Denn\u00ed stacion\u00e1\u0159e nab\u00edzej\u00ed alternativu k hospitalizaci pro pacienty s rozv\u00edjej\u00edc\u00edmi se du\u0161evn\u00edmi poruchami; umo\u017e\u0148uj\u00ed jim tr\u00e1vit ve\u010dery a noci doma a z\u016fst\u00e1vat v kontaktu se sv\u00fdmi bl\u00edzk\u00fdmi. Nov\u00e9 centrum V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze poskytuje v zrekonstruovan\u00e9m historick\u00e9m dom\u011b modern\u00ed prost\u0159ed\u00ed pro individu\u00e1ln\u00ed i skupinovou terapii.<\/p>\n\n\n\n
V p\u0159\u00edpad\u011b, \u017ee se z\u00e1va\u017en\u00e1 du\u0161evn\u00ed porucha teprve rozv\u00edj\u00ed, m\u016f\u017ee hospitalizaci na psychiatrii nahradit doch\u00e1zka pacienta do denn\u00edho stacion\u00e1\u0159e, kdy ve\u010dery a noci tr\u00e1v\u00ed doma. Na \u0159e\u0161en\u00ed, o n\u011bm\u017e se podle jeho slov pom\u011brn\u011b m\u00e1lo v\u00ed, upozornil p\u0159ednosta Psychiatrick\u00e9 kliniky 1. l\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy a V\u0161eobecn\u00e9 fakultn\u00ed nemocnice (VFN) v Praze Martin Anders. \u201eDenn\u00ed stacion\u00e1\u0159e tak\u00e9 hraj\u00ed roli ve velmi citliv\u00e9m dol\u00e9\u010dovac\u00edm obdob\u00ed po hospitalizaci, kdy je t\u0159eba postupn\u00e9ho zapojov\u00e1n\u00ed a zvy\u0161ov\u00e1n\u00ed n\u00e1rok\u016f na pacienta,\u201c konstatoval.<\/p>\n\n\n\n
Docent Anders na to upozornil ve \u010dtvrtek 19. b\u0159ezna p\u0159i otev\u0159en\u00ed nov\u00e9ho centra denn\u00edch stacion\u00e1\u0159\u016f psychiatrick\u00e9 kliniky, kter\u00e9 VFN vybudovala v historick\u00fdch prostor\u00e1ch domu Vora\u010dick\u00fdch z Pab\u011bnic v ulici Ke Karlovu. Stacion\u00e1\u0159e pro dosp\u011bl\u00e9, adolescenty a pacienty s poruchami p\u0159\u00edjmu potravy tam nemocnice p\u0159est\u011bhuje z t\u00e9m\u011b\u0159 dv\u011b desetilet\u00ed vyu\u017e\u00edvan\u00e9ho provizoria v centr\u00e1ln\u00ed budov\u011b psychiatrick\u00e9 kliniky. V t\u00e9 souvislosti p\u0159ednosta kliniky poznamenal, \u017ee nov\u011b m\u016f\u017ee pomoci l\u00e9\u010dit i atraktivn\u00ed prost\u0159ed\u00ed. K nej\u010dast\u011bji \u0159e\u0161en\u00fdm probl\u00e9m\u016fm pat\u0159\u00ed \u00fazkostn\u011b depresivn\u00ed obt\u00ed\u017ee.<\/p>\n\n\n\n
Pom\u00e1h\u00e1 i l\u00e9\u010dba sv\u011btlem<\/p>\n\n\n\n
