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Problem of knowledge of a patient indicated for colonoscopy
ČERNÁ, Miroslava
The colonoscopic examination is no only a diagnostic method, but also a therapeutic method applied in gastroenterology. The colonoscopic examination is performed by the flexible endoscope and it is possible to examine the whole mucous membrane of the large intestine and to perform here also minor surgical operations. The necessity for the colonoscopic examination is as perfect as possible defecation of intestines, however, also this depends on the sufficient knowledge of the patient of the examination performance and preparation. This examination is quite stressing and strenuous for the patients. The target of the thesis was to find out the difference in knowledge of clients indicated for colonoscopy within hospitalization and clients coming as outpatients. 2 hypotheses were postulated: Hypothesis 1: {\clqq}The scope of information of dietary measures before colonoscopy provided to hospitalized clients is different than the scope of information provided to ambulatory clients``. The hypothesis 2: {\clqq}The scope of information about the procedure of the examination before the colonoscopy provided to hospitalized clients is different than the scope of information provided to ambulatory clients``. The method of questioning - technology of a questionnaire was applied to the collection of data. The questionnaire was completely anonymous and was determined for patients indicated to colonoscopic examination. The questionnaire included 22 closed and half-closed questions. 130 questionnaires were distributed in the gastro-enterologic ward in the Hospital of České Budějovice a.s. After returning the questionnaires and elimination of the incompletely filled in and empty questionnaires, the examined group consisted of 106 respondents, thereof 53 were ambulatory respondents and 53 hospitalized respondents. The target of the thesis was achieved. It followed from the results that both hypotheses were confirmed, there is really a certain difference in knowledge before the colonoscopic examination between the ambulatory and hospitalized respondents. In both hypotheses, the ambulatory respondents were informed better. This bachelor´s thesis points out the importance of giving the information to the patients and of co-operation between the patient, nurse and physician. To improve the knowledge of patients indicated for colonoscopy I created the draft of a leaflet, summarizing information the patient should know before this examination. The results of this thesis will be provided to the head and management of gastro-enterologic ward of the Hospital České Budějovice a.s. Its topic could be of help to the medical staff in better informing the patients.
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Comprehensive care of person with Alzheimer's disease
ŘEHOŘOVÁ, Andrea
The thesis deals with the comprehensive care for a person with Alzheimer`s disease. As the population gets old, also the number of people with Alzheimer{\crq}s disease has been growing. Pursuant the survey, approx. 5 % population in the age of 65 years suffers from the middle up to high degree of dementia; thereof the Alzheimer{\crq}s disease represents 50{--}60 %. Its frequency roughly doubles every five years. Alzheimer{\crq}s disease is approximately the fourth most frequent cause of all the death cases. The main goals is to find out the extent of knowledge of lay public about Alzheimer{\crq}s disease in the South Bohemian region. Hereby we mean the information about the care, possibilities of healing, symptoms and prevention of Alzheimer{\crq}s disease. In connection with these goals the H1 hypothesis was postulated: The lay public was informed of Alzheimer{\crq}s disease. For achieving the given goal, the method of questioning, the technology of the questionnaire was used. 280 questionnaires were distributed among the persons older than 18 years and they were returned in 86 %. In total, 241 questionnaires were filled in, thereof 230 were filled in correctly and also evaluated. As the most important questions for confirming or not confirming the hypothesis the author determined questions concerning the knowledge of the AD treatment, AD symptoms, knowledge of facilities, consulting centre as well as other activities for the people with AD, occurrence of AD and forms of treatment. It followed from the results that H1 hypothesis was not confirmed. Two partial targets were postulated for the given issue for the completeness sake. The first partial target was to describe the medically social issue of Alzheimer{\crq}s disease including its impact on all the spheres of the life of man: i.e. biological, psychological as well as social spheres. The second partial goal concerned the survey of services for persons with Alzheimer{\crq}s disease and their families in the South Bohemian Region. This thesis may be utilized in future as source of information about Alzheimer{\crq}s disease for the students of Faculty of Health and Social Studies in České Budějovice and for persons from the lay public who would like to learn more of Alzheimer{\crq}s disease.
