Gallagher S M
Huntington Memorial Hospital in Pasadena, California, USA.
Ostomy Wound Manage. 1997 Mar;43(2):34-6, 38, 40, 42.
Lack of compliance in prevention and treatment of illness and disease continues to perplex healthcare practitioners. Sixty percent of patients take their medications incorrectly. Patients miss appointments, they do not follow up with treatments, and many times require an avoidable hospitalization directly related to health defeating behaviours. Many healthcare clinicians believe the reason for this could be issues such as basic intellectual level, convenience, cost, side effects, or one's value system. However, these may not be the only factors in lack of compliance. The purpose of this paper is to discuss powerlessness as a factor in health defeating behaviors. Powerlessness as a Third World behavior will be described in detail along with methods to identify these behavioral patterns. Paternalism will be described as a threat to Third World groups and their healthcare. An increased awareness and sensitivity to the needs of this special group may improve health promoting behaviors. The LEARN Model will be discussed as a framework for empowering otherwise powerless individuals and groups through improved communication and understanding.
在疾病的预防和治疗过程中，患者缺乏依从性的问题一直困扰着医护人员。60%的患者用药方法不正确。患者会错过预约，不坚持治疗，而且很多时候会因一些与健康有害行为直接相关的情况而不得不接受本可避免的住院治疗。许多医护人员认为，出现这种情况的原因可能是诸如基本智力水平、便利性、成本、副作用或个人价值体系等问题。然而，这些可能并非导致缺乏依从性的唯一因素。本文旨在探讨无助感作为健康有害行为的一个因素。将详细描述作为第三世界行为的无助感以及识别这些行为模式的方法。家长式作风将被描述为对第三世界群体及其医疗保健的一种威胁。提高对这一特殊群体需求的认识和敏感度，可能会改善促进健康的行为。将讨论“LEARN模式”，它是一个通过改善沟通与理解来增强原本无助的个人和群体能力的框架。
