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Awareness of children from selected schools about Crohn's disease
Mejstříková, Anna ; Hanušová, Jaroslava (advisor) ; Váchová, Alena (referee)
In my bachlors thesis I decided to focus on Crohn's disease. In the theoretical part, I dealt with the basic information about the disease, in which I tried to summarize the important information. For example, I focus on etiology, clinical picture, treatment and quality of life of patients. Then, in the practical part, I discuss the knowledge of children. These knowledge was collected by an anonymous survey using questionnaires. The questionnaires were distributed among the sixth, seventh, eighth and ninth grades in the primary school in Uhlířské Janovice and in the Gymnasium in Kolín. My aim was to find out whether the children were informed about the disease and if so, to what extent. For a better overview I chose two sub-objectives and one main objective. In the first sub-objective, I concentrate on basic information about Crohn's disease and supposted that less than 50% of the children would not be aware of the existence of Crohn's disease at all. This assumption held true. Only 62 children (31.3%) had heard of the disease. In the second sub-objective, I focused on knowledge. Here, I assumed that children from the grammar school would be more aaware of Crohn's disease than children from the primary school. This assumption was not fulfilled. The primary school children has an overall success...
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Midwife Care for Woman with Endometriosis
DVOŘÁKOVÁ, Nikola
This bachelor thesis deals with the topic of midwife care for a woman with endometriosis. The thesis is divided into theoretical and practical part. The theoretical part is mainly focused on the endometriosis disease. The theoretical part describes the definition of endometriosis, its causes, diagnosis, manifestations, treatment options and midwife care. For the practical part, two objectives were chosen. The first aim was to find out how women with endometriosis perceive midwife care. The second aim of the thesis was in turn to find out how midwives perceive the whole issue of this disease. The bachelor thesis had three research questions. The first research question focused on how women with endometriosis perceive midwives' care. The second research question explored how the lifestyle of women with the condition has changed. The third research question looked at how midwives perceived the issue of endometriosis. The aforementioned objectives were achieved through a qualitative research investigation in the form of semi-structured anonymous interviews. Data collection for the research inquiry took place from January to March 2023. In the practical part, two research sets were chosen. The first research set consisted of six midwives who encountered women who had been diagnosed with endometriosis during their practice. To preserve their anonymity, the midwives were referred to as PA1 to PA6. The second research group consisted of eight women with endometriosis who were referred to as Ž1 to Ž8 in the thesis. The data collected was transcribed and then further analyzed using text coloring. Main categories and sub-categories were established for data analysis, these are further described in the research section of the thesis. The first research set consists of two main categories and four subcategories. Two main categories and six subcategories were obtained from the informants' statements of the second research set.
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Treatment-rehabilitation procedure in a patient after cardiac surgery
TŮMOVÁ, Jitka
The main aim of this bachelor´s thesis is to describe the treatment-rehabilitation procedure of patients after cardiac surgery complicated by stroke. In the theoretical part, I describe cardiac surgery in general, operative approaches, complications related to cardiac surgery, including stroke. I also focus on the rehabilitation of patients after heart surgery in a hospital facility. The second half of the theoretical part is dedicated ischemic and haemorrhagic strokes, symptoms, methods of treatment. At the very end, the thesis is dedicated to the rehabilitation of patients after a stroke. The practical part is processed in the form of qualitative research. In this part, I describe the medical rehabilitation procedure of two probands. The practical part is processed in the form of qualitative research. In this part, I describe the medical rehabilitation procedure of two probands.
