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Nurse education about thromboembolic disease about their risks and prevention.
HAVLOVÁ, Jitka
The bachelor thesis titled Nurse education about thromboembolic disease about their risks and prevention deals with patients' knowledge regarding the thromboembolic disease, education activities of nurses and determining the effectiveness of such education activities of nurses regarding thromboembolic disease. The theoretical part focuses on the anatomy of the vascular system and the heart as well as on the process of blood clotting. Furthermore, the theoretical part is devoted to the characteristics of thromboembolic disease, its symptoms and risk factors. The diagnosis, treatment and prevention of thromboembolic disease are also presented. Finally, the nursing care of patients with phlebothrombosis and pulmonary embolism and patient education are described. Three objectives were set for this bachelor thesis. The first objective was to map the patients' knowledge of thromboembolic disease, about its risks and prevention. The second objective aimed to map the educational activities of nurses in the context of thromboembolic disease. The third objective was to discover how nurses determine the effectiveness of educational activities about thromboembolic disease. Based on these, following three research questions were established: What do the patients know about thromboembolic disease, about its risks and prevention? What kind of educational activities do the nurses in the hospital do regarding the prevention of thromboembolic disease? How do nurses determine the effectiveness of educational activities about thromboembolic disease in the hospital? In order to obtain the results of the research investigation, two research sets were established. The first research set consisted of the nurses providing care and the second research set consisted of the patients. These patients were hospitalized in the ward where the nurses worked. The actual research investigation was conducted by meeting the nurses and patients in person using qualitative method and semi-structured interviews. All interviews were recorded with the consent of the persons on a mobile device voice recorder. The data collected from the interviews were processed and analyzed using the pencil-and-paper method. The main categories and sub-categories were created based on these data. Three and seven subcategories were established for nurses providing care. There were three categories and six established for the patients. The first research question asked was: What do the patients know about thromboembolic disease, about its risks and prevention? According to the research conducted, it was found that patients do not have enough information about thromboembolic disease and are not fully informed by nurses in the hospital about the symptoms of phlebothrombosis and pulmonary embolism, risk factors and preventive measures of thromboembolic disease. Within the second research question, it was asked: What kind of educational activities do the nurses in the hospital do regarding the prevention of thromboembolic disease? The research showed that nurses educate patients about the importance of exercise, any activity, the proper application of low molecular weight heparin before discharge to home treatment and the proper loading of compression bandages before surgery. Regarding the third research question, How do nurses determine the effectiveness of educational activities about thromboembolic disease in the hospital?, the investigation showed that the most important thing for nurses is communication with the physiotherapist, monitoring the patient at each room visit as well as obtaining the feedback from the patient after education on the correct application of low molecular weight heparin. Based on the results of the survey, an information leaflet on thromboembolic disease has been developed and will be provided to private practices or hospitals.
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Public awareness in the South Bohemian Region about prevention and treatment of thromboembolic disease
PECHOVÁ, Silvie
The aim of the bachelor thesis is to map the knowledge about thromboembolic disease in the public in the South Bohemian region. The first part of the work is devoted to a theoretical description of thromboembolic disease. The second part of the work is research and was developed using a qualitative research survey using a semi-structured interview. The interviews were anonymous and were conducted with sixteen informants. These were selected by the snowball method according to predetermined criteria. The interviews were conducted in the period from December 2020 to March 2021. Subsequently, they were literally transcribed and analysed using the pencil-paper method. Based on the data analysis, a total of 7 categories with 20 subcategories were identified. Based on the analysis of the data, it is possible to determine the quality of public information and the difference in the perception of the disease between healthy, at-risk and treated people. It was found that both awareness and perception of thromboembolic disease is highly individual, and several factors play a role. It turns out that in people at risk, this disease is perceived as a danger that can endanger a person's life every day. People in treatment perceive thromboembolic disease as a complication they have learned to live with and do not think about the risks that threaten them in connection with thromboembolic disease. In healthy individuals, thromboembolic disease is perceived as a serious disease of the cardiovascular system. Furthermore, it can be said that the inhabitants of the South Bohemian Region have extensive knowledge about the prevention of thromboembolic disease and are aware of its importance, but at the same time it was found that most people are aware of their reserves in complying with these rules. It also turns out that in the areas of complications of thromboembolic disease, the knowledge of informants is not sufficient. Based on the results, recommendations were made for practice aimed at supporting the importance of exercise in prevention and to emphasize prevention in health education.
