運用健康信念模式及認知療法於一位認知偏差之ESRD個案臨床照護上

An Application of the Health Belief Model and the Cognitive Therapy in Clinical Care for an ESRD Case with Dysfunctional Cognitions

鍾麗娟(L. C. Chung) ； 劉雪娥(H. E. Liu)

《護理雜誌》 42卷2期 (1995/06) Pp. 55-64

https://doi.org/10.6224/JN.42.2.55

摘要

Ellis曾說人類天生俱備了所謂“非理性的人格傾向”，使個人産生許多不合理、不合邏輯或一事實不符合的非理性信念。這些非理性信念具有扭曲事實的特性。因此，在面臨健康處理型態驟然改變的情形，其所採取的健康處理行為往往與現行醫療措施有所衝突，也使得臨床護理人員深感困擾。
本文即在介紹利用健康信念模式(health belief model)及認知治療理論(cognitive therapy)以照顧一位認知偏差末期腎臟疾病(end stage renal disease)個案之護理經驗。期能提供臨床護理人員在面臨類似情境時，能有一個具體、實際可行的方法，促使個案採取正確的健康維護行為。

關鍵字

末期腎臟疾病 ； 健康信念模式 ； 認知治療理論 ； 護理

並列摘要

Eills mentioned that the natural “irrational personality” can produce many irrational, illogical, and unrealistic dysfunctional beliefs. These beliefs can distort the truth. Therefore, the individual facing significant changes of personal health status might adopt unreasonable behaviors to mantain his/her health status. However, these behaviors might impede medical treatments. These conflicts also make his/her nursing care become an difficult task.
The purpose of this article is to introduce the experience of application of the health belief model and cognition therapy in the care of an End Stage Renal Disease (ESRD) case with dysfunctional cognition. The results can provide other nurses with a practical guide for assistance while they face a similar situation.

並列關鍵字

End Stage Renal Disease ； health belief model ； cognition therapy ； nursing