|
Caesarea section- perioperative nursing care during regional and total anesthesia
MAŠKOVÁ, Šárka
In my thesis I focused on perioperative nursing care for women with a caesarean section in regional and general anesthesia. The thesis is divided into a theoretical and research part. In the theoretical part of my thesis history, conditions, indications and contraindications, and also complications during a caesarean section performance are described. Information about anesthesia which is used for a caesarean section is also given. Conditions for general, epidural and spinal anesthesia administration are described. Advantages, disadvantages, indications, contraindications and complications of different types of anesthesia are also mentioned. A substantial part of the theoretical part is devoted to perioperative nursing care. The preoperative nursing care is described, the preparation for it is divided according to the type of anesthesia. Nursing care during the intraoperative and mainly postoperative phases is mentioned in detail. The aim of my thesis was to identify differences in perioperative nursing care for women with a cesarean section in regional and general anesthesia. My work was also focused on women's level of awareness about possibilities of anesthesia for caesarean section. Another goal of my work was to make up standards of perioperative nursing care for women during a caesarean section delivery in regional and general anesthesia, which is administered in the delivery room. Two hypotheses were stated. The first hypothesis is the supposition that women after a caesarean section need a different nursing care, which depends on the type of anesthesia administered. The second hypothesis is the supposition that women are adequately informed about the possibilities of anesthesia for a caesarean section. Quantitative research conducted through questionnaires was chosen to conduct the survey. Questionnaires were distributed to women after a caesarean section at the confinement department. Research results are shown in graphs .The both hypotheses were confirmed by the research investigation. The research has revealed a new finding that women need different nursing care not only after a caesarean section, but also during the intraoperative phase. I used this finding to develop a standard of perioperative nursing care for women during a caesarean section delivery in regional and general anesthesia. The standard is designed for midwives and is intended to improve nursing care for women in the course of a caesarean section delivery during the intraoperative phase. The research has proved that women with a cesarean section need a different perioperative nursing care, which depends on the type of anesthesia administered. It is therefore necessary to differentiate between the two groups and provide them with a different nursing care. The research has also shown that women feel sufficiently informed about anesthesia for a caesarean section. Women´s awareness is a prerequisite for a good cooperation with the patient and successful nursing and medical care. The nursing care provision according to the perioperative care standard will ensure a quality professional nursing care for women before, during and after a caesarean section.
|
|
Educational availability, organization, health and social benefits of hippo therapy for children with mental, DEF and visual disabilities in comparison of Middle Bohemia and South Bohemia regions.
BEČVÁŘOVÁ, Ivana
Hippotherapy is concerned with physiotherapy, which is carried out with the help of the horses. This therapy includes the fields of psychology, medicine, pedagogy and also sport. Hippotherapy helps not only children but also adults with various types of disability. This decades used method of rehabilitation is an excellent and the most comprehensive therapy. It combines physical therapy, psychotherapy and social therapy. This thesis deals with the educational availability, organization, health and social benefits of hippotherapy for children with mental, aural and visual disability on comparison of Central Bohemia and South Bohemia regions. The aim of this work is to determine what possibilities of the hippotherapy usage are and what activity offers and prices for hippotherapy service provision are available in the particular organizations which offer hippotherapy in South Bohemia and Central Bohemia regions. In our research we used content analysis of literature and the Internet, were selected websites and literature which are focused on issues and problems of riding and hippotherapy. Some information was also obtained by direct interview, telephone and email inquiries. Acquired information about educational availability, amount of organizations and affordability were statistically evaluated and percentage assessed in the final tables and graphs. The assumption was that a greater range of organizations and activities are in the Central region. This assumption was confirmed. Contribution to improving the awareness and orientation would be complete lists of organizations, which are engaged in hippotherapy, on the websites. The inclusion of the hippotherapy between the services supported by health insurance is also very important, so that such physiotherapy could be financially accessible to all clients and the financial grants would help to increase the number of organizations providing hippotherapy.
|
|
Influence of education on life style in woman after hysterectomy.
