Oh H S, Kim Y R
Kanhohak Tamgu. 1993;2(2):79-99; discussion 100-1.
Based on the health conception viewed from the literature on nursing and by the clients, health is defined as a living experience, or as a perception of wellness in this study. That is, it is the perceived wellness that the individual obtains by wholistically integrating all dimensions of health where ever the individual stands in the health continuum. Thus health exists independently, regardless of illness or disability, because the individual is able to perceive the wellness within limitations imposed to him/her. Also, based on the health conception defined in this study and the literature review on health promotion, health promotion is defined as the process of enhancing the perception of wellness (i.e., living experience), where ever the individual stands in the health continuum. Therefore, health promotive care represents the process of making client help himself to improve health experience/perception of wellness by selecting and/or integrating the individual or social health parameters (determinants) based on his reality. After analyzing the data which is provided from the related literature and the results from the descriptive/exploratory research on this group of clients, and then applying those analysis results to the PRECEDE model, planning process for health promotion program is established. However, as planning process is only based on data from literature in the first stage, it will be modified appropriately according to the assessment feedback from the direct participation of client in the following study. Based on the planning model refined through this assessment process, health promotion program is to be developed, implemented and evaluated. Planning process of health promotion for clients with arthritis is begun from the assessment of health outcome as the first phase. It is analyzed from this study that clients with arthritis indicates lower quality of life/satisfaction than the other groups from the several research findings indicate. In the second phase, according to the analysis results in the first phase, clients' health problems (perceived seriousness about illness, uncertainty in illness, helplessness, difficulty of movement), which affect the low quality of life, are identified and then program objective for each problem is demonstrated. As an objective for the perceived seriousness about illness, relief of the mistrust on the general effects of treatment for illness is determined through appropriate data analysis. And clients' accumulation of accurate knowledge on the nature of illness is determined as an objective, for reducing uncertainty in the illness. Also enhancement of distraction ability and self-efficacy perception is defined as objectives for reducing physical, psychological and social helplessness.(ABSTRACT TRUNCATED AT 400 WORDS)
基于护理学文献及服务对象对健康概念的理解，本研究将健康定义为一种生活体验，或对健康的一种认知。也就是说，无论个体处于健康连续谱的何种位置，健康都是个体通过全面整合健康的各个维度而获得的对健康的认知。因此，健康独立存在，无论疾病或残疾状况如何，因为个体能够在自身所面临的局限中感知到健康。此外，基于本研究中定义的健康概念以及关于健康促进的文献综述，健康促进被定义为增强对健康的认知（即生活体验）的过程，无论个体处于健康连续谱的何种位置。因此，健康促进护理代表着一个过程，即让服务对象通过根据自身实际情况选择和/或整合个人或社会健康参数（决定因素）来帮助自己改善健康体验/对健康的认知。在分析了相关文献提供的数据以及对该组服务对象进行描述性/探索性研究所得到的结果后，将这些分析结果应用于PRECEDE模型，从而确立了健康促进项目的规划过程。然而，由于规划过程在第一阶段仅基于文献数据，在后续研究中，将根据服务对象直接参与所提供的评估反馈进行适当修改。基于通过此评估过程完善后的规划模型，来制定、实施和评估健康促进项目。针对关节炎患者的健康促进规划过程从作为第一阶段的健康结果评估开始。从本研究分析可知，多项研究结果表明，关节炎患者的生活质量/满意度低于其他群体。在第二阶段，根据第一阶段的分析结果，确定影响生活质量较低的患者健康问题（对疾病的感知严重性、疾病不确定性、无助感、行动困难），然后针对每个问题展示项目目标。作为对疾病感知严重性的目标，通过适当的数据分析确定消除对疾病治疗总体效果的不信任。确定让患者积累关于疾病本质的准确知识作为目标，以减少疾病的不确定性。此外，增强注意力分散能力和自我效能感认知被定义为减少身体、心理和社会无助感的目标。（摘要截选至400字）
