Concept Analysis of Health Insensitivity using Hybrid Model

Hybrid model을 이용한 건강불감증의 개념분석

  • 이동숙 (초당대학교 간호학과, 서울대학교 간호과학 연구소) ;
  • 이은옥 (서울대학교 간호대학)
  • Published : 2003.09.01

Abstract

The purpose of this study was to clarity the concept of health insensitivity using Hybrid model, which consists of three phases: theoretical, empirical, and analytic. In the theoretical phase, the definitions of health insensitivity were searched in korean dictionary and examples used in the websites because the concept of health insensitivity has never been studied before. Two dimensions of health insensitivity emerged out from this investigation were cognitive and behavioral. And then a working definition of health insensitivity was established. The sub-concepts and related factors of health insensitivity were identified through the extensive reviews of the literature focusing on two dimensions of cognitive and behavioral. In the empirical phase, in order to obtain description of health insensitivity, face-to-face in-depth interviews were conducted with nine persons who are not related to professional health care. Grounded theory approach was applied to analyze these qualitative data. In the final analytic phase, theoretical results and empirical results were analyzed in the integrated way and a theoretical framework of health insensitivity was established. A refined definition of health insensitivity was that decreased health risk perception in cognitive dimension and conduction of the unhealthy behaviors in behavioral dimension. Sub-concepts of decreased health risk perception were optimistic bias and decreased general fear. Sub-concepts of unhealthy behavior were doing health threatening behavior and not doing desirable health behavior. The contact of health information was a causal condition of health insensitivity. Optimistic disposition, health locus of control, and avoidance coping style were intervening conditions of health insensitivity. Three types of health insensitivity were identified: unconcern or ignorance type, optimistic bias type, and cognitive dissonance type. Finally, The implications of these findings for further research and nursing practice are discussed.

Keywords

References

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