{"id":2336,"date":"2020-01-14T14:58:53","date_gmt":"2020-01-14T14:58:53","guid":{"rendered":"https:\/\/sizofrenija.lv\/sabiedribai\/?page_id=2336"},"modified":"2025-12-19T11:52:30","modified_gmt":"2025-12-19T10:52:30","slug":"profesionala-dzive","status":"publish","type":"page","link":"https:\/\/sizofrenija.lv\/sabiedribai\/dzive-ar-sizofreniju\/profesionala-dzive\/","title":{"rendered":"\u0160izofr\u0113nija skol\u0101 un darb\u0101"},"content":{"rendered":"\n
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\u0160izofr\u0113nija skol\u0101 un darb\u0101<\/h1>

Pacienti, kuri dz\u012bvo ar \u0161izofr\u0113niju, nereti cie\u0161 no sistem\u0101tisk\u0101m probl\u0113m\u0101m atrast darbu. Stigma pret psihisko vesel\u012bbu var rad\u012bt daudzos darba dev\u0113jos un uz\u0146\u0113mumu vad\u012bt\u0101jos nepareizu izpratni par pacienta ar \u0161izofr\u0113niju vesel\u012bbas st\u0101vokli un vi\u0146a piem\u0113rot\u012bbu darbam. Mums ir da\u017ei v\u0113rt\u012bgi ieteikumi darba dev\u0113jiem, \u0123imen\u0113m, vesel\u012bbas apr\u016bpes speci\u0101listiem un instit\u016bcij\u0101m, kas \u013cautu mazin\u0101t pacientu ar \u0161izofr\u0113niju nevienl\u012bdz\u012bbu darba tirg\u016b.<\/p><\/a>

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Pacientiem ar ilgsto\u0161i norito\u0161\u0101m psihisk\u0101m slim\u012bb\u0101m, tostarp \u0161izofr\u0113niju, n\u0101kas piedz\u012bvot gr\u016bt\u012bbas darb\u0101, bet stigmas d\u0113\u013c ar\u012b aizspriedumus un diskrimin\u0101ciju.1<\/sup> Neskatoties uz to, ka sabiedr\u012bba kopum\u0101 k\u013c\u016bst arvien izgl\u012btot\u0101ka psihisk\u0101s vesel\u012bbas jaut\u0101jumos, ja ir runa par \u0161izofr\u0113niju, stigma tom\u0113r past\u0101v. Da\u017ei uzskata, ka cilv\u0113ki ar \u0161izofr\u0113niju, iesp\u0113jams, var k\u013c\u016bt vardarb\u012bgi, ka vi\u0146i nesp\u0113j b\u016bt past\u0101v\u012bgi nodarbin\u0101ti un vi\u0146u uzved\u012bba var strauji un neprognoz\u0113jami main\u012bties.2<\/sup>

\u0160izofr\u0113nija parasti s\u0101k izpausties vecum\u0101 no 18 l\u012bdz 35 gadiem, laik\u0101, kad jaunais cilv\u0113ks stud\u0113 vai s\u0101k veidot karjeru.3<\/sup> \u0160izofr\u0113nijas diagnoze pacientam var \u0161\u0137ist bied\u0113jo\u0161a. K\u0101dam tas var apdraud\u0113t iepl\u0101noto, jo profesion\u0101lajai izaugsmei nepiecie\u0161amo izgl\u012bt\u012bbu var ar\u012b neieg\u016bt un prasmes neapg\u016bt. T\u0101p\u0113c uzskata, ka \u0161izofr\u0113nijai ir b\u016btiska ietekme uz izgl\u012bt\u012bbu un darba izredz\u0113m. Str\u0101d\u0101jo\u0161iem pacientiem ar \u0161izofr\u0113niju slim\u012bbas simptomi, \u0101rst\u0113\u0161anas nev\u0113lam\u0101s blakuspar\u0101d\u012bbas un slim\u012bbas atk\u0101rtoti paasin\u0101jumi var iespaidot vi\u0146u sp\u0113jas saglab\u0101t darbu.4<\/sup>

