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Welfare a životní projevy hospodářských zvířat chovaných v zoologických zahradách
Hanzlíková, Kateřina
Welfare and livestock's natural behaviors in zoo. This Bachelor thesis describes and introduction into literature review, animal welfare, small ruminant's basic daily activities and brief summary of the zoo's history. The part of bachelor thesis is ethological observations of behavior in a group of small ruminants in petting zoo Zoopark, Zájezd village o.p.s. Daily activities such as feed intake (fluid intake including), defecation and urination, taxe, standing, playful behavior, social behavior, comfortable behavior, rumination standing or lying, rest and interested visitors were monitored. The interaction among animal and visitor and biting objects such as boots, harness and clothes is a part of interested behavior. It is obvious from the results that animals are rumination lying down or standing up more often and for longer periods with visitors absence.
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Quality of life in patients with chronic nonmalignant pain
Michalíková, Lucie ; Raudenská, Jaroslava (advisor) ; Nikodemová, Hana (referee)
This bachelor's thesis addresses fear of pain (agliophobia) in patients who suffer from chronic, non-malignant-tumor-related pain. The paper is divided into two parts: theoretical and empirical. The theoretical background deals with definitions of quality of life, pain and emotion associated with pain. It explains the origins and causes of pain, methods of its investigation and consequent treatments. Finally, focus is given to addressing issues within nursing care. The empirical section focuses on the quality of life in relation to other clinical and demographic factors. The conclusion of the empirical section describes the surveyed sample of patients and presents results of the research conducted. Research within the study was based on quantitative questionnaire surveying. The study uses standardized questionnaires focused on day-to-day activities and emotions. Patients filled in forms and questionnaires detailing their medical histories, emotions (BDI II, GAD-7, daily activities (Oswestry Index, Tampa Scale) and scales of quality of life in chronic pain (QOLS). Statistical data analysis was conducted with regard to the hypotheses of relationships between the selected and monitored variables. Analysis was contruct from Spearman rank correlation, Cronbacha alfa, t-test and linear regresion.
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Problems of patients with left ventricular asisst device and access nursing sisters.
CHAMROVÁ, Anna
In my thesis we devote to problems of patients with the implanted system HeartMate II, which is now approved as a support for an indication to bridging the time to heart transplantation and for a destination therapy for patients with a refractory heart failure. We also devote to the access of nurses to these patients. The theoretical part of the thesis is generally devoted to mechanical cardiac supports and indications to their introduction. Next part describes HeartMate II, specifics of the nursing care for a patient who is after implantation mechanical cardiac support HeartMate II and limitations, which follow for a patient at home. The target of the work is to: 1. Find out, what the priorities of needs of the patient with a mechanical cardiac support are in a nursing care. 2. Find out, how the patient with a mechanical cardiac support perceives himself and his future. 3. Find out possibilities of nursing interventions to a saturation of needs by priorities of patients with mechanical cardiac supports. For the qualitative part of the empirical research the method of questioning with technique a semi-structured interview with opened questions was chosen. The research group consists of four patients after the implantation of left-hand mechanical cardiac supports HeartMate II. In this part we were finding out answers to four research questions. 1. Which damaged needs are predominant by patients with mechanical cardiac supports? 2. Do patients with mechanical cardiac supports have enough information about possible complications related to the life after the implantation of a mechanical support? 3. How does the patient with a mechanical cardiac support perceive his future? 4. How does the patient with the mechanical cardiac support HeartMate II perceive himself? Then results of research were analyzed and written into schemes. In the quantitative part of the research four hypotheses were determined. 1. Interventions of nurses during a nursing care which is oriented to monitoring of vital functions are predominant over the orientation of needs that are changed by the life with a mechanical cardiac support. 2. Nurses are available to answer to patients with mechanical cardiac supports questions which are related to a service of the device HeartMate II. 3. Nurses are well informed about possible complications after the implantation of the left-hand mechanical support. 4. Nursing interventions of nurses are predominant over interventions of the other members of the team during the care of patient after the implantation of the left-hand mechanical cardiac support. The research group of the research consists of nurses, who are working at the department with beds, the intensive care unit of clinic of a cardiovascular surgery and at the resuscitation department of an anaesthesiology and resuscitation in IKEM. 95 respondents were addressed. The returnability of questionnaires was 69% from the beginning number. On the basis of the result of the research we think that targets were fulfilled. Patients have enough information about complications related with the life with the mechanical cardiac support HeartMate II. Patients consider a satisfaction of psychical needs, especially the feeling of a safety and a security, as a priority, although they are highly specific problems. In this view a psychotherapeutic access and a therapeutic communication of a nurse with a patient are important. We are going to hand results of the research over to the management of IKEM. A thematic schedule of a tutorial was created. This tutorial engaged in psychic needs of a patient, a psychotherapeutic access of nurses and a therapeutic communication with a patient.
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