RESUMO
This study concerns a renal patient who was non-compliant to staff requests to monitor his blood clotting times. The non-compliant behavior was resolved within six treatment sessions through the combined use of contracting, shaping, stimulus control, discrimination training and social and material reinforcement. Follow-ups at 30, 60 and 90 days revealed a high degree of patient compliance and accuracy in taking and recording his blood clotting times. Implications for behavior modification techniques in the field of hemodialysis are briefly discussed.
Assuntos
Terapia Comportamental , Pacientes Desistentes do Tratamento , Diálise Renal , Terapia Comportamental/métodos , Coagulação Sanguínea , Heparina/administração & dosagem , Humanos , Falência Renal Crônica/terapia , Masculino , Pessoa de Meia-Idade , Reforço Psicológico , Fatores de TempoRESUMO
An experiment was conducted to test the hypothesis that dialysis patients with an internal locus of control orientation will show a higher rate of compliance to medication and dietary restrictions than those patients with an external locus of control. The results strongly supported the hypothesis. The possibility of interventions to modify patient locus of control is discussed, as is the use of this widely studied personality variable in predicting patient compliance.
