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Adherence to calcium and vitamin D supplementation in women with postmenopausal osteoporosis
Holcová, Radka ; Vytřísalová, Magda (advisor) ; Fuksa, Leoš (referee)
Adherence to calcium and vitamin D supplementation in women with postmenopausal osteoporosis Author: Radka Holcová Supervisor: Magda Vytřísalová Charles University in Prague, Faculty of Pharmacy in Hradec Králové, Department of Social and Clinical Pharmacy Introduction: The insufficient medication adherence is a very frequent problem with chronic asymptomatic diseases as osteoporosis which significantly influences the treatment outcome. The successful osteoporosis therapy is based on adequate supply of calcium and vitamin D. A lot of studies are focused on the adherence to antiresorptive treatment but the adherence to supplementation therapy is rarely evaluated. Aims: The aim of the study was to evaluate the adherence to calcium and vitamin D supplementation in women with postmenopausal osteoporosis. Methods: The adherence was evaluated using two different methods: self-reported questionnaire and the electronic monitoring by bottles type Medication Event Monitoring System (MEMS). This partial analysis of a multicentre study includes and assesses data from Osteocentre in Pardubice Regional Hospital. Results: The analysis was performed with 15 women (the average age of 73). The patients were treated with Caltrate 600 mg/400 IU D3 once a day for three months. The adherence during the entire period...
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The Value of "Priessnitz Walking" as older adult exercise: issues of safety, adherence to the regimen, and fitness maintenance
Komínová, Olga ; Bitnar, Petr (advisor) ; Slabý, Kryštof (referee)
This diploma thesis presents a new form of outdoor activity called Priessnitz Walking, which means a connection of nordic walking, cooling limbs in a cold water and a yoga breathing exercises. A physiological grounds of each of its parts has been explained in the theoretical part of the thesis as well as its benefits for older people. Next to this, the thesis concerns about a physiology of aging and the importance of regular physical activity in later life. Our clinical experiment investigated an effect of PW during six-week training programe in older women attending Cardio Club Motol. A significant change in cardiorespiratory function and a positive subjective evaluation of the participates has been shown. Besides, we have found Priessnitz walking to be a save kind of endurance training for older people. A long-term adherance, which we also focused on, was not confirmed. Powered by TCPDF (www.tcpdf.org)
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Patients' attitudes to pharmacotherapy of osteoporosis
Theimerová, Hana ; Vytřísalová, Magda (advisor) ; Hendrychová, Tereza (referee)
1 ABSTRACT PATIENTS' ATTITUDES TO PHARMACOTHERAPY OF OSTEOPOROSIS Author: Hana Theimerová Supervisor: Magda Vytřísalová Charles University in Prague, Faculty of Pharmacy in Hradec Králové, Department of Social and Clinical Pharmacy INTRODUCTION: Patients' attitudes to treatment might be affected by various factors. These may vary in different generations as well as in different populations. The patients' attitudes to the treatment along with the illness may affect decision concerning the beginning, interruption or end of the treatment. That implies that the interaction between these factors and attitudes to the treatment is comprehensive. AIMS: The study aim was to evaluate the patients' attitudes to the treatment of osteoporosis based on the perception of necessity and concerns of treatment with oral bisphosphonates (BIS). METHODS: Data for the analysis were obtained using an anonymous questionnaire in five outpatient centres in the Czech Republic from November 2012 to March 2013. The patients' opinions concerning the BIS treatment were identified (necessity vs. concerns) using the Czech version of the "Beliefs about Medicines Questionnaire Specific" (BMQ-CZ). RESULTS: A total of 363 patients were involved in the analysis (mean age 68.9 years). Patients were treated with once a week dosing forms of BIS -...