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The extent of awareness of canistherapy in the České Budějovice
PILÁTOVÁ, Kateřina
Abstract With the advancement of civilization, people are becoming more and more distant from nature and animals. That creates a subconscious longing in people to create substitute connections with nature. Canis-therapy, as a form of zoo-therapy, is a supporting rehabilitation method based on the contact of man and a dog and their positive interaction. The focus is especially on solving psychological, emotional and socio-interactive problems. The effect on physical health is secondary and is more about motivation. The main aim of this work was a complex monitoring of awareness of the problems of canis-therapy in České Budějovice among the students of individual departments of the University of South Bohemia and the professionals from selected health and care institutions. The outcomes of the practical part of the bachelors work are the results from the quantitative research where the method of asking questions was used; the technique was a standardised questionnaire. The research sample consisted of 150 students of the University of South Bohemia in České Budějovice and 45 professional staff from health and care institutions in České Budějovice. The working hypotheses presumed that the awareness of the problems of canis-therapy among the respondents will be low. In line with this hypothesis, unfamiliarity with conditions for practicing canis-therapy was presumed. The author attempted to find out if those who receive this type of zoo-therapy are aware of the providers of this so far unofficially approved social service. The data collected in the research clearly proved that more than two thirds of all respondents know the problems in question; however they are not clear on the conditions of the provision of this service. These results gave an impulse to practically focus on improving awareness of the conditions and practice of canis-therapy among professionals and general public alike through lectures, publications or leaflets. This work should also be used as informative and study material for starting and professional canis-therapy teams alike as it can help them develop their current position and especially improve their attitude to canis-therapy.
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Awarness of Public of Tickborne Encefalitis Infection
VOKROUHLÍKOVÁ, Monika
In my bachelor work I monitor the awareness of the general public on the tick-borne encephalitis and the attitude of the general public to vaccination against this disease. I have found out using research that the population is aware of the tick-borne encephalitis but the population is not interested in vaccination against the disease.
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The Public Attitude towards Preventive Oncology Examinations
KAULICHOVÁ, Markéta
The Public Attitude towards Preventive Oncology Examinations The object of this paper is to find out how laic and health professional public uses the potential of preventive oncology examinations and to uncover the barriers in use of these programs from the point of view of the laic and professional public. The public attitude towards preventive oncology examinations is more important these days as the incidence of oncology diseases is growing. Prevention is considered the principal in modern medicine, also from an economic point of view. The attitude of society towards its health is one of problematic public health areas, the attitude of self-responsibility and the underestimated meaning of primary prevention. Moreover, there is a psychological problem related to oncological diseases: the fear of positive findings and the fear of the disease itself which is traditionally connected with incurability, cruel pain and inevitable death. This notion is no longer true. A dictatorial doctor{\crq}s approach to patients in the past has been replaced with cooperative and more equal relation, where the patient takes part in decision making. However, doctors are too busy to find the proper way and proper extent of informing the patient or these doctors often underestimate the importance of a good way of giving this kind of information. This thesis presents current preventive care offered in the Czech Republic and it shows the negative bias towards cancer which is a stumbling block to a more successful fight against oncology diseases. This research was undertaken amongst laic and health public. Quantitative data collection was used in the form of questionnaires. The research file is made up of men and women over 18 years, with or without health occupation. The hypothesis was not proven that laic public use preventive oncology examinations more than health public. The laics use these programs less mostly due to lack of awareness about them. One of the most common obstacles in using preventive programs is the misunderstanding of prevention itself, when people contact a doctor only when they have problems. The results have also shown that laics are not satisfied with the activity of doctors in informing them and that laic public search for information is done less actively. This thesis can be used as a foundation for further discussion about problems of informing the public about preventive programs and for future education of health personnel within oncology matters.
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Awareness children of dealing with dogs.
CHLOPČÍKOVÁ, Marie
Children´s awareness of dealing with dogs starts to gain importance nowadays. More often we meet the problems of injuries caused in children by our best animal fellows.This situation needs to be solved. Problem cannot be seen only in accused animal. In most cases neither dog nor child is the deliquent. The main cause of a conflict between, in other way, harmonious coexistence of both partners seems to be children´s ignorance of behaviour, body speech and complex responsible attitude towards dogs. However,they cannot learn these basic rules themselves. Theoretical part of the thesis devotes attention to general outline of child {--} dog relation. Separate chapters are focused not only on psychological and social development of both arbiters, but also on their mutual impact, behaviour, care, communication and cooperation. At the same time, the thesis outlines the problems of dog bite-related injuries in children of our or foreign latitude. Last but not least it underlines the need of prevention and measures which could reduce or generally eliminate the rise of dramatic situations between a dog and a child. The main aim of this work was to chart awareness (informedness) of middle school- aged children of treating, care, behaviour and communication with dogs. Further presumption is to find out the knowledge differences in children who have dogs and those who haven´t. The output of practical part of the thesis are the results of quantitative research. There was used a method of questioning {--} technique standard questionnaire for children within the range of 3.-5. class of basic school. Research specimen represents pupils´ knowledge of four basic schools, in total 200 respondents. From the point of regional representation there were children of South Bohemia and Olomouc regions. According to the research there is evident absence in knowledge of dogs´ body speech and consequently the safety of mutual contact that represent the main problem in arising of risk situation between a child and a dog company. Therefore it is important to devote them more attention in future.
