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Chronic somatic disease in adolescence
Slezák, Tomáš ; Hrachovinová, Tamara (advisor) ; Slavík, Radovan (referee)
The aim of this work is to introduce the problematic of chronic somatic illness in adolescence. In some parts the ontogenetical approach is used. We describe the experience of the impacts of the illness in the area of closest relationship of the adolescent and his need to be seen as normal. The influence on family relationships is also described. So is the question of adherence and the relationship between the adolescent and health-staff. We describe also the influence on school performance and peers relationships. Attitudes of the adolescent to the future are also a topic of this work. Chapter seven describes possible psychosocial interventions for the adolescent and the family systém. The research proposal is aimed to find relationships between the HRQOL of adolescents suffering from psoriasis and their age, sex and some aspects of social and behavioral functioning. Powered by TCPDF (www.tcpdf.org)
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Analysis of adherence to application technique in COPD patients
Jachanová, Klára ; Hendrychová, Tereza (advisor) ; Ťupová, Lenka (referee)
Analysis of adherence to application technique in COPD patients Author: Klára Jachanová Tutor: PharmDr. Tereza Hendrychová, Ph.D. Consultant: doc. PharmDr. Josef Malý, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aims: Adherence is an sssential component of patient care and is also important for achieving treatment goals. Poor adherence leads to increased morbidity, mortality and healthcare expenditures. The aim of this study was to analyze adherence to application technique in patients with chronic obstructive pulmonary disease (COPD), taking into account inhaler device and patient characteristics. Methods: The Czech Multicenter Research Database of COPD, non-interventional observational prospective study, was used as a source of clinical data. Adherence to the application technique was evaluated using Five Steps Assessment. Patients were recruited to the study from August 2013 to December 2016 by 14 outpatient secondary health care centers providing respiratory physician- based care to patients with COPD throughout the Czech Republic. Each of the five consecutive steps was evaluated by a trained healthcare professional. The study evaluated dry powder inhaler and pressurised matered-dose inhaler. Physical and...
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Evaluation of effect of mobile application CF Hero on compliance of inhalation treatment and respiratory physiotherapy of pediatric and juvenile patients with cystic fibrosis
Jirásek, Martin ; Plešková, Jana (advisor) ; Pokorný, Jan (referee)
This diploma thesis deals with the adherence to inhaled treatment, its measurement, telemedicine and telerehabilitation and the possible use of the CF Hero mobile app in paediatric patients with cystic fibrosis. In the theoretical part, it presents knowledge about cystic fibrosis, adherence to treatment in patients with cystic fibrosis and possibilities of its measurement, telemedicine and telerehabilitation. The practical part describes the CF Hero mobile app, which has been the target of measurements on several patients. At the same time, a questionnaire was developed focusing on satisfaction with the use of this mobile application. Methods: The practical part was conducted as a multicentre prospective cross-over study investigating the effect of the CF Hero mobile app on adherence to inhaled treatment, respiratory quality of life and chest excursion The evaluation was conducted over a 6-month period, with the primary objective being to measure the amount of exhaled solution relative to the prescribed amount. Simultaneously, each patient underwent 3 identical examinations. These examinations included spirometric testing (FEV1, FVC, MEF50), measurement of chest excursion (axillary, mesosternal, xiphoid) and quality of life assessment using the CFQ-R questionnaire. It also included measurement of...
