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Obesity and hip joint replacement
SCHRÁNILOVÁ, Monika
The diploma thesis focuses on obesity and hip replacement. Obesity is a disease spread all around the world and the number of people suffering from it has been increasing. It is generally known that obesity increases the risk of several diseases and it causes osteoarthritis of large joints that is often treated by replacing the affected joint. Nowadays, hip alloplasty is one of the most common orthopedic surgeries when the damaged joint socket and head are replaced with an artificial endoprosthesis. Hip replacement is always a serious and burdensome surgery. The aim of the thesis was to describe the approach of patients and nursing staff towards weight reduction before total hip replacement. In the empirical part of the thesis, a qualitative survey was used. The results were obtained through semi-structured interviews of patients who underwent the surgery of total hip replacement and at the same time suffer from obesity. Next, semi-structured interviews with general nurses who take care of these patients were also carried out. The qualitative survey consisted of six survey questions that revealed that patients' approach towards weight reduction is highly individual and influenced by many factors. It also turned out that at clinics, patients are recommended diets and appropriate exercise and general nurses take part in the recommending process by explaining information provided by doctors. One of the barriers considered to be the most common in the care of patients by both staff and patients is high weight and related mobility problems, reduced autonomy and mental stress. An important factor is patients' motivation that is influenced by personality, age and state of mind of both patients and nursing staff. In educational processes, cooperation of a general nurse and a doctor is mostly interconnected. Education is implemented in the whole treatment process where a nurse plays one of the key roles. Early education is essential and it most often takes place in the form of a dialogue adapted to the specific patient. Output of the diploma thesis is a description of possible involvement of nurses in education processes on weight reduction of obese patients before performing total hip replacement.

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3 SCHRÁNILOVÁ, Monika
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