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Results for “Sick Role”

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PubMedDate not supplied

Identification and validation of a new nursing diagnosis: sick role conflict.

The purpose of this research is to assess the presence, etiology, and effects of sick role conflict experienced by hospitalized patients. Data from 99 hospitalized adult subjects were analyzed using a path analysis design. Patients were interviewed at the bedside using a structured interview tool developed by the researchers. It was found that subjects who occupied multiple roles, who were not adequately prepared for hospitalization, and who had an acute rather than chronic illness were prone to experience sick role conflict when hospitalized. Those subjects experiencing sick role conflict did not fully assume the sick role as defined by Parsons (1966). As a consequence of incomplete sick role assumption, an increased incidence of human responses such as guilt, powerlessness, anxiety, decreased self-esteem, depression, appetite change, and insomnia were reported. The researchers urge nurses to assume responsibility for diagnosing and treating sick role conflict, a human response to hospitalization commonly seen among patients.

Adult↗

PubMed1986

The role of learning history in current sick-role behavior and assertion.

Explore the source record for details and available documents.

Assertiveness↗

PubMed1988

[The effect of patient teaching on compliance with sick role behavior of diabetic patients].

This study examined the effect of patient teaching on Compliance with sick role behavior in diabetic patients. The purpose was to improve diabetic patients Compliance by D.M. patient teaching. The study objectives were to determine the effect of patient teaching on Compliance with sick role behavior, and factors influencing compliance with sick role behavior of diabetic patients. The subjects, consisting of 52 diabetic patients diagnosed in the C. and other hospitals in K. city were divided into experimental and control groups. Data were gathered from July 25th to September 3rd, 1988 through interviews by questionnaires, measurement of blood sugar level by Reflux. D.M. Patient teaching was defined as informational intervention of social support by the nurse. A booklet representing patient education and questionnaires were developed by the investigator, and were tested for Content validity, and reliability by Item Analysis: Cronbachs alpha for any instrument to measure variables was patient Compliance .83, perceived health belief .65, diabetic knowledge .70. Analysis of data were done by paired t-test, t-test, Anova, Pearson correlation, and Stepwise multiple regression. The results of the study may be summarized as follows: 1. The effect of patient teaching on Compliance with sick role behavior, on diabetic Knowledge and health belief was Confirmed by significant differences between the experimental and the control group before and after the experiments. (P = 000 P = 006, P = 004).(ABSTRACT TRUNCATED AT 250 WORDS)

Diabetes Mellitus↗

PubMed1990

[Predictors of sick role behavior in patients receiving radiotherapy for cancer].

Cancer is still a threat to human beings. The incidence and mortality rate of cancer have been gradually increasing as the life span has been lengthened. Radiotherapy is one of the most commonly used treatments for cancer. This study explored the influence of social support and stress on sick role behavior of patients receiving radiotherapy for cancer. The subjects for this study were 60 patients undergoing radiotherapy for cancer, selected from the radiotherapy treatment unit of the out patient departments of two major medical centers in Jeonju. Data were collected from February 1 to 28, 1990 by a Likert Scale Questionnaire and an interview schedule designed by the investigator. Data analysis included percentages, mean and standard deviation, t or F-test, Pearson Correlation Coefficient and stepwise multiple regression. Results included the following: 1. Support came primarily from sons and daughters (90.1%); the type of support was primarily emotional support from friends (60.0%); informational support came from health personnel (81.7%); and material support was sons and daughters (40.0%); satisfaction with support was highest for the spouse (4.02 +/- .52). 2. Among the patient's demographic status was occupation the was the only socioeconomic characteristic influencing sick role behavior (F = 2.91, p = .029). 3. Directly previewed support was positively correlated with sick role behavior (r = .2374, p = .034). 4. Stepwise multiple regression was used to determine the predictors of sick role behavior. Directly perceived support was the most significant predictor accounting for the highest contribution to sick role behavior (5.6%). Directly perceived support, socioeconomic status, perceived stress and indirectly perceived support variables together, accounted for only 6.8% of sick role behavior.