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Patients' adherence to physiotherapy
Prunerová, Anna ; Nováková, Tereza (advisor) ; Reckziegelová, Petra (referee)
Title: Patients' adherence to physiotherapy Background: Physiotherapy includes many techniques, which can be effective during a treatment of musculoskeletal system. It is up to each patient, how he or she will approach to health. Evaluation of adherence to exercise can be beneficial in the beginning, during and after the end of physiotherapy. Objectives: The aim of this study was using of the Exercise Adherence Rating Scale in Czech translation to find out how the patients adhere to a physiotherapeutic treatment plan and assess the causes. Methods: The research group consisted of 151 respondents, older than 18 years and they completed physiotherapy at least once in their lives. For data collection was used the Exercise Adherence Rating Scale. The Scale was available via online research survey in March 2020 and self-selection was chosen. Results: According to the results, 67 % employees participated in the research study. 63 % respondents were aged between 36 and 64 years. Physiotherapy was most often covered by insurance company. In EARS, excellent internal consistency values of Section B on the item level and satisfactory to good internal consistency values of Section C on the item level were obtained. Significant correlations of the EARS sections confirm criterion validity in terms of adherence....
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Maintaining the positive effects of physical exercise programs for elderly several months after its completion
Smutná, Kateřina ; Daďová, Klára (advisor) ; Majorová, Simona (referee)
Title: Maintaining the positive effects of physical exercise programs for elderly several months after its completion. Aims: The main aim of this thesis is to detect, if the level of physical activity of seniors remain in existence even when the organized exercise program within the study EXODYA ends. Another aim is to discover a benefit of two exercise programs within one year in several selected areas. The last aim is to find out, whether the three months long exercise program will have a positive impact on physical and mental state of seniors. Methods: This is an empiric-theoretical research thesis. Three ensembles took part in a mixed qualitative-quantitative research. The muscle strength, flexibility, level of depressive signs and the state of short-term memory was tested with the ensemble I. (N=7) before and after an organized three months long exercise program. The testing of the ensemble II. (N=4) was held during the whole year (2018) within two exercise programs. The measuring of aerobic fitness and physical weight were added. The ensemble III. (N=31) were the alumni of the study EXODYA and they participated in the self-designed survey, where they were asking about the recent level of physical activity. Results: Positive effects were noticed during the three months long exercise program....
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Physiotherapy as a way to improve adherence to CPAP therapy of patients with obstructive sleep apnea syndrom
Dvořáček, Martin ; Bitnar, Petr (advisor) ; Smolíková, Libuše (referee)
Author's first name and surname: Bc. Martin Dvořáček Title of the master thesis: Physiotherapy as a way to improve adherence to CPAP therapy of patients with obstructive sleep apnea syndrom Department: Department of physiotherapy Supervisor: Mgr. Petr Bitnar The year of presentation: 2018 Abstract: Obstructive sleep apnea is the most common type of sleeping disorder. It is characterized by an excessive daytime sleepiness, deficits of cognitive functions, serious cardiovascular issues and general decrease in the quality of life. The golden standard of the treatment is CPAP therapy. However the long-term disadvantage of this method is the low rate of patients adherence. The minimum requirements for CPAP machines usage are only met by approximately fifty percent of the patients. The presented thesis is divided into three main parts. Firstly, the positive effects of CPAP therapy such as reduction of excessive daytime sleepiness, improvement of cognitive functions and overall increase of life quality of the patients were reviewed. In the next part the relationship between the monitored factors and patients adherence to CPAP was investigated. Lastly, the desired increase of patients adherence to CPAP therapy was tested. Selected patients were divided into three different groups according to their therapeutical...
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Use of inhaled drugs in obstructive pulmonary diseases
Obertová, Nikola ; Malý, Josef (advisor) ; Zimčíková, Eva (referee)
Use of inhaled drugs in obstructive pulmonary diseases Author: Nikola Obertová 1 Tutor: Josef Malý 1 1 Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and objectives: Chronic respiratory diseases are emerging health problem. The administration of the medication is mostly performed by the process of inhalation. Therefore, a proper inhalation technique plays a crucial role in symptom reduction and achievement of adequate control over the disease. The aim of the thesis was partly to assess the level of inhalation technique in elderly patients in nursing home settings, partly to evaluate the knowledge of nurses and their role in advice provision related to the proper inhalation technique. Methods: The data were collected from June to September 2016 from 18 nursing homes located in South Wales (Great Britain). The study was realized in two arms. The evaluated group (first arm) was composed of patients (residents) with having asthma bronchiale or chronic obstructive pulmonary disease diagnosed and being older than 65 years. Second arm consisted of nurses responsible for giving advices about inhalation technique to the residents. Nursing home visits were composed of three parts. First one was a controlled interview based on the...