BASTLOVÁ, Stanislava
The Bachelor thesis was aimed at pre-operational education and its impact on the lifestyle of the women after hysterectomy together with these women´s awareness of appropriate lifestyle after hysterectomy in some hospitals of the Plzeň region. The thesis also led to completing an effective educational handbook for women after hysterectomy.Hysterectomy is one of the most common types of major surgery performed on women. It is often understood very negatively, some women can even see it as an attack to their gender identity. On the other side, it reduces or eliminates long-term health problems. Therefore the clients should be entirely and properly informed and so be confident about their lifestyle after coming home from the hospital.Women in chosen hospitals suffer from lack of information on the sexual life after hysterectomy. The non-educated women felt the lack of information on the lifestyle after hysterectomy and would appreciate an educational handbook. They had no information on sexual life after hysterectomy, the ways of getting a complex spa care and the impact of the operation on menopause.The research findings have proved the need to educate women in the lifestyle after hysterectomy. The information on the life after coming home from the hospital are often omitted. Based on this thesis, the educational handbook could be prepared for women after hysterectomy. This way all women can get sufficient information which will positively impact their mental condition after surgery.The thesis can also be used as a complete source of information on hysterectomy.
|
|
Awareness of students in secondary schools in Trebon of physical violence against children.
KAISERŠATOVÁ, Radka
The theme of this work is the awareness of secondary school in Trebon of physical violence against children. The thesis is divided into theoretical and practical parts. The theoretical part deals with the issue of physical violence against children within the CAN syndrome, an explanation of the concept of CAN syndrome, legal protection and assistance to children, providing information through primary and secondary prevention. The practical part consists of custom research. The investigation was carried out by anonymous questionnaires, which are trying to find out whether the students are the second stage of two elementary schools in Trebon informed about the physical abuse of children.
|
|
Awareness of Preventive Programmes Aimed at the CAN Syndrome
MÜLLEROVÁ, Pavla
The thesis ``Awareness of Preventive Programmes Aimed at the CAN Syndrome{\crqq} is divided into two main parts. The theoretical part of the thesis is focused on the CAN syndrome, i.e. a syndrome of a child exposed to violence, abuse or neglect. It describes its different forms and symptoms, presents characteristic of the most frequent victims and offenders and the situation in the Czech Republic in terms of legislation and CAN syndrome occurrence. A substantial part is dedicated to prevention of violence, abuse and neglect of children at all levels {--} i.e. primary, secondary, tertiary and quartery prevention. The thesis illustrates preventive measures on the STOP Violence on Children campaign and on methodological measure defining a procedure for doctors having suspicion of CAN syndrome. The thesis is aimed at finding out the extent of awareness of these prevention programmes among the general public as well as professionals. To reach the aim a research was performed in the practical part. A questionnaire investigation among secondary students, paediatricians, child social-law protection workers and police officers was chosen for the research method. Two hypotheses based on the given aim were formed. The first one says that students of the last year of secondary schools in Tábor do not know the STOP Violence on Children campaign. The hypothesis was not confirmed. The second hypothesis says that paediatricians, child social-law protection workers and police officers of the South Bohemia Region are not familiar with the methodological measure defining a procedure for doctors having suspicion of CAN syndrome. This hypothesis was not confirmed either. The Bachelor Thesis may be utilized as a source of consistent information on the CAN syndrome. Its main contribution is in summarizing the awareness of the issues of mistreating, abusing and neglecting children and of preventive programmes aimed at the CAN syndrome among the general public as well as professionals.
