{"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\/lv\/2025\/02\/making-every-health-care-consultation-count-promoting-physical-activity-in-health-care-settings\/","title":{"rendered":"Izmanto katru vesel\u012bbas apr\u016bpes konsult\u0101cijas iesp\u0113ju! Fizisko aktivit\u0101\u0161u veicin\u0101\u0161ana vesel\u012bbas apr\u016bpes iest\u0101d\u0113s"},"content":{"rendered":"

Amanda Deilija (Amanda Daley<\/em>), Lafboro Universit\u0101te, Apvienot\u0101 Karaliste<\/p>\n

Apvienotaj\u0101 Karalist\u0113 un \u012arij\u0101 ieviest\u0101s iniciat\u012bvas \u201cIzmanto katru iesp\u0113ju\u201d (\u201cMaking Every Contact Count<\/a><\/em>\u201d) nol\u016bks ir likt liet\u0101 daudz\u0101s konsult\u0101cijas, kuras vesel\u012bbas apr\u016bpes speci\u0101listi sniedz saviem pacientiem katru dienu, k\u0101 izdev\u012bbu mudin\u0101t pacientus piev\u0113rsties ar\u012b vesel\u012bgiem uzved\u012bbas paradumiem. Konkr\u0113t\u0101k, iniciat\u012bvas \u201cIzmanto katru iesp\u0113ju<\/a>\u201d m\u0113r\u0137is ir motiv\u0113t un iedro\u0161in\u0101t vesel\u012bbas apr\u016bpes speci\u0101listus izmantot ikdienas praks\u0113 dabiski past\u0101vo\u0161\u0101s izdev\u012bbas sniegt \u012bsas uzved\u012bbas p\u0101rmai\u0146u intervences. T\u0101du iniciat\u012bvu k\u0101 \u201cIzmanto katru iesp\u0113ju\u201d pan\u0101kumi ir atkar\u012bgi no t\u0101, vai vesel\u012bbas apr\u016bpes speci\u0101listi sp\u0113j \u0161\u0101das sarunas iek\u013caut sav\u0101s ikdienas konsult\u0101cij\u0101s. Iniciat\u012bva \u201cIzmanto katru iesp\u0113ju\u201d ir paredz\u0113ta visiem, un t\u0101 neattiecas tikai uz konkr\u0113tiem vesel\u012bbas apr\u016bpes speci\u0101listiem, vesel\u012bbas apr\u016bpes pakalpojumiem vai pacientiem. \u0160o iemeslu d\u0113\u013c iniciat\u012bva \u201cIzmanto katru iesp\u0113ju\u201d var mazin\u0101t nevienl\u012bdz\u012bbu vesel\u012bbas apr\u016bpes jom\u0101, jo ar t\u0101s pal\u012bdz\u012bbu tiek \u012bstenota iek\u013caujo\u0161a pieeja: jebkur\u0161 pacients var sa\u0146emt nepiecie\u0161amo atbalstu konsult\u0101cijas laik\u0101.<\/p>\n

Arvien vair\u0101k tiek atz\u012bts, ka atbalsta snieg\u0161ana mazakt\u012bviem cilv\u0113kiem, lai vi\u0146i k\u013c\u016btu fiziski akt\u012bv\u0101ki, ir b\u016btiska vesel\u012bbas apr\u016bpes speci\u0101listu lomas sast\u0101vda\u013ca. Ir konstat\u0113ts, ka viens no \u010detriem cilv\u0113kiem var\u0113tu k\u013c\u016bt akt\u012bv\u0101ks, ja sa\u0146emtu atbilsto\u0161us ieteikumus no vesel\u012bbas apr\u016bpes speci\u0101lista<\/a>. Ir ar\u012b pier\u0101d\u012bjumi<\/a>, ka \u012bsas (1\u20132 min\u016b\u0161u) vesel\u012bbas uzved\u012bbas intervences konsult\u0101ciju laik\u0101 var b\u016bt efekt\u012bvas. Iniciat\u012bvas \u201cIzmanto katru iesp\u0113ju\u201d ir svar\u012bga t\u0101d\u0113\u013c, ka cilv\u0113ki, kuri regul\u0101ri izmanto vesel\u012bbas apr\u016bpes pakalpojumus un kontakt\u0113jas ar vesel\u012bbas apr\u016bpes speci\u0101listiem, nereti cie\u0161 no neinfekcijas slim\u012bb\u0101m vai ir pak\u013cauti to riskam, un ir liel\u0101ka iesp\u0113ja, ka \u0161ie cilv\u0113ki ir mazakt\u012bvi<\/a>.<\/p>\n

