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Awareness of sexually transmitted diseases and their prevention among women of reproductive age
VEBEROVÁ, Veronika
The thesis deals with the topic of sexually transmitted diseases. It is divided into a theoretical and a practical parts. The theoretical part describes particular sexually transmitted diseases, their impact on the fetus and new-born babies and prevention too. As well as that, The Register of sexually transmitted diseases and the role of a midwife, as far as education is concerned, are also mentioned in this part. Two goals were set for the practical part of the thesis. The first was to chart the rate of fertile-age women´s awareness of sexually transmitted diseases and their prevention. The second goal was to chart fertile-age women´s awareness of the impact of sexually transmitted diseases on the fetus and new-born babies. The thesis stated 3 hypotheses: H1: Women of higher age are better informed about sexually transmitted diseases than younger women. H2: Women of higher age are better informed about the prevention of sexually transmitted diseases than younger women. H3: Women of higher age are better informed about the impact of sexually transmitted diseases on the fetus and new-born babies than younger women. The goals were achieved with the help of a quantitative research carried out in the form of an online questionnaire, which I created on my own. The questionnaire contained 35 closed and a half-closed questions. The questionnaire was designed in the form of a test. The correct answer got 1 point, the wrong answer or "I don´t know" answer got 0 points. The final assessment of the questionnaire was carried out with Kruskal-Wallis statistical test. The research cohort consisted of 245 fertile-age women, who were divided into 3 age groups: 15-26 years old, 27-35 years old, 36-49 years old. The questionnaire was sent to groups uniting teenagers, pregnant women, and mothers on the social network Facebook. Most respondents belonged to the age group 27-35. The research showed that there is no relation between the age of the respondents to their knowledge of sexually transmitted diseases, prevention and the impact on the fetus and new-born babies. No hypothesis were proved. Neither relation to the highest achieved education was proved. Higher rate of awareness was identified with the women whose education or jobs are related to health care. On the contrary, the respondents lacking educational or professional experience with the health care system reached worse results on average. The research proved that women are insufficiently informed about sexually transmitted diseases, in general. Therefore, it is vitally important to focus on consistent education not only at schools, but in GP surgeries as well.
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Women opinions on Caesarean section from retrospective view
KOVÁŘOVÁ, Kristýna
This bachelor thesis focuses on women after the cesarean section and their opinions on this surgical procedure. In the theoretical part, there several poins were clarified,such as the problems of caesarean section, its definition, history, types of incisions and indications, possible complications and types of anesthesia that can be used in this operation. An integral part of the theoretical work is midwives' nursing care of a woman before and after operation and during the puerperium. The thesis is also engaged in breastfeeding and care of the newborn after the caesarean section. The aim of the research section was to find out the women's opinions on the caaesarean section from a retrospective point of view. Four research questions have emerged from this objective. The first question was how women understood the caesarean delivery. The second one was about women's satisfaction with midwife care. The third question focused on thefirst contact with the newborn and the fourth one on influencing the life of women after the caesarean section. A qualitative research survey was chosen for the research part. The survey was conducted during March 2017 with seven respondents who were, from one to five years, after the caesarean section and agreed to provide an interview. During the semi structured interview, women were asked 15 questions. Then, the conversations were literally transcribed, their analysis was done by hand coding, or pen and paper method. Women's responses were identified by individual codes and categorized. The research shows that women have a positive opinion on the C-section, Theky consider it the best choice in a situation that has been taken to save their child. Despite that most respondents were worried before surgery, their consent to the caesarean section would not change today. For more than half, the information provided by the doctor was sufficient and comprehended. Almost all surveyed women were satisfied with nursing care and information from midwives and also with the first contact with the newborn, which occurred within two hours after the procedure. However, dissatisfaction was expressed in the approach to breastfeeding and in this area most women described the difficulties. Although more than half of women responded that they did not feel limited by surgery, all respondents let family members help them during the puerperium. Nearly all respondents reported increased sensitivity in the scar that they felt at least for half a year after delivery. The bachelor's thesis may serve as an inspiration for midwives to improve thein nursing care. In addition, midwifery students can benefit it in improving thein practice experience.
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Nursing perioperative care on the gynekological section.
WOLFOVÁ, Petra
The bachelor thesis focuses on nursing care before, during and after a gynaecological surgery. Gynaecological surgeries are divided into small and big. Small gynaecological surgeries require only one surgeon and the hospitalization of the patient is shorter than 24 hours. Big surgeries require more surgeons, the patient is under anaesthesia for a longer time and the hospitalization is longer than 24 hours. In this bachelor thesis, we focused on perioperative care in women after a big gynaecological surgery. Care during the preoperative period is an integral part of the work of a birth assistant, as gynaecology is largely a surgical specialisation. With advancing technical progress and development of new surgical methods, various types of surgeries appear with specific requirements for nursing care. Effective perioperative care is important for trouble-free convalescence of women after surgeries. Perioperative care includes both nursing procedures and informing the patient about the hospitalization and care course. Perioperative care is very demanding for the woman herself and for the whole team participating in the care. Interaction of all the medical staff is necessary in perioperative care to provide specialised care according to the standards. The aim of this bachelor thesis was to determine the needs of patients that are affected in the highest extent during perioperative period. The research focused on the way women perceive perioperative period and the approach of health care professionals and the extent these items meet their expectation. The research was performed at a gynaecology-obstetrics department of a hospital, using qualitative assessment in deep interviews. The interviews included 13 open questions. The research group consisted of 8 women after a big gynaecological surgery. The participation in the interview was voluntary. The results of this research were carefully transcribed and analysed using the "pen-paper" method. These results were divided into four categories and further subcategories.
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