{"id":61781,"date":"2025-11-10T13:41:54","date_gmt":"2025-11-10T12:41:54","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=61781"},"modified":"2025-11-10T13:42:11","modified_gmt":"2025-11-10T12:42:11","slug":"praktici-nasi-pacienti-se-boji-o-domacim-nasili-mluvit","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=61781","title":{"rendered":"Praktici: na\u0161i pacienti se boj\u00ed o dom\u00e1c\u00edm n\u00e1sil\u00ed mluvit"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Po\u010dty p\u0159\u00edpad\u016f v \u010cesk\u00e9 republice jsou podhodnocen\u00e9<br \/><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Praha, 10. 11. 2025 \u2013 Nejenom fyzick\u00e9 \u00fatoky, sexu\u00e1ln\u00ed zneu\u017e\u00edv\u00e1n\u00ed a psychick\u00e9 n\u00e1sil\u00ed, ale i soci\u00e1ln\u00ed izolace, stalking nebo omezov\u00e1n\u00ed p\u0159\u00edstupu k pen\u011bz\u016fm. To v\u0161e se pova\u017euje za dom\u00e1c\u00ed n\u00e1sil\u00ed. Podle pr\u016fzkumu Evropsk\u00e9ho statistick\u00e9ho \u00fa\u0159adu za\u017eila n\u011bkdy n\u00e1sil\u00ed za zav\u0159en\u00fdmi dve\u0159mi ka\u017ed\u00e1 t\u0159et\u00ed \u017eena v EU. Po\u010dty vyk\u00e1zan\u00fdch p\u0159\u00edpad\u016f dom\u00e1c\u00edho n\u00e1sil\u00ed v \u010cesku jsou p\u0159itom mnohem ni\u017e\u0161\u00ed a ro\u010dn\u011b se pohybuj\u00ed \u201ejen\u201c v tis\u00edc\u00edch. Hlavn\u00ed ob\u011bti \u2013 \u017eeny \u2013 se o n\u011bm toti\u017e boj\u00ed mluvit. Z\u00e1sadn\u00ed p\u0159itom je odhalit a \u0159e\u0161it ho v\u010das. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ohro\u017een\u00fdm osob\u00e1m mohou pomoci prakti\u010dt\u00ed l\u00e9ka\u0159i, kte\u0159\u00ed znaj\u00ed sv\u00e9 pacienty a jejich rodinnou historii nejl\u00e9pe. T\u00e9matu se budou v\u011bnovat odborn\u00edci na XLIV. v\u00fdro\u010dn\u00ed konferenci Spole\u010dnosti v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159stv\u00ed (SVL) \u010cLS JEP, kter\u00e1 startuje 12. listopadu ve Zl\u00edn\u011b.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201eU dom\u00e1c\u00edho n\u00e1sil\u00ed existuje mezi ob\u011bma akt\u00e9ry \u2013 n\u00e1silnou a ohro\u017eenou osobou \u2013 intimn\u00ed vztah. Odehr\u00e1v\u00e1 se v prost\u0159ed\u00ed domova, co\u017e je m\u00edsto, kde by se lid\u00e9 m\u011bli c\u00edtit bezpe\u010dn\u011b. Jeho n\u00e1sledky jsou pro zdrav\u00ed a psychiku ohro\u017een\u00fdch osob devastuj\u00edc\u00ed,\u201c \u0159\u00edk\u00e1 MUDr. Jana Krzy\u017e\u00e1nkov\u00e1, praktick\u00e1 l\u00e9ka\u0159ka a \u010dlenka Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed, kter\u00e1 bude o t\u00e9matu na kongresu mluvit.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Za dom\u00e1c\u00ed n\u00e1sil\u00ed se pova\u017euje opakovan\u00e9 a systematick\u00e9 n\u00e1siln\u00e9 chov\u00e1n\u00ed v rodin\u011b nebo partnersk\u00e9m vztahu. Ohro\u017een\u00e9 osoby se setk\u00e1vaj\u00ed s fyzick\u00fdmi formami, jako je bit\u00ed, \u0161krcen\u00ed nebo strk\u00e1n\u00ed, se sexu\u00e1ln\u00edm zneu\u017e\u00edv\u00e1n\u00edm \u010di psychick\u00fdm t\u00fdr\u00e1n\u00edm v podob\u011b poni\u017eov\u00e1n\u00ed, v\u00fdhr\u016f\u017eek nebo zastra\u0161ov\u00e1n\u00ed. \u201e\u010cast\u00e1 je i soci\u00e1ln\u00ed izolace a s n\u00ed spojen\u00e9 z\u00e1kazy kontakt\u016f s rodinou \u010di p\u0159\u00e1teli nebo omezov\u00e1n\u00ed p\u0159\u00edstupu k pen\u011bz\u016fm \u2013 tzv. ekonomick\u00e9 n\u00e1sil\u00ed,\u201c popisuje MUDr. Krzy\u017e\u00e1nkov\u00e1.