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Adherence to treatment regime of patients with chronic kidney disease
FOUSKOVÁ, Jitka
Introduction: Chronic kidney disease in the progressing stage can significantly affect the quality of the patients' lives. It is estimated that more than 10 % of the worldwide population suffer from this disease. Proper nursing care, lifestyle modification and following proper medical treatment could significantly slow down the progression of disease. The main aim of the bachelor thesis was to find out the level of adherence to the treatment regime of patients with chronic kidney disease. Methodology: Quantitative research was chosen to process the practical part. Results were collected using a standardised questionnaire containing 50 questions to determine the attitude of haemodialysis centre patients towards adherence to dialysis plan, medication, fluid restriction and diet. Collected data was analysed and statistically processed using Microsoft Excel programme. Results: The research sample was made up by 94 respondents. The results show that 58,5 % patients undergoing haemodialysis treatment have an adherent attitude to the treatment. Keeping therapy treatment is influenced by the attitude of nursing staff. For most of the respondents, it is important to follow a treatment regime, so that their health does not deteriorate or because they realise that the condition of their kidneys requires them to follow experts' advice. Conclusion: The results of our thesis highlight the importance of nurses paying attention to patients with chronic kidney disease. Patients with whom nursing staff regularly talk about their treatment follow recommendations more conscientiously. The most frequent problem among patients is misunderstanding treatment and recommendations.
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Compliance with mode measures by the anticoagulative treatment in primary medical care
PROCHÁZKOVÁ, Alexandra
The goal of my bachelor´s thesis has been a description of state compliance with patients taking Warfarin and afterwards the relationship between measurement of compliance and occurrence of complications related to the treatment with Warfarin. Concurrently, compliance from the point of age and gender has been meant to be supported. The theoretical part has been dedicated to anticoagulative treatment with emphasis on Warfarin, education and patient´s compliance by observance of mode measures related to treatment with Warfarin. Quantitative research survey has been chosen to process this bachelor´s thesis with using of technique of data collecting with a form of an anonymous unstandardized questionnaire survey. The survey team has consisted of the patients in České Budějovice taking Warfarin. Three hypotheses have been specified in connection with the goal of this thesis. We have assumed by the two mentioned hypotheses such a kind of relation between the state compliance connected to their age, then between mode compliance and their gender. By the third hypothesis we have claimed that occurrence that could have been related to the mode compliance. Thanks to the given results we have found out that there is no relation to their age or gender by the patients taking Warfarin, but there is a relation to the patients taking Warfarin and mode compliance. Beyond the given goal we have come to the conclusion that compliance is related to the achieved education and also it decreases with its length. The results could be used as a material for nurses´ education in surgeries or for general practitioners in some other hospitals. There has been pointed out the necessity of a proper education, patients awareness and importance of mutual relations and communication. These facts could influence the patient´s contribution to mode treatment and increase its success rate. This work provides complete information regarding treatment with Warfarin and also possible consequences by using wrong patient´s compliance.
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Quality of Life, Adherence and Satisfaction of Patients with Aquired Brain Injury in Distance Occupational Therapy and Tele-occupational therapy
Bartošová, Simona ; Hoidekrová, Kristýna (advisor) ; Jelínková, Jana (referee)
Author of diplom thesis: Bc. Bartošová Simona Thesis supervisor: PhDr. Kristýna Hoidekrová Title of diplom thesis: Quality of Life, Adherence and Satisfaction of Patients with Aquired Brain Injury in Distance Occupational Therapy and Tele-occupational therapy. Abstract of diplom thesis: The thesis (DP) deals with the issue of patients after acquired brain injury in distance occupational therapy and tele-ergotherapy. The main aim of the DP is to evaluate the quality of life, adherence and satisfaction of patients after acquired brain injury during distance occupational therapy and tele-ergotherapy. The thesis is divided into two parts, theoretical and practical. The first, theoretical part is based on the studied Czech and foreign literature. It deals with a short description of the individual types of acquired brain damage, rehabilitation in patients after acquired brain damage andthepossibility ofusing telerehabilitation (TR) and distancetherapy in occupational therapy in these patients. The development of the practical part is carried out in cooperation with the Rehabilitační Ústav Kladruby (RÚ Kladruby), where the Virtual Ambulance Distance Therapy (VA- DT) project has been running since January 2019, offering distance therapy and telerehabilitation. The research sample consists of 7 patients...