K dispozici jsou v r\u00e1mci stacion\u00e1\u0159\u016f mimo jin\u00e9 prostory pro terapii individu\u00e1ln\u00ed, skupinovou i rodinnou (na spolupr\u00e1ci s rodinami pacient\u016f a kontakt s dom\u00e1c\u00edm prost\u0159ed\u00edm se klade velk\u00fd d\u016fraz); nechyb\u00ed odpo\u010dinkov\u00e9 prostory, venkovn\u00ed u\u010debna, cvi\u010dn\u00e1 kuchyn\u011b \u2013 \u010di t\u0159eba terapeutick\u00e1 sv\u011btla v cel\u00e9 budov\u011b. Takzvan\u00e1 fototerapie pln\u011b spektr\u00e1ln\u00edm sv\u011btlem se pou\u017e\u00edv\u00e1 jako podp\u016frn\u00e1 l\u00e9\u010dba v\u0161ech typ\u016f psychick\u00fdch poruch, kter\u00e9 prov\u00e1zej\u00ed poruchy rytmu sp\u00e1nek\/bd\u011bn\u00ed. Osv\u011bd\u010duje se p\u0159i synchronizaci biologick\u00fdch rytm\u016f pacient\u016f.<\/p>\n\n\n\n
Oproti dosud vyu\u017e\u00edvan\u00fdm prostor\u00e1m pr\u00fd nov\u011b upraven\u00e9 i vybaven\u00e9 m\u00edstnosti p\u0159edstavuj\u00ed opravdu velk\u00fd pokrok; umo\u017en\u00ed nav\u00edc uva\u017eovat o zv\u00fd\u0161en\u00ed kapacity. A do budoucna by snad podle Andersov\u00fdch slov bylo mo\u017en\u00e9 i uva\u017eovat o zaveden\u00ed novinky v podob\u011b ve\u010dern\u00edho stacion\u00e1\u0159e.<\/p>\n\n\n\n
N\u00e1klady plat\u00ed zdravotn\u00ed poji\u0161\u0165ovna<\/p>\n\n\n\n
Prim\u00e1\u0159ka psychiatrick\u00e9 kliniky Eva Kitzlerov\u00e1 p\u0159ipom\u00edn\u00e1, \u017ee v n\u011bkter\u00fdch p\u0159\u00edpadech p\u0159ich\u00e1zej\u00ed do stacion\u00e1\u0159\u016f pacienti v r\u00e1mci p\u00e9\u010de navazuj\u00edc\u00ed na hospitalizaci v psychiatrick\u00fdch za\u0159\u00edzen\u00edch, ale p\u0159ihl\u00e1sit se mohou i z\u00e1jemci \u201ez ulice\u201c. Vhodn\u00e9 je doporu\u010den\u00ed psychologa, psychiatra nebo u adolescent\u016f pediatra \u2013 nen\u00ed ale podm\u00ednkou. Ani bydli\u0161t\u011b nep\u0159edstavuje z\u00e1sadn\u00ed krit\u00e9rium \u2013 stacion\u00e1\u0159e tedy nejsou ur\u010deny jen pro Pra\u017eany. Rozhoduj\u00edc\u00ed pak je vstupn\u00ed konzultace s m\u00edstn\u00edm l\u00e9ka\u0159em, p\u0159i\u010dem\u017e se mimo jin\u00e9 posuzuje, zda stabilizovan\u00fd stav pacienta umo\u017e\u0148uje ambulantn\u00ed l\u00e9\u010dbu a pravidelnou doch\u00e1zku s pobytem od osmi do \u0161estn\u00e1cti hodin.<\/p>\n\n\n\n
Doch\u00e1zen\u00ed do stacion\u00e1\u0159e je zdarma; n\u00e1klady hrad\u00ed zdravotn\u00ed poji\u0161\u0165ovna. Pacienti si sami plat\u00ed pouze stravov\u00e1n\u00ed; aktu\u00e1ln\u011b podle slov prim\u00e1\u0159ky Kitzlerov\u00e9 stoj\u00ed ob\u011bd 55 korun. P\u0159ednosta Anders Den\u00edku up\u0159esnil, \u017ee je to j\u00eddlo z nemocni\u010dn\u00ed kuchyn\u011b; stejn\u00e9, jak\u00e9 dost\u00e1vaj\u00ed hospitalizovan\u00ed pacienti. N\u011bkdy tak\u00e9 n\u00e1v\u0161t\u011bvn\u00edci jed\u00ed, co sami p\u0159ipravili v r\u00e1mci praktick\u00fdch cvi\u010den\u00ed.<\/p>\n\n\n\n
