{"id":3406,"date":"2025-02-21T12:02:48","date_gmt":"2025-02-21T12:02:48","guid":{"rendered":"https:\/\/practicalhealthpsychology.com\/?p=3406"},"modified":"2025-11-04T09:10:34","modified_gmt":"2025-11-04T09:10:34","slug":"making-every-health-care-consultation-count-promoting-physical-activity-in-health-care-settings","status":"publish","type":"post","link":"https:\/\/practicalhealthpsychology.com\/cz\/2025\/02\/making-every-health-care-consultation-count-promoting-physical-activity-in-health-care-settings\/","title":{"rendered":"Aby ka\u017ed\u00e1 konzultace ve zdravotnictv\u00ed m\u011bla v\u00fdznam: Podpora pohybov\u00e9 aktivity ve zdravotnick\u00fdch za\u0159\u00edzen\u00edch"},"content":{"rendered":"

Amanda Daley, Loughborough University, Velk\u00e1 Brit\u00e1nie<\/span><\/p>\n

Ve Velk\u00e9 Brit\u00e1nii a Irsku se iniciativa<\/span> Ka\u017ed\u00fd kontakt se po\u010d\u00edt\u00e1<\/span><\/a> sna\u017e\u00ed vyu\u017e\u00edt tis\u00edce konzultac\u00ed, kter\u00e9 ka\u017ed\u00fd den prob\u00edhaj\u00ed mezi zdravotn\u00edky a pacienty, k podpo\u0159e zm\u011bn zdrav\u00e9ho chov\u00e1n\u00ed. Konkr\u00e9tn\u011b se iniciativa <\/span>Ka\u017ed\u00fd kontakt se po\u010d\u00edt\u00e1<\/span><\/a> sna\u017e\u00ed umo\u017enit a povzbudit zdravotnick\u00e9 pracovn\u00edky, aby vyu\u017eili p\u0159irozen\u011b se vyskytuj\u00edc\u00ed p\u0159\u00edle\u017eitosti v b\u011b\u017en\u00e9 praxi a poskytli pacient\u016fm kr\u00e1tk\u00e9 intervence zam\u011b\u0159en\u00e9 na zm\u011bnu zdrav\u00e9ho chov\u00e1n\u00ed. \u00dasp\u011bch p\u0159\u00edstup\u016f, jako je <\/span>Ka\u017ed\u00fd kontakt se po\u010d\u00edt\u00e1 z\u00e1vis\u00ed na<\/span><\/i> ochot\u011b zdravotn\u00edk\u016f v\u00e9st tyto rozhovory p\u0159i ka\u017edodenn\u00edch konzultac\u00edch. Program <\/span>Ka\u017ed\u00fd kontakt se po\u010d\u00edt\u00e1, je<\/span><\/i> ur\u010den v\u0161em a neomezuje se na konkr\u00e9tn\u00ed zdravotnick\u00e9 pracovn\u00edky, zdravotn\u00ed slu\u017eby nebo pacienty.\u00a0 Z t\u011bchto d\u016fvod\u016f m\u016f\u017ee projekt <\/span>Ka\u017ed\u00fd kontakt se po\u010d\u00edt\u00e1<\/span><\/i> sn\u00ed\u017eit nerovnosti v oblasti zdrav\u00ed, proto\u017ee se jedn\u00e1 o inkluzivn\u00ed p\u0159\u00edstup, kdy v\u0161ichni pacienti dostanou tuto podporu v r\u00e1mci konzultac\u00ed.<\/span><\/p>\n

