Varför hälsofrämjande satsning?
Transcript of Varför hälsofrämjande satsning?
Bild 1
Varför hälsofrämjande satsning?Carl Johan ÖstgrenProfessor, distriktsläkare
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 2
Alla däggdjurs hjärtan slår runt 1,5 miljarder slag under en normal livstid.
Blåvalar, möss och människor får samma antal hjärtslag av naturen!
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 3
Dödligheten i hjärtkärlsjukdom minskar i Sverige
3
Varför minskar dödligheten i
hjärtkärlsjukdom?• Befolkningsstudier påvisar riskfaktorer (1950-)
• Aktivt folkhälsoarbete (1960-)
• Biologiska mekanismer bakom förhöjt
blodtryck och kolesterol klarläggs (1970-)
• Nya läkemedel tas fram (1980-)
• Stora kliniska studier visar dessa läkemedel
minskar risken att drabbas av hjärtinfarkt och
stroke (1990-)
• Nationella riktlinjer och öppna jämförelser ökar
genomslaget i vården (2000-)
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 4
Normala kranskärl
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 5
Plaque &
förträngning
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 6
Hälsosatsning ÖdeshögFrån samarbete till samskapande hälsofrämjande satsning
2017-09-28, Eva Friberg
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 7
En landsbygdskommun med 5.272 invånare.
Ödeshög
7
En högstadieskola med cirka 280 elever, med årskurs 6
och klasser för nyanlända.
Många socioekonomiskt utsatta barn i behov av stöd och hjälp.
60 ensamkommande flyktingbarn och två asylboenden
(2015 tre boenden).
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 8
Vi ville förbättra hälsan på lång sikt genom att öka medvetenheten hos invånarna om att goda levnadsvanor påverkar hälsan till det bättre.
Under året arrangerades många olika hälsoaktiviteter, till exempel föreläsningar, ”hälsomål tio grupper” och öppet hus med riktade insatser för olika åldrar.
Vi nådde inte tonåringarna tillräckligt.
Uppstart 2010 för hälsoåret i
Ödeshög
8
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 9
9
Hälsodagen
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 10
• Att uppmuntra och stärka ungdomars förmåga till eget ansvar för sin hälsa.
• Att ge nyanlända samma hälsofrämjande insatser och information som ungdomar boende i kommunen.
• Att utveckla en förebyggande modell för upplägget av en hälsodag riktad till ungdomar 12-16 år, som andra vårdcentraler och skolor kan hämta idéer ifrån.
Syftet med Hälsodagen
10
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 11
• Kost
• Motion
• Träning
• Ergonomi
• Sömn och vila
• Tandvård
• Den egna kroppen
• Oro/ångest
• Relationer och utveckling
• Sex och samlevnad
• Om jag blir sjuk
• STRAMA
• Första hjälpen, brand, HLR
• Data ”skärmtid”
• Sociala medier
• Tobak
• Alkohol
• Droger och doping
• ”Om mig” årskurs 8
En hälsodag innehåller
många olika teman
11
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 12
Schema för årskurs 6-9
12
6B 6A 7A 7B 8A 8B 9A 9B 9C
Fys Petronella Fång14.10
Lunch
1
Bitta Dick Ä10
12.25-12.55
Tandvård ”Frisk o Fräsch mun! Hur?”
10.35-11.25Ä15
Hkk-Frukost9.35-10.25HKK-salen
Apoteket + AnnlouiseÄ4 Egenvård
Tobak Ä1610.55-11.30Madde
Anki
Tobak Ä1614.00-14.50Madde
Anki
MiniMariaÄ1
Marie, Roger
09.25-10.15.
