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This thesis deals with development of personal, but mainly physical and motor skills of people with mental disabilities by application of yoga movement therapy. My research has aimed to find out if an intensive week-long programme of yoga relaxation exercises can lead to improvement of fine motor skills, mobility, and the overall physical condition of mentally-disabled people of the 1st to 3rd level of disability. The research was conducted during the week-long school stay in nature. The participants were tested both the first and last day of their stay. The research sample was composed of six women and four men from the school for persons with special needs in Česke Budějovice. The methods utilised during the research were direct observation, evaluation and questioning to detect changes in indicators of physical condition and fine motor skills (including grasping reflexes of participants and familiarisation with new expressions). The results show positive change in these indicators. The therapy regimen resulted in the improvement in movement coordination, fine subtle skills of arms in everyday{\crq}s patient{\crq}s self-care activities; and the positive influence of yoga was also observed on psychological well-being of participants. The research project was beneficial for the participants and can serve as a model for further utilisation in the field applications of yoga exercises for people with mental disabilities.

Acute myocardial infarction (AMI) represents severe complication of atherosclerotic vascular disease. Despite therapeutic advances and better risk factor control, acute myocardial infarction remains the leading cause of death worldwide. Goal of this thesis was to interview a group of patients hospitalized for acute myocardial infarction and evaluate their knowledge of disease course, perception of disease representing a sudden change of health status, awareness of disease symptoms and motivation for future lifestyle changes. Quantitative research with inductive approach was chosen for our research. Data was collected using individualized non-standardized semi-structured interview. Seven selected patients hospitalized for acute myocardial infarction with ST elevation were entered into our analysis. All the patients were informed in advance about our research methods and ethical aspects. All the participants had insufficient awareness of AMI symptoms. However, intensity of disease symptoms was severe, so they contacted health system early. Majority of them called emergency service. Level of education had significant impact on patient behavior. Patients with university degree had the best awareness of disease symptoms and shortest times from symptom onset to medical system contact. They were...

The coaching is currently and dynamically developing access and newly emerging qualifications, and it is especially in the field of management and professional leadership of staff in the field of management. It is usable as the method of the support of proffesional growth and develop of staff in the various type of the contexts. The coaching is widely used in today's time, no only in personal life, but in proffesional life too. The coaching style is very often aplicated to the nursing practise in abroad, however in czech nursing it's completely new problem. In theoretic part of my thesis it's aimed for the basic characteristic of the coaching and its priciples. I pursue the problematic of the coaching and its possibilities of application, especially in field of conversional process at the graduates at the department of the intensive care. For chosen qualitative research it was selected the method of collecting data with no standard polostructured interview. The tested part has in total 6 persons. The aimed researched group were nurses, leaders, work at various departmens of the intensive care. They are active in adaptation process. The aimed information were analysed and separated to each codes which they were carefully separate to the categories. The quality and possibilities to obtain information...

In recent years, clinical studies have shown that the most effective method of treatment to reduce the incidence of sudden cardiac death in patients at increased risk of malignant arrhythmias is to provide the patient with an implantable cardioverter-defibrillator (ICD). Complications associated with the transvenous implanted system, especially lead disorders and systemic infections, and have led to the development of a so-called subcutaneous defibrillator, which is thought to minimize these complications. Despite the medical benefits of implantable defibrillator treatment, which is generally well accepted by patients, anxiety, depression, and deterioration in their quality of life have been reported in clinical trials examining patients' psychopathology and quality of life after defibrillator implantation. Methodology: The objective of the diploma thesis was to find out which group of patients better assesses the quality of life depending on the type of implanted defibrillation device (ICD and S-ICD). For the purposes of the survey, the method of quantitative research was chosen in the form of its own questionnaire survey. The questionnaire contained a total of seventeen questions in which patients evaluated quality of life in five areas. Patients who met the following criteria were included in...

The work focuses on a historical development of the institute of emergency services as coordinated activities, including development of the personnel and materially-technical provision, legal anchoring and development of field prestige, including the latter-day prestige, with a focus on the territory of the Czech Republic. Therefore, the aim was therefore to map out each period in terms of providing coordinated emergency activities, describe their legal definition in time and record the personnel and materially-technical equipment. Qualitative research investigation using historical analysis together with a study of historical sources, including quantitative survey research for objectification of the data obtained from a questionnaire survey, mapping public opinion not only to the prestige of the field itself, but also through questions corresponding with this area was used for identification of the aforementioned objectives. The work shows a summary of events set in a historical framework, leading to foundation of the first emergency and rescue service facilities, including their further development. From this point of view, it presents not only the individual periods, but also the providers of these activities. It presents development of the legal definition of emergency services as well as...

