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Hospitalization of Down syndrome children
KUDRFALCOVÁ, Petra
Down syndrome is the most frequent genetic disorder that is present in average among one out of 700 children born alive. Every child born with Down syndrome bears in his/her cells abnormal amount of chromosome 21. The child born with Down syndrome requires different care and approach then other children because of a presence of various stages of mental retardation and affiliated diseases. The aim of this bachelor thesis is to introduce the issue of Down syndrome to the public. Furthermore, to map out parents´ satisfaction with nursing care in the hospital in which their child with Down syndrome is hospitalised and to survey the differences in nursing care of children with Down syndrome in the framework of hospitalisation at children´s department from the nurses´ point of view. This aim is reached through a qualitative research which was implemented as a half-structured interview with parents whose children have Down syndrome, and with nurses from different children´s departments. The first part of the thesis describes Down syndrome in theory. Its forms, history, characteristic traits, affiliated diseases, diagnostics and specific care in various fields are described. The practical part processes and analyses used interviews with both mentioned groups; for an analysis of the research data a method of open coding is used. The implemented interviews with parents imply a real satisfaction with hospitalisation of their children, however a dissatisfaction with the way of giving information about their child´s diagnosis of Dawn syndrome. Out of 9 mothers, 5 of them were not satisfied with the way of providing this information and they mostly complained about their husbands´ absence. Thanks to interviews with nurses, some differences in care of these children were discovered. It mostly deals with a different approach, better surveillance due to a mental retardation and more explanation and assurance whether the child understood. Even the higher rate of aggressivity of these children was discovered. Therefore, emphatic and sensitive approach is important. The conclusion of the research states higher difficulty of nursing care and satisfaction of parents with their child´s hospitalisation; there are some exceptions and there is much room for improvement on both sides. Particularly it is necessary to improve doctors´ approach to providing the parents with information about diagnosing their child with Down syndrome.
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The specifics of nursing care in women with gestosis
KOLPOVÁ, Ivana
Pregnancy, delivery and puerperium represent a biological strain for a woman. A healthy woman, however, overcomes it without major problems. Many pregnant women even feel better in pregnancy than out of it. Sometimes, however, the woman{\crq}s body cannot adapt to the new situation and therefore in overcomes the biological strain with exertion. In these women a group of symptoms develops, they are generally called gestosis. The gestoses are illnesses bound exclusively to the pregnancy and they require a specific nursing care. The objective of this project was to establish whether women with gestosis require a specific nursing care, and whether pregnant women with gestosis need specific information about their illness. The first hypothesis was proposed as follows: The women with gestosis need a specific nursing care. The second hypothesis says: Pregnant women with gestosis have sufficient information about their illness. The first hypothesis was confirmed by this research: the investigation has shown that women with gestosis require specific nursing care. The second hypothesis was also confirmed: pregnant women with gestosis have enough information about their illness. The research was carried out with a quantitative method by means of questionnaires. The questionnaires were handed out at the departments of obstetrics and gynaecology in the Písek Hospital Písek, a.s., České Budějovice Hospital, a.s., Jindřichův Hradec Hospital a.s. in te period from January to July 2007. A total of 79 questionnaires were processed. The work will be used in the teaching at the South-Bohemian University and published on the Internet.The objectives of this research were fulfilled. The specifics of the nursing care in women with gestosis were established, and also the information of pregnant women with gestosis about their illness. The specifics of the nursing care in women with gestosis include the measurement and monitoring of the BP, oedemas, the regulars weighing of the patients, the position on the left side is recommended, the midwife carries out various examinations, she cares for the patient in the sphere of hygiene, emptying and mental health. The majority of the women questioned (54 %) stated that they were adequately informed about their illness, 15 % thought that they were not sufficiently informed and 31 % did not know. In spite of the fact that the majority of the women (54 %) were sufficiently informed, which are somewhat more than a half, we think that the information should improve in the future - and this bachelor{\crq}s thesis could contribute to this. This bachelor{\crq}s thesis could also serve as the study material for the next years of midwives, as education material for midwives in practice, and published on the Internet.
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