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Methods to Promote Behavioral Modification,and Their Theoretical and Conceptual Background Michiyo Oka 1 , Sanae Iha 2 , Narumi Takiguchi 3 , Fusae Kondo 4 , Yuko Nakano 5 , Kiyoko Kanda 6 , Patient Education Research Group 1Kitasato University School of Nursing 2Shiga University of Medical Science Hospital 3The Japanese Red Cross Hiroshima College of Nursing 4Department of Nursing, Faculty of Health Sciences, Kyorin University 5Master's Course, Graduate School of Nursing, Chiba University 6School of Health Sciences, Faculty of Medicine, Gunma University Keyword: 行動変容 , 理論 , 概念 , 基盤づくり , 療養行動 , behavioral modification , theory , concept , laying foundation , therapeutic behavior pp.213-223
Published Date 2003/6/1
DOI https://doi.org/10.11477/mf.1681100195
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 We analyzed cases in which patient education was effective for the treatment of chronic illness, to clarify methods to promote behavioral modification in patients,and evaluate their theoretical and conceptual background. Nurses who performed effective intervention utilized approaches of counseling and laid the foundation for promoting behavioral modification as the first step. In this step, 1) methods to share each patient's life, 2) methods to have patients listen to nurses, and 3) methods to assure opportunities of self-expression for patients were found. In the second step, patients were encouraged to start the therapeutic behavior by means of healthy behavior models, andragogy, and empowerment, and 1) methods to enhance the awareness of patients, 2) methods to provide knowledge and information, and 3) methods to promote self-determination were employed. As the third step, nurses encouraged patients to maintain, and habituate themselves to, willingness and behavior using learning theories, cognitive behavioral therapy, and social support. This step consisted of 1) presentation of actual measures and 2) use of knowledge to help patients maintain and habituate themselves to willingness and behavior.

 We examined new cases that responded well to nurses' guidance to confirm the validity of these methods, and found that they were used effectively.


Copyright © 2003, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1405 印刷版ISSN 0022-8370 医学書院

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