Oxygen supplementation has been an important part of respiratory failure treatment in all fields of clinical medicine, especially on intensive care units (hereinafter referred to as ICU). Oxygen therapy is a life-saving measure but indiscriminate administration of oxygen can cause lung and nerve damage and consequently increase morbidity and mortality (1). In clinical practice we often encounter mechanically ventilated patients with high partial pressures of oxygen in arterial blood (5) which should direct our attention to possible consequences and have reliable data how is oxygen treatment managed. This thesis focuses on the exposure to toxic concentrations of oxygen on the resuscitation ward. The aim of this thesis is to determine whether patients are exposed to high concentrations of oxygen. Two other aims of this study are to find out how long are patients in a state of hyperoxemia and whether medical staff reacts to measured partial pressures of oxygen (hereinafter referred to as paO2) values in these patients by reducing oxygen fraction (hereinafter referred to as FiO2) on the ventilator. The research part of this thesis is a quantitative observational retrospective research. The inclusion criteria were hospital admission from 1st July to 1st October 2019, at least two paO2 values greater...

Introduction to the issue: Colorectal cancer is Europe's second most common malignant disease. Among the influential risk factors of colorectal cancer are the intake of high energy foods, animal fats, lack of fiber, excessive alcohol consumption, nicotinism, lack of physical activity, and obesity. Research methodology: Empirical research was carried out using qualitative research. The purposefully selected research sample consisted of fifteen informants after colorectal cancer surgery. Data collection took place through semi-structured interviews. The data were processed by the method of thematic analysis. The aim of the diploma thesis: The aim of the diploma thesis was to reveal the life habits of informants after colorectal cancer surgery, discover how the diagnosis of colorectal cancer has changed the way they look at their lifestyle, finding motivation and overcome the barriers to a lifestyle change. The outcomes: Despite the illness and knowledge of risk factors, the informants were rather satisfied with their current lifestyle and did not plan to change it. A healthy lifestyle was considered financially unaffordable. When deciding on a change, the informants were prevented from having a social aspect, the absence of friends who would share a sports activity with them. Environmental and...

Introduction to the issue and the importance of the topic: Emergency Department (ED) is a new type of the health care service and these departments are organized in a different way in the Czech Republic so far. However, ED is an integral part of the acute care system, and the Emergency Deaprtment is capable to ensure the continuity of care between the field and the hospital despite of the increasing atomization of medical disciplines. In recent years, it is a model that is able to deal with all acute conditions of all severity, 24 hours a day, with an adequate level of safety for patients, because they can be briefly observed at the observation unit of the ED. Goal of the thesis and methodology: The main goal of the diploma thesis is a comprehensive analysis of the existing Emergency Departments in the Czech Republic. The first partial goal was to find out the disposition and organization of Emergency Departments in details, how many acute beds for emergency care are available and how is the work regime organized. The second partial goal was to find out staffing of the Emergency Departments. Whether a specialised emergency physician is continually present and whether there ais enough qualified non-medical medical staff. The third partial goal was the intention to find out how are Emergency...

Background: Caring for dialyzed patients is demanding from several perspectives. As far as the patient is concerned, a psyche plays a big role here. Although it is a rule that patients are detailed to the hemodialysis program, some patients will not be mentally prepared for hemodialysis treatment and worsening their health condition. Some patients are mistaken with the fact that dialysis is now part of their life. A large number of patients initially have plenty of myths and misinformation about dialysis and are therefore stressed and scared at the first dialysis session. They are afraid of pain, they may be afraid of needles, and they are afraid of what is going to happen. One of the tasks of a nurse is to identify and adequately communicate with these patients, as this avoids many problems, and the patient is more likely to cope with his illness and realizes that even though their lifestyle has changed, they can still live high-quality and satisfying life. Methodology: A case study, a case study of a patient who was chosen by deliberate, purposeful selection, was used to prepare the final bachelor thesis, as this patient represents research issues, first of all inadequate education and psychological stress associated with chronic renal failure. The aim of the research was to describe and evaluate...

