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Unemployment and Its Impact on Health
PULTAROVÁ, Lucie
This diploma thesis called 'Unemployment and its influence on health' consists of theoretical and empirical part. In the theoretical part, important terms that are connected to unemployment and labour market are summarized. The definition of the term 'health' is specified and the factors and determinants that influence it are stated as well. The term 'health disorder' and problematics of psychosomatics are discussed too. The practical part is concentrated on examination of the influence of unemployment on health. A quantitative research, method of questioning and questionnaire technique were applied here. The collection of data took place at a regional office of The Jobcentre in České Budějovice. Job seekers registered under this office formed the body of the research. This work has two aims. The first one be the influence of unemployment on health of the unemployed and the second be the finding about the influence of unemployment on development of mental and somatic disorders. The following hypotheses were set up regarding the aims of the work: H1: The unemployed state their health declines during the period of unemployment, H2: Unemployment has a negative effect on mental health of the unemployed, H3: Unemployment has a negative effect on somatic health of unemployed. The hypotheses were not verified during the course of statistical testing. Based on the results of the research, we can deduce that the duration of unemployment doesn't have an impact on the subjective evaluation of physical and mental health. While the duration of unemployment increases, we don't observe any physical or mental heath decline of the unemployed. The conclusions of this research may, however, not be generalized due to the number of respondents and region which was chosen for the research. Statistical testing, however, revealed some interesting facts. These are, for example, the connection between the duration of unemployment and the evaluation of the impact on individual's areas of life, the relation between the duration of unemployment and health state evaluation during the last employment. The research itself could possible serve as a source material or starting point for future studies in this field. The above mentioned findings could after wider research bring knowledge which would be applicable to further practical works with the unemployed.
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Quality of life in patients before and after total hip replacement
ŠIDÁKOVÁ, Alena
The objective of this thesis is to assess quality of life of patients before and after total hip replacement. To determine HRQoL {--} Health Related Quality of Life I used standardized questionnaire SF-36 which assesses eight basic qualities (domains) of life. This thesis has 2 parts: a theoretical part and a practical part. Anatomy of the hip, total hip replacement, quality of life in general and quality of life in chronic diseases are described in the theoretical part. The practical part was prepared using quantitative research, the technique of anonymous questionnaire SF-36. The respondents were clients of the orthopaedic outpatient clinic of hospital in Klatovy. The final sample comprised 18 women and 11 men. Results were recorded in electronically. The Department of Clinical Pharmacology of hospital in České Budějovice provided evaluation of the results. Data obtained about probands were compared with results of Oxford Healthy Life Survey and also with each other. The results were made into well-arranged graphs and charts. The structure of charts is uniform, the value from research and the value from Oxford (always 100%) are stated next to each other. Results obtained from the practical part can be used to supplement education materials which relate to this issue. The results are very encouraging. Quality of life after total hip replacement has improved. Especially in the domain of bodily pain (P) where the probands reached the results of 86.79%. The difference between Oxford {--} 100 % (healthy population) is therefore only 13.21 %. Probands achieved best result in domain General health perceptions (GHP) 141.38 %. Two hypotheses were stated in the introduction. Hypothesis 1 was: Quality of life of patients will improve after total hip replacement. Hypothesis 2 was: Consumption of analgesics will decrease after the surgery. Both hypotheses were confirmed. Obviously, the results in some domains will remain lower compared to healthy population but the overall quality of life of patients after total hip replacement has improved. The objective of the thesis was accomplished. Resources used are listed in the conclusion of the thesis. Appendix includes for example the questionnaire SF-36 or information leaflet with obtained data (pain reduction, improvement in certain domains of quality of life etc.) which will be used to educate patients in waiting rooms in outpatient clinics.
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