\u201eC\u00edlem stacion\u00e1\u0159\u016f je postupn\u011b zapojit pacienty do aktivit b\u011b\u017en\u00e9ho \u017eivota,\u201c konstatovala docentka Kitzlerov\u00e1. S t\u00edm, \u017ee z\u00e1kladem je psychoterapie v r\u016fzn\u00fdch form\u00e1ch, ale nechyb\u00ed l\u00e9\u010debn\u00e1 t\u011blesn\u00e1 v\u00fdchova, opat\u0159en\u00ed stabilizuj\u00edc\u00ed denn\u00ed rytmus i dal\u0161\u00ed \u010dinnosti: t\u0159eba arteterapie, canisterapie, ergoterapie, j\u00f3ga nebo \u201ekulinoterapie\u201c (jak si zde zvykli \u0159\u00edkat pr\u00e1ci ve cvi\u010dn\u00e9 kuchyni); dojde ale tak\u00e9 t\u0159eba na kou\u010dink nebo psychoedukace.<\/p>\n\n\n\n
Psychiatrick\u00e9 stacion\u00e1\u0159e V\u0161eobecn\u00e9 fakultn\u00ed nemocnice<\/p>\n\n\n\n
* Denn\u00ed stacion\u00e1\u0159 Karlov:<\/p>\n\n\n\n
Je ur\u010den pro pacienty ve v\u011bku od 18 do 65 let s \u00fazkostn\u00fdmi poruchami, poruchami n\u00e1lady, poruchami osobnosti a psychosomatick\u00fdmi pot\u00ed\u017eemi, stejn\u011b jako pro osoby se zhor\u0161en\u00edm du\u0161evn\u00edho stavu vyvolan\u00fdm dlouhodob\u00fdm stresem \u010di akutn\u00ed stresovou reakc\u00ed.<\/p>\n\n\n\n
Pomoc zde vyhled\u00e1vaj\u00ed i pacienti, kte\u0159\u00ed pot\u0159ebuj\u00ed podporu v r\u00e1mci n\u00e1vratu do b\u011b\u017en\u00e9ho \u017eivota p\u0159i l\u00e9\u010db\u011b bipol\u00e1rn\u00edch poruch, schizofrenie a dal\u0161\u00edch psychotick\u00fdch poruch (za podm\u00ednky, \u017ee jejich stav umo\u017e\u0148uje ambulantn\u00ed formu p\u00e9\u010de).<\/p>\n\n\n\n
Doch\u00e1zka zpravidla trv\u00e1 dva a\u017e t\u0159i m\u011bs\u00edce.<\/p>\n\n\n\n
* Denn\u00ed stacion\u00e1\u0159 pro pacienty s poruchou potravy:<\/p>\n\n\n\n
Poskytuje podporu a bezpe\u010dn\u00fd prostor pacient\u016fm s poruchami p\u0159\u00edjmu potravy. Nab\u00edz\u00ed l\u00e9\u010debn\u00fd program v d\u00e9lce jednoho a\u017e t\u0159\u00ed m\u011bs\u00edc\u016f.<\/p>\n\n\n\n
Pacienti maj\u00ed k dispozici skupinovou psychoterapii, program d\u00e1le zahrnuje komunity, nutri\u010dn\u00ed terapii a re\u017eimovou edukaci.<\/p>\n\n\n\n
Podm\u00ednkou p\u0159ijet\u00ed do stacion\u00e1\u0159e je v\u011bk nad 17 let a hodnota BMI nad 16. O p\u0159ijet\u00ed do programu rozhoduje multidisciplin\u00e1rn\u00ed t\u00fdm.<\/p>\n\n\n\n
* Denn\u00ed stacion\u00e1\u0159 pro adolescenty:<\/p>\n\n\n\n
Specializovan\u00e9 za\u0159\u00edzen\u00ed pro diagnostiku a l\u00e9\u010dbu psychick\u00fdch poruch dosp\u00edvaj\u00edc\u00edch poskytuje slu\u017eby klient\u016fm od 14 let do 19 let a zam\u011b\u0159uje se na l\u00e9\u010dbu probl\u00e9m\u016f z okruhu poruch dosp\u00edv\u00e1n\u00ed jako jsou emo\u010dn\u00ed poruchy, adapta\u010dn\u00ed poruchy, psychosomatick\u00e9 poruchy, neurotick\u00e9 poruchy, poruchy p\u0159\u00edjmu potravy, postcovidov\u00e9 n\u00e1sledky spojen\u00e9 se soci\u00e1ln\u00ed izolac\u00ed adolescent\u016f a dal\u0161\u00ed.<\/p>\n\n\n\n
