{"id":1371,"date":"2019-09-07T08:13:33","date_gmt":"2019-09-07T08:13:33","guid":{"rendered":"http:\/\/practicalhealthpsychology.com\/?p=1371"},"modified":"2025-12-01T08:37:13","modified_gmt":"2025-12-01T08:37:13","slug":"raising-weight-in-a-consultation","status":"publish","type":"post","link":"https:\/\/practicalhealthpsychology.com\/lt\/2019\/09\/raising-weight-in-a-consultation\/","title":{"rendered":"Svorio tema konsultacijose"},"content":{"rendered":"<p><strong>By Jane Ogden, University of Surrey, UK<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Konsultacijoje apie svor\u012f n\u0117ra lengva kalb\u0117ti. Kai kuriems pacientams jau atsibodo kiekvien\u0105 kart\u0105 apsilankius klinikoje gird\u0117ti \u201ejums reik\u0117t\u0173 numesti svorio\u201c: nepriklausomai nuo to, ar jie at\u0117jo d\u0117l gerkl\u0117s skausmo, gimdos kaklelio tepin\u0117lio ar galimos \u0161irdies problemos. Gali b\u016bti, kad vis\u0105 gyvenim\u0105 jie jaut\u0117si medik\u0173 stigmatizuojami, ir galvojo, kad\u00a0 <\/span><a href=\"https:\/\/www.routledge.com\/The-Psychology-of-Dieting\/Ogden\/p\/book\/9781138501256\"><span style=\"font-weight: 400;\">viskas, k\u0105 kiti juose mato, yra tik j\u0173 k\u016bno svoris<\/span><\/a><span style=\"font-weight: 400;\">. Nors taip jau\u010diasi kai kurie asmenys, kiti,\u00a0 galb\u016bt, niekada nelaik\u0117 savo svorio problema, tod\u0117l d\u0117l toki\u0173 u\u017euomin\u0173 gali jaustis nusteb\u0119 ir \u012f\u017eeisti. Kai kurie \u017emon\u0117s tiesiog nenori gird\u0117ti tokios \u017einut\u0117s ir blokuoja bet kokius \u017eod\u017eius, galvodami, pavyzd\u017eiui \u201ek\u0105 j\u016bs \u017einote &#8211; esate plonas \/ storas \/ per jaunas \/ per senas\u201c arba \u201emokslas visada klysta\u201c. Tod\u0117l, kalbant apie svor\u012f, reikia\u00a0 labai atid\u017eiai rinktis \u201ekada\u201c, \u201ekaip\u201c ir \u201ek\u0105\u201c sakyti antsvorio turin\u010diam \u017emogui.\u00a0<\/span><\/p>\n<p><!--more--><\/p>\n<p><b>Kada \u2026<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u017dmon\u0117s did\u017ei\u0105j\u0105 savo gyvenimo dal\u012f praleid\u017eia\u00a0 u\u017esikim\u0161\u0119 ausis ir turi nuostab\u0173 geb\u0117jim\u0105 negird\u0117ti, kas jiems sakoma. Pirmoji gudryb\u0117 kaip pad\u0117ti i\u0161girsti \u017einut\u0119 yra tinkamo laiko pasirinkimas, o kalbas apie svor\u012f \u2013 geriausiai prijungti prie \u201e<\/span><a href=\"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1363459308094417\"><span style=\"font-weight: 400;\">mokymo momento<\/span><\/a><span style=\"font-weight: 400;\">\u201c.<\/span><span style=\"font-weight: 400;\"> Tai gali b\u016bti nauji simptomai, pvz. dusulys ar s\u0105nari\u0173 skausmas; tam tikros b\u016bkl\u0117s, pvz., diabeto ar padid\u0117jusio kraujosp\u016bd\u017eio diagnoz\u0117; pamin\u0117jimas ka\u017ekokio gyvenimo \u012fvykio, pavyzd\u017eiui, art\u0117jan\u010dio \u201esvarbaus am\u017eiaus\u201c arba i\u0161\u0117jimo \u012f pensij\u0105; arba tam tikras gyvenimo aspektas, kuris tapo sud\u0117tingas, pvz., lipimas laiptais, vaik\u0173 ne\u0161iojimas ar bat\u0173 u\u017esiri\u0161imas. Tokie <\/span><a href=\"http:\/\/epubs.surrey.ac.uk\/811155\/13\/teachmomentMarks.pdf\"><span style=\"font-weight: 400;\">mokymo momentai<\/span><\/a><span style=\"font-weight: 400;\"> gali paskatinti \u017emones \u201eatsidengti ausis\u201c, tod\u0117l, kai pacientas pasi\u016blo mokom\u0105j\u012f moment\u0105, griebkite j\u012f ir i\u0161kelkite svorio klausim\u0105.<\/span><\/p>\n<p><b>Kaip \u2026<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Ta\u010diau kita dalis n\u0117ra lengva! Ar galima sakyti \u201estoras\u201c, \u201esvoris\u201c, \u201eantsvoris\u201c ar net \u201enutukimas\u201c? Ar der\u0117t\u0173 b\u016bti sant\u016bresniais ir paklausti \u201ear galime pasikalb\u0117ti apie j\u016bs\u0173 svor\u012f?