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Information problems of the client after operaion of the knee joint prosthesis prior to doischarge from the hospital
KAŠPÁRKOVÁ, Lucie
Presently a number of people who need to replace disabled knee-joint for artificial one is rising. The issue of a client{\crq}s awareness about necessity to keep the supportive measures would deserve much more attention. The theoretical framework deals with the post-operation care for a patient following a complete knee-joint replacement operation and the issue of the patient{\crq}s awareness, which is considered an important one in nursing nowadays. From results of research ensued that nurse's role is very important for patients' awareness about postoperative care after complet knee-joint replacement. A nurse should be an active part and should give the relevant informations to patients about postoperative care so that the stage of therapy will be without complications.
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The status of municipalities with extended powers in the planning and implementation of regulatory measures.
JIROUŠEK, Jan
The title of this thesis is Situation of Municipalities with Extended Competence in Planning and Implementing Regulatory Measures. The objective was to determine whether and how the municipalities with extended competence in the South Bohemian and Vysočina regions are ready to execute regulatory measures and if the level of regulatory measures corresponds with the needs of citizens to whom the measures are applied. In the theoretical section of this thesis, the municipality with extended competence with its authorities is defined. The regulatory measures, their preparation and implementation are introduced. In the research section two hypotheses were stated. The first was focused on quality and adequate training of the staff of municipalities with extended competence so that to minimize the risks associated with inadequate planning and implementation of regulatory measures. The research has proved that from the perspective of municipalities with extended competence there are considerable uncertainties in the interpretation of the practical implementation of regulatory measures by administrative authorities. Significant differences were found in the documentation focused on regulatory measures. The second hypothesis was focused on shortcomings after the implementation of regulatory measures among the population of the South Bohemian and Vysočina regions, in the sense that it negatively affects the tolerance limits. It has been found that most respondents would tolerate the regulatory measures, but according to the response, the readiness of crisis management workers has been rather inadequate. In this thesis, the method of quantitative research was chosen. The technique of data collection was anonymous questionnaires made up for 32 municipalities with extended competence and 100 residents in the South Bohemian and Vysočina regions and for 50 residents of the South Bohemian region. In municipalities with extended competence all 32 municipaties were addressed, but only 24 questionnaires were returned. In the residents all 100 respondents were addressed the return rate of questionnaires was 100%. The results are shown in graphs and as percentages.
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THE LEVEL OF AWARENESS AND ATTITUDES OF ČESKÉ BUDĚJOVICE FAMILIES TOWARDS QUESTIONS OF TICK-BORNE DISEASES
LANGEROVÁ, Dagmar
Bachelor´s work deals with the questions of 2 most frequent tick - borne diseases in the Central Europe - Tick Borne Encephalitis and Lyme Disease. The purpose of my work is to survey the awareness of České Budějovice families about these diseases and possibilities of their prevention. For the primary data collection the technique of questionnaire has been chosen. As the target group pupils of higher classes of basic schools and their parents have been chosen. From 110 distributed sets of questionnaires only 63 have been processed. After the evaluation of these questionnaires, both my hypotheses have been disproved. The awareness of parents was better than the awareness of pupils, but the difference was very small. České Budějovice families know that the risk of Tick Borne Encephalitis in the region of South Bohemia is higher than in other regions in our country. The level of awareness of České Budějovice families about questions of tick {--} borne diseases is quite good.
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Knowledgeableness of patients before and after an operation of the intervention
PRSKAVCOVÁ, Hana
Based on the information within the Bachelor{\crq}s thesis titled {\clqq}Knowledgeableness of patients before and after an operation of the intervention``, which was aimed at the knowledge women have about pre-operative care before planned and acute caesarean section and about post-operative care, hypothesis 1. Women consider themselves to be well informed before the planned caesarean section. According to my research, this hypothesis was confirmed. Hypothesis 2. Before the caesarean section, women do not feel to be properly informed about the surgery. However, research did not confirm this second hypothesis. Hypothesis 3. Women that underwent the caesarean section are comfortable with the way they have been informed about the operation. The quantitative research method through questionnaires was used for data collection. The questionnaire contained 24 queries and was anonymous. The questionnaires were determined for women after the caesarean section and were issued at the Puerperium ward of the general hospital in České Budějovice. A total of 114 questionnaires were handed out and 111 of them were returned filled out, from which 103 of these were used within the final processing procedure. The results clearly show that women consider themselves as sufficiently informed before planned as well as acute caesarean section and consider themselves sufficiently informed of post-operative care.
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