[건강심��학] 불면증 환자에 대한 adherence(치료 순응) 증진 방안 (영어자료)

1. The exceptional Illness behavior of Mr. Reznik

The guy in the movie ‘Machinist’, Trevor Reznik, is in extremely specific case. He already knows the severity of his insomnia. We can recognize the fact by his saying “I haven’t slept for last one year” repeatedly. But he is never shown the usual illness behavior. He never goes to doctor, never try any medication, and never try any treatments to get better.

By these facts we can consider that he is not motivated to treatment at all. So, it is very hard to expect that he’ll be adherent to the procedure of treatment. Therefore, now I would like to check up all his predictive factors for adherence and find out the ways for improving his adherence.


2. Checking up predictive factors for adherence

<Treatment Characteristics>
Side effects of the Medication: There can be some side effect by using medication for insomnia, but the medicines for insomnia are relatively safer than other medicines. And it is prescribed commonly. So, we can say there is little worry about side effects of the medication.
Complexity of the Treatment: The medication and the cognitive behavior therapy are not that complex. It would not lower the patient’s compliance.

<Personal Factors>
Age: As well known, middle-aged men are tend to not to visit hospital or meet practitioner. As he is in his early 30s, he may not want to meet any health service provider. Because even he feels little discomfort from insomnia, he doesn’t think he can die from insomnia at all.
Gender: As he is man, it is possible that he doesn’t adhere to the treatment relatively.