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Influence of body position on pelvic floor muscle contraction strength
Zahořová, Markéta ; Křivánková, Markéta (advisor) ; Hráský, Pavel (referee)
Title: Methods of secondary prevention of the pelvic floor after childbirth Objectives: This is a theoretical work with a descriptive-analytical part. It includes an analysis of the literature from available sources, an analysis of active approaches in the secondary prevention of the pelvic floor and the creation exercise unit for further research. Methods: Literature analysis including processing of information from available sources. Results: Handbook of pelvic floor training with methodical descriptions. Keywords: Pelvic girdle, pregnancy, gynecological weaknesses after childbirth, incontinence, pelvic organ prolapse, sexual dysfunction, pelvic floor examination, Arnold Kegel method, Ludmila Mojžíšová method, Alexander method, Feldenkrais method, Cantienica, exercise unit
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The issue of pelvic floor dysfunction in patients with cystic fibrosis and its therapeutic interventions
Mohylová, Barbora ; Smolíková, Libuše (advisor) ; Bouchner, Karel (referee)
The diploma thesis deals with the problem of global pelvic floor dysfunction in patients with cystic fibrosis. The theoretical part is devoted to individual components of dysfunction, thus urinary and fecal incontinence, prolapse and sexual issues. In particular, it focuses on the mechanism of formation and prevalence of individual components and also contains information on the musculoskeletal abnormalities most commonly found in patients with cystic fibrosis. There is also mentioned the impact of incontinence on the quality of life of patients. The experimental part describes a questionnaire survey, hypotheses derived from it and their results with comments. There is also statistical processing of the data and graphical representation of the results. Other important findings from the survey are also listed. The thesis follows the previous bachelor thesis and aims to draw attention to the given issue and break the wall of silence from the ranks of patients and health professionals.
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Quality of life seniors with inkontinence
Černá, Jana ; Bratová, Andrea (advisor) ; Nikodemová, Hana (referee)
Bechelor thesis " Quality of life of the seniors with incontinence" conents two parts, theoretical and empirical. Theoretical part is focused on knowledge about quality of life, old age and urinary incontinence. Its focused on its causes, symptoms, diagnostics, therapy, risk factors and posibilities of nursing care. Empirical part presents outcomes of questionnaire survey made with patiens with urinary incontinence hospitalized at Departement of LDN Bubeneč hospital. Questionnaire survey dealt with influence of urinary incontinence on quality of patients life in several area of daily living.
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The possibilities of education in the prevention of incontinence after prostate surgery
ČEŠKOVÁ, Jana
The goal of the work is to ensure a safe feeling for the patient in preoperative preparation so that it can cooperate more actively in the prevention of incontinence in the postoperative period. Another goal of the work is to create an educational material intended for patients with planned prostate surgery. The research was carried out by a qualitative method using questioning in the form of interviews. One group of patients was educated according to the custom of the department and the other group was edited using a brochure. When searching for the respondents, patients were approached by the patients of the Písek hospital. Data analysis was carried out by the hand-coded method, also referred to as the paper and pencil method. The results can be divided into four areas according to which research question they apply. The first part of the results provided information that if the patient is subjectively well informed, we will ensure active co-operation in the prevention of incontinence in the postoperative period. In the second question, we investigated whether the lack of information has an impact on the feeling of safety and security. This has also been confirmed. The third area gave the answer to whether the patient is satisfied if he feels time pressure during reception. The majority of men were unsatisfied with the time pressure. The fourth area assessed the suitability of education through a brochure and according to the practice of the department in the success of the preventive measure of postoperative incontinence. The men who used the brochure were aware of the possible complication and its prevention. The work provides a comprehensive view of the issue of education in prevention of incontinence after prostate surgery. The output of this work is an information brochure for patients of the urological ambulance. Results of the research are used to improve the educational process in patients coming for surgery of the prostate.