Family↗

PubMed1990

[Health belief model and sick role behavior of Korean chronically ill patients].

This article reviewed & analyzed 33 studies of the Health Belief Model applied to korean chronic ill patients which were published from 1975 to 1990. The findings of analysis are as follows. The subjects of researchs are patients with various chronic illness including Pulmonary Tb., DM., Hemodialysis & Kidney Transplantation, Hypertension, etc. The type of research is retrospective survey in all studies. The measurement of health belief in all studies & sick role behavior in most studies have relied on self report. The analysis of the relationship between health belief and sick role behavior was done using correlation coefficient in most studies. To analyze empirical support for the relationship between health belief and sick role behavior, Significance ratio was computed. This ratio is value wherein the number of statistically significant findings with relationship in the expected direction for an HBM dimension are divided by total number of studies which reported significance levels for that dimension. Examination of this ratio across the 33 studies reveals susceptibility (30.3%), severity (34.4%), benefit (65.6%), barrier (50%). The following suggestions are based on the above findings and literature review. 1. It is necessary to develop the reliable, valid and standardized instrument for measurement of health beliefs. 2. In the further measurement of perceived susceptibility of the chronic ill patients. It is considering that the perceived susceptibility and perceived severity are measured together or the measurement of perceived susceptibility is eliminated. 3. Relationship between perceived severity and sick role behavior is suggested to be analized using ANOVA, chi 2 square instead of correlation coefficient. 4. Sick role behaviors should be measured by both self report and objective measurement. 5. Prospective, longitudinal survey should be needed. 6. Other factors influencing sick role behaviors of chronic ill patients should be investigated further.

Attitude to Health↗

PubMed1975

The sick role and the role of the physician reconsidered.

The main substance of this paper was presented orally at a meeting of the Sick Role, organized and chaired by Andrew Twaddle. It was a commentary on four papers and the oral discussion of them. In response to these the paper first discusses the relation of the sick role to deviant behavior and the motivation to become and remain ill. The position was taken that the author never had meant to confine the category of illness to deviant behavior, though its negative valuation should not be forgotten. Nor had he confined it to cases of acute illness, omitting consideration of chronic and other types. The most important issue, however, concerned the structure of the relation between physician and patient. Though insisting that interaction between them is two-way, not one-way, the author insisted that the relation is basically asymmetrical because of the physician's expertise in health matters, gained through training and experience, and his special fiduciary responsibility for the care of the sick. In this respect the relationship is different from others such as the competitive market or the democratic association, but is comparable to the relation of teacher and student in higher education.

Authoritarianism↗

PubMed1992

Sick-role susceptibility. A commentary on the contemporary data base (1989-1991) and classification system.

A brief review of the historical and current status of the 'sick-role' concept is followed by an extensive literature survey of 526 articles published on the sick role since 1989. The commentary discusses measurement and research issues and then examined the areas of enquiry and trends from a biological, psychological, social and cultural perspective. Questions are raised about the significance of the data base from the view-point of classification and treatment. A descriptive and therapeutic model is proposed.

Culture↗

PubMed1975

The psychiatric sick role and rejection.

One of the most generally accepted assumptions among mental health professionals is that if the mentally ill were accorded the rights and obligations of the sick role, they would be less rejected by the public. This is the first study that could be found in the literature which examines whether or not this assumption is valid. The data strongly suggest that conferring the sick role on the mentally ill does not lessen rejection, but may, in some instances, increase social rejection. A possible interpretation for this striking and unexpected finding is offered.

Adult↗

PubMed1990

[Effect of individual patient teaching through home visiting on compliance with sick role behavior in diabetic patients and duration of the effect of the teaching].

