自我效能模式於護理臨床應用之剖析

Application of the Self-Efficacy Model in Nursing Practice

吳淑芳(Shu-Fang Wu) ； Mary Courtney ； Helen Edwards ； Jan McDowell ； Lillie M. Shortridge-Baggett ； 張嘉容(Jia-Rong Chang)

《榮總護理》 23卷2期 (2006/06) Pp. 181-187

https://doi.org/10.6142/VGHN.23.2.181

摘要

Bandura的社會認知理論逐漸被應用於健康行為之後，其重要概念分支『自我效能』文獻逐漸被看重並提出探討。兩大影響個案執行行為的要素是效能預期和成果預期且兩者具加成作用。效能預期主要受到四個訊息來源影響：成就實現、替代經驗、文字說服和自我評價，透過直接或間接經驗，四個訊息來源得以強化個人之自我效能程度。如何測量與發展自我效能策略成為現階段重要的議題，本文清楚分析自我效能模式之各變項關係及其影響要素，說明運用不同量測工具及護理措施來測試模式，簡易地將理論實際應用於臨床上。期望醫護專業人員在了解自我效能概念後，靈活運用於臨床實務與研究上。

關鍵字

自我效能 ； 糖尿病 ； 量表 ； 測量 ； 措施

並列摘要

Self-efficacy has two cognitive components, efficacy expectations and outcome expectations, and their influence on behavior change is synergistic. Efficacy expectation is effected by four main sources of information provided by direct and indirect experiences. The four sources of information are performance accomplishments, vicarious experience, verbal persuasion and self-appraisal. How to measure and develop interventions is an important issue at present. This article clearly analyzes the relationship between variables of the self-efficacy model and explains the implementation of self-efficacy enhancing interventions and instruments in order to test the model. Through the process of the use of theory and feasibility in clinical practice, it is expected that professional medical care personnel should firstly familiarize themselves with the self-efficiency model and concept, and then flexibly promote it in professional fields clinical practice, chronic disease care and health promotion.

並列關鍵字

self-efficacy ； diabetes ； instrument ； measurement ； intervention