| 摘要 |
FIELD: medicine. ^ SUBSTANCE: invention refers to medicine, particularly to psychotherapy, psychiatry, therapy, endocrinology. A complex method of treating obesity includes psychotherapy with explaining the disease substance and conducting therapy. Conversation is used to specify significant motivation to reduce weight. The facts that human mentality does not like "interdicts", it shall be agreed about reasonability of correct food behaviour, weight reduction and obligatory physical activity are clarified. A weight reduction treatment program is determined for the recommended period; a diet is prescribed. A technique of "actively experienced mental images" and regeneration of physiological sensation memory of flexibility, fitness, health, power is trained. The formula: "I have lost excessive kilograms, I have left them, I have got rid of them, I feel easy, comfortable, I am slim, beautiful, healthy, I shall make recommended physical exercises regularly to correct a figure " is pronounced silently 3-5 times a week throughout 12 months. Physical exercises is performed for 15-20 min daily throughout 12 months to correct body parts to be constitution-specific loaded. Pedestrian walks for 25-30 minutes are daily. At a stage of dynamic observation, there is prescribed a low-calorie diet for one month with lower caloric content 800 kcal, for the second month - 1200 kcal, to be thereafter carried to a value equal to normal body demand - 1800 kcal. Throughout 6 months of treatment, once a month "support visits" are arranged to control weight reduction, change of eating habits, training of balanced diet skills and healthy life, improving personal responsibility for treatment. The technique of "actively experienced mental images" is combined with a massage session in a massage armchair which is used as a kinesthetic carries anchors; further armchair massage is repeated once a month within 1 year. Depending on obesity type, 10 daily procedures of general massage and rubbing in problem areas of cinnamon essence. In the beginning of treatment, a stage of readiness for changing patient's behaviour is determined, and during treatment, the patient moves up from one stage of readiness to the following stage, with correction of failures and plan withdrawal. For this purpose, when determining motivation of the patient to reduce weight, a stage of readiness of changing patient's behaviour is stated by asking the questions: what is the reason for the changes, what is a benefit of the changes, what is going to be changed, will is the patient able, how to do this, shall the patient do it now, are there any other priorities to motivate the patient to move up the stage of readiness "preparation". The changes of eating habits and eating stereotypes are controlled, the reasons preventing the patient from changing a way of life are analysed, a plan of measures to change way of life consisting of small, easy stages is developed. The Ist stage - to train to stay out from a shop on the way home; never to go shopping while being hungry. The IInd stage - to go shopping by a prepared list; to buy mainly vegetables, fruit and cereals; before buying, to check ingredients on a label and to prefer low-fat products; not to buy products containing easily digestible carbohydrates: sugar and sugar-containing sweets; to use less frequently the products containing hidden fats: sausages; to avoid half-finished products. The IIIrd stage - to generate a stereotype: to have a glass of still water prior to meal; to begin a meal with low-fat soup or salad; to eat small portions, regularly, at least four times a day; to avoid watching TV during meal; not to eat while standing; to give up snacks between meals. The IVth stage - to fix the formed eating habits, by conducting the IInd and IIIrd stages. If the patient moves up to the "active action"; it is recommended to complete the formula said by the patient with the phase "I shall make the recommended physical exercises which will correct a figure regularly", then the patients start making physical exercises. Each "support visit" aims at determining a stage of behaviour change and the stage of "result preservation" involves praise, approval and bearing up; the formula is completed by the phrase "I shall preserve the result". Failures are prevented, and if the "preliminary" stage of behaviour change is stated that testifies to treatment violation then the patient is suggested that efforts are spent knowingly and consequently it is necessary to renew attempts to change eating behaviour and to continue treatment. Such complex treatment with using a kinesthetic anchor, psychotherapy, dynamic observation and control of the stage of behaviour change and treatment depending on this stage allows achieving eating behaviour normalisation and stable weight reduction and prolonged result preservation. ^ EFFECT: method allows higher clinical effectiveness, and also generated new stereotype of eating behaviour and weight normalisation. ^ 5 tbl, 1 ex |