V\u00fdznam podpory osob, kter\u00e9 jsou neaktivn\u00ed, aby se staly fyzicky aktivn\u011bj\u0161\u00edmi, je st\u00e1le v\u00edce uzn\u00e1v\u00e1n jako d\u016fle\u017eit\u00e1 sou\u010d\u00e1st role <\/span>zdravotnick\u00fdch profesion\u00e1l\u016f.<\/span><\/a> Nav\u00edc ka\u017ed\u00fd \u010dtvrt\u00fd \u010dlov\u011bk by byl aktivn\u011bj\u0161\u00ed, pokud by mu to doporu\u010dil zdravotnick\u00fd pracovn\u00edk. Existuj\u00ed tak\u00e9 <\/span>d\u016fkazy<\/span><\/a>, \u017ee kr\u00e1tk\u00e9 (1\u20132 minuty) intervence zam\u011b\u0159en\u00e9 na zm\u011bnu zdravotn\u00edho chov\u00e1n\u00ed v r\u00e1mci konzultac\u00ed mohou b\u00fdt \u00fa\u010dinn\u00e9. Program \u201eKa\u017ed\u00fd kontakt se po\u010d\u00edt\u00e1\u201c je d\u016fle\u017eit\u00fd, proto\u017ee lid\u00e9, kte\u0159\u00ed pravideln\u011b vyu\u017e\u00edvaj\u00ed zdravotnick\u00e9 slu\u017eby a komunikuj\u00ed se zdravotn\u00edky, maj\u00ed nebo jsou ohro\u017eeni neinfek\u010dn\u00edmi nemocemi a \u010dast\u011bji b\u00fdvaj\u00ed <\/span>neaktivn\u00ed.<\/span><\/a><\/p>\n

A\u010dkoliv <\/span>doporu\u010den\u00ed<\/span><\/a> stanovuje, \u017ee dosp\u011bl\u00ed by m\u011bli t\u00fddn\u011b vykon\u00e1vat alespo\u0148 150 minut fyzick\u00e9 aktivity st\u0159edn\u00ed intenzity nebo 75 minut aktivity vysok\u00e9 intenzity, p\u0159\u00edpadn\u011b kombinaci obou, nyn\u00ed tak\u00e9 uzn\u00e1v\u00e1 p\u0159\u00ednos \u00fa\u010dasti na kr\u00e1tk\u00fdch intervalech fyzick\u00e9 aktivity pro zdrav\u00ed. Ve skute\u010dnosti <\/span>doporu\u010den\u00ed<\/span><\/a> uv\u00e1d\u00ed, \u017ee jak\u00e9koliv mno\u017estv\u00ed fyzick\u00e9 aktivity je pro zdrav\u00ed d\u016fle\u017eit\u00e9 a je lep\u0161\u00ed n\u011bco ne\u017e nic. Pravideln\u00e9 p\u0159ed\u00e1v\u00e1n\u00ed t\u011bchto jednoduch\u00fdch, ale d\u016fle\u017eit\u00fdch sd\u011blen\u00ed pacient\u016fm b\u011bhem konzultac\u00ed by mohlo v\u00fdrazn\u011b ovlivnit zdravotn\u00ed stav populace po cel\u00e9m <\/span>sv\u011bt\u011b<\/span><\/a>.<\/span><\/p>\n

