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Objective and subjective factors in the evaluation of outcomes of breast reconstruction after mastectomy
Tichá, Pavla ; Sukop, Andrej (advisor) ; Nejedlý, Aleš (referee) ; Třešková, Inka (referee)
For patients undergoing mastectomy, breast reconstruction provides an opportunity to restore their personal and social lives. During the last decade, there has been an upward trend in the number of successfully completed breast reconstructions. Reconstruction can be achieved by a number of methods which differ by their indication criteria as well as in their results. In addition to the objective analysis of clinical data, an integral part of the evaluation of these results should be a subjective evaluation of patient satisfaction with the surgery outcome and quality of life in the form of self- assessment questionnaires. Our specific objectives were to compare early postoperative and long-term clinical outcomes as well as patient-reported outcomes in terms of satisfaction and health-related quality of life (HRQoL) in patients undergoing implant-based reconstruction, abdominal-based autologous reconstruction, and combined reconstruction.
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Psychosocial aspects of intrapartal and postpartal care
Takács, Lea ; Horáková Hoskovcová, Simona (advisor) ; Weiss, Petr (referee) ; Vavřinková, Blanka (referee)
Title: Psychosocial aspects of intrapartum and postpartum care Author: Mgr. Lea Takács Department: Department of Psychology Supervisor: PhDr. Simona Hoskovcová, Ph.D. Consultant: MUDr. PhDr. Pavel Čepický, CSc. Abstract Background: Satisfaction with perinatal care is largely a result of psychosocial aspects of the care provided. However, despite a considerable body of research, the concept of satisfaction with perinatal care is not sufficiently defined and understood, being often confused with other concepts, particularly with that of satisfaction with childbirth experience. The lack of knowledge concerns especially the psychosocial dimensions and determinants of the care, most importantly for different groups of women, and the level of importance of psychosocial factors for satisfaction compared to biomedical variables. Objective: The aim of the present dissertation is to contribute to the theory of satisfaction by investigating the psychosocial and biomedical factors that affect satisfaction with perinatal care and satisfaction with childbirth experience in different groups of women depending on the mode of delivery (vaginal delivery, emergency caesarean section or elective caesarean section). Method: Ordinal logistic regression was used to identify the key predictors of satisfaction. The data were...
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Choice of bariatric procedures and their effect on the weight change of obese people
Vorudová, Jana ; Matoulek, Martin (advisor) ; Hvižď, Robert (referee)
Introduction: Bariatric surgery is one of the methods of treatment of higher degrees of obesity. It helps patients to reduce the weight if conservative methods of treatment are not effective, or if it is still necessary to deepen its effect. Bariatric procedures are divided according to the the way how they are carried out - restriction, malabsorption and combined performance. Objective: The aim of this work was to determine who gave the incentive to the patients to undergo the bariatric treatment, where they received further information and how many times they managed in the time before the operation to lose weight. Further information was obtained on subjective patient satisfaction with the results of surgery and furter the weight loss data were assessed and compared the changes of BMI after bariatric surgery. Methods: An anonymous questionnaire was sent out to collect the necessary data from 39 patients after various bariatric surgery. These data were subsequently processed and analyzed. These data were subsequently evaluated and processed using graphs and tables for better clarity Results: It was found that the doctor was the one who gave the incentive to undergo bariatric performance in 79 % of patients. It was also confirmed that 80 % of patients reduced their weight of at least 5 kg before...
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Nurse's role in patient education after chest operations
Matysová, Marcela ; Chloubová, Helena (advisor) ; Kulhavá, Miluše (referee)
My bachelor's dissertation concerns the nurse's role in patient education after chest operations. The theoretical section explains not only the concept of patient education, its use and realisation in Public Healthcare, but also the forms and methods of education. Included is a summary of the most common chest operations, their short clarification and possible post - operative complications. I will also briefly describe the nurse's tasks before and after the operation. The practical section involves structured interviews with patients after chest operations. The aim of the interviews was to find out what information patients were lacking and how well they remembered important details given to them by a nurse. The interviews also contain satisfactory reviews on the nurse's role in patient education after chest operations. The aim of my study was to find out if the nurse's role in patient education was productive. Based on the results, my intention was to suggest better practices both for improving patient education and also to perfect the nurse's role in post - operative care. A superior, comprehensive and individual approach is the key to faster and more complete patient recovery and his/ hers return home. Key words: education, post-operative care, post-operative complications, patient satisfaction.