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Quality of life of patients after radical prostatectomy
Šimčík, Michal ; Křivková, Jana (advisor) ; Tomová, Šárka (referee)
Bibliografický záznam ŠIMČÍK, Michal. Kvalita života pacientů po radikální prostatektomii, 2016, 117 stran, Bakalářská práce, Univerzita Karlova v Praze, 2. Lékařská fakulta, Ústav ošetřovatelství. Vedoucí závěrečné práce: Mgr. Jana Křivková Abstract The primary objective of this thesis is to explore the quality of life of patients who had undergone radical prostatectomy for prostate adenocarcinoma. The main objectives of the research is to evaluate the areas in which patients experience a more noticeable deterioration in quality of life, defining the most common nursing problems that brought them operational performance, within the meaning of holistic understanding of the patient and comparing the survey results with earlier surveys conducted. Based on the results of the statistical analysis of data obtained through an anonymous questionnaire should have a theoretical output of the quality of patients after the surgery, which should also include the creation of a practical, informative and educative material whose aim will be to improve adaptation to change his own ill health and mitigate the negative psychosocial illness experience. Keywords cancer, quality, prostate, urology, life
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The effectiveness of aids for incontinence patients in aftercare
MUSILOVÁ, Jana
This thesis deals with the effectiveness of use of aids intended for incontinent ill people in subsequent care. The thesis is divided into a theoretical part and experience part. The experience part of the thesis has been implemented by means of qualitative research. The data have been obtained on the basis of two different half pen and paper interviews with patients/clients who are using incontinence aids prescribed by a doctor on a coupon or by a matron or a ward sister from the subsequent care department in hospitals with the state-funded organization and in hospitals with the joint-stock company organization. The result of the qualitative research showed, that both groups of respondents use mostly only plastic pants or nappies out of the whole assortment of aids. For patients/clients living at home the reason is that on the basis of anamnesis the general doctors prescribe the incontinence aids only in the most serious incontinence cases. At the subsequent care department the situation is caused by a big number of immobile fully incontinent patients/clients. The results show, that the quantity of absorb aids prescribed by general doctors is insufficient. It does not reach the quantity limits given in the documents by VZP (Public Health Insurance Company). Taking into consideration the low income of seniors, the respondents have to pay considerable amounts of money for incontinence aids which are necessary for them. There is an absolute lack of absorption aids in the hospital with the state funded organization. The incontinence aids are financed by three different ways. Patients/clients themselves have to get and pay the absorption aids at the Geriatrics department I and subsequent care department 2. The hospital provides them only with one-off mats and hygienic aids free of charge. The reason for this is a low limit of material. The respondents regard this system of financing negatively. It burdens patients/clients and nurses too. If patients/clients do not have the aids, the hospital has to lend the aids, make a list of debts and collects them back. On this account conflict situations often arise in families. At these departments there are reserved five social beds which enable patients/clients the prescription of aids by a doctor on a coupon likewise the patients who are ill and cure at home. At the stopgap department patients/clients pay a monthly fee; this includes the costs on incontinence aids too. At the subsequent care department 2A, B of the hospital with the join-stock company organization the aids are fully paid by the hospital. There is available a sufficient assortment and quantity of absorb and hygienic aids, which enable an individual attitude.
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Nurse?s role in the care of patiens suffering from disfunction of lower urinary tract.
NOVOTNÁ, Alena
The role of a nurse in the care of patients with dysfunction of lower urinary tract is one of the most urgent topics of modern urology, gynaecology and neurology. With regard to the latest results of epidemiological studies pointing out high prevalence in the population this problem has been in the centre of attention recently. Dysfunction of lower urinary tract is defined as a complex of symptoms. A quantitative research was performed to obtain the necessary information, employing the method of questioning with the technique of non-standardized interview. 8 patients with dysfunction of lower urinary tract and 8 nurses working at urological wards and outpatient departments in the South Bohemian Region were invited to participate. The following goals were set to obtain the necessary information: 1. To find out how patients with dysfunction of lower urinary tract gain information. 2. To find out how well patients with dysfunction of lower urinary tract are informed. 3. To point out the role of a nurse in the care of patients with dysfunction of lower urinary tract. The following research questions were set to reach the goals: 1. How do patients with dysfunction of lower urinary tract gain information? 2. What information is available to patients with dysfunction of lower urinary tract? 3. In what activities do nurses participate in the care about patients with dysfunction of lower urinary tract? The research has shown that the population is not well informed about this dysfunction. If the complex of symptoms occurs the affected persons seek help with general practitioners, gynaecologists or paediatricians and if the problems endure they are sent to a check up at a urological department. However there are lots of patients who procrastinate to go to a check up for months or even years. The role of a nurse in the care of these patients was also examined among experienced staff. The results may help nurses improve the quality of the care provided to patients with dysfunction of lower urinary tract. The obtained information may also point out the mistakes that should be avoided in cooperation of a nurse with a patient; the information from the research may serve for preparation of an educational plan.
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