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Self‐Care and Illness Response Behaviors in a Frontier Area: Rural Health Research

The Journal of Rural Health 1992年第1期8卷 4-12页

作者： Bartlome, Jeffrey A. Bartlome, Patricia Bradham, Douglas D. 1 Bartlome is director of the Institute of Rural Health Studies in the College of Health Related Professions at Idaho State University. He is currently a doctoral candidate in the Department of Pharmacy Practice and Administrative Sciences College of Pharmacy. His research interests include pharmaceutical health care with emphasis in areas of rural primary health issues of providers and consumers.2 Bartlome is assistant professor in the Department of Pharmacy Practice and Administrative Sciences in the College of Pharmacy at Idaho State University. She received her doctorate followed by a residency and the ASHP Post-Doctorate Fellowship in Geriatric Pharmacotherapy at the University of Utah. Her research interests include pharmacotherapeutic effects on physical and psychological function of geriatric patients primary care chronic disease management and patient medication education.3 Bradham is an associate professor in the Department of Health Policy and Management at the University of South Florida's College of Public Health in Tampa FL. He has been involved in rural health primary care and public agency fiscal and managerial analysis and technical assistance for nearly 20 years. Bradham's research has focused on elderly health services since in Florida as well as cost effectiveness and efficiency in home health and rural primary care.

Self‐care and illness response to a recent medical event were examined based on a mailed questionnaire to a random sample of 416 adults in a frontier area in north‐central Idaho. A total of 494 questionnaires were returned (45% response rate), and 78 were eliminated. Self‐care behaviors were classified as: (1) waiting to see what would happen, (2) purchasing or taking a nonprescription medication, (3) taking a prescription medication that was on hand, (4) taking both a prescription and a nonprescription medication, (5) contacting a physician, and (6) going to a hospital. These six variables were classified into three intervention constructs of no intervention (waiting), informal intervention (self‐medicating), and formal intervention (contacting a health care professional). Fifty‐six percent of the respondents reported self‐medicating behaviors. Correlation analysis indicated that initial self‐care and illness response behaviors in this frontier area were generally appropriate. Three multiple discriminant models were tested to differentiate those people who waited, self‐medicated, and contacted formal providers from those who did not. A significant model could not discriminate between those who waited and those who did not. Models for self‐medicating and contacting formal providers correctly classified cases 60 to 70 percent of the time. The analyses indicate that self‐medicating was more likely to be reported by younger individuals, by those who lived further from the hospital, who perceived their health status to be better, who reported less satisfaction with community health care services, and that the self‐medicating was appropriate. Those respondents most likely to contact the physician reported a lower perceived health status, a higher level of appropriateness of seeking formal health care services, a perceived physician shortage as a serious community problem, greater use of a number of prescription medications in the previous two weeks, and reported living i

关键词：判别分析评价研究健康知识态度实践卫生服务研究/方法健康状况爱达荷/流行病学病人接受卫生保健的程度/统计学和数值数据问卷调查农村卫生/统计学和数值数据自我护理/心理学自我护理/统计学和数值数据自我护理/利用自我投药法/心理学自我投药法/统计学和数值数据自我投药法/利用社会经济因素成年人女(雌)性人类男(雄)性

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The influence of older consumers' information search activities on their use of health care innovations

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Health Marketing Quarterly 1992年第3-4期9卷 67-84页

作者： Strutton, H. David Department of Marketing University of Southwestern Louisiana Lafayette LA 70504 United States Augusta College United States

Researcy has yet to consider the relationship between the older consumers' information search and their use of health care innovations, despite suggestions that such a characterization may prove useful to marketing practitioners. In this investigation of a national sample of autonomous elderly consumers, distinct patterns of information search behavior are observed which distinguish adopters from nonusers of a pair of health care innovations. Implications for marketing health care innovations are discussed. © 1992 Taylor & Francis Group, LLC.

关键词：卫生服务使用研究/方法卫生服务使用研究/统计学和数值数据多元分析病人接受卫生保健的程度/统计学和数值数据问卷调查自我护理/统计学和数值数据自我护理/利用工艺学医学/统计学和数值数据美国

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The do-it-yourself health care consumer: Preliminary identification and marketing implications

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Health Marketing Quarterly 1991年第3-4期8卷 97-106页

作者： Pinto, Mary Beth Gehrt, Kenneth C. University of Maine United States

Although the presence of do-it-yourself (DIY) segments in some service-markets have long been taken for granted (e.g., home improvement and auto repair), the recent emergence of DIY segments in law, health, and other service-m,arkets has been surprising to many observers. This paper examines the DIY segment in the health service market. The emergence of a DIY segment may be misconstrued by some service-marketers as being synonymous with lost clientele. This paper (1) explains some of the marketing implications of a DIY health services segment and (2) provides a brief profile of the DIY health services consumer. The paper concludes that the DIY segment represents new opportunity rather than lost clientele to service-marketers. © 1991 Taylor & Francis Group, LLC.

