Ngwarira dambudziko rehuku-zai. Kana mapato ari kufara, asi tanga wabvunza umboo, tarisa kana uine nzira dzekupa mutoro iwoyo wehumbowo. Uye mapurojekiti ane chinangwa chekudzivirira anogara akaoma, chero pasina muridzi wedambudziko anowanikwa.

Chinangwa

Iyo yehupenyu kutungamira mukudzoreredzwa kwemoyo muZaans Medical Center (ZMC) yakaongororwa isingagutse pamapoinzi matatu neInspectorate. Dambudziko rakanga risiri pakutanga kwehurongwa: varwere vakagamuchirwa zvakanaka muchipatara uye mavhiki ekutanga ekugadziriswa kwemoyo akanyatsorongwa. Iyo inopa mumunda wemararamiro, sekurega kusvuta, kuderedza uremu uye kutevera kwemurwere, zvakazoitika, zvakadaro, kuve isina kuchengetedzwa zvakakwana. Mukuwedzera, mhinduro yedata yakanga isina kukwana. Izvi zvakakonzera kudonha kusingakoshi pakati pevarwere gare gare mukuita. Chiitiko chitsva, uye pamwe chete nerekodhi, saka vangave vakahwandira. Izvi zvinoguma nemitengo yepamusoro yehutano. Kuvandudzwa kwekugadziriswa kwemoyo saka kwaidiwa nekukurumidza.

Mushure mekuita quotation process, Viactive yakasarudzwa kubva kune vana vanopa kuti vavandudze kuvandudzwa kwemoyo neZMC.. Mukubatana neLifestyle Interactive, Yunivhesiti yeMaastricht, ZMC, mararamiro evanopa mazano uye vezvekudya, ViActive yakagadzira pfungwa yekuvandudza mwoyo. Izvo zvine chekuita nekugadzirisa patsva kwemaitiro ekugadzirisa, umo e-hutano uye mararamiro module zvakabatanidzwa. Nguva yekuvandudzwa kwemoyo inowedzerwa kusvika pagore nehafu. Nhungamiro yemunhu uye kudzidziswa kwakanangwa (kuzvipira kumararamiro ane hutano) anouya pakutanga.

Svika

  1. Nekutaura kune vese vanobatana mumaketani (varwere, nyanzvi, physiotherapist, psychologists, mararamiro nyanzvi, kushamwaridzana nevarwere uye mainishuwarenzi ehutano) uye kuita tsvakurudzo yekucherechedza, kugadziriswa kwemoyo kwakaongororwa. Pfungwa dzinotevera dzekuvandudza dzakacherechedzwa:Pane kudyidzana kushoma kana kurongeka pakati pevatarisi vakasiyana uye mamodule. Iyo inoshaya yakajairwa MDO (multidisciplinary consultation) uye kutonga kwakajeka pamurwere.
  2. Mushure memwedzi mina, vamwe vevarwere vari kunze kwemufananidzo uye hapasisina hutongi pamusoro penguva refu uye inosimudzira mararamiro ekuchinja.. Izvi zvinoita kuti mukana wekudzokera kumashure mumaitiro ekare uwedzere. Uyezve, mwedzi mitatu kusvika mina ipfupi kwazvo kuti iunze shanduko yemaitiro.
  3. Zviri muchirongwa – kusanganisira kudiwa kweimwe nhungamiro – inotemerwa panguva yekubvunzurudzwa kwekutora pahwaro hwezviyero. Nekudaro, chidzidzo chekutarisa chakaratidza kuti kudiwa kwechirongwa chemunhu kazhinji kunotora mwedzi mitanhatu kusvika pagore kuti iite chimiro., uye ipapo murwere anenge asisatarisirwi.

Zvichienderana nemaonero aya, kugadziridzwazve kwekugadziriswa kwemoyo kwakaitwa. Kunze kweiyo mararamiro module, mutengo wemurwere unogona kukwana mukati me (heavy) DBC (guideline 2014).