Vair\u0101ki p\u0113t\u012bjumi ir par\u0101d\u012bju\u0161i, ka \u0161izofr\u0113nijas pacientiem, kuri str\u0101d\u0101 algotu darbu, ir piecas reizes liel\u0101kas izredzes uz funkcion\u0113\u0161anas sp\u0113ju atjauno\u0161anos, sal\u012bdzinot ar pacientiem ar \u0161izofr\u0113niju, kuri nestr\u0101d\u0101 vai str\u0101d\u0101 bez atalgojuma. 5,6<\/sup> Neskatoties uz atk\u0101rtotiem centieniem apg\u016bt darbam nepiecie\u0161am\u0101s prasmes, iek\u0101rtoties darb\u0101 un sa\u0146emt atbalstu, pacientiem, kuri slimo ar \u0161izofr\u0113niju tom\u0113r ir visaugst\u0101kie bezdarba r\u0101d\u012bt\u0101ji no vis\u0101m nodarbin\u0101t\u012bbas zi\u0146\u0101 diskrimin\u0113taj\u0101m grup\u0101m.7<\/sup> Pacientiem, kuri slimo ar \u0161izofr\u0113niju konkur\u0113tsp\u0113j\u012bgas nodarbin\u0101t\u012bbas rad\u012bt\u0101ji ir zemi, sal\u012bdzin\u0101jum\u0101 ar visp\u0101r\u0113jo popul\u0101ciju. ASV un Eiropas apr\u0113\u0137ini atkl\u0101j, ka vien 20% pacientu ar \u0161izofr\u0113niju str\u0101d\u0101.8<\/sup> Aptauj\u0101s pacienti ar \u0161izofr\u0113niju pau\u017e neapmierin\u0101t\u012bbu ar zemajiem nodarbin\u0101t\u012bbas r\u0101d\u012bt\u0101jiem, 55%-70% pacientu ar \u0161izofr\u0113niju nor\u0101da, ka vi\u0146iem ir v\u0113lme str\u0101d\u0101t.9<\/sup>

\u0160aj\u0101 popul\u0101cij\u0101 bezdarbs d\u0101rgi izmaks\u0101 ne vien finansi\u0101l\u0101 zi\u0146\u0101, bet ar\u012b t\u0101d\u0113\u013c, ka pacienti ar \u0161izofr\u0113niju bez darba j\u016btas soci\u0101li nevajadz\u012bgi un mazin\u0101s kl\u012bniskais ieguvums, proti, z\u016bd pa\u0161v\u0113rt\u0113jums un pa\u0161apr\u016bpes sp\u0113jas.10<\/sup> Invalidit\u0101te tiek pie\u0161\u0137irta, balstoties uz slim\u012bbas izrais\u012bto darba sp\u0113ju zudumu. Vienlaic\u012bgi pacientiem ar \u0161izofr\u0113niju tiek pied\u0101v\u0101ta profesion\u0101l\u0101 rehabilit\u0101cija, vi\u0146i tiek aicin\u0101ti iesaist\u012bties darba tirg\u016b.11<\/sup><\/p><\/div><\/div>\n\n\n\n

Virkne faktoru var ietekm\u0113t pacientu ar \u0161izofr\u0113niju nodarbin\u0101t\u012bbu un profesion\u0101lo rehabilit\u0101ciju.12<\/sup><\/p><\/div><\/div>\n\n\n\n

Kognit\u012bvie trauc\u0113jumi: \u0161izofr\u0113nij\u0101 kognit\u012bvie trauc\u0113jumi ir bie\u017ei sastopami, un tie ir ne vien kl\u012bniski, bet ar\u012b funkcion\u0101li noz\u012bm\u012bgi. Trauc\u0113jumi izpau\u017eas virkn\u0113 t\u0101du funkciju k\u0101 uzman\u012bba, atmi\u0146a, izpildfunkcijas un inform\u0101cijas apstr\u0101des \u0101trums.12<\/sup> T\u0101s uzskata par visproblem\u0101tisk\u0101kajiem faktoriem nodarbin\u0101t\u012bb\u0101, izce\u013cot gan gr\u016bt\u012bbas savstarp\u0113j\u0101 sazi\u0146\u0101, gan gr\u016bt\u012bbas veikt k\u0101das aktivit\u0101tes, gan kognit\u012bvo funkciju pasliktin\u0101\u0161anos, it \u012bpa\u0161i sp\u0113ju apstr\u0101d\u0101t inform\u0101ciju un apg\u016bt jaunus uzdevumus.13<\/sup><\/p>

Kait\u012bgo vielu izrais\u012bti trauc\u0113jumi: kait\u012bgo vielu p\u0101rm\u0113r\u012bga lieto\u0161ana un atkar\u012bbas ir pla\u0161i izplat\u012btas pacientu vid\u016b, kuri slimo ar \u0161izofr\u0113niju. Tas saist\u012bts ar jau t\u0101 nopietn\u0101s psihisk\u0101s saslim\u0161anas v\u0113l smag\u0101ku norisi, ieskaitot atk\u0101rtotus slim\u012bbas paasin\u0101jumus un bie\u017e\u0101ku hospitaliz\u0101ciju, slikt\u0101ku psihosoci\u0101lo funkcion\u0113\u0161anu un probl\u0113m\u0101m, kas saist\u012btas ar likumu iev\u0113ro\u0161anu, vesel\u012bbu un dz\u012bvesvietu.14<\/sup><\/p>

