• MeSH
• Stroke * prevention & control   MeSH
• Humans MeSH
• Surveys and Questionnaires statistics & numerical data   MeSH
• Risk Factors MeSH
• Patient Education as Topic methods   statistics & numerical data   MeSH
• Health Literacy * methods   statistics & numerical data   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Review MeSH

Aim:The studyaimed to determine the effect of education on the prevalence of risk factors and adherence to lifestyle measures in post-myocardial infarction patients. Design:A clinical, interventional, explanatory study.Methods:The sample (n = 165) comprised consecutive patients hospitalized for acute myocardial infarction. The interventional, explanatory study followed changes in two cohorts: intervention (n = 68) and control (n = 97). The intervention (prospective) group consisted of patients educated by a nurse using a previously developed nursing standard. The control (retrospective) group comprised patients who received no education on myocardial infarction provided by nurses.Results:After one-year follow-up, patients in the intervention group had statisticallybetter knowledge about their condition (p < 0.001) and used their medication more regularly (p < 0.001) than controls. At one year, systolic blood pressure and total cholesterol decreased by a mean of 2.5 mmHg and 0.3 mmol/l, respectively, in interventiongroup participants. As early as after one month, patients in this group increased their physical activity by a mean of 35 minutes per week. Conclusion:Post-myocardial infarction patients educated according to the developed nursing care standard were shown to better adhere to their pharmacological therapy and lifestyle changes.

• MeSH
• Adult MeSH
• Inpatients education   MeSH
• Body Mass Index MeSH
• Myocardial Infarction * prevention & control   MeSH
• Middle Aged MeSH
• Humans MeSH
• Aged MeSH
• Treatment Outcome MeSH
• Patient Education as Topic * methods   statistics & numerical data   MeSH
• Nurses MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Aged MeSH
• Publication type
• Clinical Study MeSH
• Geographicals
• Czech Republic MeSH

Cílem příspěvku je popsat přínos pohybové aktivity v prevenci kardiovaskulárních onemocnění a možnosti sester a lékařů při poskytování zdravotní edukace v oblasti pohybových aktivit. Příspěvek přináší data z kvantitativního výzkumu, který byl realizován za účelem zjištění stavu edukace v oblasti pohybových aktivit. Lze konstatovat, že o změně životního stylu z hlediska úpravy pohybových aktivit hovoří s občany častěji lékař než sestra. O nutnosti úprav pohybových aktivit hovoří s pacientem vždy nebo často přibližně pětina lékařů, necelá čtvrtina lékařů na toto téma s pacientem nehovoří nikdy. Frekvence hovorů s lékařem o nutnosti úpravy pohybových aktivit se významně liší dle pohlaví, věku pacienta, jeho vzdělání, rodinného stavu, místa bydliště a zaměstnání. O nutnosti úprav v pohybových aktivitách hovoří s pacientem vždy nebo často 11,4 % sester, více než dvě pětiny sester na toto téma s pacientem nehovoří nikdy. Frekvence hovorů se sestrou o nutnosti úpravy pohybových aktivit se významně liší dle věku pacienta, jeho vzdělání, rodinného stavu, velikosti místa bydliště a zaměstnání. Z hlediska změny cvičení hodnotí občané pozitivněji vliv lékařů. Vliv sestry na změnu cvičení hodnotí jako velmi dobrý či dobrý 24,8 % občanů, průměrné hodnocení zvolilo 51,1 % dotázaných a jako špatný či velmi špatný označilo vliv sestry v této oblasti 24,1 % respondentů. Hodnocení vlivu sestry na změnu cvičení významně souvisí s pohlavím, velikostí místa bydliště a zaměstnáním občana. Výzkumné šetření prokázalo, že přestože aktivita je zdravotnickými pracovníky nabízena, občané, především ve věkové kategorii 40–59 let, této možnosti nevyužívají.

The aim of this article is to show the positive effects of physical activities in the prevention of cardiovascular illnesses and the options of nurses and doctors in providing education regarding physical activities. The data were collected using the quantitative research method, which intended to find out the level of education regarding physical activities. We can say that doctors speak with their patients about physical activities more frequently than nurses. Approximately one fifth of doctors always or frequently speak about changes in physical activities and almost one quarter do not speak about it with the patients at all. The frequency of conversations with doctors about the changes in physical activities varies by patients' gender, age, education, marital status, place of residence and employment. 11.4% of nurses always or frequently speak about this topic with patients and two fifths never speak about it. The frequency of conversations with nurses about the changes in physical activities varies by patients' gender, age, education, marital status, place of residence and employment. People assess the influence of doctors more positively. 24.8% of respondents assessed a nurse's influence as very good or good, 51.1% assessed it as average and 24.1% assessed it as bad. The assessment of a nurse's influence regarding changes in physical activities was related to patients' gender, size of residence and employment. The research showed that, although the activities are offered by medical personnel, mostly people between 40 and 59 years do not use this possibility.