Standardn\u00ed d\u00e9lka programu je zde osm t\u00fddn\u016f.<\/p>\n\n\n\n
* Denn\u00ed stacion\u00e1\u0159 pro seniory Karl\u00edkov (nebude se st\u011bhovat do domu Vora\u010dick\u00fdch; z\u016fst\u00e1v\u00e1 v prostor\u00e1ch centr\u00e1ln\u00ed budovy kliniky, proto\u017ee p\u0159edstavuje provozn\u011b-technickou, person\u00e1ln\u00ed i programovou sou\u010d\u00e1st gerontopsychiatrick\u00e9ho odd\u011blen\u00ed pro klienty star\u0161\u00ed 65 let):<\/p>\n\n\n\n
Podporuje du\u0161evn\u011b nemocn\u00e9 seniory, aktivizuje je a sou\u010dasn\u011b zaji\u0161\u0165uje odleh\u010den\u00ed rodin\u00e1m.<\/p>\n\n\n\n
Je vhodn\u00fd pro seniory s psychick\u00fdmi obt\u00ed\u017eemi r\u016fzn\u00e9ho charakteru (nap\u0159\u00edklad s oslaben\u00edm pam\u011bti) \u010di osoby se zdravotn\u00edm posti\u017een\u00edm, kter\u00e9 vy\u017eaduj\u00ed pomoc druh\u00e9 osoby, ale jejich zdravotn\u00ed stav je stabilizovan\u00fd.<\/p>\n\n\n\n
V r\u00e1mci aktiviza\u010dn\u00edch program\u016f v t\u011bchto skupin\u00e1ch je pro pacienty d\u016fle\u017eit\u00e9 tr\u00e9nov\u00e1n\u00ed pam\u011bti a mezigenera\u010dn\u00ed setk\u00e1v\u00e1n\u00ed; oce\u0148uj\u00ed mo\u017enost vyb\u00edrat si z bohat\u00e9ho programu terapeutick\u00fdch \u010dinnost\u00ed.<\/p>\n\n\n\n
Zdroj: V\u0161eobecn\u00e1 fakultn\u00ed nemocnice<\/p>\n\n\n\n
Milan Holakovsk\u00fd<\/p>\n\n\n\n
Pra\u017esk\u00fd den\u00edk<\/p>\n\n\n\n
https:\/\/prazsky.denik.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" Denn\u00ed stacion\u00e1\u0159e nab\u00edzej\u00ed alternativu k hospitalizaci pro pacienty s rozv\u00edjej\u00edc\u00edmi se du\u0161evn\u00edmi poruchami; umo\u017e\u0148uj\u00ed jim tr\u00e1vit ve\u010dery a noci doma a z\u016fst\u00e1vat v kontaktu se […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15037,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-63331","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/63331","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=63331"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/63331\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15037"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=63331"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=63331"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=63331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}