The medical care reformation of the prevention of the lifestyle disease starts in April, 2008.
The concept of Metaboric-syndrom is introduced, the health guidance becomes important more than before.
And the evaluation of the checkup and the health guidance is not the frequencies, as a result, what effect went up is evaluated.
⌈Effective health guidance to attain good results⌋is an important theme for the health leader now.
According to a standard checkup and the health guidance program of the Ministry of Health, Labour and Welfare, it is assumed ⌈The health guidance is to support it for the patient to notice the problem in the lifestyle from own life, and to derive the directionality of a voluntarily healthy action transformation.⌋
The condition that people change the lifestyle is Desire, Knowledge, Technology, Confidence, Environment.
It is important that the health leader appeal to these five elements.
There is “Behavioral science (behavior therapy) ” as an effective, scientific technique for supporting these.
There are 1 ⌈Goal setting⌋, 2 ⌈Self monitoring⌋, 3 ⌈Stage theory⌋ as a behavior therapy often used for the health guidance.
Moreover, “Coaching” is often used.
The target of the specific health guidance to aim at the improvement of Metaboric-syndrom is to decrease weight and the abdominal circumference, and to decrease the fat of internal organs.
The target of the loss in weight is to decrease from weight and the abdominal circumference at the beginning by about 5% for six months from three months, and to maintain it at a long term.
It is important to show the patient the target by the numerical value concretely as much as possible while advancing the discussion with the patient.
In addition, person's lifestyle has received a big influence from a surrounding environment.
Therefore, the population approach is also important for improving the effect of the health guidance.
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