• MeSH
• Cardiovascular Diseases * prevention & control   MeSH
• Communication MeSH
• Humans MeSH
• Motor Activity * MeSH
• Surveys and Questionnaires MeSH
• Patient Education as Topic statistics & numerical data   MeSH
• Professional-Patient Relations MeSH
• Health Education statistics & numerical data   MeSH
• Life Style MeSH
• Check Tag
• Humans MeSH
• Publication type
• Research Support, Non-U.S. Gov't MeSH
• Geographicals
• Czech Republic MeSH

Úvod a cíl: Onemocnění srdce a cév celosvětově patří k hlavním příčinám úmrtí. V České republice se výrazně podílí i na počtu hospitalizací. Přestože jsou to onemocnění velmi dobře ovlivnitelná pomocí eliminace ovlivnitelných rizikových faktorů, je jejich prevalence v české populaci stále vysoká. Tím se zvyšuje potřeba zefektivnění zdravotněvýchovného působení. Cílem příspěvku je proto poukázat na současný stav edukace v oblasti prevence kardiovaskulárních chorob z pohledu občanů samotných, a přinést tak zpětnou vazbu, která může napomoci zlepšení stavu v této oblasti. Metodika: Pro zjištění současného stavu edukace v oblasti kardiovaskulárních chorob z pohledu občanů bylo využito dotazníkového šetření prostřednictvím kombinace nestandardizovaného dotazníku se standardizovaným dotazníkem SF-36. Toto šetření probíhalo v celé České republice ve dnech 1.-20. dubna 2016. Statistická analýza dat probíhala za využití programu SASD ve verzi 1.4.12. Výběrový soubor občanů čítal 1 992 respondentů a z hlediska věkového členění základního souboru jsou tato data reprezentativní pro jednotlivé skupiny občanů ČR ve věku 40 let a více. Výsledky a závěr: Bylo zjištěno, že 71,5 % občanů ČR ve věku 40 let a více bylo v ordinaci lékaře poučeno o způsobech zlepšení svého zdravotního stavu. 71,4 % občanů jako nositele edukace označilo lékaře a 25,4 % respondentů sestru. Z oblasti ovlivnitelných rizikových faktorů bylo 50,8 % respondentů edukováno v oblasti výživy, 51,0 % v oblasti domácího měření krevního tlaku a 52,9 % v oblasti fyzické aktivity. O problematice kouření bylo edukováno 43,9 % dotázaných, o problematice nadužívání alkoholu 36,0 % z dotázaných. Rovněž bylo prokázáno, že ve větší míře byli edukováni respondenti, které můžeme z různých důvodů považovat za rizikové. To se z dlouhodobé perspektivy, s ohledem na demografické trendy a koncept aktivního stárnutí, jeví jako nedostatečné. A to zejména proto, že význam edukace není pouze ve snaze přispět ke zlepšení kvality života, ale také v oddálení manifestace onemocnění a ekonomických rizik spojených se snižujícím se počtem ekonomicky aktivních osob.

Introduction and goal: The heart and vessel diseases rank among main causes of death worldwide. In the Czech Republic, they account for a high proportion of hospitalizations. Although such diseases can be very well influenced through elimination of influenceable risk factors, their prevalence in the Czech population is still high. That leads to rising need to increase the efficiency of health education activities. Therefore the article aims at revealing the current status of education in the area of prevention of cardiovascular diseases, as seen by the citizens themselves, thus providing a feedback that can help to improve the situation in this area. Methods: The current status of education in the area of cardiovascular diseases, as seen by the citizens, was investigated through a combination of a non-standardized questionnaire with the SF-36 standardized questionnaire. The investigation took place all over the Czech Republic during April 1-20, 2016. The statistical data analysis was made under use of the SASD program, version 1.4.12. The selection set of citizens consisted of 1992 respondents; from the perspective of age segmentation of the basic set, the data are representative for individual groups of Czech citizens aged 40 years and more. Results and conclusion: It was found out that 71.5% Czech citizens aged 40 years and more were educated in the physician's office on the ways to improve their health condition. 71.4% citizens described the physician as the education carrier, while 25.4% respondents assigned that role to the nurse. Within the area of influenceable risk factors, 50.8% respondents were educated in the area of nutrition, 51.0% were educated in the area of blood pressure home measurement, and 52.9% in the area of exercise. 43.9% respondents were educated on the issue of smoking, and 36.0% respondents on the issue of excessive abuse of alcohol. It was also shown that respondents who can be considered endangered for different reasons were educated in greater amount. That seems insufficient from long-term perspective, with regard to the demographic trends and the concept of active ageing, particularly because of the fact that the role of education consists not only of the effort to contribute to improve the quality of life but also of delaying the manifestation of diseases and of the economic risks related to the decreasing number of economically active persons.