Fizisk\u0101s saslim\u0161anas: pacienti, kuri dz\u012bvo ar \u0161izofr\u0113niju, ir uz\u0146\u0113m\u012bg\u0101ki pret t\u0101d\u0101m fizisk\u0101m saslim\u0161an\u0101m k\u0101 metabolie trauc\u0113jumi, kas ir antipsihotisko medikamentu lieto\u0161anas nev\u0113lama blakuspar\u0101d\u012bba vai ar\u012b t\u0101du nevesel\u012bga dz\u012bvesveida izpausmju, k\u0101 sm\u0113\u0137\u0113\u0161ana, mazkust\u012bgs dz\u012bves veids un slikts uzturs, sekas.15<\/sup>
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Tiem, kuri sp\u0113j str\u0101d\u0101t, ir virkne ieguvumu – finansi\u0101l\u0101 neatkar\u012bba, soci\u0101lo kontaktu papla\u0161in\u0101\u0161an\u0101s un pieaugo\u0161s pa\u0161v\u0113rt\u0113jums.16<\/sup> Nodarbin\u0101t\u012bba ir viens no galvenajiem veidiem k\u0101 cilv\u0113ki kontakt\u0113 ar l\u012bdzcilv\u0113kiem, veido soci\u0101los kontaktus, k\u0101 ar\u012b ieg\u016bst jaunus draugus. Turkl\u0101t darb\u0101 uztic\u0113tie pien\u0101kumi cilv\u0113kiem \u013cauj justies nov\u0113rt\u0113tiem, k\u0101 ar\u012b vi\u0146u dz\u012bve k\u013c\u016bst j\u0113gpilna.
P\u0113t\u012bjumu rezult\u0101ti par\u0101da, ka cilv\u0113ki, kuri cie\u0161 no psihoz\u0113m, \u013coti zemu v\u0113rt\u0113 savas izredzes sasniegt person\u012bg\u0101s dz\u012bves m\u0113r\u0137i. Un tas, iesp\u0113jams, var novest pie atkar\u012bbas no psihoakt\u012bv\u0101m viel\u0101m un\/vai pa\u0161n\u0101v\u012bbas m\u0113\u0123in\u0101jumiem. 17<\/sup>

T\u0101 k\u0101 nodarbin\u0101t\u012bbas r\u0101d\u012bt\u0101ji pacientu ar \u0161izofr\u0113niju vid\u016b ir \u013coti zemi, galven\u0101 uzman\u012bba parasti tiek piev\u0113rsta tiem, kuri jau ir bez darba nevis tiem, kuri v\u0113l m\u0101c\u0101s vai str\u0101d\u0101.7<\/sup> Laic\u012bga iejauk\u0161an\u0101s, atbalstot jaunos cilv\u0113kus ar \u0161izofr\u0113niju, kuri v\u0113l m\u0101c\u0101s, \u013cautu lab\u0101k sekm\u0113t vi\u0146u iek\u013cau\u0161anos darba tirg\u016b. B\u016btu j\u0101atbalsta tos, kuriem ir noteikta diagnoze, lai vi\u0146iem b\u016btu liel\u0101kas izredzes saglab\u0101t savas darbavietas.5,18<\/sup>

Daudzi pacienti ar \u0161izofr\u0113niju j\u016btas motiv\u0113ti str\u0101d\u0101t, ta\u010du darba dev\u0113ju un darba \u0146\u0113m\u0113ju priek\u0161stati var b\u016bt at\u0161\u0137ir\u012bgi. Turkl\u0101t daudziem ir \u0161aubas, vai pacients ar \u0161izofr\u0113niju sp\u0113s piel\u0101goties darbam ilgtermi\u0146\u0101 konkurences apst\u0101k\u013cos. Nereti darba dev\u0113ji nesaredz to k\u0101 sasniedzamu rezult\u0101tu. Citu cilv\u0113ku stigma izraisa pacientam ar \u0161izofr\u0113niju pa\u0161am stigmu, kas savuk\u0101rt iespaido s\u0101kotn\u0113jo motiv\u0101ciju. 6<\/sup>
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Neskatoties uz nodarbin\u0101t\u012bbas \u0161\u0137\u0113r\u0161\u013ciem, ar kuriem sastopas daudzi pacienti ar \u0161izofr\u0113nijas diagnozi, ir skaidrs, kas b\u016btu j\u0101paveic, lai veicin\u0101tu nodarbin\u0101t\u012bbu, atlab\u0161anu un iek\u013cau\u0161anos sabiedr\u012bb\u0101. Risin\u0101jums ir visu pu\u0161u rok\u0101s, un virknei iesaist\u012bto j\u0101dod savs ieguld\u012bjums, piem\u0113ram:<\/p><\/div><\/div>\n\n\n\n

