{"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\/sk\/2025\/02\/making-every-health-care-consultation-count-promoting-physical-activity-in-health-care-settings\/","title":{"rendered":"Aby sa ka\u017ed\u00e1 konzult\u00e1cia o zdravotnej starostlivosti r\u00e1tala: Podpora fyzickej aktivity v prostred\u00ed zdravotnej starostlivosti"},"content":{"rendered":"

Amanda Daley, Loughborough University, UK<\/span><\/p>\n

V Spojenom kr\u00e1\u013eovstve a \u00cdrsku je cie\u013eom iniciat\u00edvy <\/span>Making Every Contact Count<\/span><\/a> vyu\u017ei\u0165 tis\u00edce konzult\u00e1ci\u00ed, ktor\u00e9 sa ka\u017ed\u00fd de\u0148 konaj\u00fa medzi zdravotn\u00edkmi a pacientmi, na podporu zdrav\u00fdch zmien v spr\u00e1van\u00ed. Konkr\u00e9tne, Making Every Contact Count m\u00e1 za cie\u013e umo\u017eni\u0165 a povzbudi\u0165 zdravotn\u00edkov, aby vyu\u017eili prirodzene sa vyskytuj\u00face pr\u00edle\u017eitosti v rutinnej praxi na poskytovanie kr\u00e1tkych intervenci\u00ed na zmenu zdravotn\u00e9ho spr\u00e1vania pacientom. \u00daspech pr\u00edstupov, ako je Making Every Contact Count, z\u00e1vis\u00ed od toho, \u010di s\u00fa zdravotn\u00edci ochotn\u00ed vies\u0165 tieto rozhovory na konzult\u00e1ci\u00e1ch ka\u017ed\u00fd de\u0148. Making Every Contact Count je pre ka\u017ed\u00e9ho a neobmedzuje sa len na konkr\u00e9tnych zdravotn\u00edkov, zdravotn\u00edcke slu\u017eby alebo pacientov. Z t\u00fdchto d\u00f4vodov m\u00f4\u017ee Making Every Contact Count zn\u00ed\u017ei\u0165 nerovnosti v oblasti zdravia, preto\u017ee ide o inkluz\u00edvny pr\u00edstup, v r\u00e1mci ktor\u00e9ho v\u0161etci pacienti dostan\u00fa t\u00fato podporu v r\u00e1mci konzult\u00e1ci\u00ed.<\/span><\/p>\n

D\u00f4le\u017eitos\u0165 podpory \u013eud\u00ed, ktor\u00ed s\u00fa neakt\u00edvni, aby sa stali fyzicky akt\u00edvnej\u0161\u00edmi, sa \u010doraz viac uzn\u00e1va ako d\u00f4le\u017eit\u00e1 s\u00fa\u010das\u0165 \u00falohy zdravotn\u00edkov. Navy\u0161e, 1 zo 4 \u013eud\u00ed by bol akt\u00edvnej\u0161\u00ed, ak by mu to poradil <\/span>zdravotn\u00edcky pracovn\u00edk<\/span><\/a>. Existuje tie\u017e <\/span>d\u00f4kaz<\/span><\/a>, \u017ee kr\u00e1tke (1-2 min\u00faty) intervencie v oblasti zdravotn\u00e9ho spr\u00e1vania v r\u00e1mci konzult\u00e1ci\u00ed m\u00f4\u017eu by\u0165 \u00fa\u010dinn\u00e9. Vyu\u017ei\u0165 ka\u017ed\u00fd kontakt je d\u00f4le\u017eit\u00e9, preto\u017ee \u013eudia, ktor\u00ed pravidelne vyu\u017e\u00edvaj\u00fa zdravotn\u00edcke slu\u017eby a s\u00fa v kontakte so zdravotn\u00edckymi odborn\u00edkmi, maj\u00fa neprenosn\u00e9 choroby alebo im hrozia neprenosn\u00e9 choroby a je pravdepodobnej\u0161ie, \u017ee bud\u00fa <\/span>neakt\u00edvni<\/span><\/a>.<\/span><\/p>\n

Zatia\u013e \u010do <\/span>usmernenia<\/span><\/a> stanovuj\u00fa, \u017ee dospel\u00ed by mali absolvova\u0165 aspo\u0148 150 min\u00fat fyzickej aktivity strednej intenzity t\u00fd\u017edenne alebo 75 min\u00fat silnej intenzity, alebo kombin\u00e1ciu oboch, teraz uzn\u00e1vaj\u00fa aj pr\u00ednos, ktor\u00fd m\u00f4\u017ee ma\u0165 pre zdravie \u00fa\u010das\u0165 na kr\u00e1tkych pohybov\u00fdch aktivit\u00e1ch. V skuto\u010dnosti sa v <\/span>usmerneniach<\/span><\/a> uv\u00e1dza, \u017ee ak\u00e9ko\u013evek mno\u017estvo fyzickej aktivity je d\u00f4le\u017eit\u00e9 pre zdravie a aspo\u0148 nejak\u00e1 aktivita je lep\u0161ia ako \u017eiadna. Rutinn\u00e9 odovzd\u00e1vanie t\u00fdchto jednoduch\u00fdch, ale d\u00f4le\u017eit\u00fdch spr\u00e1v pacientom po\u010das konzult\u00e1ci\u00ed by mohlo ma\u0165 z\u00e1sadn\u00fd vplyv na zdravie popul\u00e1cie na celom <\/span>svete<\/span><\/a>.<\/span><\/p>\n