• MeSH
• Adult MeSH
• Cardiovascular Diseases * prevention & control   MeSH
• Cigarette Smoking MeSH
• Middle Aged MeSH
• Humans MeSH
• Alcohol Drinking MeSH
• Surveys and Questionnaires MeSH
• Heart Disease Risk Factors * MeSH
• Aged MeSH
• Exercise Therapy MeSH
• Patient Education as Topic statistics & numerical data   MeSH
• Physician-Patient Relations MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Aged MeSH
• Publication type
• Research Support, Non-U.S. Gov't MeSH
• Geographicals
• Czech Republic MeSH

• MeSH
• Patient Compliance psychology   statistics & numerical data   MeSH
• Diabetes Mellitus * psychology   therapy   MeSH
• Psychology, Medical MeSH
• Humans MeSH
• Motivation * MeSH
• Patients psychology   statistics & numerical data   MeSH
• Surveys and Questionnaires * statistics & numerical data   MeSH
• Patient Education as Topic statistics & numerical data   MeSH
• Health Literacy statistics & numerical data   MeSH
• Life Change Events MeSH
• Self Report statistics & numerical data   MeSH
• Check Tag
• Humans MeSH

OBJECTIVES: The goal of this article was to assess the delivery of patient health-education, relative to cardiovascular disease from the perspective of physicians and nurses, as well as from the perspective of citizens living in the Czech Republic. METHODS: The article is based on data acquired from the "Intervention procedures in preventive cardiology" grant project. To evaluate patient health education, non-standardized questionnaires intended for physicians (n = 1000) and nurses (n = 1000) were used. A combination of a non-standardized questionnaire and a standardized questionnaire (SF-36) was used to assess citizen (n = 1992) viewpoints. The actual investigation took place from April 1 to April 20, 2016 and was implemented over the entirety of the Czech Republic. Data were analyzed using the SASD v. 1.4.12 program. Both first and second degree sorting was used. The degree of dependence of selected characteristics was established based on the Chi-square test and the T-test. RESULTS: A bit more than half (53.1%) of the physicians indicated that nurses carried out patient education regarding influenceable risk factors associated with cardiovascular diseases, while 71.6% of nurses reported carrying out this duty. The overwhelming majority of physicians (97.1%) and nurses (92.3%) report informing patients about how to improve their health condition. Citizen respondents reported that topics such as nutrition, exercise, smoking cessation, stress reduction, and the drug side effects use were discussed with them more frequently by physicians than by nurses. Citizen respondents reported that nutrition was discussed most frequently with them, while the issue of smoking cessation was discussed the least frequently. CONCLUSION: Our analysis showed that physicians engage in patient education more frequently than nurses. At the same time, results suggest that a relatively significant number of physicians and nurses rarely or never educate regarding risk factors associated with cardiovascular diseases.

• MeSH
• Adult MeSH
• Cardiovascular Diseases * MeSH
• Physicians statistics & numerical data   MeSH
• Humans MeSH
• Patient Education as Topic statistics & numerical data   MeSH
• Health Knowledge, Attitudes, Practice * MeSH
• Nurses statistics & numerical data   MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Publication type
• Journal Article MeSH
• Geographicals
• Czech Republic MeSH

• MeSH
• Diabetes Mellitus drug therapy   epidemiology   MeSH
• Hypoglycemic Agents therapeutic use   MeSH
• Internet utilization   MeSH
• Insulin therapeutic use   MeSH
• Humans MeSH
• Self Care utilization   MeSH
• Patient Portals MeSH
• Utilization Review MeSH
• Patient Education as Topic methods   statistics & numerical data   MeSH
• Health Information Systems utilization   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Letter MeSH
• Research Support, Non-U.S. Gov't MeSH
• Geographicals
• Czech Republic MeSH

