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Patient's life quality befor and after aortic valve operation
Vyskočilová, Ludmila ; Trávníčková, Ivana (advisor) ; Chvojková, Kateřina (referee)
(v AJ) Introduction to the topic and importance of the topic: Aortic valve disease is the third most frequent cardiovascular disease and also the most frequently operated valvular disease in adulthood. The natural process of the disease is unfavorable, almost half of the patients suffer from symptoms of heart failure (Branny et al. 2012). This is the reason why I focused my thesis on the assessment of the quality of life of patients diagnosed of aortic stenosis. Aim of the thesis and research questions: The aim of my thesis is to evaluate the quality of life patients with diagnosed aortic valve disease, within one month before the planned surgery and in the postoperative period when patients will be checked at a cardiac surgery clinic. The partial objective at the same time was to compare the quality of life and health status of patients with aortic valve disease who have completed a spa therapy with those who have rejected it. Methodology (method, research sample): The research work will be carried out as a quantitative research in a group of 29 respondents. The HRQoL construct it means questionnaire SF-36 were used to obtain the data. The questionnaire was anonymous. For the completed questionnaires, a closed box was set up, which I didn't open until the poll was complete. The survey was...
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Nursing Care of the Patient with Ischemic Heart Disease After Combined Cardiac Surgical Procedure with Following Complications
Kováčová, Anna ; Sentivanová, Lenka (advisor) ; Pražáková, Zuzana (referee)
Bachelor thesis on topic Nursing care of a patient with ischemic heart disease after combined cardiac surgical operation with following complications, dealt with the specificity of nursing care of the patient, firstly after combined cardiac surgical operation and subsequently also after rehospitalisation for mediastinitis and infectious endocarditis on the heart valves. In theoretical part I analyze drawn knowledge, related to mentioned issue. Used information were obtained from professional literature, Czech and foreign articles according to recommended practices of the European Cardiology Society. The main objective of the thesis is summary and elaboration of patient's data in longer period of time into two case studies. In Case study I., I focus mainly on detailed description of nursing care after the cardiac surgical operation during three days, when the patient was transfered to intensive care unit. In Case study II., I include collected information of the same patient after rehospitalisation with infectious complications, which I evaluate in detail during the three days hospitalization on intensive care unit. My other objectives include finding out, if there are any differences in provided nursing care between two mentioned Case studies. At the end, I would like to point out the highly...
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Quality of life of patients with stenosis of aortic valve
ŠVECOVÁ, Valentyna
This bachelor thesis is focused on the quality of life of patients operated for aortic valve stenosis. The aim of the thesis was to describe and compare the quality of the patients´ lives before the replacement of the native aortic valve with a mechanical or a biological valve to the state three months after the surgery. The research was done in the Cardio-Centre of the Hospital České Budějovice, a. s. The patients of the Cardio-Centre represented the studied group and were selected using the simple deliberate selection method. The research itself was done using the ?postal survey? method, i.e. without the assistance of the professional staff. Two hypotheses were established: Hypothesis 1 (H1): The quality of life of the patients suffering from aortic valve stenosis is negatively affected in the evaluated domains of HRQoL; Hypothesis 2 (H2): The quality of life of the patients with aortic valve stenosis is better three months after the surgery than before the surgery. Health related quality of life was studied using the quantitative research method based on the Short-Form SF-36 questionnaire, Generic type, in the HRQoL methodology in eight domains: physical functions, physical limitations in role activities, emotional limitations in role activities, physical and emotional limitations in social activities, pain, mental health, vitality, general perception of health status. The received data were converted into the electronic form using the related software that assessed the average score of the quality of life correlative of the state of health. The results before and after the replacement of the aortic valve were compared mutually and also to the international standard of HRQoL. The results have helped to prove that surgical replacement of the native aortic valve results in an improvement of the quality of the patients lives. It has been proved through the research that the quality of life had been improved in all domains, what confirmed the H2 hypothesis ? i.e. the quality of life of the patients with aortic valve stenosis is better three months after the surgery than before the surgery. It has been also discovered that the quality of life of the patients with aortal valve stenosis is significantly lower than the quality of life in health population represented by the results of the Oxford research. This confirmed the H1 hypothesis ? i.e. the quality of life of the patients suffering from aortic valve stenosis is negatively affected in the evaluated domains of HRQoL. The bachelor thesis may be of benefit to the cardio-centres and the cardiology departments. The results of the research may contribute to better understanding of the patients by the staff, to improve the hospital care and to widen the patients´ knowledge of this fact. A colloquium for the nursing staff aimed at the quality of life of patients suffering from a cardiovascular disease could be organized. The thesis may also be used to stimulate further research in comparing the quality of life dependent on different types of replacements or on the age of the patients.
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