This thesis is focused on occurrence of viral hepatitises by clients in Psychiatric Hospital Červený Dvůr between 2000 and 2009. In my beachelor thesis was covered years from 2000 to 2004. Now I continue with this diploma thesis where I want the 10 year results join together to show how the situation is developing. The intravenous drug users are the aimed group. These drug users belong to a high-risk group in which hepatitises types A, B or C are spread the most thanks to their high-risk behaviour. These days researches and epidemiologic researches show that the intravenous drug users belong among the main high-risk groups endangered by infectious disease. Viral hepatitises represent a serious problem, mainly hepatitis type C, because there is no way of protection. This hepatitis is occuring without any symptoms of this disease by 50 ? 70 % people. By 70 ? 80 % it passes into a chronic stadium. It is possible to protect yourself by hepatitis type A vaccination. This hepatitis doesn´t change into a chronic stadium. It is easily spread by infected water or food. In our republic there occured several epidemics. Hepatitises started to spread among drug users and then they spread also among the rest of population. The last epidemic occured in 2008. Hepatitis type B represents high risks for the perceptive population. There is a vaccine and population have a chance to protect against it. In the Czech Republic there is vaccination carried out within special vaccination of people who have high-risk job, for example in health service. Children of HBsAg positive mothers are vaccinated after they are born. From 2001 hepatitis vaccination was put into regular vaccination of children aged under 1 year in our republic. Also 12 year old children are vaccinated from 2001. Hepatitis type B often becomes chronic and the mortality is 1 ? 2 %. Intravenous using of drug is important high-risk factor. It is one of the ways of transfering hepatitises type B and C. Next monitored indicators are the age of the clients, achieved level of education, basic drug, the age of the first usage of any drug, the age of intravenous application of drug and occurrence of hepatitises type A, B, C by clients. According to my research I used quantitative research which allows me to analyse problem of viral hepatitises by clients from Psychiatric Hospital in Červený Dvůr. The gained information was worked out by secondary analysis of medical data. The monitored group has 2499 clients in years 2000 ? 2009. The aim of this thesis is to get general knowledge about prevalence of viral hepatitises by clients of Psychiatric Hospital in Červený Dvůr from 2000 to 2009 and to consider their progress. The methodical procedure: there will be used a content analysis of medical data given by Psychiatric Hospital in Červený Dvůr. The result of this thesis is that it indicates and covered the develop of drug scene. Concerning the age the main group consists of 20 ? 24 year old men and women, next large group consists of clients aged 25 ? 29. The monitored group is also changing according to achieved level of education. In the first five years of research there dominated vocational school, but in the last five years there it changed into basic school. Among women there happened no change. There basic school still dominates. Concerning the drugs there also changed something. At the beginning there dominated clients using heroin, in the middle there meth dominated. Hepatitis type A in acute stadium was revealed by only two clients. Hepatitis type B noticed a slight increase. Hepatitis type C also noticed a sligh increase, but it is probably a sign of increase of clients with chronic form of this hepatitis.