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The role of paramedic in curing pacient with acute pulmonary embolism in pre-hospital care
FRANZ, Milan
The bachelor's thesis deals with the issue of pulmonary embolism, especially the role of the paramedic in this issue in pre-hospital care. The theoretical part briefly describes the anatomy and physiology of circulatory and respiratory system. Furthermore, tromboembolic disease, specifically deep vein thrombosis, and especially pulmonary embolism are characterized. The etiology, a clinical picture, diagnosis and subsequent treatment are mentioned in this thesis. Then the pre-hospital care and the definition of the field of paramedics are defined, including the professional procedure in pre-hospital care and paramedic's competences. The research part was performer on the basis of semi-structured and anonymously processed interviews with paramedic from the South Bohemian Region and the Vysočina Region. The data obtained while asking the medical rescuers were analyzed from the point of view of information on a given problem, including work procedures in the occupational crew and from the point of view of the patient's re-directing and/or admitting to other departments. Results of the obtained data led to the finding that paramedies have good awareness about pumonary embolism in terms of it's definition and treatment steps. As the most problematic matter seems to be the question of the right diagnosis. The right diagnosis and transport of the patient is an important step that allows early and correct initiation of treatment. The brochure which was created as part of this bachelor's thesis could be helpful in raising awareness in this regard.
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Risk of Thromboembolic Disease in Women
Luksová, Veronika ; Sojková, Monika (advisor) ; Kocík, Miroslav (referee)
In the theoretical part of my thesis I define the illness, venous thromboembolic disease. The theoretical principles are used to determine the risks of the disease onset in women, primarily focused on the risk related to the hormonal contraception usage and the hormone replacement therapy. Attention is paid to the diagnosis, treatment and prevention of the DVT as well. In the following chapters the readers will be apprised with the treatment procedures, primarily from the nursing care perspective. The theoretical part of the thesis will be concluded with the casuistry of patient who suffers the thromboembolic disease and who was in my personal nursing care. The empirical part of my thesis is aimed on the qualitative and related quantitative research, which will be carry out by the help of the questionnaire. The questionnaire is based on the outcoume of the data analysis (casuistry) gained at the Clinic of Cardiology, FN Motol. The questionnaire is distributed and determined for wide group of women from non-medical environment (layman). The results of my research are giving the respons on the thesis's goals and hypotheses. The maion goal of my thesis is to define the women awareness of thromboembolic disease risks, in connection with the hormonal contraception usage and the hormone replacement...
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Prevention thromboembolic disease in surgery
Konečná, Lenka ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
The bachelor thesis with the title "Prevention of Thromboembolic Disease" depicts a serious medical condition which may lead to death. Thromboembolic disease affects mostly patients after surgery. However, with proper prevention the risk of developing the disease decreases significantly. The main aim of the thesis is to find out who educates the patient and when (whether it is before or after the surgery). Furthermore, it focuses on nurses and their role in prevention of thromboembolic disease. It asks if nurses educate patients about the disease and the importance of prevention. In particular, it concentrates on the quality and quantity of patient education. It tries to find out whether nurses know what patient education in patients with this condition should include and whether they use any educational aids. In the empirical part of the thesis the author acquired data using a quantitative research method of a structured questionnaire. The survey included 128 respondents working in several intensive and non-intensive departments of the Královské Vinohrady University Hospital. A research survey showed that 83 (65.9%) nurses educate patients before surgery and there is no difference between length of practice and preoperative education on TEN prevention. Furthermore, 100 (78.7%) of the nurses check...
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Impact of hereditary thrombophilia and acquired thrombophilia on incidence of postoperative venous thromboembolism.
Ulrych, Jan ; Kvasnička, Jan (advisor) ; Penka, Miroslav (referee) ; Lindner, Jaroslav (referee)
In Introduction, the author of this dissertation deals with postoperative venous thromboembolism (VTE), hereditary and acquired risk factors, prophylaxis regimens and recent recommendation of VTE prevention in surgery. In Practical part of this work the author assesses the risk of VTE in surgical patients according to risk assessment model. Genetic testing is carried out in all patients to determine the incidence of hereditary thrombophilia and coagulation markers are measured in 28-days postoperative period. Prevalence of VTE in 1-year postoperative period is observed. The results are analysed in group of patients with benign disease (hernia and gallstone disease) and group of patients with malignancy (colorectal cancer and pancreatic cancer) separately. The objective of this work is to determine the incidence of the most frequent thrombophilic mutations (factor V Leiden mutation and protrombin G20210A mutation) and assess the impact of hereditary thrombophilia on incidence of postoperative venous thromboembolism in general surgery. Validation of venous thrombosis risk assessment model recommended by Czech Society for Thrombosis and Hemostasis is further objective.