Introduction: Oropharyngeal tumours belong to the most common malignancies situated in the head and neck area. In the past, their incidence has been associated with classical risk factors (smoking and alcohol use). In the recent years, the increase of oropharyngeal carcinomas resulting from HPV (human papilloma virus) infection incidence has been observed. The change of their aetiology also implies a number of clinical differences, the most important being a significantly better survival prognosis in patients with HPV+ carcinomas. Aims: The main goal of this thesis was to characterize correctly patients with oropharyngeal carcinomas and to identify different specifics of nursing intensive care for these patients. Methods: The quantitative prospective study involved 30 patients following their surgical treatment of oropharyngeal carcinoma, hospitalised in an intensive care unit. The patients were divided into 3 groups: HPV+ non-smokers, HPV+ smokers, HPV- smokers. Results: The study confirmed the demographic differences between individual patient groups. The HPV+ non-smokers group is characterized by a lower age in average, which is significantly reflected in a reduced duration of hospital stay. In addition, opioid administration rate, infection rates and postoperative complications incidences are...

Introduction: The coronary heart disease is still an actual topic. The mortality has been in recent years declining, but prevalence in the population stagnates, so involve a large group of patients. The incidence of acute myocardial infarction is still high. One of the methods of reperfusion therapy is the cardiac surgery by coronary artery bypass graft, which may be postoperatively complicated by the development of low cardiac output syndrome with the need of the extracorporeal membrane oxygenation. These patients require very specialized not only during the critical phase, but also during the long-term convalescence including rehabilitation, weaning from the artificial lung ventilation, self-sufficiency training and help with return to normal life. Literature search: The theoretical part is based on the research of National Medical Library (NLK) and Study and Scientific Library of the Pilsen Region (SVKPL). The PubMed, Scopus, Web of science and Science direct databases were used to search articles in professional publications, including the latest cohort studies. The periodicals Cor et Vasa, the European Heart Journal, Critical Care and the European Journal of Cardiovascular Nursing were used. An important source of information is the guidelines of the Czech Society of Cardiology (ČKS), European...

(v AJ) The theme of the theses is the nursing process from the point of view of multicultural nursing care of the patient-foreigner in a critical condition admitted to the intensive care unit. Considering the rise of tourism and the number of immigrants in the CR, the increasing number of patients-foreigners can be expected. The mutual communication and the impact of ethno-cultural influence on nursing is becoming a subject of the global interest. Patients' life threatening, stress, and a necessity of prompt and swift decision-making both by patients and health care professionals play a role in the intensive care. The theoretical part of the theses explains the basic concepts associated with multicultural nursing, the legislative framework of the nursing process and the topic of communication with foreigners in an intensive care. The language barriers and ways of overcoming the barriers are defined in this part. Methodology: I chose the case study method for my bachelor theses. A case report of a French patient hospitalized in a critical condition in an intensive care unit was processed from the point of view of multicultural nursing. The basis of the work was the application of theoretical knowledge of the Transcultural Nursing Society and deep insight and understanding my own cultural values and...

Introduction: Thesis is focused on monitoring of the quality of life of the patients, who undego planned bowel resection. Czech population is over a long period weighted by malign disease of colorectum. Patients with this diagnosis undergo efective procedure of surgical remove of tumour. With this surgical intervention is also connected with follow-up hospitalization at the unit of intensive care, which can be a great load for patient and can affect the return into the common life and its quality. Methodology: The methodology of the research is the monitoring study. To this study there were put these, who passed planned bowel resection because of the occurence of colorectal tumor, in the period from May 2018 - January 2019. To gain data we use the questionnaire of the quality of life (SF-36), the questionnaire evaluated anxiety status and depression (HADS), evaluating the level of fatigue (MAF), the questionnaire evaluating the basic daily activities (ADL, IADL) and tests to evaluace the physical aktivity (30-Second Chair Stand Test, 6-MWT - six minutes walking test). To compare the quality of life a the physical aktivity, we use three time periods - T1 (the period before hospitalization), T2 (the period of discharge from the hospital), T3 (the period after 3 months from the surgical intervention)....

(v AJ) I chose the education of a patient with lymphoma as the topic for my bachelor thesis. I consider this topic very actual because the occurence of lymphoma is increasing (In: Linkos,2019). Lymphomas are referred as lymphocyte-derived tumors. I deal with the problem of lymphomas in the theoretical part. I mainly focus at diagnostic and treatment. I had started to prepare this bachelor thesis after the background research in the National Medical Library. I also drew the information from databases: BMČ, PubMed, EBSCOhost a Medline. I also used treatment recommendations - Cooperative Lymphoma Groups. Methology: I chose a case study of a patient with B-cell lymphoma from large cells, diffuse. I used the model of Marjora Gordon's - functional health model. A specific case is used for defining the treatment procedures, nursing standards, potentional risks and the prevention, education is also included. Objective: Focus on a nursing care - pacient with B-cell lymphoma diagnose, large cells, diffuse, who undergone chemotherapy. Results: Keeping nursing procedures and creation of educational material for patients. Conclusion: There are new methods of chemotherapy and new studies. A current study in Lymphoma: CITADEL 203, CITADEL 205, PCYC 1143 - SYMPATICO, ACELY - 308, PCYC 1141, BGB3311 - 212, IELSG37...