BACKGROUND AND AIMS: The EpiCom study and inception cohort was initiated in 2010 in 31 centers from 14 Western and 8 Eastern European countries, covering a 10.1million person background population. Our aim was to investigate whether there is a difference between Eastern and Western Europe in health care and education of patients with inflammatory bowel disease (IBD). METHODS: A quality of care (QoC) questionnaire was developed in the EpiCom group consisting of 16 questions covering 5 items: time interval between the onset of symptoms and diagnosis, information, education, empathy and access to health care providers. RESULTS: Of 1,515 patients, 947 (217 east/730 west) answered the QoC questionnaire. Only 23% of all patients had knowledge about IBD before diagnosis. In Eastern Europe, significantly more patients searched out information about IBD themselves (77% vs. 68%, p<0.05), the main source was the Internet (92% vs. 88% p=0.23). In Western Europe, significantly more patients were educated by nurses (19% vs. 1%, p<0.05), while in Eastern Europe, gastroenterologists were easier to contact (80% vs. 68%, p<0.05). CONCLUSION: Health care differed significantly between Eastern and Western Europe in all items, but satisfaction rates were high in both geographic regions. Because of the low awareness and the rising incidence of IBD, general information should be the focus of patient organizations and medical societies. In Western Europe IBD nurses play a very important role in reducing the burden of patient management.

• MeSH
• Time Factors MeSH
• Adult MeSH
• Inflammatory Bowel Diseases diagnosis   psychology   therapy   MeSH
• Cohort Studies MeSH
• Quality of Health Care statistics & numerical data   MeSH
• Middle Aged MeSH
• Humans MeSH
• Adolescent MeSH
• Young Adult MeSH
• Surveys and Questionnaires MeSH
• Aged, 80 and over MeSH
• Aged MeSH
• Patient Satisfaction statistics & numerical data   MeSH
• Patient Education as Topic * statistics & numerical data   MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Adolescent MeSH
• Young Adult MeSH
• Male MeSH
• Aged, 80 and over MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Geographicals
• Europe MeSH
• Europe, Eastern MeSH

Úvod: Uzávěry a stenózy tepen periferního systému na dolních končetinách jsou řešeny endovaskulární intervencí, kdy je nejčastěji využíváno perkutánní transluminální angioplastiky (PTA). Jedná se o terapeutickou metodu, která má svá specifika v ošetřovatelské péči po cévní intervenci. Cíl: Cílem výzkumného šetření bylo zhodnotit ošetřovatelskou péči u pacientů po PTA na standardním oddělení. Metodika: Výzkum probíhal ve Vaskulárním centru Vítkovické nemocnice a.s. v období listopad 2011 až únor 2012, výzkumný soubor tvořilo 191 respondentů. Měřícím nástrojem byl nestandardizovaný dotazník, analýza zdravotnické dokumentace, pozorování. Výsledky: Fisherovým exaktním testem nebyla prokázána statistická významnost mezi počtem komplikací po výkonu u pacientů, kteří byli poučeni o režimových opatřeních sestrou na angiosále a u pacientů, kteří poučeni nebyli anebo byli poučeni nedostatečně. Dále na základě testování pomocí totožného testu nebyla prokázána statistická významnost v počtu komplikací po výkonu u pacientů, kteří byli schopni informovat sestru při výskytu potíží a u pacientů, kteří nebyli schopni sestru informovat. Závěr: Z výzkumu vyplynuly statisticky nesignifikantní výsledky. Všeobecně je vznik komplikací po PTA nízký, pohybuje se kolem 1–3 % pacientů. I přes tyto výsledky lze ošetřovatelskou péči po PTA stále zlepšovat.

Introduction: Closures and stenoses of peripheral system arteries in lower limbs are addressed by an endovascular intervention, where the most frequently used method is a percutaneous transluminal angioplasty (PTA). This is a therapeutic method which has some specific features in the nursing care after a vascular intervention. Goal: The goal of the research was to evaluate nursing care for patients after PTA at a standard ward. Methodology: The research was carried out in the Vascular Centre of Vítkovická nemocnice a.s. from November 2011 to February 2012. The research set was composed of 191 respondents. Measuring tools included a non-standard questionnaire, the analysis of health records and observation. Results: The Fisher exact test has not proven the statistical significance between the number of complications after the intervention in patients instructed about regime measures by a nurse at the angioplasty operating room and patients who did not receive any instruction or the instruction was insufficient. On the basis of testing by means of the same test the statistical significance has not been proven in the number of complications after the intervention in patients who were able to inform a nurse about problems and those who were not able to do so. Conclusion: Statistically insignificant results followed from the research. In general, the occurrence of complications after PTA is low; it is about 1–3 % of patients. Despite these results, nursing care after PTA can still be improved.

