控制觀之概念分析

Locus of Control: A Concept Analysis

10.3966/102673012015032601003

施孟綾(Meng-Ling Shih)；柯雅婷(Ya-Ting Ke)；林淑媛(Shu-Yuan Lin)

控制觀 ； 概念分析 ； 護理 ； locus of control ； concept analysis ； nursing

長庚護理

26卷1期（2015 / 03 / 01）

23 - 28

繁體中文

護理衛教在臨床上是最直接且方便提供病人健康認知的方法之一，然而成效不一定顯著。「控制觀」概念由社會學習理論逐漸廣泛應用到健康促進與照護領域。藉由Walker和Avant所提出的概念分析步驟，歸納其定義為：控制觀係指個人行為和結果間的信念，是一種個人期望及特質，使每個人對行為的強化，而將事件的原因和控制歸於自己或外在環境的力量。文中探討發現控制觀不同的人格特質，所形成的健康信念對於健康認知的接受度與行為的表現而有所不同，故此概念分析有助於相關醫療人員了解控制觀的意涵，於臨床上給予獨特性的護理衛教，達到病人疾病控制與健康促進之成效。

Health education is the most convenient method to promote patients' health awareness, but it is not always effective. Reviewing the literature, we found that locus of control makes the major differences. Developed by social learning theorists, locus of control represents how the patients' believes from their expectation and past experience affect their behaviors and the consequence. Appling the Walker andAvant's method, we defined locus of control and listed its characteristics as follows: (1) Locus of control is one of the person's attributing beliefs. (2) It is not only based on the past experience but also intensified by the expectation. (3) Locus of control can become a part of a person's personality. (4) The behaviors and consequence are influenced by locus of control. Moreover, the model case, the borderline case, the related case, and the contrary case were discussed. Since health beliefs have great effect on patients' behaviors, the article is expected to provide the health care providers with a better understanding of locus of control. By the unique health education program developed from locus of control, the goals that focus on disease controlling and health promotion will be achieved.

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