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aby se p\u0159ede\u0161lo z\u00e1va\u017en\u00e9mu po\u0161kozen\u00ed zdrav\u00ed nebo traumatu, je pot\u0159eba t\u00fdr\u00e1n\u00ed odhalit a \u0159e\u0161it v\u010das. D\u016fle\u017eitou roli p\u0159itom hraj\u00ed praktici, kte\u0159\u00ed znaj\u00ed sv\u00e9 pacienty i jejich rodinnou historii nejl\u00e9pe. \u201ePokud praktik pojme podez\u0159en\u00ed, \u017ee pacient m\u016f\u017ee b\u00fdt ob\u011bt\u00ed, m\u011bl by s n\u00edm v\u0161e citliv\u011b probrat a vyhodnotit p\u0159\u00edpadn\u00e9 nebezpe\u010d\u00ed. Nen\u00ed to jednoduch\u00e9 a vy\u017eaduje to specifick\u00e9 znalosti a empatii,\u201c popisuje p\u0159edseda SVL doc. MUDr. Svatopluk B\u00fdma, CSc. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Prakti\u010dt\u00ed l\u00e9ka\u0159i maj\u00ed k dispozici n\u011bkolik p\u0159\u00edru\u010dek a manu\u00e1l\u016f, kter\u00e9 se t\u00edmto t\u00e9matem zab\u00fdvaj\u00ed, \u017e\u00e1dn\u00fd z nich ale zat\u00edm p\u0159esn\u011b neodpov\u00edd\u00e1 pot\u0159eb\u00e1m prim\u00e1rn\u00ed p\u00e9\u010de. Doporu\u010duje se v nich, aby sou\u010d\u00e1st\u00ed vstupn\u00edho vy\u0161et\u0159en\u00ed nov\u00fdch pacient\u016f byly screeningov\u00e9 ot\u00e1zky zam\u011b\u0159en\u00e9 na osobn\u00ed zku\u0161enost s n\u00e1sil\u00edm v rodin\u011b a v partnersk\u00fdch vztaz\u00edch. Prov\u00e1d\u011bn\u00ed psychosoci\u00e1ln\u00edho screeningov\u00e9ho dotazn\u00edku doporu\u010duje tak\u00e9 Evropsk\u00e1 unie.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201ePsychosoci\u00e1ln\u00ed screening by m\u011bl b\u00fdt sou\u010d\u00e1st\u00ed preventivn\u00edch prohl\u00eddek, minim\u00e1ln\u011b u v\u0161ech nov\u011b registrovan\u00fdch pacient\u016f. Praktick\u00fd l\u00e9ka\u0159 by m\u011bl zjistit, jestli se pacient pohyboval nebo vyr\u016fstal v psychicky zdrav\u00e9m prost\u0159ed\u00ed. Soci\u00e1ln\u00ed z\u00e1zem\u00ed nav\u00edc v\u00fdrazn\u011b ovliv\u0148uje ochotu a schopnost pacient\u016f spolupracovat p\u0159i l\u00e9\u010db\u011b,\u201c \u0159\u00edk\u00e1 MUDr. Krzy\u017e\u00e1nkov\u00e1. V \u010cesku se podle n\u00ed problematika dom\u00e1c\u00edho n\u00e1sil\u00ed v ordinac\u00edch praktik\u016f \u010dasto opom\u00edj\u00ed. \u201eProto je d\u016fle\u017eit\u00e9, aby se v t\u00e9to oblasti prakti\u010dt\u00ed l\u00e9ka\u0159i pravideln\u011b vzd\u011bl\u00e1vali. Mus\u00ed v\u011bd\u011bt, kdy a jak se pt\u00e1t, jak reagovat a jak pomoci,\u201c dopl\u0148uje.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ve spole\u010dnosti panuje o dom\u00e1c\u00edm n\u00e1sil\u00ed \u0159ada m\u00fdt\u016f. Jedn\u00edm z nich je p\u0159edstava, \u017ee se jedn\u00e1 o soukromou v\u011bc, do kter\u00e9 by ostatn\u00ed nem\u011bli zasahovat. Dal\u0161\u00edm \u010dast\u00fdm m\u00fdtem je, \u017ee se<br \/>vyskytuje jenom v soci\u00e1ln\u011b slab\u00fdch a probl\u00e9mov\u00fdch rodin\u00e1ch nebo \u017ee za n\u011bj mohou pouze drogy a alkohol. \u201eJde o poru\u0161en\u00ed z\u00e1kladn\u00edch lidsk\u00fdch pr\u00e1v. Vy\u017eaduje