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Intake of a patient intoxicated with etylalcohol
NOŽIČKOVÁ, Veronika
The bachelor thesis is divided into two parts. Theoretical and practical. The theoretical part was devoted to what ethyl alcohol actually is, how it behaves in the body and how it metabolizes. The subject of the thesis was also the combination of ethyl alcohol with other substances, the issue of alcohol addiction and alcohol withdrawal syndrome, which can result in delirium. The behavior of such patients is unpredictable, they can be aggressive verbally, but also brachially. Several chapters in the theoretical part were therefore dedicated to specific communication with patients intoxicated with ethyl alcohol and at the same time aggressive. Another chapter of the theoretical part is also devoted to specific nursing care for such patients. Qualitative research was chosen for the research part of the work, which was carried out using semi-structured interviews. In the interviews, 6 respondents were asked 16 questions regarding admission of intoxicated patients to various departments, nursing care and communication with them. The respondents were selected intentionally so that the length of their experience was different and they worked in different departments. Data collection was carried out in April and May 2022. Before starting the interviews, all respondents were approached and asked for their willingness to answer individual questions. At the same time, they were informed that these interviews would be recorded on a dictaphone and would only serve the purpose of data processing for my work. They were also informed that the interviews would be anonymous, that their names and personal data would not appear anywhere, and that the interview records would be deleted after being transcribed. All respondents agreed with such a procedure. Based on the research conducted and after evaluating the data, it was found that all the research questions were answered and the research objectives were also met. The research showed that in all the wards visited, the intake of intoxicated patients is very similar except for small deviations, communication with such a patient is difficult and aggressiveness of such patients is very common. All those interviewed agreed that the behavior of the nursing staff towards such people is decent, at most the nurse will raise her voice at such a patient, that the help of the paramedics, sometimes even the police, is necessary, and in all departments the courting of the patient is used under very strict and clearly defined rules . After sobering up, the behavior of patients varies depending on age, also on whether it is a one-time overdose or the patient is brought by the emergency services more often.
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Úloha sestry v mobilizaci pacienta po operaci kýly
KRAMÁŘOVÁ, Iva
This bachelor thesis deals with the nurse´s role in mobilizing patients after hernia surgery. Post- surgery care partially consists of early mobilization of patients from their bed. Mobilization is movement, i.e. getting up from the bed, sitting up in a chair and walking practice. Early getting up after surgery helps increasing the venous circulation which prevents the development of a tromboembolic disease. Three objectives were set. Find out in what ways nurses mobilize their patients after hernia surgery. Find out what steps nurses follow when mobilizing patients after hernia surgery from the perspective of education and find out how patients perceive the nurse when taking care of them after hernia surgery. For the purpose of these objectives, four research questions were set. The thesis contains two research samples. The first research sample consisted of 6 nurses and the second research sample of 4 patients. The empirical part was implemented using qualitative research, interviewing method, the technique of standardized interview with nurses and patients on the surgical inpatient department. Interviews were transcribed word for word, analysed, and then coding was carried out. The method of ´pen and paper´ was chosen. The survey was run during March, April and May 2021. The results of interviews done with the nurses have proven that all of the interviewed nurses mobilize the patients after hernia surgery by getting up over their hip, however, they do not follow all other steps of correctly carried out mobilization. Nurses educate their patients orally, they use oral education right before the first getting up from bed. Some nurses, together with the oral education also clearly show their patients how to get up from bed. Further, it was found out that patients are being given sufficient amount of time by the nurses. The results of this bachelor thesis may serve as study material to students of medical subjects or nurses as inspiration for supplying high quality care of their patients. The survey results will be passed on to the workplace where the survey was carried out. Based on specific findings, the current educational methods may be updated including the means of improving after-surgery care for patients after hernia surgery. Thesis results are divided into individual categories. In Nurses´ survey, they are Mobilization, Education and Environment. In Patients´ survey, they are named as Communication, Mobilization, Nurse´s Surveillance when Getting Up from Bed and Nursing Care.
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The patient healing hemodialysis at home by the paramedic´s perspective
KŘIVÁNEK, Martin
This bachelor's thesis focuses on the issue of domestic haemodialysis with special attention to the role of paramedics in dealing with acute problems associated with this procedure. The work is intended as theoretical, without the author´s own research. It aims at reviewing treatment options for kidney failure, describing the principle of home haemodialysis, its benefits and disadvantages for patients and their families. Special attention is paid both to potential risks brought about by this method of dialysing blood and to ways of addressing the complications from the perspective of pre-hospital care. To achieve its goals, the work outlines and compares current attitudes towards these issues both in this country and abroad. Its introductory part summarizes the structure and functions of kidneys, the most frequent causes of renal diseases as well as their possible therapies. Further on, it introduces in greater details both general and specific procedures applied by emergency medical squads in case of complications during domestic haemodialysis. The main scientific contribution of the work consists in the very synthesis of the present knowledge and methods of treatment and - at the same time - in defining the so far unresolved issues. The part of the thesis devoted to home haemodialysis, which still represents a relatively rarely used method, underlines particularly the fact that emergency medical procedures responding to specific complications connected with this treatment have not been sufficiently defined yet. The thesis therefore comes to the conclusion that paramedics facing acute problems associated with domestic haemodialysis have to rely mainly on general procedures determined for providing pre-hospital care. That is why this field still remains open for further theoretical research. Detailed potential practical steps aimed specifically at complications during home haemodialysis are in demand as well.
