of obesity in the healthy life style kindergarden than in the classical one. In general, parents are well informed on the food and obesity topic in both kindergardens but in practice they do not adhere to the correct principles. Further, two hypotheses were set. Children in healthy life style kindergarden eat healthier food according to principles of rational nutrition (taking account of food in the kindergarden) and have lower BMI than other children of the same age. The first hypothesis was thus confirmed. The second hypothesis that parents are not sufficiently informed on the right eating habits for children was not confirmed. The results of the research in the bachelor thesis can be applied as study material and they were offered to parents who took part in the research.
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Coeliac disease as a health, nutritional and social problem.
ZIMMELOVÁ, Hana
Coeliac disease is a serious, life endangering disease that affects both children and adults. Diagnosing the disease is very straightforward, it is sufficient to conduct specialised blood tests and, if the results are positive, to carry out a biopsy of the small intestine. Despite being relatively simple to diagnose, the disease remains undetected in most patients for various reasons. Curing it is a rather uncomplicated process, merely requiring the removal of gluten from patients{\crq} diets. However, this is not as easy as it sounds in today{\crq}s society. Gluten is used in a number of industrially manufactured foodstuffs. Furthermore, a gluten-free diet is financially demanding, and the government does not subsidise special dietary foods anywhere near as much as those of other European nations. The net result is not only intense labour as regards food preparation at home, but there is a psychological effect due to the severity of disease, as well an impact socially as patients have to face the financial demands of the diet. Unfortunately, culinary staff tends to be poorly informed about the disease, added to which there is a need to prepare meals in a special manner. Hence, the main goal of this thesis was to conduct research on the literature available and put together a simple instruction manual, intended as a convenient aid for nutritional therapists and even people newly diagnosed with coeliac disease.
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Education the parents of children with malabsorption syndrome
ADAMOVÁ, Erika
Celiac disease, which is the most frequent cause of the malabsorption syndrome in children, is a common term for a worldwide occurring disease affecting both children and adults. It is a chronic disease characterized by a permanent gluten intolerance, malabsorption in consequence of typical inflammatory changes of the small intestine mucosa, and clinical improvement when a gluten-free diet is followed. The only casual treatment is a permanent and strict gluten-free diet.The objective of this thesis was to survey the knowledge of parents of children with the malabsorption syndrome. The other objective was to describe the role of a nurse in education of parents of children with the malabsorption syndrome. Two hypotheses were stated, one of them was confirmed, the other was rejected.One part of the thesis is formed by two research investigations aimed at finding the awareness of parents of children with celiac disease and also to assess how the knowledge and application of principles of an educational system have been implemented by nurses who take care of children with celiac disease and their parents.The survey was carried out by a quantitative research method. The data were collected by the anonymous questionnaire technique. The research set was comprised of parents of children with celiac disease and nurses working in paediatric and gastroenterology clinics.In the thesis two hypotheses had been set up, one of which was confirmed, the other was rejected.The first hypothesis assumed that parents of children with the malabsorption syndrome were informed about the nature of the disease and the need to follow a gluten-free diet. The results have shown that parents are sufficiently informed in these points, and therefore the hypothesis was confirmed.The other hypothesis assumed that nurses apply the principles of an educational process while providing information. But the research has shown that the vast majority of nurses do not know those principles and that is why they do not use them in practice. The hypothesis was not confirmed in this case.Enhancement through the use of educational principles in practice is recommended to improve the present care for children with a celiac disease and their parents. Nurses´ proficiency should be constantly boosted and deepened. The outcomes of this thesis can be presented at professional seminars and workshops in order to contribute to the improvement of this condition.
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Quality of life of Adults with Celiac Disease
ILKÓOVÁ, Václava
The thesis for this baccalaureate work theoretically and practically deals with issues of the lives of adults with Celiac Disease. The aim of my work was to find out how this disorder affects people{\crq}s lives in terms of health, as well as their psychological, economic and social conditions. In the theoretical part of this thesis, I described the origin, symptoms, signs, epidemiology and treatment of Celiac Disease. I have also discussed associated health and social problems. In the practical part I used a questionnaire, according to the quantitative method of research. The investigated group comprised 82 adults with Celiac Disease (71 women, 11 men), who were determined by random selection. All of the data I have obtained has been transferred into diagrams and results were expressed as percentage values. The questions were aimed at respondents{\crq} dealings with their specific problems. I found that people with Celiac Disease in the Czech Republic do suffer from health problems, but not as much as from the many restrictions in their eating habits and social life, which may lead to some resulting psychological problems. In addition, the Gluten-Free Diet is very expensive for a majority of people, who have no financial compensation from the state, while in many countries in Europe such compensation is common. Regarding the Czech governments{\crq} approach to those who suffer with celiac disease, while they are in the process of reaching European standards, the role of support groups in all mentioned problems is important. Accordingly, the results of my work will be submitted to the Czech Society for Gluten-Free Diet.
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