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Use of inhaled drugs in obstructive pulmonary diseases
Obertová, Nikola ; Malý, Josef (advisor) ; Zimčíková, Eva (referee)
Use of inhaled drugs in obstructive pulmonary diseases Author: Nikola Obertová 1 Tutor: Josef Malý 1 1 Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and objectives: Chronic respiratory diseases are emerging health problem. The administration of the medication is mostly performed by the process of inhalation. Therefore, a proper inhalation technique plays a crucial role in symptom reduction and achievement of adequate control over the disease. The aim of the thesis was partly to assess the level of inhalation technique in elderly patients in nursing home settings, partly to evaluate the knowledge of nurses and their role in advice provision related to the proper inhalation technique. Methods: The data were collected from June to September 2016 from 18 nursing homes located in South Wales (Great Britain). The study was realized in two arms. The evaluated group (first arm) was composed of patients (residents) with having asthma bronchiale or chronic obstructive pulmonary disease diagnosed and being older than 65 years. Second arm consisted of nurses responsible for giving advices about inhalation technique to the residents. Nursing home visits were composed of three parts. First one was a controlled interview based on the...
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Adherence to pharmacotherapy of osteoporosis
Santariová, Martina ; Vytřísalová, Magda (advisor) ; Doseděl, Martin (referee)
ADHERENCE TO PHARMACOTHERAPY OF OSTEOPOROSIS Author: Martina Santariová Supervisor: PharmDr. Magda Vytřísalová, Ph.D. Charles University in Prague, Faculty of Pharmacy in Hradec Králové, Department of Social and Clinical Pharmacy INTRODUCTION: Adherence is the extent to which the patient's behavior (using of medication, following recommended regimen) is in accordance with the advice of the health care provider. Adherence to pharmacotherapy of osteoporosis, including compliance and persistence, is still suboptimal. OBJECTIVE: The objective of the study was assessing of subjectively evaluated adherence with peroral bisphosphonates used to treat osteoporosis within Czech women. METHODS: A cross-sectional multicentre survey. Data collecting was carried out using anonymous questionnaire in five osteocenters in the Czech Republic. The research was performed between November 2012 and March 2013. Adherence was evaluated using a standardized questionnaire OS- MMAS (Osteoporosis-specific Morisky Medication Adherence Scale). RESULTS: A total of 363 postmenopausal women aged 55 years and older with osteoporosis or osteopenia were participated in the study. 133 (36,6 %) women used weekly dosage forms of BIS (alendronate, alendronate and vitamine D in a fixed combination, risedronate) and 230 (63,4 %) women used...
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Qualitative aspects of adherence to antiresorptive treatment in women with postmenopausal osteoporosis
Ravingerová, Aneta ; Vytřísalová, Magda (advisor) ; Doseděl, Martin (referee)
QUALITATIVE ASPECTS OF ADHERENCE TO ANTIRESORPTIVE TREATMENT IN WOMEN WITH POSTMENOPAUSAL OSTEOPOROSIS Author: Aneta Ravingerová Supervisor: Magda Vytřísalová Charles University in Prague, Faculty of Pharmacy in Hradec Králové, Department of Social and Clinical Pharmacy INTRODUCTION: Compliance is using of medication in accordance with a prescription drug regimen. Qualitative aspect of compliance represents use of drugs in correct way. significantly affects treatment outcomes.Suboptimal compliance The study aim was to assess qualitative compliance with bisphosphonates (BIS)AIMS: among Czech women with osteoporosis in common clinical practice. METHODS: Data collection was performed using anonymous questionnaire in five outpatient Compliance with fivecentres in the Czech Republic from November 2012 to March 2013. dosing instructions for safe use and adequate absorption of BIS was evaluated. : A total of 363 patients were involved in the analysisRESULTS (mean age 68.9 years). once a week dosing forms ofPatients were treated with BIS - alendronate, alendronate + once a month dosing formvitamine D in a fixed combination, risedronate (N = 36.6 %) or - Only 46.6 % of respondents from weekly subgroup were compliantibandronate (N = 63.4 %). with all five dosing recommendations in monthly subgroup....
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