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The perioperative nursing care for the patients during the gynecologic surgery in the lithotomy position
Šebestová, Jana ; Kulhavá, Miluše (advisor) ; Hocková, Jana (referee)
The topic of the work is nursing perioperative care of a patient who underwent a vaginal hysterectomy and vaginal plastic surgery for prolapse of the uterus in a lithotomy position at our workplace. Prevention of pressure injuries related to immobilization during the surgery is a fundamental nursing task of perioperative nurses. Small workplaces are not always adequately equipped. Lithotomy position is associated with a number of serious complications. Although the observed complications are rare and occur in surgical procedures longer than three hours, each operation can be complicated for many reasons and the operating time can be multiplied. Then, insufficient equipment and thus failure to provide adequate prevention can lead to, for example, pressure ulcers, peripheral neuropathy, compartment syndrome and damage to the patient. The main goal of the work was to use literature to present recommended evidence-based nursing procedures that ensure patient safety in the operating room when positioning for surgery and help to prevent pressure injuries. For my thesis I chose a case study, prepared according to the model of Marjory Gordon, and introduced nursing care throughout the hospitalization with a special focus on the perioperative period. I sought information for the elaboration of the...
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Prevention of complications in the treatment of patients after stroke
Balcarová, Veronika ; Hlaváčová, Marie (advisor) ; Tomová, Šárka (referee)
The thesis deals with prevention and appearance of complications with the patients after a stroke. These patients are endangered by many complications, connected not only with the disease itself but also with their health before hospitalization. For the purposes of my thesis, I chose a qualitative method. It is a specific method which uses given problem in details and gives a complex perspective of all examined criteria. I collected the data with the help of example studies which I examined further on and compared it. The results of my research show that the most frequent complications endanger the chosen patients. Further on I deal with interventions with which I intentionally prevented the complications. In the last part I evaluate the results of preventive arrangements about how the respondents percieved my treatment care.
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The nurse's role in patient care elimination methods
Ondrůšková, Monika ; Marková, Eva (advisor) ; Landerová, Jana (referee) ; Maňasová, Taťána (referee)
The aim of thesis was to map the care of nurses and paramedics for patients on continuous renal replecemant therapy. Find out what nurses/paramedics have difficulty taking care of the patients and what would have welcomed into practice to improve care. The theoretical part focuses on the description of the method of elimination, nursing care and competence of health professionals in the care of patients on elimination method. The research was compiled by the method of quantitative research, for whose realization was used a questionnaire. The questionnaire was intended for nurses and paramedics caring for patients on continuous elimination method. For statistical data processing was used responses from 105 respondents working in the Institute of Clinical and Experimental Medicine. The results of the survey indicate that nurses and paramedic extensively involved in the specialized care of patient with continuous elimination method. Medical staff perceived as the most difficult managing a large number of skills associated with the preparation and handling of elimination device in this area. On the basis of these findings was prepared brochure focusing on continuous elimination method, which is the output of this work. Key words: nurse, continuous renal replecemat threrapy, hemodialysis, intensive...
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The distribution of medicaments by the nursing sister in the social wealfare institutes
Havlínová, Petra ; Hošťálková, Monika (advisor) ; Marková, Iva (referee)
This bachelor's thesis focuses on the distribution of medication in the social welfare health institution. The objectives of the thesis were to focus on procedures of distributing medication by nurses and to introduce the most frequent complications when distributing the medication in the social care institute. The thesis is composed of two parts, theoretical and practical. The theoretical part describes social and health care services, a health and social care system, a general pharmacology, medicaments' distribution and the complications during the distribution, and the competency of nurses. The research part concentrates on individual study and describes a methodology of research and its organization. This research was done via survey, and the results are analyzed and discussed. Key words: social service, health service, healt-social care, distribution of medicaments, pharmacology, competence of nursis, complication
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