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Please use this identifier to cite or link to this item: http://hdl.handle.net/10285/730

NII Resource type: Journal Article
Title: "Patient compliance"の概念分析
Other Titles: "Patient Compliance"
A Concept Analysis.
Authors: 長佳代
Keywords: コンプライアンス
Shimei: 聖路加看護学会誌
Volume: 9
Issue: 1
Start page: 19
End page: 27
Issue Date: 20-Jun-2005
ISSN: 13441922
Abstract: さまざまな批判や議論がありながらも,"patient compliance"が多くの文献で用いられているのはなぜ だろうか。この疑問を明らかにするために,看護, 医学,心理学の領域の文献における"patient compliance" の使用のなされ方を分析し,その属性を見極めることを目的として,概念分析を行った。 方法は,RodgersとKnafl(2000)により提唱された概念分析の方法に基づいて行った。 分析対象は,1975年から2000年までに,看護,医学,心理学の領域で出版された定期刊行誌の英語文 献から選択した。MEDLINE,CINAHL,PsycINFOにおいて, "patient compliance"あるいは compliance"をキーワードとしている文献,それぞれ3,874,986,3,095文献を母集団に,5%,10%,5 %を無作為に抽出し,計399文献をサンプルとした。分析は,タイトルとアブストラクトの記述を中心に行 い,必要時本文を確認した。 分析によって,以下の事柄が明かとなった。 "Compliance" の属性は,次の5つであった。 ① ヘルスケアプロバイダーが用いる用語としての"compliance" ② ヘルスケアレシピエントに関する用語としての"compliance" ③ ヘルスケアレシピエントの一定の行動を問う用語としての"compliance" ④ 一定期間の行動を問う用語としての"compliance" ⑤ 時間の経過とともに変化する"compliance" "Compliance" と相互交換可能に用いられている代替の用語は,"adherence"であり,関連概念は,"mut uality" "therapeutic alliance" "concordance" であった。 分析により,"patient compliance" は,ヘルスケアレシピエントの行動が,ヘルスケアプロバイダーの助 言に一致したか否か,あるいは一定の期間における一致の度合いを表す概念であることが明らかとなった0 本概念によって言及される情報は,医療者の実践内容に影響する重要なものであり,この点が,さまざまな 議論や批判がありながらも,本概念が多くの文献で用いられている理由と考えられた。
Abstract-Alternative: This study was designed to identify attributes of "patient compliance" by analyzing the common use of the concept in the literature of nursing, medicine and psychology. The method of concept analysis advocated by Rodgers (1989) was employed. The sample for this study was selected from English language literature published in the fields of nursing, medicine and psychology during the years 1975 through 2000. 399 samples were extracted from MEDLINE, CINAHL and PsycINFO. 5%, 10%, 5% samples were retrieved from the population of each database that list "patient compliance" as MeSH· Major Topic or "compliance" as a keyword. The analysis was mainly made on titles and abstracts. If necessary, the body of articles was confirmed. The findings were as follows: The attribute were ① "Compliance" as a term used by only healthcare providers ; ② "Compliance" as a term revealing judgements or estimation about healthcare recipients by healthcare providers; ③ "Compliance" as a term evaluating health care recipients' behaviors; ④ "Compliance" as a term evaluating continuation; ⑤ "Compliance" as changing over time (dynamic). A surrogate term used interchangeably with "patient compliance" was "adherence". Related concepts were "mutuality", "therapeutic alliance" and "concordance". "Patient compliance" was the concept that asks did the behavior of a healthcare recipient conform or not with the advice of a healthcare provider, and/ or the extent of the consistency in a specific period. The significance of this concept was that the concept provided important data for healthcare providers. This significance gave a reason why the concept was used often despite many criticisms and discussions.
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Rights: このPDFファイルは国立情報学研究所で電子化されたものです。
URI: http://hdl.handle.net/10285/730
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