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運用跨理論模式協助一位代謝症候群個案健康促進之護理經驗

Application of the Transtheoretical Model to Health Promotion for a Patient with Metabolic Syndrome

摘要


本篇個案報告在於分享運用跨理論模式,協助一位代謝症候群患者健康促進的經驗。照護期間為2011年6月19日至9月20日,藉由觀察、會談、電訪收集資料,評估個案之運動及飲食行為處於意圖期階段。照護期間筆者運用情感喚起、意識覺醒、增強管理、社會支持力量、反制約等護理措施策略介入,成功引起個案改變動機,並可自行安排擬定及紀錄運動、飲食計畫之過程,自行調整運動頻率及強度與依循飲食計畫適量攝取均衡飲食,並與家庭成員共同執行規律運動及正確飲食,邁入行動期階段。筆者期望藉由此個案報告,喚起護理人員對於健康促進議題的敏感度,使護理人員能更純熟運用跨理論模式評估及協助個案,達到健康促進的目的,使受照護之個案能擁有更健康的生活型態。

並列摘要


We presented this case report to share the experience with health promotion for a patient with metabolic syndrome using transtheoretical model. Nursing care was provided between June 19th and September 20th 2011. The data was collected through observation, interviews, and telephone interviews. Assessing the patient showed that his exercise and eating behavior were in the contemplation stage. Interventions included emotional arousal, raising awareness, optimizing management, improving social support, and counter-conditioning. We have succeeded in increasing the patient's motivation, who then was able to schedule and record his own exercise and meal plan, exercise regularly and maintain a balanced diet (the action stage). The case was presented with the wish to raise nurses' awareness of health promotion in bringing quality care to patients towards a healthier life.

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