{"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\/ro\/2019\/09\/raising-weight-in-a-consultation\/","title":{"rendered":"Cum s\u0103 vorbim \u00een cadrul consulta\u021biilor despre &#8220;kilogramele \u00een plus&#8221;"},"content":{"rendered":"<p><strong>Jane Ogden, University of Surrey, UK<\/strong><\/p>\n<p>Supraponderalitatea reprezint\u0103 o problem greu de abordat \u00een cadrul consilierii. Unii pacien\u021bi s-au s\u0103turat s\u0103 aud\u0103 c\u0103 ar trebui s\u0103 &#8220;piard\u0103 \u00een greutate&#8221;, de fiecare data c\u00e2nd vin la clinic\u0103, indiferent de motivul pentru care au solicitat o consulta\u021bie: o durere de g\u00e2t, analize sau o posibil\u0103 problem\u0103 cardiac\u0103. Uneori pacien\u021bii au fost stigmatiza\u021bi o via\u021b\u0103 \u00eentreag\u0103 de c\u0103tre medici \u0219i cred c\u0103 toat\u0103 lumea vede doar <u>masa lor corporal\u0103<\/u>. Unii probabil nu s-au g\u00e2ndit niciodat\u0103 la greutatea lor, \u0219i ar putea s\u0103 se simt\u0103 insulta\u021bi sau suprin\u0219i c\u00e2nd li se prezint\u0103 problema supraponderalit\u0103\u021bii. Alte persoane nu vor s\u0103 aud\u0103 acest mesaj \u0219i blocheaz\u0103 informa\u021bia. Ace\u0219tia din urm\u0103 se pot g\u00e2ndi &#8220;ce \u0219tiii tu care e\u0219ti slab\\gras\\prea t\u00e2n\u0103r\\prea b\u0103tr\u00e2n&#8221; sau &#8220;rezultatele \u0219tiin\u021bifice sunt mereu gre\u0219ite&#8221;. A ridica problema supraponderalit\u0103\u021bii presupune un management atent al &#8220;c\u00e2nd&#8221;, &#8220;cum&#8221; \u0219i &#8220;ce&#8221; se spune unei persoane supraponderale.<\/p>\n<p><!--more--><\/p>\n<p><strong>C\u00e2nd \u2026<\/strong><\/p>\n<p>Oamenii au adesea o capacitate nelimitat\u0103 de a ignora ce li se spune. De aceea trebuie s\u0103 g\u0103sim momentul potrivit s\u0103 identific\u0103m un <u>&#8220;moment bun de \u00eenv\u0103\u021bare&#8221;.<\/u> De exemplu atunci c\u00e2nd apar simptome noi ca dificult\u0103\u021bile de respira\u021bie, durerile articulare, diagnosticarea diabetului sau a presiunii arteriale, men\u021bionarea unui eveniment imminent ca pensionarea sau a unui aspect important care a devenit dificil cum ar fi urcatul sc\u0103rilor sau legatul \u0219ireturilor. Aceste <em>momente de \u00eenv\u0103\u021bare<\/em> pot s\u0103 fac\u0103 persoanele s\u0103 asculte cu aten\u021bie. C\u00e2nd pacientul ne semnaleaz\u0103 un astfel de moment, trebuie s\u0103 profit\u0103m \u0219i s\u0103 vorbim despre kilogramele \u00een plus.<\/p>\n<p><strong>Cum \u2026<\/strong><\/p>\n<p>Aici lucrurile se complic\u0103! S\u0103 men\u021bion\u0103m aspecte ca &#8220;gras&#8221;, &#8220;greutate&#8221;, &#8220;kilograme \u00een plus&#8221;, &#8220;obezitate&#8221;? S\u0103 \u00eentreb\u0103m mai degrab\u0103 dac\u0103 este \u00een regul\u0103 s\u0103 vorbi\u021bi despre supraponderalitate? Sau s\u0103 aborda\u021bi direct problema \u0219i s\u0103 spune\u021bi &#8220;trebuie s\u0103 pierde\u021bi \u00een greutate&#8221;. Conform <u>&#8220;psihologiei dietelor&#8221;, <\/u>psihologii sunt adesea mai spreia\u021bi de acest subiect dec\u00e2t pacien\u021bii lor. Psihologii ar trebui s\u0103 men\u021bioneze subiectul supraponderalit\u0103\u021bii. Termenul de obezitate ar putea s\u0103 \u0219ocheze, dar pu\u021bin \u0219oc (nu prea mult) ar putea s\u0103 ajute. Fiecare pacient sau psiholog este diferit \u0219i o consulta\u021bie este o dinamic\u0103 \u00eentre dou\u0103 persoane. Prin urmare, pentru fiecare pacient \u00een parte trebuie g\u0103sit un moment potrivit \u0219i o metod\u0103 potrivit\u0103. Mesajul trebuie transmis empatic. De exemplu: &#8220;nu \u0219tiu dac\u0103 \u0219tia\u021bi c\u0103 kilogramele \u00een plus pot s\u0103 creasc\u0103 presiunea arterial\u0103&#8221; poate s\u0103 introduc\u0103 leg\u0103tura \u00eentre supraponderalitate \u0219i o problem\u0103 specific de s\u0103n\u0103tate. Sau dac\u0103 &#8220;pierde\u021bi \u00een greutate, pute\u021bi s\u0103 v\u0103 ameliora\u021bi durerile de spate&#8221; poate s\u0103 constituie o introducere bun\u0103 pentru c\u0103 face din piederderea \u00een greutate o solu\u021bie. Dup\u0103 ce a\u021bi introdus tema, asculta\u021bi cu aten\u021bie ce spune pacientul \u0219i adapta\u021bi-v\u0103 discursul. Acest lucru va ajuta rela\u021bionarea cu pacien\u021bii \u0219i ace\u0219tia vor reveni la consulta\u021bii. Pentru mai multe informa\u021bii, pute\u021bi s\u0103 c\u0103uta\u021bi cercet\u0103ri pe tema &#8220;conversa\u021biilor s\u0103n\u0103toase&#8221; \u0219i cum s\u0103 &#8220;face\u021bi fiecare consulta\u021bie s\u0103 conteze&#8221;.<\/p>\n<p><strong>Ce spunem\u2026<\/strong><\/p>\n<p>Dar ce se \u00eent\u00e2mpl\u0103 mai departe? Dup\u0103 introducere urmeaz\u0103 pa\u0219ii care determin\u0103 succesul pentru pierderea \u00een greutate. Ace\u0219ti pa\u0219i ajut\u0103 pacientul s\u0103 realizeze c\u0103 acele kilograme \u00een plus sunt o problem\u0103, s\u0103 cread\u0103 c\u0103 greutatea lor este direct rela\u021bionat\u0103 cu comportamentele lor (de exemplu cu comportamente de risc dar nu cu genetica, hormonii, medica\u021bia sau guvernul- indiferent de ce cred). Persoana trebuie \u00eencurajat\u0103 s\u0103 schimbe ce face, s\u0103 ajung\u0103 s\u0103 aib\u0103 \u00eencredere \u00een psihologi ca speciali\u0219ti \u0219i s\u0103 doreasc\u0103 s\u0103 revin\u0103 la consulta\u021bii, \u0219i finalemente s\u0103 fie ajuta\u021bi s\u0103 se preg\u0103teasc\u0103 pentru realziarea unor schimb\u0103ri \u00een via\u021ba lor. Pierderea \u00een greutate este un scop de lung\u0103 durat\u0103. Este bine s\u0103 con\u0219tientiz\u0103m pacien\u021bii cu privire la greutate ca problem. Dar acest lucru trebuie f\u0103cut &#8220;c\u00e2nd&#8221;, &#8220;cum&#8221; \u0219i &#8220;despre ce&#8221;, \u00een moduri \u00een care ne asigur\u0103m c\u0103 va fi un process de lung\u0103\u00a0 durat\u0103 \u0219i nu se va termina \u00eenainte de a \u00eencepe.<\/p>\n<p><strong>Recomand\u0103ri practice<\/strong><\/p>\n<ul>\n<li>C\u00e2nd, cum \u0219i ce inform\u021bii oferim este foarte improtant<\/li>\n<li>Alege\u021bi cu grij\u0103 momentul- men\u021biona\u021bi tema greut\u0103\u021bii suplimentare \u00eentr-un moment &#8220;propice pentru \u00eenv\u0103\u021bare&#8221;<\/li>\n<li>Potrivi\u021bi-v\u0103 discursul nivelului de \u00een\u021belegere al pacientului \u0219i nu v\u0103 teme\u021bi s\u0103 aborda\u021bi subiectul supraponderalit\u0103\u021bii<\/li>\n<li>\u00cencuraja\u021bi pacien\u021bii s\u0103 vad\u0103 care este rolul comportamentelor lor pentru men\u021binerea supragreut\u0103\u021bii- dar face\u021bi acest lucru cu compasiune \u0219i f\u0103r\u0103 s\u0103 \u00eenvinov\u0103\u021bi\u021bi pacien\u021bii.<\/li>\n<\/ul>\n<p><em>Translated by Dr. Irina Catrinel Cr\u0103ciun<\/em><\/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":"ro","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\/ro\/wp-json\/wp\/v2\/posts\/1371","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/comments?post=1371"}],"version-history":[{"count":42,"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/posts\/1371\/revisions"}],"predecessor-version":[{"id":4668,"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/posts\/1371\/revisions\/4668"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/media\/1374"}],"wp:attachment":[{"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/media?parent=1371"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/categories?post=1371"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/tags?post=1371"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}