|
|
Sectio caesarea on women´s request
VOJÍKOVÁ, Lucie
ABSTRACT Cesarean section by request of a para Cesarean section is a surgery terminating pregnancy in the third term and during the delivery. This surgery has been known already from the before Christ period. Cesarean section currently belongs to the most often carried out obstetrics surgeries. Much untrue and misleading information about the Cesarean section spreads among pregnant women; such as that a woman can decide herself whether to undergo the Cesarean section or to deliver her child vaginally. Pre-operative examination and an examination of health condition of the para to undergo the surgery precede the surgery itself. The medical action consists in providing the para with anaesthesia and opening uterine cavity through abdominal wall. After arrival of the child there follows uterine cavity revision, closing and sutura treatment of the section. All the above described is done under a strict asepsis and antisepsis in the presence of erudite doctors and nurses. The Bachelor{\crq}s Thesis set three targets. The first one was to find out if women are informed about the legal regulations related to a Cesarean section. The second target was to find out whether women prefer natural delivery to Cesarean section regardless of the fact whether they were giving birth or were pregnant. And the third one was to find out an interest of women in Cesarean section by request regardless of medical indication. Corresponding hypotheses were assigned to the targets. Hypothesis No. 1 says: Women are not sufficiently informed about the legal regulations regarding Cesarean section by request. Hypothesis No.2 says: Women prefer vaginal delivery to Cesarean section. Hypothesis No. 3 says: Women are not interested in Cesarean section by request without medical indication. The research was carried out using a questionnaire containing 21 questions answered by women in-patient at the Department of Gynaecology and Obstetrics or attending Obstetric out-patient department of Nemocnice České Budějovice a.s. Based on the research hypothesis No. 1 was prove as 43.75 % of questioned women sad to be informed about the legal regulations. The remaining two hypotheses were proved by the research. The conclusion of this thesis is finding out that the questioned women were rather well informed about legal regulations regarding Cesarean section by request. The women also mostly agreed that vaginal delivery is less risky and they would like to terminate their pregnancy by natural delivery. The research also found out that women are not interested in Cesarean section by request. This thesis could be used as an information booklet for pregnant women interested in Cesarean section. They could receive complex information about the Cesarean section.
|
|
The Awareness of HIV/AIDS among students of the Secondary Health School in Písek
NOVOTNÁ, Jana
HIV / AIDS places many governmental, national and international organizations in a difficult situation. Despite the global efforts aimed at the prevention and treatment of this disease, the number of HIV positive persons as well as people dying of AIDS is increasing every year. It is considered that a key role to reduce this trend is played by education, especially among teenagers, who are one of the most vulnerable groups in the transmission of HIV / AIDS. Healthcare professionals should have enough quality information about the issue of HIV / AIDS, because it may just be they who will be one of the links leading to the reduction in the incidence of this infectious disease. This thesis, titled ?Informing students of the Secondary Medical Schools Písek about HIV / AIDS?, contains two parts. The first one is theoretical and it deals with general issues of HIV / AIDS, its characteristics, history, epidemiology, transmission, clinical picture, diagnostics, and treatment. Moreover, it deals with possible methods of preventing HIV transmission, including prevention of HIV transmission in healthcare facilities. This part does not omit the role of peer education and nurses as possible mediators for the transmission of information on preventing HIV / AIDS transmission. The second part summarizes the results of quantitative research, which was conducted with the participation of students of the Secondary Medical School in Písek in the survey. The questionnaire, intended for the students of the said school, was designed in order to verify the knowledge of future healthcare professionals about HIV / AIDS and also it asked whether the students, as adolescents, behave in a way as to increase the risk of HIV transmission. In the questionnaire, which contained 22 questions, the students could express their subjective views on the quality and amount of information about HIV / AIDS provided in their classes at school. The research results were processed and presented by the graphs, bar as well as pie ones, in the empirical part of this thesis. After reviewing the results from the questionnaire these hypotheses were confirmed: H1 Students know the methods of preventing HIV infection. H2 Higher-form students have a wider knowledge of the principles of HIV / AIDS than students of lower forms. In contrast, hypothesis H3 was disproved , which was: ?Students of all forms at the SZŠ in Písek have more information on HIV / AIDS, as compared to an earlier research, than students of another non-medical branch secondary school?. For this purpose, the results of a thesis by Lucie Stříteská were used. Stříteská studied the level of knowledge about HIV / AIDS among students of a secondary vocational school in Valašské Meziříčí in 2008. The results of this thesis can be used by the Secondary Medical School in Písek, or its management and teachers, to learn about the level of students? knowledge about HIV / AIDS and to intensify education in areas where students do not have a good knowledge level during the study.
