Popis: |
This diploma thesis is focused on cardiac fitness and rehabilitation centres. The reason why I have made this choice for my thesis was the fact that despite all recommendations of professional associations dealing with cardiovascular disease issues, adherence to secondary prevention and treatment regimen measures is absolutely poor also in patients who had been given superior and costly care during their acute medical condition. Adherence to secondary prevention guidelines includes treatment regimens and measures to reduce risk factors. Theoretical part of the thesis lists risk factors highly involved in coronary diseases. An integral part in maintaining good physical condition of cardiac clients is residential spa treatment and following care in cardiac fitness and rehabilitation canters. Involvement of nurses in care for patients with coronary diseases would be just in the area of secondary care and regimen measure adherence. Use of their competencies and joining non-medical facilities addressing this issue could improve the gaps in secondary prevention. The goal of this thesis was to map out the patient requirements for cardiac fitness and rehabilitation centers within secondary prevention. To determine the difference in secondary prevention effectiveness between clients visiting cardio clubs and clients living in location without any cardio club. Another goal was to research the connectivity of cardiac clients in the follow-up care after their discharge from ward departments and possibilities of cardio clubs and in cardio club management, to find out the possibility to involve a nurse in cardiac client care. Qualitative research with semi-structured interviews and quantitative research relied on a questionnaire have been used in this study. Research group consisted of healthcare professionals and cardiac patients. Goals of the thesis have been met, research questions answered and hypotheses confirmed. The results can be served as a base for establishment of other cardiac fitness and rehabilitation centers and involvement of nurses. Output of this thesis is an encouragement for general nurses and can be used in risk factors of coronary diseases. |