P\u0159\u00edkladem<\/span><\/a> implementace programu \u201eKa\u017ed\u00fd kontakt se po\u010d\u00edt\u00e1\u201c ve Velk\u00e9 Brit\u00e1ii je v\u00fdzkumn\u00fd program Snacktivity\u2122. <\/span>Snacktivity\u2122<\/span><\/a> povzbuzuje ve\u0159ejnost k \u00fa\u010dasti na kr\u00e1tk\u00fdch, ale \u010dast\u00fdch \u201esva\u010dinov\u00fdch\u201c intervalech fyzick\u00e9 aktivity st\u0159edn\u00ed a\u017e vysok\u00e9 intenzity a aktivit zam\u011b\u0159en\u00fdch na pos\u00edlen\u00ed sval\u016f b\u011bhem cel\u00e9ho dne\/t\u00fddne. \u201eSnacktivity\u201c obvykle trv\u00e1 2\u20135 minut. Snacktivity\u2122 sv\u00fdm zam\u011b\u0159en\u00edm p\u0159irozen\u011b podporuje p\u0159eru\u0161ov\u00e1n\u00ed dlouh\u00e9ho \u010dasu str\u00e1ven\u00e9ho sezen\u00edm b\u011bhem dne prost\u0159ednictv\u00edm pravideln\u00fdch pohybov\u00fdch sva\u010din. P\u0159\u00edklady Snacktivity zahrnuj\u00ed svi\u017en\u00e9 proch\u00e1zky p\u0159i konverzaci, pou\u017eit\u00ed schod\u016f m\u00edsto v\u00fdtahu, extra svi\u017enou proch\u00e1zku se psem, zved\u00e1n\u00ed na \u0161pi\u010dky p\u0159i \u010di\u0161t\u011bn\u00ed zub\u016f nebo d\u0159epy p\u0159i \u010dek\u00e1n\u00ed, a\u017e se uva\u0159\u00ed voda v konvici. Snacktivity\u2122 byl vyvinut jako jednoduch\u00e9 poselstv\u00ed, kter\u00e9 mohou zdravotni\u010dt\u00ed profesion\u00e1lov\u00e9 \u0161\u00ed\u0159it mezi pacienty b\u011bhem konzultac\u00ed v <\/span>r\u016fzn\u00fdch zdravotn\u00edch kontextech<\/span><\/a>. C\u00edlem Snacktivity\u2122 je propagovat fyzickou aktivitu ve form\u00e1tu, kter\u00fd je pro ve\u0159ejnost nov\u00e1torsk\u00fd a motivuj\u00edc\u00ed, bez ohledu na jejich fyzick\u00e9 schopnosti, z\u00e1zem\u00ed a bez pot\u0159eby vybaven\u00ed. Potenci\u00e1ln\u00ed pohodl\u00ed za\u0159azen\u00ed Snacktivity\u2122 prost\u0159ednictv\u00edm b\u011b\u017en\u00fdch ka\u017edodenn\u00edch aktivit \u010din\u00ed tento p\u0159\u00edstup dostupn\u00fdm t\u00e9m\u011b\u0159 pro ka\u017ed\u00e9ho. Praktici, zdravotn\u00ed sestry, zuba\u0159i, fyzioterapeuti, ergoterapeuti a podiat\u0159i byli pro\u0161koleni k propagaci Snacktivity\u2122 b\u011bhem konzultac\u00ed a uvedli, \u017ee tento p\u0159\u00edstup m\u016f\u017ee <\/span>fungovat<\/span><\/a>, pokud je p\u0159i pl\u00e1nov\u00e1n\u00ed sch\u016fzek zohledn\u011bna ur\u010dit\u00e1 flexibilita.<\/span><\/p>\n