TobakÄ16Anki, Madde
13.05-13.55
09.40-10.30Hjärt o Lung-räddning
Ä3 & AL -sal
Mats KardellÄ14Mats Kardell
13.30-14.30
Mats KardellÄ14Mats Kardell
10.25-11.25
UppdragSjälvkänsla
Ä8 08.30-09.30
Lunch
Lunch
8.30-9.30Sporthallen Mrjonsson Kickoff
Hkk-Frukost10.35-11.25HKK-salen
Apoteket + AnnlouiseÄ4 Egenvård
Tandvård ”Frisk
o Fräsch mun! Hur?” Sofia09.35-10.25Ä15
09.40-10.40MrjonssonWorkshop
Bildsalen
13.05-14.05MrjonssonWorkshop
bildsalenHjärt o Lung-räddning13.40-14.30
Ä3 & Al-sal
Lunch
Uppdrag SjälvkänslaÄ8 10.35-11.35
Lunch Lunch
Stress/Oro /ÅngestEmma 13.10-14.05
Pettersson Ä13
Maria Ä9Kost för hälsa och prestation
9.30-10.30
Maria Ä9Kost för hälsa
och prestation
13.30-14.40
Resa till MjölbyUngdomshälsanm Barnmorska
Dick
Bitta Dick Ä10
13.10-13.40
Resa till MjölbyUngdomshälsanm Barnmorska
Dick
MiniMariaÄ1
Marie , Roger
08.30-09.20
MrjonssonWorkshopBildsalen
10.40-11.40
14.15-15.15MrjonssonWorkshop
Bildsalen
Stress/Oro /ÅngestEmma 14.15-15.00
Pettersson Ä13
TobakÄ16Anki, Madde
12.10-13.00Fys . Petronella Fång12.30
Maria Ä9Kost för hälsa
och prestation
10.40-11.40
Mats KardellÄ14Mats Kardell
08.30-09.30
Apoteket + AnnlouiseÄ4 Egenvård
MiniMariaÄ1
Marie, Roger
13.30-14.20
Fys Petronella Fång 11.50
09.05
09.45
10.20
10.45
11.20
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 13
Schema i den förberedande
klassen för nyanlända
13
Mojje Daniel Gabriel
Fys Petronella Fång 14.10
Räddnings-tjänsten9.00-9.50 Ute
Räddnings-tjänsten
10.00-10.50Ute
Räddnings-
tjänsten
11.00-12.50Ute
Start i ord. Klassrum (Ä5, Ä3, G10)
Isa 9.00-9.50Egenvård/ Sv. vård Ä2
Isa 10.00-10.50
Egenvård/Sv. vård
Ä2
Isa 11.00-12.50
Egenvård/Sv. vårdÄ2
Inga
SvanbergSex/samlevÄ4 9.00-9.50
Inga Svanberg
Sex/samlevÄ4 10.00-10.50
Inga
SvanbergSex/samlevÄ4 11.00-12.50
Lunch
Ordinarie lektioner
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 14
Resultat från elevenkät 2017
14
Ja53%
Nej10%
Vet inte37%
SI/FÖ/MO
Ja44%
Nej2%
Vet inte54%
Årskurs 6
Ja42%
Nej12%
Vet inte46%
Årskurs 7
Ja30%
Nej19%
Vet inte51%
Årskurs 8
Ja27%
Nej25%
Vet inte48%
Årskurs 9
Tror du att du kommer att göra några förändringar i
ditt liv som resultat av Hälsodagen?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 15
Tycker du att Hälsodagen ska anordnas årligen?
Resultat från elevenkät 2017
15
SI/FÖ/MO Årskurs 6 Årskurs 7
Årskurs 8 Årskurs 9
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 16
Region Östergötland
• Distriktssköterskor
• Diabetessköterska
• Rökavvänjare
• Hälsosamordnare
• Dietist
• Läkare, arabisktalande
• Vårdadministratör
• Vårdcentralschef
• Rehab Väst
• Ungdomshälsan
• Tandvården
• Mini-Maria
Ödeshögs kommun
• Elevhälsan
• Idrottslärare
• Hemkunskapslärare
• Övriga lärare
• Rektor
• Kommunalråd
Huvudaktörer
16
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 17
Samarbetspartner
17
• Lokala gymmet - träningspass
• Apoteket - egenvård
• ICA - sponsrar med frukt och nyttigheter, utställning
• Mr. Jonsson - attityd och självkänsla
• Mats Kardell - ”jakten på den perfekta kroppen”
• Frisk och fri - kroppsuppfattning
• Polisen
• Räddningstjänst
• Barnmorska - sex och samlevnad
• Rädda Barnen
• Korpen - kost och träning
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 18
• Stärkt samverkan
• Fler aktörer som vill medverka
• Intresse från andra vårdcentraler
• Ökat intresse för hälsofrågor
• Andra hälsoprojekt:
- hälsodag för yngre elever
- pulsmätare på idrotten i skolan
- aktiv satsning på rökavvänjning till nyanlända
”Spin off-effekter” av Hälsodagen
18
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 19
• Rökavvänjare från Flyktingmedicinskt centrum
• Föräldrar, BVC, skola
• Hälsomål
• Nyanlända och integration, nya frågeställningar
• Hållbar utveckling, miljö och hälsa
• Nya teknik och nya möjligheter - på gott och ont
Tankar för framtiden
19
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 20
Framgångsfaktorer
• Gemensam målbild
• Långsiktighet
• Tillit
• Delaktighet
• Eldsjälar
• Engagerade medarbetare och chefer
• Uthållighet
Framgångsfaktorer och
utmaningar
20
Utmaningar
• Olika verksamheter
• Tidsbrist
• Förändringar i personalgruppen
• Orka prioritera det över tid
• Anpassa till nya förutsättningar
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 21
21
Frågor?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________
Bild 22
Eva FribergVerksamhetschef
Vårdcentralen ÖdeshögTel: 010-104 87 10
E-post: [email protected]
Tack för att ni lyssnade!
22
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________