\u201c O gal tur\u0117tum\u0117te b\u016bti atviresniais, nurodydami \u201ej\u016bs turite numesti svorio\u201c. <\/span><span style=\"font-weight: 400;\">Bendro sutarimo dar n\u0117ra<\/span><span style=\"font-weight: 400;\">,<\/span><span style=\"font-weight: 400;\"> ta\u010diau a\u0161 perskai\u010diau tokius argumentus\u00a0 \u201e<\/span><a href=\"https:\/\/www.routledge.com\/The-Psychology-of-Dieting\/Ogden\/p\/book\/9781138501256\"><span style=\"font-weight: 400;\">Dietos Psichologijoje<\/span><\/a><span style=\"font-weight: 400;\">\u201c<\/span><span style=\"font-weight: 400;\"> : sveikatos prie\u017ei\u016bros specialistai \u0161ioje temoje da\u017enai yra labiau i\u0161sigand\u0119 nei pacientai.\u00a0 Sveikatos prie\u017ei\u016bros specialistai \u0161\u012f klausim\u0105 tur\u0117t\u0173 i\u0161kelti net jei jie ir nor\u0117t\u0173 jo i\u0161vengti. \u017dodis \u201enutukimas\u201c gali sukelti \u0161ok\u0105, ta\u010diau \u0161iek tiek \u0161oko (ne per daug) gali b\u016bti naudinga. Kiekvienas pacientas yra kitoks; kiekvienas sveikatos prie\u017ei\u016bros specialistas yra kitoks; ir kiekviena konsultacija yra dinamika tarp dviej\u0173 skirting\u0173 \u017emoni\u0173. Tod\u0117l gal\u0173 gale, viskas atsiremia \u012f tinkamo laiko pasirinkim\u0105 ir j\u016bs\u0173 po\u017ei\u016brio suderinim\u0105 su tuo, kas, j\u016bs\u0173 manymu, geriausiai tikt\u0173 \u0161iam konkre\u010diam pacientui. Kol tai k\u0105 j\u016bs sakote pasakyta \u0161iltai ir su empatija, viskas tur\u0117t\u0173 b\u016bti gerai.\u00a0 <\/span><a href=\"http:\/\/www.nationalobesityforum.org.uk\/images\/stories\/PDF_training_resource\/in-depth-raising-the-issue.pdf\"><span style=\"font-weight: 400;\">Pavyzd\u017eiui<\/span><\/a><span style=\"font-weight: 400;\">, \u201ear \u017einote, kad antsvoris gali padidinti kraujo spaudim\u0105\u201c, gali b\u016bti naudingas metodas, nes jis susieja svor\u012f su konkre\u010dia sveikatos problema. Arba pasakymas \u201esvorio ma\u017einimas gali pagelb\u0117ti su j\u016bs\u0173 nugaros problema\u201c gali b\u016bti tinkama prad\u017eia, nes svorio ma\u017einim\u0105 paver\u010dia kitos problemos sprendimu. \u00a0 Kai jau pokalbis prad\u0117tas, atid\u017eiai i\u0161klausykite tolesn\u0119 informacij\u0105 ir <\/span><span style=\"font-weight: 400;\">pagal tai koreguokite savo atsakymus<\/span><span style=\"font-weight: 400;\">. Tai pad\u0117s<\/span><span style=\"font-weight: 400;\"> kurti tvarius santykius, jiems gr\u012f\u017eus ateityje galima toliau t\u0119sti diskusij\u0105.\u00a0 Daugiau apie tai apra\u0161yta <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3776723\/\"><span style=\"font-weight: 400;\">tyrime<\/span><\/a><span style=\"font-weight: 400;\"> apie \u201e<\/span><a href=\"http:\/\/www.healthystartworkforce.auckland.ac.nz\/en\/our-education-programmes\/healthyconversations.html\"><span style=\"font-weight: 400;\">sveikus pokalbius<\/span><\/a><span style=\"font-weight: 400;\">\u201c<\/span><span style=\"font-weight: 400;\"> ir \u201e<\/span><a href=\"https:\/\/www.makingeverycontactcount.co.uk\/\"><span style=\"font-weight: 400;\">Kiekvienas kontaktas svarbus<\/span><\/a><span style=\"font-weight: 400;\">\u201c<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><b>K\u0105\u2026<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Bet kas po to? Kas vyksta po pirm\u0173j\u0173 sakini\u0173 parodo kaip s\u0117kmingai pacientas ma\u017eins svor\u012f. Kiti \u017eingsniai tur\u0117t\u0173 pad\u0117ti pacientui suvokti <\/span><a href=\"http:\/\/epubs.surrey.ac.uk\/732545\/1\/Ogden%202008%20How%20consistent%20are%20beliefs%20about%20cause%20%20jubbpap.pdf\"><span style=\"font-weight: 400;\">kad j\u0173 svoris yra problema<\/span><\/a><span style=\"font-weight: 400;\">; pad\u0117ti jiems patik\u0117ti, kad <\/span><span style=\"font-weight: 400;\">svoris susij\u0119s su tuo k\u0105 jie daro<\/span><span style=\"font-weight: 400;\"> (t.y. elgesys, o ne genetika, hormonai, vaistai ar vald\u017eia \u2013 kokiomis tiesiomis jie betik\u0117t\u0173 ar begalvot\u0173); \u012fgalinkite asmen\u012f pakeisti tai k\u0105 jie daro; pasistenkite, kad jie jus pakankamai pam\u0117gt\u0173, kad prad\u0117t\u0173 pasitik\u0117ti ir nor\u0117t\u0173 sugr\u012f\u017eti; ir galiausiai, pad\u0117kite jiems pajusti, kad yra pasiruo\u0161\u0119 keistis.