关键词：健康态度信息服务卫生服务使用研究/方法美国中西部问卷调查自我护理/统计学和数值数据女(雌)性人类

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Patterns of Illness Behavior Among Rural Elderly: Preliminary Results of a Health Diary Study

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The Journal of Rural Health 1992年第1期8卷 13-26页

作者： Stoller, Eleanor Palo Forster, Lorna Earl State University of New York Plattsburgh New York United States Clinton Community College in Plattsburgh New York United States

This paper summarizes the responses of rural elderly people to a variety of symptoms experienced during a three‐week period. Responses to symptoms included causal attributions, consultation patterns, and intervention strategies. Data recorded in diaries during a three‐week period highlight the importance of lay care in the illnesses of older people. Most symptoms were managed by older respondents themselves. When symptoms were discussed with someone else, the consultant was most likely a family member or friend rather than a health care professional. Only one third of the respondents contacted any formal provider about any of their symptoms. The majority of respondents combined medical and nonmedical explanations in interpreting their symptoms. The most frequent response to a symptom was doing nothing. The next two most commonly reported interventions were over‐the‐counter medications and activity limitation. Analyses revealed few differences among residential categories in patterns of illness behavior. Rural‐urban differences often disappeared when controlling for demographic and socioeconomic background which covarv with residence. Copyright © 1992, Wiley Blackwell. All rights reserved

关键词：文献工作/统计学和数值数据老年人身心健康评价卫生服务需求健康调查病案纽约病人接受卫生保健的程度/统计学和数值数据回归分析农村卫生/统计学和数值数据自我护理/统计学和数值数据自我护理/利用自我投药法/统计学和数值数据自我投药法/利用疾病角色社会经济因素城市卫生/统计学和数值数据老年人女(雌)性人类男(雄)性

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Relationships between Knowledge and Belief Variables and Health Maintenance Behaviors in a Danish Population Over 45 Years of Age

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Journal of Aging and Health 1991年第3期3卷 386-406页

作者： Dean, Kathryn University of Copenhagen Denmark

The growing body of evidence regarding the importance of self-care behavior for the maintenance of health and functional capacity has stimulated research interest in identifying the factors and processes that influence health-related behavior. This article examines relationships between health knowledge and belief variables and two types of health maintenance behavior: (a) routine habits that affect health and (b) deliberately undertaken health-protective behavior. The findings suggest that generalized health beliefs may have limited influence on behavior. Health locus of control beliefs may be related to behavioral change, but were not related to either current tobacco and alcohol consumption or to conscious health maintenance behaviors. It is concluded that more attention needs to be directed toward cultural influences on health beliefs and behavior.

关键词：饮酒健康态度丹麦运动(Exercise) 健康行为健康知识态度实践健康促进/统计学和数值数据回归分析自我护理/统计学和数值数据吸烟女(雌)性人类男(雄)性中年人

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Measuring adherence to a self-care fitness walking routine

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Journal of Community Health Nursing 2000年第3期17卷 159-169页

作者： Konradi, D.B. Lyon, B.L. Mennonite College of Nursing Illinois State University Mail Code 5810 Normal IL 61790 United States

The purpose of this study is to develop and evaluate a theoretically appropriate measure for adherence to a self-care fitness walking routine. Self-care activities are very different from prescribed therapeutic regimens. One important difference is the determination of the activity prescription or behavioral standard. When the activity is classified as self-care, the behavioral standard is determined by the individual. When the activity is a prescribed therapeutic regimen, it is determined by the health care provider. Adherence to health related activities is usually calculated by comparing actual behaviors with an expert determined standard. When this technique is used to measure adherence to a self-care regimen, the theoretical assumption that self-care activities are self-prescribed has been ignored. In this study, adherence to the self-care activity fitness walking is calculated by comparing actual recorded fitness walking behaviors with the walker's own fitness walking intention.

关键词：年龄因素健康知识态度实践护理估计/方法护理评价研究病人依从/心理学病人依从/统计学和数值数据可重复性结果自我护理/心理学自我护理/统计学和数值数据性别因素步行/心理学步行/统计学和数值数据成年人老年人女(雌)性人类男(雄)性中年人

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Older rural women and the use of complementary therapies

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Journal of Community Health Nursing 1999年第4期16卷 223-232页

作者： Johnson, Julie E. Orvis School of Nursing University of Nevada Reno NV United States Orvis School of Nursing University of Nevada Reno NV 89557 United States

One hundred seventy-five rural women over the age of 70 participated in a study to assess their use of complementary therapies and practitioners. Data were collected via questionnaires and interviews. Findings suggest that these women used nontraditional health practices to treat a variety of symptoms, as well as to maintain their independence. However, very few of them informed their primary care providers that they used complementary therapies and practitioners. The majority were inadequately informed regarding the efficacy and safety of the therapies.

关键词：老年人/心理学老年人/统计学和数值数据补充疗法/利用健康知识态度实践护理方法学研究病人接受卫生保健的程度/心理学病人接受卫生保健的程度/统计学和数值数据问卷调查农村卫生自我护理/方法自我护理/心理学自我护理/统计学和数值数据美国妇女/教育妇女/心理学老年人 80以上女(雌)性人类

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