{"id":139202,"date":"2009-04-30T18:02:44","date_gmt":"2009-04-30T16:02:44","guid":{"rendered":"http:\/\/wp.kristdemokraterna.se\/vasternorrland\/?p=139202"},"modified":"2019-04-05T10:41:11","modified_gmt":"2019-04-05T08:41:11","slug":"svar-pa-interpellation-om-evidensbaserad-behandling-i-primarvarden","status":"publish","type":"post","link":"https:\/\/wp.kristdemokraterna.se\/vasternorrland\/svar-pa-interpellation-om-evidensbaserad-behandling-i-primarvarden\/","title":{"rendered":"Svar p\u00e5 interpellation om evidensbaserad behandling i prim\u00e4rv\u00e5rden"},"content":{"rendered":"

Vice ordf\u00f6rande i h\u00e4lso- och sjukv\u00e5rdsdelegationen Susanne Sundqvist l\u00e4mnade f\u00f6ljande svar p\u00e5 interpellationen fr\u00e5n Mona Lundqvist om evidensbaserad behandling i prim\u00e4rv\u00e5rden:<\/p>\n

Evidensbaserad v\u00e5rd inneb\u00e4r ett f\u00f6rh\u00e5llningss\u00e4tt till vetenskap p\u00e5 s\u00e5 s\u00e4tt att man v\u00e4ger in vetenskapliga resultat (evidens) i sitt kliniska arbete. Evidensbaserad v\u00e5rd kan \u00e4ven betraktas som en metod, det vill s\u00e4ga ett strukturerat s\u00e4tt att ta reda p\u00e5 vilka vetenskapliga resultat som \u00e4r b\u00e4st f\u00f6r att hj\u00e4lpa till att l\u00f6sa det kliniska problemet.<\/p>\n

Evidensbaserad v\u00e5rd inneb\u00e4r, att man v\u00e4ger samman b\u00e4sta tillg\u00e4ngliga evidens med sin kliniska expertis och patientens v\u00e4rderingar.<\/p>\n

SBU skriver i SBU alert-rapport nr 2005-07 DBT, dialektisk beteendetr\u00e4ning vid bordelinepersonlighet: \u201dMed Mindfulness avses metoder som h\u00e4mtats fr\u00e5n meditationstekniker och som innefattar olika former av avslappning och tr\u00e4ning i att vara n\u00e4rvarande i nuet, s\u00e5 kallad med-veten n\u00e4rvaro\u201d.<\/p>\n

Mindfulness (MBCT Mindfulness based cognitive therapy) \u00e5terfinns inte i s\u00e5 m\u00e5nga RCT (randomiserade kontrollerade studier) eftersom Mindfulness ofta anv\u00e4nds som en delkom-ponent i kognitiv behandling.
\nS\u00f6kning p\u00e5 pubmed ger n\u00e5gra review artiklar d\u00e4r den senaste konstaterar att Mindfulness bl.a. minskar risken f\u00f6r \u00e5terfall av depression.<\/p>\n

I koppling till bl.a. s\u00f6mnproblem \u00e5terfinns ett flertal vetenskapliga artiklar att tillg\u00e5. Yook m.fl. h\u00e4vdar att Mindfulness b\u00e5de f\u00f6rb\u00e4ttrar s\u00f6mnen och minskar \u00e5ngestbesv\u00e4ren men att ytterligare forskning beh\u00f6vs (\u201dfindings suggest that MBCT can be effective at relieving insomnia symptoms by reducing worry associated sleep disturbances in patients with anxiety disorder. However, well-designed, randomized, controlled trials are needed to confirm our findings\u201d) 1).<\/p>\n

Mona Lundqvist undrar i sin interpellation om metoden \u00e4r relevant f\u00f6r prim\u00e4rv\u00e5rden i v\u00e5rt l\u00e4n?<\/p>\n

I Prim\u00e4rv\u00e5rden V\u00e4sternorrlands s\u00f6mnh\u00e4fte som liknar flera landstings s\u00f6mnr\u00e5d (Uppsala, J\u00f6nk\u00f6ping m.fl.) \u00e5terfinns Mindfulness som en m\u00f6jlig metod f\u00f6r avslappning.<\/p>\n

Inom Prim\u00e4rv\u00e5rden V\u00e4sternorrland har n\u00e5gra mindre utv\u00e4rderingar av Mindfulness genomf\u00f6rts (bl.a. Eva Brattfelt) d\u00e4r patienter uppgett sig f\u00e5 mycket bra hj\u00e4lp av Mindfulness.<\/p>\n

Enligt HSL, H\u00e4lso- och Sjukv\u00e5rds Lagen skall v\u00e5rdgivaren\/v\u00e5rdgivarens f\u00f6retr\u00e4dare informera om l\u00e4mpliga behandlingsmetoder. Av Socialstyrelsens kvalitetssystem \u201dGod V\u00e5rd\u201d skall vidare kostnadseffektiva metoder nyttjas.<\/p>\n

Mot denna bakgrund anv\u00e4nds Mindfulness, om \u00e4n i begr\u00e4nsad omfattning, inom Prim\u00e4rv\u00e5rden V\u00e4sternorrland inom bl.a. s\u00f6mnprevention.<\/p>\n