Pr\u00edkladom<\/span><\/a> implement\u00e1cie Making Every Contact Count v Spojenom kr\u00e1\u013eovstve je v\u00fdskumn\u00fd program Snacktivity\u2122. <\/span>Snacktivity<\/span><\/a>\u2122 povzbudzuje verejnos\u0165, aby sa z\u00fa\u010dastnila kr\u00e1tkych, ale \u010dast\u00fdch \u201er\u00fdchlych ob\u010derstven\u00ed\u201c stredne intenz\u00edvnej fyzickej aktivity \u010di aktiv\u00edt zameran\u00fdch na podporu svalovej sily po\u010das cel\u00e9ho d\u0148a\/t\u00fd\u017ed\u0148a. Ob\u010derstvenie zvy\u010dajne trv\u00e1 2 a\u017e 5 min\u00fat. V\u010faka svojmu dizajnu Snacktivity\u2122 prirodzene podporuje preru\u0161enie dlh\u00e9ho sedenia po\u010das d\u0148a prostredn\u00edctvom pravidelnej fyzickej aktivity. Medzi pr\u00edklady Snacktivity patr\u00ed r\u00fdchla ch\u00f4dza, pou\u017e\u00edvanie schodov namiesto v\u00fd\u0165ahu, zobratie psa na extra r\u00fdchlu prech\u00e1dzku, a drepy pri \u010dakan\u00ed, k\u00fdm sa kanvica uvar\u00ed. Snacktivity\u2122 bol vyvinut\u00fd ako jednoduch\u00e1 spr\u00e1va pre v\u0161etk\u00fdch zdravotn\u00edkov, ktor\u00e1 sa m\u00e1 propagova\u0165 pacientom pri konzult\u00e1ci\u00e1ch <\/span>v r\u00f4znych zdravotn\u00fdch kontextoch<\/span><\/a>. Snacktivity\u2122 sa zameriava na propag\u00e1ciu fyzickej aktivity vo form\u00e1te, ktor\u00fd je nov\u00fd a motivuj\u00faci pre verejnos\u0165 bez oh\u013eadu na fyzick\u00e9 schopnosti a z\u00e1zemie a bez potreby vybavenia. Potenci\u00e1lne pohodlie akumul\u00e1cie Snacktivity\u2122 prostredn\u00edctvom aktiv\u00edt v r\u00e1mci ka\u017edodenn\u00e9ho \u017eivota ho rob\u00ed dostupn\u00fdm takmer ka\u017ed\u00e9mu. Rodinn\u00ed lek\u00e1ri, zdravotn\u00e9 sestry, zub\u00e1ri, fyzioterapeuti, ergoterapeuti a podiatri boli vy\u0161kolen\u00ed na propag\u00e1ciu Snacktivity\u2122 v r\u00e1mci konzult\u00e1ci\u00ed a uviedli, \u017ee to m\u00f4\u017ee fungova\u0165 s ur\u010ditou flexibilitou pri pl\u00e1novan\u00ed stretnut\u00ed.<\/span><\/p>\n

Samozrejme, m\u00f4\u017eu existova\u0165 <\/span>prek\u00e1\u017eky<\/span><\/a> pri poskytovan\u00ed slu\u017eby Making Every Contact Count, vr\u00e1tane dostato\u010dn\u00e9ho <\/span>\u010dasu<\/span><\/a> na konzult\u00e1cie na tak\u00e9to rozhovory s pacientmi. Vieme, \u017ee zdravotn\u00edcki pracovn\u00edci sa m\u00f4\u017eu zdr\u00e1ha\u0165 nastoli\u0165 t\u00e9my s\u00favisiace s prevent\u00edvnou medic\u00ednou v r\u00e1mci konzult\u00e1ci\u00ed zo strachu, \u017ee nebud\u00fa vedie\u0165, ako najlep\u0161ie podpori\u0165 pacientov, alebo zo strachu, \u017ee <\/span>\u013eud\u00ed urazia<\/span><\/a>. Pre zabezpe\u010denie integrity vz\u0165ahov s pacientmi je ve\u013emi d\u00f4le\u017eit\u00e9 zabezpe\u010di\u0165, aby zdravotn\u00edcki pracovn\u00edci mali zru\u010dnosti a <\/span>sebad\u00f4veru<\/span><\/a> na tento druh rozhovorov s pacientmi. Propag\u00e1cia fyzickej aktivity u pacientov, ktor\u00ed sa radia z d\u00f4vodov, ktor\u00e9 nes\u00favisia so zdravotn\u00fdm spr\u00e1van\u00edm, sa m\u00f4\u017ee zda\u0165 dos\u0165 nemiestne a nevhodn\u00e9. Napr\u00edklad, zub\u00e1r by zvy\u010dajne nediskutoval s pacientmi o fyzickej aktivite, preto\u017ee nes\u00favis\u00ed so zdrav\u00edm \u00fastnej dutiny, hoci v programe Snacktivity\u2122 <\/span>sa to st\u00e1va<\/span><\/a>. Napriek tomu je d\u00f4le\u017eit\u00e9 uzna\u0165, \u017ee zdravotn\u00edcki pracovn\u00edci sa musia c\u00edti\u0165 pohodlne pri poskytovan\u00ed tak\u00fdchto kr\u00e1tkych zdravotn\u00fdch intervenci\u00ed pacientom, ale d\u00e1 sa to dosiahnu\u0165 \u0161kolen\u00edm a praxou.<\/span><\/p>\n