|
|
How parents are informed about children´s vaccination benefits
MAŤÁKOVÁ, Kateřina
ABSTRACT How parents are informed about children?s vaccination benefits Inoculation is a very effective protection of children and adults against not only diseases but their consequences as well. In spite of that it is often discussed and it has a number of opponents. The bachelor thesis ,,How parents are informed about children?s vaccination benefits?? consists of a theoretical and practical sections. The theoretical one includes basic information about vaccination. There you can find information on composition of vaccination substances and indications to inoculate, on possible undesirable post-vaccination reactions, on counter-indications as well as on vaccination substances used in the Czech Republic within the framework of compulsory and optional vaccination. The practical part includes results achieved. A quantitative research strategy was used for processing the data. The questioning method ? questionnaires ? was used for data collection. The questionnaire was intended for parents with children under 15 years. The research was carried out in nine general practitioners? surgeries for children and young people in Mladá Boleslav. 150 questionnaires were distributed, 140 were returned. 15 of them could not be used due to incorrect or incomplete completion. So the rate of return was 83.3%. 125 of them were used for the research. The investigation took place in the spring of 2011. The objective of the thesis was to map how parents were informed about compulsory children?s vaccination at the age of 0 to 15 years old in Mladá Boleslav. Moreover, the objective also was to confirm or disconfirm four hypotheses. H1 hypothesis supposed that parent?s education influenced their awareness. It was confirmed. H2 hypothesis expected that parents received most information about vaccination from a paediatrician. That hypothesis was also confirmed on the basis of the results found. H3 hypothesis said that parents would welcome extension of the existing vaccination calendar, especially TB inoculation should be added. That hypothesis was confirmed partially. H4 hypothesis suggested that parents with only one child were less informed. The results did not confirm it. I would like my thesis to be a clear information source for parents and to be a stimulus for their increased interest in those problems.
|
|
Emergency action plan in case of accident with ammonia leak at the Winter Stadium Kotlina Havlíčkův Brod
ZEZULOVÁ, Jana
The amount of ammonia used for cooling stadiums is usually lower than the limits stated in annex to the Act about prevention of fatal accidents caused by dangerous chemical substances, and for this reason the stadiums aren't subject to such strict security procedures determined by the law. However, these are places where big amounts of people can gather in a certain moment, thus in case of accident and ammonia leak, the health condition of many people could be threatened, given the fact that some of them don't even realise how to behave in such a situation. In the introduction of my thesis I focused my attention on the issues of extraordinary events, dangerous substances and products, on the legislation concerning the sphere of chemical substances and protection of population and accidents associated with the spills of dangerous substances. My work also contains the characteristics and description of ammonia and computer programmes used for modelling of consequences of accidents associated with spills of dangerous chemical substances. In the practical part of my thesis I simulated an accident with ammonia leak from Winter Stadium Kotlina in Havlíčkův Brod using the programming tool TerEx and from the results that I obtained I suggested a ?emergency action plan" targeting the analysis of eventual evacuation of pupils and pedagogical staff from the neighbouring primary schools. I used interviews with headmasters of primary schools for the purposes of this analysis. Furthermore, I analysed the population's level of awareness and knowledge of the problem (people living in the area of simulated zone of danger) and pedagogical staff from the neighbouring primary schools in the issues of correct practice in case of ammonia leak from the winter stadium. A part of thesis is a leaflet warning processed and an information poster intended for the population living in Havlíčkův Brod about correct practice in case of release of hazardous chemicals.
|
|
Counseling for women in climacteric.
GALLASOVÁ, Martina
Climacterium is a period of the woman´s life when it comes, little by little, to the loss of the ovary function. The begin of this period is different with individual women and may be affected by some factors, as for instance by experienced illnesses, nourishment condition or by family disposition. Symptomatology of the diseases connected with climactorium may be various, but it need not appear with all women to the full extent. Therefore, the consulting service is very important for the women in the period of climacterium. A woman well informed about the possible menopausal symptoms, about medical or alternative possibilities concerning the influence of undesirable menopausal diseases and also the precautionary programmes preventing the development of heavy illnesses will be better prepared for the coming climacterium and will be able to live this period of life in equanimity and piece. The theoretic part of the work provides basic information about the problems of climacterium. It deals with the explication of the term climacterium, its individual phases, with etiopatogenesis and endocrinology of menopause, with symptomatology, diagnostics, therapy and with the style of life in the climacterium period. In the practical part, the informedness level of women concerning the climacterium problems was examined.
|