Mhedzisiro

Kufunga kwakanaka, inokwanisika uye inogoneka pfungwa nerutsigiro kubva kune vese vane chekuita mukugadzirisa. Kuvandudzwa kukuru kwaiva:

  • Kutora wega uye maitiro;
  • Kuwedzerwa kwekugadziriswa kwemoyo kusvika kune imwe nehafu yemakore;
  • Mupiro wemararamiro module, yakagadzirirwa kumoyo wekuvandudza modules PEP (kutsigirwa mupfungwa uye mupfungwa), FIT (chivako mamiriro) uye info module;
  • Imwe yekuwedzera e-coaching system, nemurairidzi anenge asanganawo nemurwere, saka hapana mweni;
  • Kuburikidza ne-e-coaching zvakare zvinogoneka kuti varwere vachinjane ruzivo nemumwe;
  • A PDCA kutenderera kwakabatana neMDO, kutarisa mafambiro evarwere, kudyiswa neruzivo kubva kue-coaching system.

Kuitwa kwacho kwakangoenda zvakasiyana pane zvakarongwa. Zviwanikwa zvemari zvaidiwa kuti zvishandiswe uye zviitwe, iyo ZMC yakanga isina. Hurukuro dzakabva dzaitwa nevakawanda vaigona kuwana mari (o.a. vatsigiri vehutano, ZonMw uye Moyo Foundation). Munhu wese akafara, asi nokuda kwezvikonzero zvakasiyana-siyana hazvina kuuya kumari.

Kubudirira kwepurogiramu kwakanyatsosimbiswa nenyaya yebhizimisi, asi zvakazoitika kuti hazvina kupupura zvisati zvaitika. Nokuda kweizvi zvaifanira kutanga kushandiswa. Humbowo hunoratidza kushanda hunogona kukurumidzira kuita uye kunyengetedza mari. Zvirongwa zvezvidzidzo zveYunivhesiti yeMaastricht zvaive zvagadzirira. Nekudaro, mari inodiwa zvakare kuita chidzidzo chemhedzisiro. Uye kana chikumbiro chakakodzera cherubatsiro chakapihwa, "in-kind" mari yaive mamiriro - kuunza yako mari yaive isipo.. Denderedzwa rakashata.

Zvidzidzo

  1. Kuchengeta nekudzivirira kwakaoma kuisa mari. Kuvandudzwa kwemoyo kutsva kwaisazopa chero mari yakananga, uye maererano nebhizimisi nyaya, vatsigiri vezvemari havangavi ivo vanobatsirwa zvakananga nekubhadhara mari.. Press Release Case Teaser Brilliant Failures Award Care (mari) zvikomborero zvinoonekwa kune dzimwe nzvimbo.
  2. Pakangoitwa pfungwa iyi uye nekuratidzwa, zvimwe zvipatara zvaizoshanyirwawo. Danho iri ringangodaro rakatorwa kare, kuitira kuti uwane rutsigiro rwakawanda kubva kune 2Muchidimbu, fomu rakarongwa harienderane nemaitiro aripo ezvidzidzo zvesainzi mutsara wenzira iyi.
  3. Kupatsanura chiitiko ichi kuita nhanho diki kungadai kwakavewo mhinduro inogoneka kudambudziko remari 75% yemaitiro matsva akange atoitika, panogona kunge pakava nechido chakawanda chekuwana mari.
  4. Kunze kwematambudziko emari, nguva inogona kunge isati yakwana. Nguva yekutungamira yegore nehafu haina kuenderana nemirairo uye chimiro chemari. Kunyangwe iyo yekupihwa yakaramba yakafanana uye hunhu hwaizovandudzika hwaisaratidzika kuve pachena kune wese munhu - hazvingave nani here kungoramba uchitevedzera zvizere nhungamiro?
  5. Pasinei nechokwadi chokuti tsvakurudzo yesayenzi yakasimbisa kukosha kwemararamiro, Dietetics uye mararamiro zvakauya pasi pegirazi rinokudza panguva imwe chete. Izvi ndezvemutsetse wechipiri here? Inspection yakafunga kudaro, tapihwa ongororo yeZMC. Mamwe mapato aifunga kuti chaive chimwe chinhu chekutarisira kwekutanga kana kumurwere pachake. Saka zvakanga zvisina chokwadi kana 'kuwonda' uye 'kurega kusvuta' zvaizoramba zviri muinishuwarenzi. Shungu dzekuisa mari mumararamiro dzakange dzisina kunaka.

Zita: Peter Wouters:
Sangano: Viactive