• Keywords
• endovaskulární intervence,
• MeSH
• Patient Compliance statistics & numerical data   MeSH
• Angioplasty * nursing   adverse effects   MeSH
• Lower Extremity surgery   blood supply   MeSH
• Middle Aged MeSH
• Humans MeSH
• Peripheral Arterial Disease surgery   nursing   MeSH
• Nursing Care * methods   statistics & numerical data   MeSH
• Postoperative Complications * etiology   prevention & control   MeSH
• Postoperative Care * methods   nursing   statistics & numerical data   MeSH
• Surveys and Questionnaires MeSH
• Aged, 80 and over MeSH
• Aged MeSH
• Patient Education as Topic statistics & numerical data   MeSH
• Check Tag
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Aged, 80 and over MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Evaluation Study MeSH

Cieľ: Posúdiť vplyv edukácie u dospelých pacientov spĺňajúcich kritériá metabolického syndrómomu (MS) na zmenu životného štýlu, hodnoty krvného tlaku, vybraných antropometrických a laboratórnych ukazovateľov. Dizajn: Štúdia mala experimentálny charakter. Metodika: Súbor tvorilo 55 pacientov pred edukáciou a 46 pacientov tretí mesiac po edukácii, ktorí spĺňali kritériá MS podľa Medzinárodnej diabetologickej federácie pre európsku populáciu. Životný štýl bol hodnotený modifikovaným štandardizovaným dotazníkom Profil životného štýlu podporujúceho zdravie. Posudzované boli hodnoty krvného tlaku a vybrané antropometrické a laboratórne ukazovatele. Výsledky: U pacientov sa po edukácii štatisticky významne (p ≤ 0,05) zvýšil v strave podiel čerstvého ovocia, čerstvej zeleniny, mliečnych výrobkov, celozrnného pečiva, dusenej zeleniny a štatisticky významne klesol podiel bieleho pečiva, mäsových výrobkov, múčnych jedál a sladkostí. Signifikantné zlepšenie bolo zaznamenané v pohybovej aktivite (p ≤ 0,05). Po edukácii sa štatisticky významne zlepšili hodnoty systolického krvného tlaku (-9,46 mm Hg, p = 0,000), u žien došlo k zlepšeniu obvodu pása (-5,09 cm, p = 0,05), zlepšeniu hladiny lipidov s vysokou molekulovou hmotnosťou (HDL) (p = 0,022) a glykémie (p = 0,048). U mužov sme nezaznamenali signifikantné zmeny. Záver: Výsledky poukazujú na pozitívny vplyv edukácie na adherenciu pacienta k odporúčaniam týkajúcich sa zmien životného štýlu a na zlepšenie vybraných zložiek MS.

Aim: To assess the impact of education in adult patients meeting the criteria for metabolic syndrome (MS) on their lifestyle, blood pressure and selected anthropometric and laboratory indicators. Design: The study had an experimental character. Methods: The study group consisted of 55 patients before the education and 46 patients three months after the education who met the criteria for MS according to the International Diabetes Federation for European population. Their lifestyle was assessed by a modified version of the standardized questionnaire Health-Promoting Lifestyle Profile II. Blood pressure and selected anthropometric and laboratory indicators were also assessed. Results: In patients after education, the amount of fresh fruits, fresh vegetables, dairy products, whole grain products, and steamed vegetables in the diet statistically significantly increased (p ≤ 0.05) and the proportion of white bread, processed meat, starchy foods and sweets significantly decreased. Significant improvement was observed in physical activity (p ≤ 0.05). After the education, systolic blood pressure was significantly improved (-9.46 mm Hg, p = 0.000). In women, waist circumference (-5.09 cm, p = 0.05), levels of high-density lipoproteins cholesterol (p = 0.022) and glucose levels (p = 0.048) were improved, but we did not see significant changes in men. Conclusion: The results show the positive impact of education on patient adherence to recommendations relating to lifestyle changes and improvement of selected components of MS.

• MeSH
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Metabolic Syndrome * diagnosis   prevention & control   therapy   MeSH
• Motor Activity MeSH
• Surveys and Questionnaires MeSH
• Risk Factors MeSH
• Nurse's Role MeSH
• Feeding Behavior MeSH
• Body Weights and Measures statistics & numerical data   MeSH
• Patient Education as Topic * methods   statistics & numerical data   MeSH
• Health Behavior MeSH
• Life Style * MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Female MeSH
• Publication type
• Evaluation Study MeSH