z\u00e1sah a podporu nejenom ze strany l\u00e9ka\u0159\u016f, ale \u010dasto i org\u00e1n\u016f \u010dinn\u00fdch v trestn\u00edm \u0159\u00edzen\u00ed. Vyskytuje se ve v\u0161ech socioekonomick\u00fdch vrstv\u00e1ch spole\u010dnosti. P\u0159\u00ed\u010dinou n\u00e1sil\u00ed sice mohou b\u00fdt drogy a alkohol, nikdy ale nesouvis\u00ed pouze s nimi. N\u00e1siln\u00e1 osoba chce m\u00edt nad svou ob\u011bt\u00ed kontrolu a moc st\u00e1le, nejenom pod vlivem n\u00e1vykov\u00fdch l\u00e1tek,\u201c vysv\u011btluje MUDr. Krzy\u017e\u00e1nkov\u00e1.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ohro\u017een\u00e9 osoby by se podle n\u00ed nem\u011bly b\u00e1t \u0159\u00edct si o pomoc a m\u011bly by se obr\u00e1tit na policii nebo na specializovan\u00e9 organizace, nap\u0159. centrum pro \u017eeny ROSA nebo B\u00edl\u00fd kruh bezpe\u010d\u00ed. Pokud se cht\u011bj\u00ed sv\u011b\u0159it n\u011bkomu, koho znaj\u00ed, ide\u00e1ln\u00ed je pr\u00e1v\u011b praktick\u00fd l\u00e9ka\u0159. \u201eS praktikem si pacienti b\u011bhem pravideln\u00fdch n\u00e1v\u0161t\u011bv buduj\u00ed d\u016fv\u011bryhodn\u00fd vztah. Jejich ordinace jsou m\u00edstem, kde by se lid\u00e9 m\u011bli c\u00edtit bezpe\u010dn\u011b. O p\u0159\u00edpadn\u00e9m probl\u00e9mu mohou \u0159\u00edct i zdravotn\u00ed sest\u0159i\u010dce, s n\u00ed\u017e jsou tak\u00e9 v \u010dast\u00e9m kontaktu,\u201c uzav\u00edr\u00e1 MUDr. Krzy\u017e\u00e1nkov\u00e1.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Policie \u010cesk\u00e9 republiky v tuzemsku v lo\u0148sk\u00e9m roce evidovala p\u0159ibli\u017en\u011b 1 500 vyk\u00e1zan\u00fdch p\u0159\u00edpad\u016f dom\u00e1c\u00edho n\u00e1sil\u00ed. V\u011bt\u0161inu ob\u011bt\u00ed tvo\u0159ily \u017eeny, mu\u017e\u016f bylo z celkov\u00e9ho po\u010dtu jen asi 10 %. Skute\u010dn\u00fd po\u010det p\u0159\u00edpad\u016f dom\u00e1c\u00edho n\u00e1sil\u00ed je v\u0161ak podle odborn\u00edk\u016f mnohem vy\u0161\u0161\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Po\u010dty p\u0159\u00edpad\u016f v \u010cesk\u00e9 republice jsou podhodnocen\u00e9 Praha, 10. 11. 2025 \u2013 Nejenom fyzick\u00e9 \u00fatoky, sexu\u00e1ln\u00ed zneu\u017e\u00edv\u00e1n\u00ed a psychick\u00e9 n\u00e1sil\u00ed, ale i soci\u00e1ln\u00ed izolace, stalking <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=61781\" title=\"Praktici: na\u0161i pacienti se boj\u00ed o dom\u00e1c\u00edm n\u00e1sil\u00ed mluvit\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":59448,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,11],"tags":[],"class_list":["post-61781","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-spolecnost","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61781","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=61781"}],"version-history":[{"count":1,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61781\/revisions"}],"predecessor-version":[{"id":61786,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61781\/revisions\/61786"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/59448"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61781"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61781"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61781"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}