Samoz\u0159ejm\u011b v\u0161ak mohou existovat <\/span>p\u0159ek\u00e1\u017eky<\/span><\/a> p\u0159i zav\u00e1d\u011bn\u00ed programu \u201eKa\u017ed\u00fd kontakt se po\u010d\u00edt\u00e1\u201c, v\u010detn\u011b nedostate\u010dn\u00e9ho <\/span>\u010dasu<\/span><\/a> na konzultaci k veden\u00ed takov\u00fdch rozhovor\u016f s pacienty. V\u00edme, \u017ee zdravotni\u010dt\u00ed profesion\u00e1lov\u00e9 mohou b\u00fdt zdr\u00e1hav\u00ed otev\u00edrat t\u00e9mata spojen\u00e1 s preventivn\u00ed medic\u00ednou b\u011bhem konzultac\u00ed, a to bu\u010f z obavy, \u017ee nebudou v\u011bd\u011bt, jak nejl\u00e9pe podpo\u0159it pacienty, nebo z obavy, \u017ee pacienty <\/span>uraz\u00ed.<\/span><\/a> Pro zaji\u0161t\u011bn\u00ed integrity vztah\u016f s pacienty je velmi d\u016fle\u017eit\u00e9 zajistit, aby zdravotni\u010dt\u00ed pracovn\u00edci m\u011bli dovednosti a <\/span>sebed\u016fv\u011bru<\/span><\/a> k veden\u00ed takov\u00fdch rozhovor\u016f s pacienty. Propagace fyzick\u00e9 aktivity u pacient\u016f, kte\u0159\u00ed p\u0159ich\u00e1zej\u00ed z d\u016fvod\u016f nesouvisej\u00edc\u00edch se zdravotn\u00edm chov\u00e1n\u00edm, m\u016f\u017ee p\u016fsobit pon\u011bkud nevhodn\u011b nebo nepat\u0159i\u010dn\u011b. Nap\u0159\u00edklad zuba\u0159 by obvykle s pacienty neprob\u00edral fyzickou aktivitu, proto\u017ee nesouvis\u00ed se zdrav\u00edm \u00fastn\u00ed dutiny, i kdy\u017e v programu Snacktivity\u2122 k tomu <\/span>doch\u00e1z\u00ed<\/span><\/a>. P\u0159esto je d\u016fle\u017eit\u00e9 uznat, \u017ee zdravotni\u010dt\u00ed profesion\u00e1lov\u00e9 pot\u0159ebuj\u00ed c\u00edtit jistotu p\u0159i poskytov\u00e1n\u00ed t\u011bchto kr\u00e1tk\u00fdch intervenc\u00ed pacient\u016fm, co\u017e lze dos\u00e1hnout prost\u0159ednictv\u00edm \u0161kolen\u00ed a praxe.<\/span><\/p>\n

Zde je p\u011bt n\u00e1vrh\u016f, kter\u00e9 je t\u0159eba zv\u00e1\u017eit p\u0159i implementaci programu \u201eKa\u017ed\u00fd kontakt se po\u010d\u00edt\u00e1\u201c, jako je Snacktivity\u2122, zdravotnick\u00fdmi profesion\u00e1ly:<\/span><\/p>\n