Darba dev\u0113jiem: Ir j\u0101b\u016bt pietiekami labi inform\u0113tiem, k\u0101 ar\u012b ir j\u0101b\u016bt gataviem r\u012bkoties, ja cilv\u0113ks vi\u0146iem atkl\u0101j, ka vi\u0146am ir \u0161izofr\u0113nija vai cita psihiska saslim\u0161ana. Turkl\u0101t saska\u0146\u0101 ar organiz\u0101cijas iek\u0161\u0113jo k\u0101rt\u012bbu, j\u0101sniedz pacientiem atbilsto\u0161a inform\u0101cija un j\u0101piel\u0101go darba vide atbilsto\u0161i pacienta ar \u0161izofr\u0113niju vajadz\u012bb\u0101m.<\/p>

\u0122imenei un apr\u016bp\u0113t\u0101jiem: Tuvinieku atbalsta lokam var b\u016bt liela noz\u012bme, lai pacienta ar t\u0101du psihisku saslim\u0161anu k\u0101 \u0161izofr\u0113nija \u0101rst\u0113\u0161anas rezult\u0101ti b\u016btu labv\u0113l\u012bgi. Vi\u0146u uzdevums ir atbalst\u012bt pacientu centienus un m\u0113r\u0137us, k\u0101 ar\u012b pal\u012bdz\u0113t vi\u0146iem piek\u013c\u016bt pakalpojumiem, kas paredz\u0113ti pacientu ar \u0161izofr\u0113niju un vi\u0146u \u0123ime\u0146u atbalstam. Piem\u0113ram, past\u0101v pakalpojumi, kurus organiz\u0113 pacientu aizst\u0101v\u012bbas un labdar\u012bbas organiz\u0101cijas, k\u0101 ar\u012b nodarbin\u0101t\u012bbas atbalsta organiz\u0101cijas.<\/p>

Vesel\u012bbas apr\u016bpes speci\u0101listiem: P\u0113c iesp\u0113jas agr\u0101k j\u0101izvaic\u0101 pacienti par vi\u0146u darba pieredzi un karjeras pl\u0101niem, k\u0101 ar\u012b j\u0101nodro\u0161ina dal\u012bbu atbalsta grup\u0101s. J\u0101\u0146em v\u0113r\u0101 nodarbin\u0101t\u012bbas jaut\u0101jums, kad tiek pie\u0146emts l\u0113mums par \u0101rst\u0113\u0161anu. J\u0101pieaicina karjeras konsultanti, atbalstot pacienta atgrie\u0161anos darba tirg\u016b, un j\u0101nodro\u0161ina medic\u012bniskais atbalsts. J\u0101atbalsta pacientu patst\u0101v\u012bgu r\u012bc\u012bbu un atgrie\u0161anos darb\u0101, k\u0101 ar\u012b j\u0101rod iesp\u0113jas pacientiem iedvesmoties no citu cilv\u0113ku ar psihisk\u0101m slim\u012bb\u0101m pozit\u012bv\u0101s pieredzes.
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Valsts p\u0101rvaldei: Politikas veidot\u0101jiem j\u0101izstr\u0101d\u0101 re\u0123ion\u0101ls vai nacion\u0101ls, vai v\u0113l pla\u0161\u0101k ievie\u0161ams pl\u0101ns ar m\u0113r\u0137i palielin\u0101t cilv\u0113ku ar smagiem psihisk\u0101s vesel\u012bbas trauc\u0113jumiem nodarbin\u0101t\u012bbu. Ir svar\u012bgi nacion\u0101l\u0101 l\u012bmen\u012b izveidot daudz-disciplin\u0101ru darba grupu, kur\u0101 b\u016btu eksperti no valsts instit\u016bcij\u0101m, kas atbild par vesel\u012bbas, nodarbin\u0101t\u012bbas un pensiju politiku. M\u0113r\u0137im vajadz\u0113tu b\u016bt nodarbin\u0101t\u012bbas pieaugumam l\u012bdz 25 % pacientu ar \u0161izofr\u0113niju grup\u0101 desmit gadu laik\u0101.19<\/sup><\/p><\/div><\/div><\/div>\n\n\n\n

