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Eating disorders and excessive physical activity
Hrubá, Jitka ; Holanová, Petra (advisor) ; Papežová, Hana (referee)
1 Abstract Introduction: Eating disorders are a serious disease the incidence of which is rising in the population. The most serious are anorexia and bulimia nervosa. These diseases are often accompanied by excessive physical activity, which is used to reduce weight and simultaneously as a compensatory mechanism for dissatisfaction with one's own body. The persistent presence of excessive exercise is often a common cause of relapse of the eating disorders. The treatment must be comprehensive and time consuming. Target: The main aim of the study was to map the incidence and nature of excessive physical activity in female patients with a diagnosis of anorexia nervosa and bulimia nervosa. To determine whether it affects the weight gain of underweight patients and whether there are differences in the frequency or nature of excessive exercise among patients attending a day hospital and patients hospitalized in the ward. Methodology: The research group includes 50 female patients of the Centre for Eating Disorders at the General University Hospital in Prague (Všeobecná fakultní nemocnice v Praze). The patients were diagnosed with anorexia nervosa or bulimia nervosa and were older than 18 years. All filled in an EED19 questionnaire at the beginning of the treatment, were weighed, measured, and their body mass...
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Spas and its role in tourism of the Czech Republic
Dvořáková, Adriana ; Grosz, Jan (advisor) ; Dlubalová, Zuzana (referee)
The bachelor work is focused on the spas and its role in tourism of the Czech Republic. It describes current status of spas in the Czech Republic and analyse detailed description in the selected region. The work is divided into two main parts-theoretical and practical.
Theoretical part is created through literature search. First defines Czech tourism in general, i. e. typology, forms and associations, which are promoting and presenting tourism in worldwide. The next part is dedicated concretely spa tourism, where is described history of the spa of the Czech Republic and offered services to clients within this area. Further natural healing, which is used in our territory for therapy and also issue of reducing the costs of health insurance companies of branch spas and the associated lower attendance and employment.
Practical part is based primarily on a questionnaire survey consisting answers of 90 patients, who underwent treatment in Carlsbad.
Finally is assessed the current state of spa treatments and possible proposals which could improve the situation.
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The Influence of Spa Treatment on the Person as a Biopsychosocial Unit
TREŠLOVÁ, Hana
The bachelor thesis deals with spa treatment of motion system and its influence on the person not only from the physical viewpoint but also from the psychosocial one. Although spa treatment specializes in specific diseases and during the therapy it mainly concentrates on the given problem, at present it is one of the few types of therapy, which has preserved a holistic approach to the person and treats both the physical and the mental aspect. This complex treatment is provided not only by the particular healing procedures, but also by the spa staff's approach to the patient, the good communication, the rest from everyday responsibilities and stress, meeting friends or making new friendships. Last but not least the beauty of the surrounding countryside and the local culture. The first part of the theoretical work describes spa treatment in general and the healing procedures in Bertiny lázně, it characterizes the diseases indicated for treatment and briefly describes their treatment both by physical means and by means of physiotherapy. The second part of theory deals with biopsychosocial viewpoint on the person and with spa treatment as holistic medicine. The aim of the practical part was to describe physiotherapeutic procedures and complex spa treatment in the interaction with biopsychosocial impact. The qualitative method of research in the form of interviews was used for processing. The research group was made of four chosen respondents with different diagnoses. Two of them were men and two were women at the age of 30 to 79. The research took place during physiotherapy, which was part of a three-week stay in Bertiny lázně, Třeboň. The respondents underwent case history, the entrance and the final kinesiological analysis, which was an objective evaluating parameter for gaining information about the degree of influence of the therapy on their physical condition. The entrance and the final kinesiological analysis included examination by aspection, palpation, auscultation, the examination of walk and a goniometric test. At the same time, the respondents underwent a final interview, which was chosen as a subjective evaluating parameter. Its aim was to gain information about the influence of spa treatment on their physical and psychosocial condition. During the interview I asked the patients basic questions, e.g. whether the pain had been relieved and the ability to move improved, how they felt mentally, whether and how the treatment had influenced their psychosocial condition. The interviews also took place during all the therapy and with their help I learnt more from the patients' lives. The gained information could help the therapy to be more effective. Also, at the beginning of therapy I created a short-term physiotherapeutic plan, which included various manual physiotherapeutic manoeuvres and exercise. Before finishing the therapy I created a long-term physiotherapeutic plan for the patients, in the form of individual movement regimen for improving or at least maintaining their current condition. On the basis of the gained results, a positive effect of spa treatment on both the physical and the psychosocial aspect was confirmed. The greatest influence of treatment on the physical condition was in the form of relieving the pain, improving the ability to move and energy recovery. The psychosocial condition was influenced by gaining motivation to start living a more active life style, meeting friends or making new friendships. The most commonly mentioned aspects, which had an impact on the psychosocial condition, was recreation, physiotherapeutic advice, active exercise and communication with other patients. The findings of this thesis can be used in the practice of physiotherapists in spas or for a higher awareness of students who practise lifelong education. They can also contribute to the present discussions about changing the reimbursement for spa care.
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Options of physiotherapy treatment in patients after stroke.
KUBÁTOVÁ, Radka
The topic of this thesis is Options of physiotherapy treatment in patients after stroke. The objective of the thesis is to survey physiotherapy-nursing care for patients after stroke and to describe current possibilities and quality of physiotherapy care for patients after stroke The thesis deals with possibilities of physiotherapy treatment and cooperation between nursing and physiotherapy staff. One of the targets is description of physiotherapy care for patients after stroke which is documented by patients{\crq} medical records. The other target is physiotherapy care monitoring supported by the quantitative research using the questionnaire method. The aim of this thesis was to develop an appropriate methodology to be used as an instrument for physiotherapy care for patients who had sustained acute stroke. Another objective was to determine the level of cooperation and awareness of staff members involved in the physiotherapy-nursing process. To meet the objectives the method of quantitative research was used. The methods of participated observation, semi-standardized interview and documents evaluation were included. Complementary data were obtained by the quantitative research using the questionnaire method. The research was conducted in patients after stroke who were hospitalized at the neurological department in Ceske Budejovice hospital. Additional quantitative research, using the questionnaire method, was conducted at the neurological and internal departments in hospitals in Ceske Budejovice, Cesky Krumlov and Pribram. On the basis of the research results, methodology of physiotherapy care for patients after stroke in acute condition was developed and the lack of awareness and cooperation of physiotherapy and nursing staff was found. The thesis will be used as a study and information material for all members of the medical staff involved in treatment of patients after stroke, but also for general public. Information can be forwarded through lectures, leaflets, etc.
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