Avslutningsvis vill jag betona att nyttjandet av Mindfulness i Prim\u00e4rv\u00e5rden V\u00e4sternorrland utg\u00f6r ett komplement till \u00f6vrig behandling. Det religi\u00f6sa inslaget har vidare helt \u201davskalats\u201d\/eliminerats vilket g\u00f6r metoden anv\u00e4ndbar oavsett patientens livs\u00e5sk\u00e5dning\/trosuppfattning.<\/p>\n

I de fall patienter k\u00e4nner sig kr\u00e4nkta eller mycket tveksamma till Mindfulness \u00e4r det enligt min och Prim\u00e4rv\u00e5rden V\u00e4sternorrlands mening inte f\u00f6renligt med EBV, evidensbaserad v\u00e5rd att \u201dtvinga p\u00e5\u201d n\u00e5gon just denna avslappningsmetod.<\/p>\n

Det vetenskapliga underlaget \u00e4r inte lika sj\u00e4lvklart som f\u00f6r m\u00e5nga h\u00f6gprioriterade modeller men SBU\u00b4s sammanfattning om att denna grupp av \u00e5tg\u00e4rder verkar vara \u201den lovande behandlingsform f\u00f6r patienter med borderline personlighetsst\u00f6rning. Den beh\u00f6ver dock utpr\u00f6vas f\u00f6r svenska f\u00f6rh\u00e5llanden\u201d leder till att de verksamheter som anv\u00e4nder denna behandlingsform beh\u00f6ver vara uppm\u00e4rksamma p\u00e5 hur evidensl\u00e4get utvecklas och f\u00f6lja pati-enter i denna behandlingsform s\u00e4rskilt noga. Det kan ju vara fr\u00e5ga om st\u00f6rningar som \u00e4r sv\u00e5ra att n\u00e5 med traditionella metoder och d\u00e4r den verksamhetsansvarige \u00e4r angel\u00e4gen att i prognos- och symtomf\u00f6rb\u00e4ttrande syfte pr\u00f6va \u201dnya\u201d metoder.<\/p>\n

H\u00e4rn\u00f6sand den 27 april 2009<\/p>\n

Susanne Sundqvist
\nVice ordf\u00f6rande i H\u00e4lso- och sjukv\u00e5rdsdelegationen<\/p>\n

\n

Utdrag ur landstingsfullm\u00e4ktiges protokoll 29-30 april 2009 \u00a7 78<\/p>\n

Mona Lundqvist tackade f\u00f6r svaret.<\/p>\n

I detta \u00e4rende yttrade sig \u00e4ven Susanne Sundqvist och Sverker \u00c5gren.<\/p>\n

\n

Prim\u00e4rv\u00e5rd<\/a> | interpellationssvar<\/a> \u00b7 mindfullness<\/a> \u00b7 Mona Lundqvist<\/a> \u00b7 Sverker \u00c5gren<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Vice ordf\u00f6rande i h\u00e4lso- och sjukv\u00e5rdsdelegationen Susanne Sundqvist l\u00e4mnade f\u00f6ljande svar p\u00e5 interpellationen fr\u00e5n Mona Lundqvist om evidensbaserad behandling i prim\u00e4rv\u00e5rden: Evidensbaserad v\u00e5rd inneb\u00e4r ett f\u00f6rh\u00e5llningss\u00e4tt till vetenskap p\u00e5 s\u00e5 s\u00e4tt att man v\u00e4ger in vetenskapliga resultat (evidens) i sitt kliniska arbete. Evidensbaserad v\u00e5rd kan \u00e4ven betraktas som en metod, det vill s\u00e4ga ett strukturerat Read More<\/a><\/p>\n","protected":false},"author":787,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[100],"tags":[543,81,378,484,256,464],"class_list":["post-139202","post","type-post","status-publish","format-standard","hentry","category-primarvard","tag-alla-inlagg","tag-interpellationssvar","tag-mindfullness","tag-mona-lundqvist","tag-primarvard","tag-sverker-agren"],"acf":[],"yoast_head":"\nSvar p\u00e5 interpellation om evidensbaserad behandling i prim\u00e4rv\u00e5rden | KD V\u00e4sternorrland<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/wp.kristdemokraterna.se\/vasternorrland\/svar-pa-interpellation-om-evidensbaserad-behandling-i-primarvarden\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Svar p\u00e5 interpellation om evidensbaserad behandling i prim\u00e4rv\u00e5rden | KD V\u00e4sternorrland\" \/>\n<meta property=\"og:description\" content=\"Vice ordf\u00f6rande i h\u00e4lso- och sjukv\u00e5rdsdelegationen Susanne Sundqvist l\u00e4mnade f\u00f6ljande svar p\u00e5 interpellationen fr\u00e5n Mona Lundqvist om evidensbaserad behandling i prim\u00e4rv\u00e5rden: Evidensbaserad v\u00e5rd inneb\u00e4r ett f\u00f6rh\u00e5llningss\u00e4tt till vetenskap p\u00e5 s\u00e5 s\u00e4tt att man v\u00e4ger in vetenskapliga resultat (evidens) i sitt kliniska arbete. 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