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Svorio metimas yra ilgalaikis \u017eaidimas. Yra teisinga kelti svorio klausim\u0105,\u00a0 ta\u010diau tai tur\u0117t\u0173 b\u016bti padaryta galvojant apie \u201ekada\u201c, \u201ekaip\u201c ir \u201ek\u0105\u201c, kad b\u016bt\u0173 u\u017etikrintas ilgas \u017eaidimas, o ne pasibaigiantis, kol net neprasid\u0117jo.<\/span><\/p>\n<p><b>Praktin\u0117s rekomendacijos<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Kada, kaip ir k\u0105 sakyti yra labai svarbu.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Atsakingai pasirinkite laik\u0105 \u2013 pasistenkite prabilti apie svorio ma\u017einim\u0105 \u201emokymo momentu\u201c.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Savo \u017eod\u017eius pritaikykite pagal paciento kalb\u0105 ir nebijokite kelti svorio klausim\u0105.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Paskatinkite pacientus pamatyti koki\u0105 rol\u0119 svorio problemoje vaidina j\u0173 pa\u010di\u0173 elgesys \u2013 ta\u010diau tai darykite su u\u017euojauta ir be kaltinim\u0173.\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span style=\"font-weight: 400;\">Translated by Antanas Go\u0161tautas<\/span><\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Jane Ogden, University of Surrey, UK Weight is a tricky problem to talk about in a consultation. Some patients may be sick of hearing the words \u2018You could lose some weight\u2019 every time they visit the clinic: regardless of [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1374,"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],"tags":[],"class_list":["post-1371","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-communication"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"lt","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":false,"content":false,"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":true,"content":true,"excerpt":false},"de":{"title":true,"content":true,"excerpt":false},"es":{"title":true,"content":true,"excerpt":false},"fr":{"title":true,"content":true,"excerpt":false},"gr":{"title":true,"content":true,"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":true,"content":true,"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":true,"content":true,"excerpt":false},"ro":{"title":true,"content":true,"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":true,"content":true,"excerpt":false},"tr":{"title":true,"content":true,"excerpt":false},"uk":{"title":true,"content":true,"excerpt":false}}},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/practicalhealthpsychology.com\/lt\/wp-json\/wp\/v2\/posts\/1371","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/practicalhealthpsychology.com\/lt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/practicalhealthpsychology.com\/lt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/lt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/lt\/wp-json\/wp\/v2\/comments?post=1371"}],"version-history":[{"count":42,"href":"https:\/\/practicalhealthpsychology.com\/lt\/wp-json\/wp\/v2\/posts\/1371\/revisions"}],"predecessor-version":[{"id":4668,"href":"https:\/\/practicalhealthpsychology.com\/lt\/wp-json\/wp\/v2\/posts\/1371\/revisions\/4668"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/lt\/wp-json\/wp\/v2\/media\/1374"}],"wp:attachment":[{"href":"https:\/\/practicalhealthpsychology.com\/lt\/wp-json\/wp\/v2\/media?parent=1371"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/lt\/wp-json\/wp\/v2\/categories?post=1371"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/lt\/wp-json\/wp\/v2\/tags?post=1371"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}