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Psychosocial aspects of intrapartal and postpartal care
Takács, Lea ; Horáková Hoskovcová, Simona (advisor) ; Weiss, Petr (referee) ; Vavřinková, Blanka (referee)
Title: Psychosocial aspects of intrapartum and postpartum care Author: Mgr. Lea Takács Department: Department of Psychology Supervisor: PhDr. Simona Hoskovcová, Ph.D. Consultant: MUDr. PhDr. Pavel Čepický, CSc. Abstract Background: Satisfaction with perinatal care is largely a result of psychosocial aspects of the care provided. However, despite a considerable body of research, the concept of satisfaction with perinatal care is not sufficiently defined and understood, being often confused with other concepts, particularly with that of satisfaction with childbirth experience. The lack of knowledge concerns especially the psychosocial dimensions and determinants of the care, most importantly for different groups of women, and the level of importance of psychosocial factors for satisfaction compared to biomedical variables. Objective: The aim of the present dissertation is to contribute to the theory of satisfaction by investigating the psychosocial and biomedical factors that affect satisfaction with perinatal care and satisfaction with childbirth experience in different groups of women depending on the mode of delivery (vaginal delivery, emergency caesarean section or elective caesarean section). Method: Ordinal logistic regression was used to identify the key predictors of satisfaction. The data were...
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Choice of bariatric procedures and their effect on the weight change of obese people
Vorudová, Jana ; Matoulek, Martin (advisor) ; Hvižď, Robert (referee)
Introduction: Bariatric surgery is one of the methods of treatment of higher degrees of obesity. It helps patients to reduce the weight if conservative methods of treatment are not effective, or if it is still necessary to deepen its effect. Bariatric procedures are divided according to the the way how they are carried out - restriction, malabsorption and combined performance. Objective: The aim of this work was to determine who gave the incentive to the patients to undergo the bariatric treatment, where they received further information and how many times they managed in the time before the operation to lose weight. Further information was obtained on subjective patient satisfaction with the results of surgery and furter the weight loss data were assessed and compared the changes of BMI after bariatric surgery. Methods: An anonymous questionnaire was sent out to collect the necessary data from 39 patients after various bariatric surgery. These data were subsequently processed and analyzed. These data were subsequently evaluated and processed using graphs and tables for better clarity Results: It was found that the doctor was the one who gave the incentive to undergo bariatric performance in 79 % of patients. It was also confirmed that 80 % of patients reduced their weight of at least 5 kg before...
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Nurse's role in patient education after chest operations
Matysová, Marcela ; Chloubová, Helena (advisor) ; Kulhavá, Miluše (referee)
My bachelor's dissertation concerns the nurse's role in patient education after chest operations. The theoretical section explains not only the concept of patient education, its use and realisation in Public Healthcare, but also the forms and methods of education. Included is a summary of the most common chest operations, their short clarification and possible post - operative complications. I will also briefly describe the nurse's tasks before and after the operation. The practical section involves structured interviews with patients after chest operations. The aim of the interviews was to find out what information patients were lacking and how well they remembered important details given to them by a nurse. The interviews also contain satisfactory reviews on the nurse's role in patient education after chest operations. The aim of my study was to find out if the nurse's role in patient education was productive. Based on the results, my intention was to suggest better practices both for improving patient education and also to perfect the nurse's role in post - operative care. A superior, comprehensive and individual approach is the key to faster and more complete patient recovery and his/ hers return home. Key words: education, post-operative care, post-operative complications, patient satisfaction.
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Healthcare Quality Measurement through the Analysis of Patient Satisfaction with the Services of a Healthcare Laboratory
Čajková, Magdaléna ; Vrzáček, Petr (advisor) ; Petr, Tomáš (referee)
In current market conditions, even a healthcare facility has to stack up against competition. An effective quality control of the health care provided, and an excellent perception of customers' needs are crucial, in order to achieve this objective. Customer satisfaction represents important feedback from the clients. Taking this into account, any healthcare facility should measure and evaluate satisfaction of the customers, having as an objective, a permanent improvement of the services provided. The aim of this thesis is to measure healthcare quality in a healthcare laboratory through evaluation of a questionnaire survey on patient satisfaction. The thesis consists of a theoretical and an empirical part. The theoretical part describes quality control systems in healthcare laboratories, defines the concepts of product, marketing and marketing mix "C". It also focuses on the patient, as a priority customer of the healthcare system, and defines the main reasons for examining their satisfaction. The empirical part gives firstly, an overview of activities of a particular healthcare laboratory. Subsequently, it describes the research performed and interprets the data received. There are 69.7 % of patients satisfied with the provided laboratory services. The satisfaction is determined by their age and by...
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Analýza finančních toků spojených se zdravotnictvím a spokojenost pacientů se zdravotní péčí poskytovanou v soukromě vlastněných nemocnicích v České republice
Supová, Aneta ; Štěrbová, Ludmila (advisor)
This Master Thesis focuses on the structure of health related financial flows and patient satisfaction with privately owned hospitals in the Czech Republic. The main aim was to provide a general overview of health care system in the Czech Republic, to describe how the health care system is financed, and to find out if patients hospitalized in privately owned hospitals are more satisfied with the care provided in this type of hospitals. Having analyzed the major statistical reports from the WHO, EU, and the Institution of Health Information and Statistics of the Czech Republic, the theoretical part provided a comprehensive summary of health care, health financial flows, and pricing of health treatments. The practical part, on the other hand, shows distribution of health costs among differently aged people in the form of contribution/expenditure ratio. Finally, the results of the questionnaires conducted among patients in privately owned hospitals enabled to conclude that patients in the Czech Republic are still not fully aware of the difference between privately and publically owned hospitals.
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