The aim of the presented thesis is to map the influence of heart arrhythmia on patients´ lives and the possibility of using the conceptual model by Imogen King into the nursing care at the patient with arrhythmia. The set goals were accomplished on the basis of the empirical research which was processed by both quantitative and qualitative research methods. The first part of the research was performed by the quantitative method of collecting data from the survey. The aim of this survey was to map the quality of life of patients with the heart arrhythmia. The second part of the research was performed by the qualitative method of collecting data from the interview with the patient. Total of 127 of valid questionnaires were evaluated for the quantitative part of the research and 20 interviews with the patients with heart arrhythmia were performed for the qualitative part of the research. Based on the qualitative research was found out that the most significant symptom of arrhythmia is fast or irregular heartbeat, usually causing faintness, anxiety and uneasiness. The patients with arrhythmia are mostly limited during physical activities. There have not been found out any statistically significant differences between the persistence of arrhythmia and the health condition and the quality of life of the patient. That means that the persistence of arrhythmia in the researched group of patients does not influence the health condition and the life quality of the patients who took part in the survey ASTA. There was also monitored the relation between uneasiness (anxiety) and selected indicators (how the patients are able to work or study, concentrate or do physical activity). In this case were proven statistically significant differences. The qualitative research complemented the qualitative data. The quality of lives of the respondents was evaluated according to Imogen´s King conceptual framework and the responses of the respondents were ordered according to the framework system: personality system, interpersonal system and social system. As emerged from the responses of the respondents, the most negatively perceived symptom of arrhythmia is palpitation which causes anxiety, uneasiness and leads to sleeping disorders and lower physical activity. In contrast to the restrictions that have to be taken up in connection with the heart arrhythmia are only temporary and do not influence interpersonal and social relationships. The thesis brings a complex view of the problematics of the life quality of patients suffering from arrhythmia when this is not only a medical problem but it also influences patient´s mental and social well-being. The very important element which influences the successful cooperation of the arrhythmia patient and the doctor is the nurse who thanks to the emphatic attitude helps to build the faith in the good results of the medication - recovery and keeping the life quality. Using the conceptual framework in nursing, specifically during the treatment of arrhythmia patients helps to provide individualized nursing care and achieving improvement of the quality of the care provided and also the patient´s satisfaction.
| Identifer | oai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:386730 |
| Date | January 2018 |
| Creators | CHLOUBOVÁ, Ivana |
| Source Sets | Czech ETDs |
| Language | Czech |
| Detected Language | English |
| Type | info:eu-repo/semantics/doctoralThesis |
| Rights | info:eu-repo/semantics/restrictedAccess |
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