Lai gan vesel\u012bbas vadl\u012bnij\u0101s<\/a> noteikts, ka pieaugu\u0161ajiem b\u016btu j\u0101velta vismaz 150 min\u016btes vid\u0113ji intens\u012bv\u0101m fizisk\u0101m aktivit\u0101t\u0113m vai vismaz 75 min\u016btes intens\u012bv\u0101m fizisk\u0101m aktivit\u0101t\u0113m, vai tam l\u012bdzv\u0113rt\u012bga apjoma vid\u0113ji intens\u012bvu un intens\u012bvu fizisko aktivit\u0101\u0161u kombin\u0101cijai ned\u0113\u013c\u0101, tagad tiek atz\u012bts ar\u012b tas, ka pat \u012bsas fizisko aktivit\u0101\u0161u epizodes var dot noz\u012bm\u012bgu ieguld\u012bjumu vesel\u012bbas uzlabo\u0161an\u0101. Paties\u012bb\u0101 vadl\u012bnijas<\/a> pau\u017e, ka jebkur\u0161 fizisko aktivit\u0101\u0161u daudzums ir svar\u012bgs vesel\u012bbai un ka jebk\u0101da aktivit\u0101te ir lab\u0101ka nek\u0101 nek\u0101da. Regul\u0101ra \u0161o vienk\u0101r\u0161o, bet b\u016btisko v\u0113st\u012bjumu nodo\u0161ana pacientiem konsult\u0101ciju laik\u0101 var iev\u0113rojami uzlabot sabiedr\u012bbas vesel\u012bbu vis\u0101 pasaul\u0113<\/a>.<\/p>\n