This Bachelor thesis deals with problems of home care. At present, the whole population is aging in the Czech Republic, increasing the number of people with limited self-sufficiency. These individuals often seek help from home care services, so it is important that they know the opportunities that this service can provide. The main aim of the bachelor thesis is to find out the awareness among patients with limited self-sufficiency about the possibilities of home care. In line with the bachelor thesis topic and goal setting, I defined the following hypotheses: Hypothesis H1: I presume that more than 50 % of respondents evaluate their awareness about the possibilities of home care as insufficient. Hypothesis H2: I suppose that more than 50 % of respondents do not know who is competent to indicate home care. Hypothesis H3: I think that more than half of the respondents are not informed about the possibility of reimbursing some home care services by the health insurance company. For the bachelor thesis, the method of quantitative research was chosen. I obtained the required data using a non-standardized questionnaire of my own design. I filled out the questionnaire personally with each respondent. Respondents were patients from internal departments and hospices from unnamed Prague hospitals. All...

v AJ: The work has two parts: theoretical and empirical. The theoretical part deals with the development, structure and function of teeth, and also deals with the causes of tooth caries and its complications. The next chapter focuses on the prevention of dental caries, oral hygiene, on the importance of preventive inspections, and on a proper diet. The members of the dental team are also introduced here. The final chapter of the theoretical part is focused on education and its importance. The aim of the empirical part is to assess the awareness of parents regarding the prevention of dental caries of their children and to evaluate the effectiveness of preventive dental care. The empirical part is based on a survey conducted in randomly selected kindergartens and primary schools in Prague 12 and in children's dental office located there. The respondents of the survey are parents of children aged from 3 to 14 years attending their dentists in Prague 12. Our statistical analysis is based on 204 questionnaires. The results suggest that the parents taking part in our survey are unable to fully comply with the recommendations mentioned below, and that the effectiveness of the preventive dental care of children who attend their dentists in Prague 12 is not sufficient. In conclusion, the thesis presents a...

The aim of the thesis was to determine the microbial colonization at the injection site of central venous catheter and its possible influence to maintain the lowest incidence of catheter sepsis. The culture results of skin swabs and taken blood cultures from two groups of patients were compared with each other using qualitative analysis methods. Those were Intensive Care Unit patients with established central venous catheter. The result was the discovery of microbial colonization of the skin and the representation of different pathogenic strains at the site of a central venous catheter for both established groups. Further showed that the higher the risk of microbial colonization with symptoms of catheter sepsis was seen where patients have central venous catheter established for longer period of time and have been treated under home parental nutrition program with stoma. The recommendation is the continuous education of health professionals to act in accordance with the latest preventive treatment recommendations, and the emphasis is mainly placed on hands cleaning and disinfecting as the hands of health professionals are one of the most common and risky way of transmission of pathogenic strains with potential nosocomial infection formation. Aseptic principles must be repeatedly communicated to all...

The presented dissertation concerns of extracorporeal membrane oxygenation (ECMO) in adults within the University hospital in Pilsen. The ECMO has been used in Pilsen from 2011. The first part (theoretical one) illustrates in general the ECMO, a life saving method for a treatment of failured lungs or heart. The sites of cannulation, the management and monitoring of ECMO patient are then described. Possible complications as a result of ECMO application and its settlement are mentioned. The second part consists of a retrospective insight, which shows data of 43 ECMO patients for a period of three years 2011- 2013 in the University Hospital Pilsen and a questionary survey. The survey involves 83 non- medical healthcare workers, who are in charge of the ECMO patients, at three intensive care and resuscitation units where the ECMO is used. It finds out what do the medics know about the method. The outcome of this dissertation is a guideline of nursing care of an adult patient on ECMO and most common difficult situations and solutions, that could be faced in the course of nursing an ECMO patient. KEY WORDS ECMO support, heart failure, pulmonary failure, complication, knowledge