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Specifics of measuring pressure in children
JANTAČOVÁ, Dana
The number children and young people with high blood pressure has been increasing. The current lifestyle is one of the contributing factors to the disease. The most adverse is poor quality diet and excessive intake of salt. Further, the energy expenditure is lower, e.g. due lack of physical activities. Many children and young people do not have enough information about the risks of high blood pressure and its prevention. It is critical to identify groups with a risk of hypertension, i.e. children and young people with the so-called ?high normal? blood pressure. At the beginning we set four objectives: to learn the blood pressure measuring techniques suitable for children ? using digital and mercury tonometers, to find 25 ? 30 children with the ?high normal? blood pressure, to instruct nurses, particularly in the primary care, about the correct technique of blood pressure measurement in children and to compare the values of blood pressure measured with mercury and digital tonometers. The research was conducted in basic and secondary schools in České Budějovice and in a pediatric surgery. The researched group consisted of children and young people aged 13 ? 18. To achieve the first objective we measured blood pressure in 613 children with a digital tonometer and to achieve the second objective we measured blood pressure in 50 children both with mercury and digital tonometers. The results have been presented in form of tables. We found out that it was not necessary to examine more children, as we had expected, to get a sample group of 30 children with the ?high normal? blood pressure. Further, we found out that there was no significant difference between the values measured with a mercury tonometer and with a digital tonometer. The results have shown that it is essential to use the correct technique for blood pressure measurement in children. Based on our findings we have developed an educational material for nurses.
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Public awareness concerning risk factors leading to hypertension
LEPŠÍKOVÁ, Leona
The public´s awareness about risks of hypertension Cardiovascular diseases are the most frequent causes of morbidity and mortality in the Czech republic. It is widely known that arterial hypertension is one of the factors that may subsequently lead to irreversible changes and death. Arterial hypertension together with its high prevalance among adults in industrial nations (20 - 30 %) represent a serious health problem. It is one of the most major risk factors of ischemic heart disease along with diabetes, hyperlipoproteinemia, obesity and smoking. The aim of this work is to establish whether the public are aware of and adhere to precautionary measures which lessen the risk of hypertension. There are two hypotheses: 1. The public know the risk factors in the rise of hypertension. 2. The public fail to maintain precautionary measures preventing the rise of hypertension. The research group was formed by the public in the Vysočina region. Data was collected using questionnaires. The questionnaires were addressed to respondents of all age groups. There were distributed 160 questionnaires altogether. The final number of questionnaires used for data processing amounted to 126 questionnaires. The results showed that the public in the Vysočina region are informed about risks of hypertension (obesity, overeating, a high intake of salt in food, excessive alcohol consumption, lack of physical exercise and stress) and maintain precautionary measures preventing the rise of hypertension. To prevent hypertension from a frequent occurrence, it is essential to know of and avoid risk factors, to learn a healthy lifestyle and to realize that we ourselves are responsible for our health. It is, therefore, important to pay more attention to this problem and keep the public educated, e.g. through leaflets in GPs´ surgeries, and also this dissertation may serve the purpose.
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Problems of Keeping Non Pharmacological Treatment Measures by Clients with Arterial Hypertension
FUKOVÁ, Jitka
Hypertension is a very common cardiovascular disease. About 20-25 % of population in developed countries suffer from this problem. Long-term hypertension involves higher risk of myocardial infarction, celebrovascular accident, renal failure or eye problems. The treatment starts from non-farmacological measures connected with healthy living. The patients should stop smoking, reduce sodium, alcohol and animal fat intake, lose weight, avoid stress and improve physical training. The aim of this work is to find out if hypertensive patients know non-pharmacological measures and if they follow them. Two hypotheses were stated at the beginning: A questionnare as a quantitative research strategy was used in this work. The questionnaire consisted of 25 questions. The results were grafically processed. The questionnaire was distributed to hypertensive patients of hospital wards in Písek, cardiological clinic in Písek and general practitioners in Písek and Milevsko. The number of respondents involved in the research was 111. Hypothesis 1: Hypertensive patients do not know non-pharmacological treatment measures. Hypothesis 2: Hypertensive patients do not follow non-pharmacological measures. Analysing the data, hypertensive patients know the non-pharmacological measures very well, hypertensive patients do not follow them. Hypothesis 1 was refuted and hypothesis 2 was proved. The analysis will be offered to cooperative hospital wards and general practitioners so that it can contribute to better secondary prevention of hypertensive patients.
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Trends in the Consumption of Antihypertenziva in the period 2002-2007
Krčmaříková, Monika ; Lešetický, Ondřej (advisor) ; Hladká, Libuše (referee)
Nowadays the number of people with hypertension is growing. Hypertension means permanent raise of blood pressure above 140/90 mm HG. Hypertension is dangerously disease, which could lead to death and which could evoke another dangerously death diseases. As a treatment of hypertension is encouraged healthy life style and drugs antihypertenziva. Aim of my work is identify to most prescribed antihypertenziva and their most prescribed sub group and overall consumption of antihypertenziva in monitored regions. I gained data of region Nymburk in years 2002 up to 2007 and of regions Kolín and Mělník in years 2004 up to 2007. These data are originally from Nymburk's branch office of VZP.
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