Obesity at immobile patients - the factor affecting the quality of nursing care

The prevalence of obesity is increasing in an alarming rate not only in developed countries, but in developing countries in the last time, too. The high prevalence of obesity in some of the developing countries is connected with the economic development which currently reached the acceptance of western lifestyle including eating habits and automobilization. Obesity has nowadays became a serious problem in countries, where had hardly occurred before that time. In the beginning of the theoretical part of this work are medical pieces of knowledge about obesity, their complications, treatment and prevention. There are introduced different ways of treatment as the dietary treatment of obesity is, cognitively behavioural treatment of obesity, locomotive activity in a therapy of obesity of the immobile patient, pharmacotherapeutical treatment of obesity and surgical treatment of obesity. The influence has there a suitable education to a healthy way of living. In the second theoretical part of this work the role of nurse in the care about obese immobile patient is included, syndrome of immobile and psychosocial and spiritual needs of the immobile patient. Indeed, there should not be omitted the importance of rehabilitation of immobile patient in this chapter. To the quantitative research I used the questionnaire method on the base of the specific choice, which was created by questions and focused on nurses, who are taking care of immobile patients which are hospitalised in hospitals on the after-treatment care and medical institution for the long - term lying in the Czech Budweis and at the internal and surgical ward in Prachatice. The aim of this work was to find out how obesity influences the quality of provided nursing care in the area of hygiene and prevention of decubitus by immobile patients hospitalised in at the after-treatment care in the Czech Budweis hospital. From the given hypothesis it was confirmed the first one. In the hospital in the Czech Budweis at the after-treatment care are hospitalised immobile patients with BMI 30 and higher. The hypothesis number two was not confirmed. Obesity by immobile patients hospitalised at the after-treatment care did not influence the quality of provided nursing care negatively. The results show that the nursing staff provides quality comparable nursing care by immobile patients as well as immobile patients without overweight