Piem\u0113rs<\/a> tam, k\u0101 Apvienotaj\u0101 Karalist\u0113 tiek \u012bstenota iniciat\u012bva \u201cIzmanto katru iesp\u0113ju\u201d, ir p\u0113t\u012bjumu programma Snacktivity\u2122<\/em> (angl. snack<\/em> \u2013 uzkoda, activity<\/em> \u2013 aktivit\u0101te). Snacktivity\u2122<\/em><\/a> mudina sabiedr\u012bbu regul\u0101ri iesaist\u012bties \u012bs\u0101s \u2013 \u201cuzkodas lieluma\u201d \u2013, bet bie\u017e\u0101s m\u0113renas l\u012bdz augstas intensit\u0101tes fiziskaj\u0101s aktivit\u0101t\u0113s un sp\u0113ka vingrin\u0101jumos visas dienas un ned\u0113\u013cas garum\u0101. Tipiska \u201caktivit\u0101tes uzkoda\u201d ilgst no 2 l\u012bdz 5 min\u016bt\u0113m. P\u0113c savas b\u016bt\u012bbas Snacktivity\u2122<\/em> dabiski veicina p\u0101rtraukumu ilgsto\u0161as s\u0113d\u0113\u0161anas laik\u0101, cilv\u0113kiem regul\u0101ri iesaistoties fizisko aktivit\u0101\u0161u \u201cuzkod\u0101s\u201d. T\u0101s var b\u016bt, piem\u0113ram, sarunas ener\u0123iskas pastaigas laik\u0101, k\u0101p\u0146u izmanto\u0161ana lifta viet\u0101, \u0101tra \u0101rpusk\u0101rtas pastaiga ar suni, ikru musku\u013cu pacel\u0161ana zobu t\u012br\u012b\u0161anas laik\u0101 vai pietupieni, kam\u0113r v\u0101r\u0101s \u016bdens t\u0113jkann\u0101. Snacktivity\u2122<\/em> ir izstr\u0101d\u0101ts k\u0101 vienk\u0101r\u0161s v\u0113st\u012bjums, ko visi vesel\u012bbas apr\u016bpes speci\u0101listi var izmantot pacientu konsult\u0101cij\u0101s da\u017e\u0101dos vesel\u012bbas apr\u016bpes kontekstos<\/a>. T\u0101 m\u0113r\u0137is ir veicin\u0101t fizisk\u0101s aktivit\u0101tes pla\u0161ai sabiedr\u012bbai jaun\u0101 un motiv\u0113jo\u0161\u0101 form\u0101 neatkar\u012bgi no fiziskaj\u0101m sp\u0113j\u0101m vai pieredzes, k\u0101 ar\u012b bez nepiecie\u0161am\u012bbas p\u0113c \u012bpa\u0161a apr\u012bkojuma. Snacktivity\u2122<\/em> potenci\u0101lais ieguvums ir t\u0101 pieejam\u012bba gandr\u012bz ikvienam, jo to iesp\u0113jams integr\u0113t ikdienas aktivit\u0101t\u0113s. \u0122imenes \u0101rsti, medm\u0101sas, zob\u0101rsti, fizioterapeiti, ergoterapeiti un podologi ir apm\u0101c\u012bti konsult\u0101ciju laik\u0101 populariz\u0113t Snacktivity\u2122<\/em>, un vi\u0146i ir zi\u0146oju\u0161i, ka programma var darboties<\/a>, ja ir zin\u0101ma elast\u012bba konsult\u0101ciju pl\u0101no\u0161an\u0101.<\/p>\n

Ta\u010du, protams, iniciat\u012bvas \u012bsteno\u0161anai var b\u016bt \u0161\u0137\u0113r\u0161\u013ci<\/a>, tostarp pietiekama laika<\/a> tr\u016bkums konsult\u0101cij\u0101s, lai ar pacientiem var\u0113tu veikt \u0161\u0101das sarunas. M\u0113s zin\u0101m, ka vesel\u012bbas apr\u016bpes speci\u0101listi var nev\u0113l\u0113ties konsult\u0101cij\u0101s apspriest ar profilaktisko medic\u012bnu saist\u012btas t\u0113mas, raiz\u0113joties, ka var\u0113tu tr\u016bkt zin\u0101\u0161anu, k\u0101 vislab\u0101k atbalst\u012bt pacientus, vai ar\u012b baidoties pacientus net\u012b\u0161i aizvainot<\/a>. Ir \u013coti svar\u012bgi nodro\u0161in\u0101t, ka vesel\u012bbas apr\u016bpes speci\u0101listiem ir nepiecie\u0161am\u0101s prasmes un p\u0101rliec\u012bba<\/a>, lai var\u0113tu \u012bstenot \u0161\u0101da veida sarunas, t\u0101d\u0113j\u0101di saglab\u0101jot uztic\u012bbu attiec\u012bb\u0101s ar pacientiem. Fizisko aktivit\u0101\u0161u veicin\u0101\u0161ana pacientiem, kuri mekl\u0113 pal\u012bdz\u012bbu jaut\u0101jumos, kas nav saist\u012bti ar vesel\u012bbas uzved\u012bbu, var \u0161\u0137ist neatbilsto\u0161a un nepiem\u0113rota. Piem\u0113ram, zob\u0101rsts parasti neapsprie\u017e fizisk\u0101s aktivit\u0101tes ar saviem pacientiem, jo t\u0101s nav tie\u0161i saist\u012btas ar mutes vesel\u012bbu, ta\u010du Snacktivity\u2122<\/em> programmas ietvaros \u0161\u0101das sarunas notiek<\/a>. Tom\u0113r ir svar\u012bgi atz\u012bt, ka vesel\u012bbas apr\u016bpes speci\u0101listiem ir j\u0101j\u016btas emocion\u0101li komfortabli, sniedzot pacientiem \u0161\u0101da veida \u012bsas vesel\u012bbas intervences, un tas ir pan\u0101kams ar apm\u0101c\u012bbu un praktiz\u0113\u0161anu.<\/p>\n

