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Preoperative and postoperative care in cardio surgery from the patient's point of view
Votava, Adam ; Klokočková, Šárka (advisor) ; Zámečníková, Kateřina (referee)
Preoperative and postoperative care in cardiac surgery from the patient's point of view - Adam Votava ABSTRACT The bachelor's thesis "Preoperative and postoperative care in cardiac surgery from the patient's point of view" investigated, evaluated and compared the views of patients who underwent cardiac surgery on the health care provided. The aim of the work was to map problematic areas in the provided information on the course of planned care and other areas connected with this topic. In the theoretical part of the thesis, the field of cardiac surgery itself, the process of hospitalization in the cardiac surgery department and specific information about the surgical procedure that the interviewees went through were presented. She also dealt with the role of the patient in healthcare. It presents the legal and ethical aspects of the patient in the Czech Republic and explained the factors affecting the patient's access to the provided health care. In conclusion, this section explains the need for information and possible resources that the cardiac surgery patient can use to his advantage. The empirical part contains the results of our own exploratory investigation and a comparison of the results with the results of other similar works. Method: Qualitative research - semi-structured interview. Results: Eight...
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Vital capacity of lungs after operation hearts IKEM Prague
CHVOJKOVÁ, Lenka
Cardiovascular diseases in the Czech Republic represent the main cause of death and significantly contribute to the sickness rate and premature disability. Possibilities of treatment of cardiovascular diseases keep developing increasingly these days. An important part is the follow up spa treatment as well as sufficiently performed effective cardio rehabilitation. The theoretical part characterizes functional examination of the lungs and stress tests in cardiology. Simultaneously it describes early spa treatment and defines quality of life. The aim of the diploma thesis, which deals with the vital capacity of the lungs, was to prove positive effect of early spa treatment on the vital capacity of the lungs and on improvement of quality of life, specifically with respect to positive perception of one´s overall physical health. Hypotheses - H1: An early spa therapy positively affects spirometry values. H2: Patients with an early spa therapy better perceive their overall physical health. A form of quantitative research was chosen, in order to verify the determined aims and hypotheses of the diploma thesis. A standardized international Short Form SF - 36 questionnaires on quality of life was used for the data collection. Spirometry was utilized for ascertaining objective functional parameters. Values of spirometry examination were used for comparison. 32 patients after cardiovascular surgery were included in the research, who were transferred to Lázně Poděbrady on the 6th - 8th day after the surgery, 22 of them being men (69%) and 10 women (31 %). The average age of patients under research was 66,06 + 11,48 years. The check group consisted of 10 healthy volunteers. 8 women (80 %) and 2 men (20 %) at the average age of 37,1 + 13,3 years were included in the research. It follows from the spirometry results measured before the heart surgery at IKEM cardio center that a difference in results between the second and third spirometry occurred. The second and third spirometrical examination is the period of time, when the respondent undergoes the early spa treatment. After the heart surgery spirometry values worsen and improve in the course of the spa therapy. The research showed that the perception of overall physical health after the heart surgery is subject to perception of pain, which negatively affected sense of overall perception of physical health. H1 was confirmed and H2 was not confirmed. In order to improve current situation, it would be suitable to devote not only to cardio rehabilitation but also to improvement of perception of pain, e.g. by means of psychotherapy (art therapy, music therapy?). It is also important to widen a possibility of outpatient cardio rehabilitation in each cardio center for patients after heart surgery.
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