In order to determine the effect of individual patient teaching through home visiting on compliance with sick role behavior and the blood sugar level in diabetic patients, to determine if the effectiveness of the education was still present four years later and to inquire as to the effective time for a repeat education program this study was done through two quasi-experimental researches. The subjects consisted of 52 diabetic patients. The results of the study may be summarized as follows: 1. Hypothesis I, in which the compliance with sick role behavior, the knowledge on diabetes and the health belief of the experimental group who received a diabetic education program will be higher than those of the control group who didn't receive the diabetic education, was supported by both studies in 1984 and 1988, confirming the effect on diabetic patients of the individualized education through home visiting: In the 1984 study: Compliance(t = -11.7, p less than .001) Knowledge(t = -5.41, p less than .001) Health belief(t = -4.74, p less than .001) In the 1988 study: Compliance(t = -4.85, p less than .001) Knowledge(t = -2.85, p less than .01) Health Belief(t = -2.99, p less than .005) 2. The Hypothesis II, the blood sugar level of the experimental group will be lower than that of the control, was rejected in both studies, 1984 and 1988. 3. The Hypothesis III, the compliance, knowledge and health belief of the experimental group who received the education program in 1984 will not last till 1988, was supported in part, in compliance and health belief, but not in knowledge. In conclusion those who received the education program twice with an interval of 2 weeks, 4 years ago still had knowledge of diabetes but compliance and health belief had disappeared.

Community Health Nursing↗

PubMed1986

Pathways to patienthood: sick role and labeling perspectives.

Two leading sociological theorists of mental illness, Parsons and Scheff, depict the mentally ill as enacting a deviant social role which sets them apart from others. For each of these writers, persons so identified internalize the social definition of themselves which then serves as a guide for their future behavior. This social imagery specifies what kinds of people the mentally ill are, why they behave as they do and how to react to them in both the evaluative and interactional sense. Divergence between the theoretical perspectives arises chiefly over the nature of the cues which set resocialization in motion and the content of the cultural imagery incorporated into the individual's self-conception when he enters the mental illness role. In a study of psychiatric patients and the general public, we test a series of hypotheses which are derived from Parsons' sick role and Scheff's labeling theories of mental illness. As a result of the research, both the theories are found wanting for patients and the symptomatic public alike did not view themselves negatively which is what one would expect according to labeling and patients and the public both were reticient to seek out professional assistance for their symptoms and problems, a find contrary to sick role theory. Suggestions for modifications of the theories are offered.

Humans↗

PubMed1989

[An experimental study on the development of a program for the promotion of compliance with sick role behavior in hypertensives].

This experimental study was undertaken to gauge the possibility of application and extension of a program for hypertension care to be operated by Community Health Practitioners. Four community health posts were selected. Two places were experimental groups and the other two control groups. The study was carried out from April 1987 to March 1988. In this study the hypertensives were screened from a group of adults who were over 20 years old. The rate of prevalence was 10.7% in the experimental group, and 11.1% in the control group. The hypertension care program was composed of three parts: regular care by CHPs, reinforcement of education and family support for the changing of health beliefs. The data for this analysis is based on 109 the hypertensives, with 78 from the experimental group and 31 from the control group. After the program was completed, the results obtained were as follows: 1) Sick role behavior compliance in the experimental group were significantly higher than the control group. 2) Blood pressures were decreased in both systolic and diastolic in the experimental group. Diastolic pressure was strikingly decreased from those of the control group and showed statistical significance (p less than 0.05). 3) In the experimental group, benefits, perceived family support and family support behavior were high, out benefits was significantly higher than those of the control group (p = 0.000). Sensitivity, seriousness and barriers were high in the control group, but not statistically significant. 4) In conclusion, it is revealed that hypertension care program developed in this study has an effect of decreasing blood pressure and promoting sick role behavior compliance.

Adult↗

PubMed1975

Survival, and a modicum of indulgence in the sick role.

Serendipitously occasioned, interim findings from an exploratory study "which-as Whitehead once said of William James's pragmatism-'chiefly starts a log of hares for people to chase.'"3 The data, collected in a 1965 community survey of health, show that no indulgence in the sick role apparently entails greater mortality risk than does a modicum of such indulgence.

Adolescent↗

PubMed1979