Praktick\u00e1 doporu\u010den\u00ed<\/b><\/p>\n

    \n
  1. Zamyslete se, zda se b\u011bhem va\u0161ich konzultac\u00ed vyskytuj\u00ed chv\u00edle, kdy lze otev\u0159\u00edt t\u00e9ma zm\u011bny \u017eivotn\u00edho stylu. Nap\u0159\u00edklad vyu\u017eijte p\u0159\u00edle\u017eitost zeptat se pacient\u016f, kolik fyzick\u00e9 aktivity b\u011bhem t\u00fddne vykon\u00e1vaj\u00ed, a zda by mohli do sv\u00e9ho dne za\u0159adit Snacktivity\u2122.<\/span><\/li>\n
  2. Prozkoumejte, zda existuj\u00ed lok\u00e1ln\u00ed p\u0159\u00edle\u017eitosti, kde m\u016f\u017eete pacient\u016fm doporu\u010dit dal\u0161\u00ed podporu a zdroje pro zv\u00fd\u0161en\u00ed fyzick\u00e9 aktivity v jejich komunit\u00e1ch.<\/span><\/li>\n
  3. Hledejte p\u0159\u00edle\u017eitosti ke \u0161kolen\u00ed ve va\u0161\u00ed zemi nebo online, kter\u00e9 v\u00e1m pomohou rozvinout dovednosti v poskytov\u00e1n\u00ed efektivn\u00edch intervenc\u00ed o zm\u011bn\u011b zdravotn\u00edho chov\u00e1n\u00ed va\u0161im pacient\u016fm. Zde jsou dva p\u0159\u00edklady z Velk\u00e9 Brit\u00e1nie, kter\u00e9 by mohly b\u00fdt u\u017eite\u010dn\u00e9: <\/span>Ka\u017ed\u00fd kontakt se po\u010d\u00edt\u00e1 (MECC<\/span><\/a>) a <\/span>Active Conversations<\/span><\/a>.<\/span><\/li>\n
  4. Pokud m\u00e1te zku\u0161enosti s propagov\u00e1n\u00edm fyzick\u00e9 aktivity b\u011bhem konzultac\u00ed s pacienty, m\u016f\u017eete pomoci podpo\u0159it kolegy, kte\u0159\u00ed se v tomto ohledu c\u00edt\u00ed m\u00e9n\u011b sebev\u011bdom\u00ed.<\/span><\/li>\n
  5. M\u016f\u017eete se st\u00e1t ambasadorem na sv\u00e9m pracovi\u0161ti, abyste podpo\u0159ili iniciativu Ka\u017ed\u00fd kontakt se po\u010d\u00edt\u00e1.\u00a0 Pokud jste vedouc\u00edm pracovn\u00edkem nebo mana\u017eerem v oblasti zdravotnictv\u00ed, mohli byste prozkoumat sv\u00e9 zdravotn\u00ed slu\u017eby a zjistit, jak by mohly b\u00fdt integrov\u00e1ny.<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    By Amanda Daley, Loughborough University, UK In the United Kingdom and Ireland, the Making Every Contact Count initiative aims to use the thousands of consultations that take place every day between health professionals and patients, to promote healthy behavioural changes.\u00a0 […]<\/p>\n","protected":false},"author":9,"featured_media":3407,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[28,13,59],"tags":[],"class_list":["post-3406","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-communication","category-interventions","category-physical-activity"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"cz","enabled_languages":["en","id","my","bg","zh","hr","cz","da","de","es","fr","gr","he","it","ja","kr","lv","lt","hu","nl","no","pl","pt","ro","ru","sk","fi","sv","tr","uk"],"languages":{"en":{"title":true,"content":true,"excerpt":false},"id":{"title":true,"content":true,"excerpt":false},"my":{"title":true,"content":true,"excerpt":false},"bg":{"title":true,"content":true,"excerpt":false},"zh":{"title":true,"content":true,"excerpt":false},"hr":{"title":false,"content":false,"excerpt":false},"cz":{"title":true,"content":true,"excerpt":false},"da":{"title":false,"content":false,"excerpt":false},"de":{"title":true,"content":true,"excerpt":false},"es":{"title":false,"content":false,"excerpt":false},"fr":{"title":true,"content":true,"excerpt":false},"gr":{"title":false,"content":false,"excerpt":false},"he":{"title":true,"content":true,"excerpt":false},"it":{"title":true,"content":true,"excerpt":false},"ja":{"title":true,"content":true,"excerpt":false},"kr":{"title":true,"content":true,"excerpt":false},"lv":{"title":true,"content":true,"excerpt":false},"lt":{"title":false,"content":false,"excerpt":false},"hu":{"title":false,"content":false,"excerpt":false},"nl":{"title":true,"content":true,"excerpt":false},"no":{"title":false,"content":false,"excerpt":false},"pl":{"title":true,"content":true,"excerpt":false},"pt":{"title":false,"content":false,"excerpt":false},"ro":{"title":false,"content":false,"excerpt":false},"ru":{"title":true,"content":true,"excerpt":false},"sk":{"title":true,"content":true,"excerpt":false},"fi":{"title":true,"content":true,"excerpt":false},"sv":{"title":false,"content":false,"excerpt":false},"tr":{"title":true,"content":true,"excerpt":false},"uk":{"title":true,"content":true,"excerpt":false}}},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/posts\/3406","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/comments?post=3406"}],"version-history":[{"count":35,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/posts\/3406\/revisions"}],"predecessor-version":[{"id":4535,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/posts\/3406\/revisions\/4535"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/media\/3407"}],"wp:attachment":[{"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/media?parent=3406"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/categories?post=3406"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/tags?post=3406"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}