\u0160eit ir pieci ieteikumi, kas j\u0101\u0146em v\u0113r\u0101, lai vesel\u012bbas apr\u016bpes speci\u0101listi var\u0113tu \u012bstenot iniciat\u012bvu \u201cIzmanto katru iesp\u0113ju\u201d, piem\u0113ram, izmantojot programmu Snacktivity\u2122<\/em>:<\/p>\n

Praktiski ieteikumi <\/strong><\/p>\n

    \n
  1. Padom\u0101jiet, vai j\u016bsu konsult\u0101cij\u0101s ir br\u012b\u017ei, kad var\u0113tu apspriest dz\u012bvesveida un uzved\u012bbas izmai\u0146u t\u0113mu. Piem\u0113ram, izmantojiet iesp\u0113ju pajaut\u0101t saviem pacientiem, cik daudz fizisko aktivit\u0101\u0161u vi\u0146i veic katru ned\u0113\u013cu un vai vi\u0146u ikdien\u0101 ir br\u012b\u017ei, kuros var\u0113tu iek\u013caut Snacktivity\u2122.<\/li>\n
  2. Izp\u0113tiet, vai apkaim\u0113 ir vietas, kur j\u016bs var\u0113tu nos\u016bt\u012bt savus pacientus p\u0113c papildu atbalsta un resursiem, lai vi\u0146i var\u0113tu b\u016bt fiziski akt\u012bvi sav\u0101 kopien\u0101.<\/li>\n
  3. Mekl\u0113jiet apm\u0101c\u012bbas iesp\u0113jas sav\u0101 valst\u012b vai tie\u0161saist\u0113, lai pilnveidotu savas prasmes sniegt pacientiem efekt\u012bvus v\u0113st\u012bjumus par vesel\u012bbas uzved\u012bbas mai\u0146u. \u0160eit ir divi piem\u0113ri no Apvienot\u0101s Karalistes, kas var\u0113tu b\u016bt noder\u012bgi: Making Every Contact Count (MECC)<\/em><\/a> un Active Conversations<\/em><\/a>.<\/li>\n
  4. Ja jums jau ir pieredze fizisko aktivit\u0101\u0161u veicin\u0101\u0161an\u0101, konsult\u0113jot savus pacientus, j\u016bs var\u0113tu pal\u012bdz\u0113t un atbalst\u012bt kol\u0113\u0123us, kuri pagaid\u0101m j\u016btas maz\u0101k p\u0101rliecin\u0101ti par sav\u0101m sp\u0113j\u0101m dar\u012bt to pa\u0161u.<\/li>\n
  5. J\u016bs varat k\u013c\u016bt par v\u0113stnieku sav\u0101 darba viet\u0101, lai atbalst\u012btu ideju par iniciat\u012bvu \u201cIzmanto katru iesp\u0113ju\u201d. Ja esat virs\u0101rsts vai vad\u012bt\u0101js, j\u016bs varat izv\u0113rt\u0113t savas iest\u0101des sniegtos vesel\u012bbas apr\u016bpes pakalpojumus un apsv\u0113rt, k\u0101 tur integr\u0113t \u0161o iniciat\u012bvu.<\/li>\n<\/ol>\n

    Tulkojusi And\u017eela Ber\u0137e<\/em><\/p>\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":"lv","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\/lv\/wp-json\/wp\/v2\/posts\/3406","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/comments?post=3406"}],"version-history":[{"count":35,"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/posts\/3406\/revisions"}],"predecessor-version":[{"id":4535,"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/posts\/3406\/revisions\/4535"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/media\/3407"}],"wp:attachment":[{"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/media?parent=3406"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/categories?post=3406"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/tags?post=3406"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}