Tu je p\u00e4\u0165 n\u00e1vrhov, ktor\u00e9 je potrebn\u00e9 zv\u00e1\u017ei\u0165 pri implement\u00e1cii n\u00e1stroja Making Every Contact Count, ako je napr\u00edklad Snacktivity\u2122, zdravotn\u00edckymi odborn\u00edkmi:<\/span><\/p>\n

Praktick\u00e9 odpor\u00fa\u010dania\u00a0<\/b><\/p>\n

    \n
  1. Zamyslite sa nad t\u00fdm, \u010di s\u00fa na va\u0161ich konzult\u00e1ci\u00e1ch momenty, pri ktor\u00fdch sa d\u00e1 nastoli\u0165 t\u00e9ma zmeny \u017eivotn\u00e9ho \u0161t\u00fdlu. Vyu\u017eite napr\u00edklad pr\u00edle\u017eitos\u0165 a op\u00fdtajte sa svojich pacientov na to, ko\u013eko fyzickej aktivity robia ka\u017ed\u00fd t\u00fd\u017ede\u0148 a \u010di s\u00fa po\u010das d\u0148a \u010dasy, kedy by mohli zahrn\u00fa\u0165 Snacktivity\u2122\u00a0<\/span><\/li>\n
  2. Presk\u00famajte, \u010di existuj\u00fa lok\u00e1lne pr\u00edle\u017eitosti, kde m\u00f4\u017eete nasmerova\u0165 svojich pacientov na \u010fal\u0161iu podporu a zdroje, aby boli fyzicky akt\u00edvni vo svojich komunit\u00e1ch.<\/span><\/li>\n
  3. H\u013eadajte pr\u00edle\u017eitosti na \u0161kolenia vo va\u0161ej krajine alebo online, aby ste si rozvinuli svoje zru\u010dnosti v poskytovan\u00ed \u00fa\u010dinn\u00fdch spr\u00e1v o zmene zdravotn\u00e9ho spr\u00e1vania svojim pacientom. Tu s\u00fa dva pr\u00edklady zo Spojen\u00e9ho kr\u00e1\u013eovstva, ktor\u00e9 by mohli by\u0165 u\u017eito\u010dn\u00e9: <\/span>Making Every Contact Count (MECC)<\/span><\/a> a <\/span>Active Conversations<\/span><\/a>.\u00a0<\/span><\/li>\n
  4. Ak m\u00e1te sk\u00fasenosti s propag\u00e1ciou fyzickej aktivity pri konzult\u00e1ci\u00e1ch s va\u0161imi pacientmi, m\u00f4\u017eete pom\u00f4c\u0165 a podpori\u0165 kolegov, ktor\u00ed sa v tom m\u00f4\u017eu c\u00edti\u0165 menej sebavedom\u00ed.<\/span><\/li>\n
  5. Mohli by ste by\u0165 ambas\u00e1dorom na svojom pracovisku, aby ste presadili, \u017ee ka\u017ed\u00fd kontakt sa po\u010d\u00edta. Ak ste ved\u00facim predstavite\u013eom alebo zdravotn\u00fdm mana\u017e\u00e9rom, m\u00f4\u017eete si prezrie\u0165 svoje zdravotn\u00edcke slu\u017eby, aby ste zistili, ako by mohli by\u0165 integrovan\u00e9.<\/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":"sk","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\/sk\/wp-json\/wp\/v2\/posts\/3406","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/comments?post=3406"}],"version-history":[{"count":35,"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/posts\/3406\/revisions"}],"predecessor-version":[{"id":4535,"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/posts\/3406\/revisions\/4535"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/media\/3407"}],"wp:attachment":[{"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/media?parent=3406"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/categories?post=3406"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/tags?post=3406"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}