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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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Effect of Spa Therapy on Quality of Life and Consumption of Drugs in Patients Aged 35-50 Years with Musculoskeletal Disease.
NOUZOVÁ, Jitka
This bachelor thesis titled ?The Effects of Spa Treatment on the Quality of Life and the Consumption of Drugs in Patients Aged 35 to 50 Years with Musculoskeletal Disease? deals, in the first chapters of the theoretical part, with the history and current status of balneology, individual spa treatments, and the importance of spa treatments in treating musculoskeletal diseases. The other chapters deal with health, the quality of life, its measurement and evaluation. Within the thesis, two goals were set: (a) to find out the effects of spa treatment on the quality of life and (b) to monitor the effects of spa treatment on the consumption of drugs in patients aged 35 to 50 years with musculoskeletal disease who were clients of Bertiny lázně in Třeboň. For fulfil the objectives of the thesis, the method interviewing was applied using standardized questionnaire SF-36 about the health related quality of life, which is suitable for finding out about the influence of spa therapy on the quality of life and health state of spa treatment clients. The respondents were examined prior their spa treatment, i.e. immediately after coming to Bertiny lázně in Třeboň, and then 3 months after the spa treatment, using the method of ?postal survey?. The results of this thesis show that the health state of patients with musculoskeletal disease improved after completing spa treatment, most distinctly in the domain of pain relief (30%) and in the vitality domain (26%). The consumption of drugs saw only minimal changes. Based on the results obtained, we can clearly say that spa treatment contributes to the improvement of the quality of life of patients with musculoskeletal disease and it also clearly points to the effectiveness of finance invested in balneology.
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Health related quality of live as the evaluation instrument of the Nordic walking procedure impacts and effects
NOSKOVÁ, Jitka
Chronic disorders of the locomotion organs belong to serious civilization diseases deteriorating the quality of human life. Medical literature generally accepts the opinion that the way of life is responsible for 50 % of our physical condition. Healthy lifestyle requires that we move regularly. Perceived as a kind of physical exercise, locomotion activities are expected to meet certain criteria - they should be attractive, easy to do, time unlimited, not expensive, and generally available. These criteria seem to be satisfied by what is known as Nordic Walking, an activity recently much promoted. This diploma paper uses a sample of 43 patients / clients suffering locomotion problems to evaluate the effect that Nordic Walking, as applied at the Rehabilitation Spa Sanatorium at Vráž, may have on the Health-Related Quality of Life (HRQoL), and it assesses the NW for its suitability of inclusion into the spa treatment as a part of group physical exercises. The sample of respondents comprised Czech patients having completed full spa treatment no shorter than 21 days, and German clients of the Spa, who paid for 3-week treatments between 1 July 2007 to 30 November 2007. The practical section of the paper relied on a quantitative method applied through the questionnaire technique, specifically the SF-36 HRQoL Questionnaire and the EDUTOOL Questionnaire. The SF-36 Questionnaire was used to investigate the health-related quality of life in eight principle areas, namely the physical functions; physical limitation of roles; emotional limitation of role; physical and emotional limitation of social functions; pain; mental health; vitality; and overall perception of the state of own health. The ninth area of investigation, employed primarily for internal supervision, rested in the changes of own health. The EDUTOOL Questionnaire (its balneology version designed to assess the basic nutritious, regimen and movement habits) was used to review the results of the educational interventions into the health & social sphere, and specify the period of their effectiveness after the balneology procedures were completed. The paper identified the procedure of Nordic Walking as an activity fit to be incorporated into the spa treatment, and proved it to be capable of improving the health-related quality of the patients' lives. Hypotheses formulated: a) Nordic Walking will enhance the health-related quality of life - confirmed b) The results will depend on proper observance of instructions and consistent application of stereotypes and habits instilled by the education - confirmed c) The German-speaking clients will be more consistent in the application of what they were taught than the Czech-speaking patients - confirmed The diploma paper can be a useful tool of social education suitable to enhance the awareness of this topic.
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