Made available in DSpace on 2016-04-04T18:27:43Z (GMT). No. of bitstreams: 1 Gustavo Risso.pdf: 968419 bytes, checksum: af7d94543d775bad617dde2275a90519 (MD5) Previous issue date: 2008-12-04 / Pontif?cia Universidade Cat?lica de Campinas / The following research had the purpose of studying the psychometrical properties of the Central Relationship Questionnaire CRQ 6.0 with hepatitis type C chronic patient bearers. The CRQ 6.0 is an instrument of self-report that identifies the central pattern of a romantic relationship. It is based in the method denominated Core Conflictual Relationship Theme CCRT. Alternative measure to the CCRT ; the CRQ possess three components in its structure: Desire (D) ; Response from the Other (RO) and Response of Self (RS). The choice of the CRQ-6.0 for the study is supported by the absence of researches with pattern measuring instruments of relationship in Brazil. Being about a chronic disease ; the Hepatitis type C is becoming in the last few years one of the most serious problems in public health. Many studies related to the understanding of this pathology have been done with the objective of filling out gaps of this illness. The hepatitis type C is a disease attacked by the virus C ; causing an inflammation in the liver. Although it still remains with no cure ; medical treatments have helped the attempt of minimizing its damages. In another hand ; the medication pours a great amount of collateral effects that causes significant damages into the patient life ; such as ; psychopathological symptoms ; fatigue ; hopelessness ; and problems in the affective relations ; among others. Before that ; this study becomes relevant to this population ; searching for a broaden knowledge about the consequences occasioned by the diagnostic and proposing new ways of acting. To the studies of the psychometric properties of the CRQ 6.0 it was utilized the EAS-40 ; that has as objective evaluate symptoms ; as an extern criteria. The sample was composed by 101 individuals ; being 61 patients in ambulatory treatment ; diagnosed with hepatitis type C Chronic (G1) ; and 40 companions of the attended patients in other wards (G2). According to the results ; the CRQ-6.0 has presented good intern consistence ; being that the Alfa coefficients of Cronbach vary from 0.80 to 0.87 in its three components. There was negative correlation among some factors of EAS-40 and some components of CRQ 6.0. It was seen also significant differences in the component scores of the CRQ 6.0 and the EAS-40 between G1 and G2; among the G1 patients that take medication and the ones who don t and among the genders of G1. The results obtained show evidence of validity in the CRQ 6.0 and the instruments show being capable of distinguishing different population. Other studies become necessary to evaluate the psychometrical properties in other populations. / A presente pesquisa teve o objetivo de estudar as propriedades psicom?tricas do Central Relationship Questionnaire CRQ 6.0 com pacientes portadores de hepatite C cr?nica. O CRQ 6.0 ? um instrumento de auto-relato que identifica o padr?o central de relacionamento amoroso. ? baseado no m?todo denominado Core Conflictual Relationship Theme CCRT. Medida alternativa ao CCRT, o CRQ possui tr?s componentes em sua estrutura: Desejo (D), Resposta do Outro (RO) e Resposta do Eu (RE). A escolha do CRQ-6.0 para estudo ? apoiada devido ? aus?ncia de pesquisas com instrumentos de medida de padr?o de relacionamento no Brasil. Por se tratar de uma doen?a cr?nica, a hepatite C vem se tornando nos ?ltimos anos como um dos mais graves problemas de sa?de p?blica. Diversos estudos ligados ao entendimento desta patologia t?m sido realizados com o intuito de preencher lacunas desta enfermidade. A hepatite C ? uma doen?a acometida pelo v?rus C, causando uma inflama??o do f?gado. Embora ainda n?o se tenha a cura, tratamentos medicamentosos t?m auxiliado na tentativa de se minimizar os preju?zos desta doen?a. Por outro lado, a medica??o desencadeia diversos efeitos colaterais que trazem preju?zos importantes na vida deste paciente como, sintomas psicopatol?gicos, fadiga, desesperan?a, problemas nos relacionamentos afetivos, dentre outros. Diante disso, este estudo torna-se relevante para esta popula??o, buscando maior conhecimento das consequ?ncias ocasionadas pelo dign?stico e propor novas formas de atua??o. Para o estudo das qualidades psicom?tricas do CRQ 6.0 foi utilizada a EAS-40, que tem como objetivo avaliar sintomas, como crit?rio externo. A amostra foi composta por 101 indiv?duos, sendo 61 pacientes em tratamento ambulatorial, diagnosticados com Hepatite C Cr?nica (G1), e 40 acompanhentes de pacientes atendidos em outras enfermarias (G2).De acordo com os resultados, o CRQ-6.0 apresentou boa consist?ncia interna, sendo que os coeficientes de Alfa de Cronbach variaram de 0,80 ? 0,87 em seus tr?s componentes. Houve correla??o negativa entre alguns fatores da EAS-40 e alguns componentes do CRQ 6.0. Observou-se tamb?m diferen?as significativas nos escores dos componentes do CRQ-6.0 e da EAS-40 entre G1 e G2; entre os pacientes do G1 que toma medica??o e os que n?o tomam e entre os g?neros do G1. Os resultados obtidos demonstram evid?ncias de validade no CRQ-6.0 e os instrumentos mostraram-se capazes de distinguir popula??es diferentes. Outros estudos tornam-se necess?rios para avaliar as qualidades psicom?tricas em outras popula??es.