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Sibling constellations influence
MOCKOVÁ, Jana
This bachelor's thesis in the theoretical part presents theories describing the influence of sibling constellations and the views of some psychologists on the field of sibling relationships. The practical part maps the parents' view of the nature and behavior of their children with regard to the issue of sibling constellations and mutual relationships, experience with preparing a child for the birth of a younger sibling and with the support of sibling relationships. It also presents the experiences and opinions of kindergarten teachers on the influence of the sibling position on the behavior and experience of children and the change in child behavior in connection with the birth of a younger sibling. The research showed that the view and experience of parents and kindergarten teachers largely coincide and also correspond to the theories of A. Adler and K. Leman, with the exception of the only ones, where the parents 'view differs to some extent from the teachers' point of view. It was also found that most of the children of the interviewed parents faced certain problems after the birth of a younger sibling, which was confirmed by the experience of psychologists mentioned in the first part of the work. The research also showed that the sibling relationships between the children of the interviewed parents are mostly good and that the parents try to support these relationships in relatively similar ways.
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The issue of acceptance of self-care about stoma after intestinal surgery.
MOCKOVÁ, Jana
Basic theoretical background: Stoma as a part of the surgical treatment of digestive tract diseases usually radically affects the life of the patient and his relatives. The patient has to face not only the severe diagnosis but also the result of the surgery concerning one of the most intimate human spheres. A significant part in the return to a full life is the acceptance of the stoma by the patient and his ability of being active when taking care of stoma. The theoretical part in the introduction describes the Theory of self-care deficit. The second part of the theoretical work summarizes basic information regarding the issue of derivation of intestinal stoma and the issue of acceptance of the changed body image and self-care. Objectives and hypotheses: The aim of this work is to find out differences in the acceptance of stoma and care for stoma among patients after intestinal surgery. To achieve the objective of the work, there were set three hypothesis. H1: Patients with a permanent stoma experience major changes in the psychosocial area than patients with temporary stoma. H2: In the postoperative period, women approach practising the stoma care differently than men. H3: Patients under 55 have more information about living with stoma than older patients. Methodology: The research part of the work has been carried out through quantitative research. The form of data gathering was an anonymous questionnaire. The only criterion of the selection of the respondents was the state of health after the intestinal surgery with the subsequent stoma. During the search of the respondents were addressed organizations joining the patients with stoma, stoma and proctologic ambulances of selected hospitals, hospices and homes for elderly people. The obtained data were processed by descriptive statistics in graphs by the help of Microsoft Office Excel 2010. Further on, the statistical evaluation of hypotheses was carried out. Hypotheses were tested by chi-square test in a PivotTable, the average values were compared by T-test. The chosen significance level was 5 %. Conclusion: The work provides a comprehensive look at the issue of acceptance of stoma self-care after intestinal surgery. Creating of stoma, regardless of age or sex of the patient and also regardless of its eventual duration radically influences the patient's life. This is necessary to remember all the time from the long lasting preoperative preparation to aftercare when the stoma patient should be provided by comprehensive care by nurses. The nurse should also help the patient to return to a normal life.
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