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The Influence of Motivational Elements in Paediatric Physiotherapy Focused on the Patients with Acute Lymphoblastic Leukemia - Pilot Study
Chytrá, Markéta ; Jevič, Filip (advisor) ; Králová, Aneta (referee)
THE INFLUENCE OF MOTIVATIONAL ELEMENTS IN PAEDIATRIC PHYSIOTHERAPY FOCUSED ON THE PATIENTS WITH ACUTE LYMPHOBLASTIC LEUKEMIA - PILOT STUDY Abstract The efficacy of acute lymphoblastic leukemia (ALL) treatment in childhood is still increasing and the quality of life of these children is starting to be the focus of interest. The physiotherapy affects in preventive and reactive way the late effects of treatment which may reduce the quality of life. An insufficient motivation of children can be a reason of a reduced adherence to a physiotherapeutic intervention. The goal of this study was to ascertain the influence of the motivational elements in the paediatric physiotherapy in the improvement of motor functions, the quality of life, the motivation to the exercise and the frequency of exercise. There were 9 patients diagnosed with ALL in the maintenance phase of treatment (average age 7,3 years, age range 5,2 - 10,1, 5 girls and 4 boys). All probands underwent a 6- weeks-excercise programme that contains the exercise from the DNS method, yoga for children and stretching. The assessment was performed by Bruninks-Oseretsky Test (BOT2), 6 minute walking test (6MWT), goniometric measurement of ankle joint dorsiflexion, Pediatric Quality of Life Inventory (PedsQL), Intrinsic Motivation Inventory (IMI) and the...
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The Effect of Personal Causality Orientation on Adherence in Outpatient Physiotherapy
Kuta, Igor ; Niederlová, Markéta (advisor) ; Šípek, Jiří (referee)
(in English) This master thesis deals with themes of motivations and compliance to treatment recommendations in outpatient physiotherapy. In the theoretical section it brings an introduction to the issue of adherence as a part of medical rehabilitation. It sheds some light on the importance of the research in this field and structures its span according to prescribed diagnoses and other criteria. It also shows distinctions in concepts of compliance, concordance and adherence and summarizes the findings of the most relevant directions of motivation research in this area of study. The aim of the empirical part is to capture relations between the distribution of patients' personal causality orientation and their adherence to treatment, along with others, e.g. demographic variables. The analysis of 113 patients' questionnaires showed that there is a statistically significant relation between both the internal and external causality orientation and the degree of adherence.
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Use of inhaled drugs in obstructive pulmonary diseases
Obertová, Nikola ; Malý, Josef (advisor) ; Zimčíková, Eva (referee)
Use of inhaled drugs in obstructive pulmonary diseases Author: Nikola Obertová 1 Tutor: Josef Malý 1 1 Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and objectives: Chronic respiratory diseases are emerging health problem. The administration of the medication is mostly performed by the process of inhalation. Therefore, a proper inhalation technique plays a crucial role in symptom reduction and achievement of adequate control over the disease. The aim of the thesis was partly to assess the level of inhalation technique in elderly patients in nursing home settings, partly to evaluate the knowledge of nurses and their role in advice provision related to the proper inhalation technique. Methods: The data were collected from June to September 2016 from 18 nursing homes located in South Wales (Great Britain). The study was realized in two arms. The evaluated group (first arm) was composed of patients (residents) with having asthma bronchiale or chronic obstructive pulmonary disease diagnosed and being older than 65 years. Second arm consisted of nurses responsible for giving advices about inhalation technique to the residents. Nursing home visits were composed of three parts. First one was a controlled interview based on the...
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