Katram, kuru skar \u0161izofr\u0113nija, pieredze ir at\u0161\u0137ir\u012bga. T\u0101di faktori k\u0101 slim\u012bbas s\u0101kums un simptomu veids, diagnozes noteik\u0161anas laiks un blakusslim\u012bbas, soci\u0101lie faktori un pieejamais atbalsts, ir main\u012bgi un katram pacientam at\u0161\u0137ir\u012bgi. Katrs pacients ar \u0161izofr\u0113niju ir unik\u0101ls, t\u0101d\u0113\u013c nodarbin\u0101t\u012bbas veicin\u0101\u0161anas strat\u0113\u0123ijas atra\u0161ana, kura der\u0113tu ikvienam, ir liels izaicin\u0101jums.4<\/sup>

Nepiecie\u0161ams iek\u013caujo\u0161s darba tirgus ar pieejam\u0101m darba viet\u0101m, j\u0101ievie\u0161 vesel\u012bbas apr\u016bpes un labkl\u0101j\u012bbas sist\u0113mu atbalsts. To priorit\u0101tei ir j\u0101b\u016bt kvalitat\u012bva darba iesp\u0113j\u0101m pacientiem, kas sadz\u012bvo ar \u0161izofr\u0113niju, jo tas ir b\u016btiski labam kl\u012bniskam izn\u0101kumam.<\/p><\/div><\/div>\n\n\n\n

Atsauces<\/p>

  1. Boardman et al. Br J Psychiatry. 2003; 182:467-8.<\/li>
  2. Farkas. World Psychiatry.\u00a02007;6:4\u201310.<\/li>
  3. Cheng et al. Psychological Medicine.\u00a02011;41:949\u2013958.<\/li>
  4. https:\/\/councilfordisabledchildren.org.uk\/sites\/default\/files\/uploads\/documents\/import\/working_with_schizophrenia.pdf<\/a><\/li>
  5. Mueser et al. Schizophr Bull.\u00a02001;27:281\u2013296.<\/li>
  6. Marwaha and Johnson. Soc Psychiatry Psychiatr Epidemiol. 2004; 39(5):337-49.<\/li>
  7. Rosenheck et al. Am J Psychiatry. 2006;163:411\u2013417.<\/li>
  8. Salkever et al. Psychiatr Serv. 2007;58:315\u2013324.<\/li>
  9. Holley et al. Psychiatr Serv.\u00a01998; 49:513\u2013517.<\/li>
  10. Bond et al. J Consult Clin Psychol. 2001;69:489\u2013501.<\/li>
  11. Bell et al. Schizophr Bull.\u00a01996;22:51\u201367.\u00a0<\/li>
  12. Mc Gurk et al. Schizophr Bull. 2009; 35(2): 319\u2013335.<\/li>
  13. https:\/\/councilfordisabledchildren.org.uk\/sites\/default\/files\/uploads\/documents\/import\/working_with_schizophrenia.pdf<\/a><\/li>
  14. Drake and Brunette. Recent Dev Alcohol. 1998; 14():285-99.<\/li>
  15. Meyer et al. Schizophr Res. 2008 Apr; 101(1-3):273-86.<\/li>
  16. Pharoah et al. Cochrane Database Syst Rev. 2010; (12): CD000088.<\/li>
  17. Warner R,. The Env of Schizophr, 2000\u00a0; P71.<\/li>
  18. Schulze et al. Social Science & Medicine. 2003; 56(2): 299-312.<\/li>
  19. Centre for Mental Health, Department of Health, Mind, NHS Confederation Mental Health Network, Rethink Mental Illness, & Turning Point. 2012.<\/li><\/ol><\/div><\/div>\n\n\n\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":2732,"parent":2330,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-fullwidth.php","meta":{"_acf_changed":false,"rea_page_title_signed_in_meta_block_field":"M\u0101c\u012bbas un darbs, dz\u012bvojot ar \u0161izofr\u0113niju","rea_page_title_signed_out_meta_block_field":"M\u0101c\u012bbas un darbs, dz\u012bvojot ar \u0161izofr\u0113niju","rea_page_description_signed_in_meta_block_field":"Stigmas, aizspriedumu un diskrimin\u0113jo\u0161as attieksmes d\u0113\u013c cilv\u0113kiem ar ilgsto\u0161\u0101m psihisk\u0101m saslim\u0161an\u0101m, tostarp, \u0161izofr\u0113niju, j\u0101p\u0101rvar \u0161\u0137\u0113r\u0161i profesion\u0101laj\u0101 dz\u012bv\u0113. 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