[건강심리학] 불면증 환자에 대한 adherence(치료 순응) 증진 방안 (영어자료)

소개글

머시니스트의 주인공 Reznik을 케이스 대상으로 한

불면증 환자에 대한 adherence 증진 방안에 관한 레포트입니다.

건강심리학에서의 adherence 주제에 관련되는 부분입니다.

목차

1. The exceptional Illness behavior of Mr. Reznik
2. Checking up predictive factors for adherence
-Treatment Characteristics
-Personal Factors
-Environmental Factors
-Cultural Norms
-Practitioner-Patient Interaction
3.How to improve his adherence
4.References

본문내용

1. The exceptional Illness behavior of Mr. Reznik

The guy in the movie ‘Machinist’, Trevor Reznik, is in extremely specific case. He already knows the severity of his insomnia. We can recognize the fact by his saying “I haven’t slept for last one year” repeatedly. But he is never shown the usual illness behavior. He never goes to doctor, never try any medication, and never try any treatments to get better.

By these facts we can consider that he is not motivated to treatment at all. So, it is very hard to expect that he’ll be adherent to the procedure of treatment. Therefore, now I would like to check up all his predictive factors for adherence and find out the ways for improving his adherence.


2. Checking up predictive factors for adherence

<Treatment Characteristics>
Side effects of the Medication: There can be some side effect by using medication for insomnia, but the medicines for insomnia are relatively safer than other medicines. And it is prescribed commonly. So, we can say there is little worry about side effects of the medication.
Complexity of the Treatment: The medication and the cognitive behavior therapy are not that complex. It would not lower the patient’s compliance.

<Personal Factors>
Age: As well known, middle-aged men are tend to not to visit hospital or meet practitioner. As he is in his early 30s, he may not want to meet any health service provider. Because even he feels little discomfort from insomnia, he doesn’t think he can die from insomnia at all.
Gender: As he is man, it is possible that he doesn’t adhere to the treatment relatively.

참고 자료

Brannon, Linda. Health Psychology (6th Edition). Wadsworth Publishing Company.
Vincent, Norah K., & Hameed, H. (2003). Relation between Adherence and Outcome in
the Group Treatment of Insomnia, Behavioral Sleep Medicine, Vol. 1(3), pp. 125-139.
Reidel, B. W., & Lichtenstein, K. L. (2001). Strategies for evaluating adherence to sleep restriction treatment for insomnia. Behaviour Research and Therapy. 39, 201-212.
Lee, Jong-Kyung (1982). A Study for Investigating of Predictors of Compliance for
Preventive Health Behavior. 간호학회지, 12(1), 25~38