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Public awareness of hormonal contraceptives in the Czech Republic
Krůtová, Irena ; Fanta, Michael (advisor) ; Syrová, Hana (referee)
This bachelor thesis provides an insight into how the public is aware of both the negative and positive impacts of hormonal contraceptives. Nowadays, hormonal contraceptives are one of the most common methods of contraception. Although being so popular, people are not much aware either of the other potential positive effects (in addition to contraception) or of the negative impacts that hormonal contraceptives have upon the organism of a woman. Hormonal contraceptives do not only influence the fertility of a woman, but also various biochemical processes in the woman's body. The theoretical part of this thesis makes the reader aware of the fundamental principles of menstrual cycle, development of hormonal contraceptives of all types worldwide that are used nowadays and in particular of the positive and negative effects of hormonal contraceptives upon the organism of a woman. The practical part contains an analysis of a questionnaire investigation. The aim of this thesis is to find out how the public is informed of the positive and negative effects of hormonal contraceptives and to make aware of the occurrence of such effects among the general public. Key words: hormonal contraception, thromboembolic disease, risk of contraception, side effects, contraception effects, menstruation, contraceptive methods
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Hyperkoagulační stavy v graviditě a jejich komplikace
KABELOVÁ, Kristýna
Hypercoagulable states occur when the process of hemostasis is disturbed. It manifests as a deep vein thrombosis or a pulmonary embolism. It is also one of the most common cardiovascular diseases. There are two factors- genetic and acquired. Inherent factors involve coagulation inhibitor deficiency, prothrombin gene mutation and activated protein C resistance. Acquired factors include antiphospolipid syndrome, pregnancy, overweight etc. The analytic part of the thesis is focused on the effect of a low molecular weight heparin. It was shown in many theses that the LMWH could have a negative impact on a parturition complications or a week of parturition, a birth weight. The results of statistical analysis show that there is a coherence between the week of parturition and the type of parturition. What is more, the anticoagulation drug therapy shows a positive effect on the week of parturion. The data used in the thesis originate in laboratory information management system of Clinical Haematology ward in the hospital Nemocnice České Budějovice a.s.
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Prevention thromboembolic disease in surgery
Konečná, Lenka ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
The bachelor thesis with the title "Prevention of Thromboembolic Disease" depicts a serious medical condition which may lead to death. Thromboembolic disease affects mostly patients after surgery. However, with proper prevention the risk of developing the disease decreases significantly. The main aim of the thesis is to find out who educates the patient and when (whether it is before or after the surgery). Furthermore, it focuses on nurses and their role in prevention of thromboembolic disease. It asks if nurses educate patients about the disease and the importance of prevention. In particular, it concentrates on the quality and quantity of patient education. It tries to find out whether nurses know what patient education in patients with this condition should include and whether they use any educational aids. In the empirical part of the thesis the author acquired data using a quantitative research method of a structured questionnaire. The survey included 128 respondents working in several intensive and non-intensive departments of the Královské Vinohrady University Hospital. A research survey showed that 83 (65.9%) nurses educate patients before surgery and there is no difference between length of practice and preoperative education on TEN prevention. Furthermore, 100 (78.7%) of the nurses check...
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Vliv vrozených hyperkoagulačních stavů na hladinu D-d se zaměřením na gravidní ženy
ŠTÍCHOVÁ, Zuzana
The thesis analyses the female patients' data from Clinical hematology department in České Budějovice hospital from year 2014 to 2015 and tries to statistically confirm connection between D-dimer level and hypercoagulable states described in previous bachelor thesis. D-dimer assay is due to negative predictive value and high sensitivity an initial laboratory test to rule out tromboembolic disease. However, it has low specificity. The elevated level of D-dimer is observed in conditions like infection, trauma, acute cancer, recent surgery or pregnancy and last studies showed increased D-dimer level even in combination with inherited hypercoagulable states. Thus, it is necessary to analyse the level of D-dimer in pregnant women related to specific hypercoagulable states. Moreover, the thesis analyses the influence of other factors like anticoagulation therapy on D-dimer level and tries to find connection between D-dimer level and pregnancy associated complication, birth weight or a type of delivery.
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