運用賦權概念提升一位青少年糖尿病患者自我照顧技能之護理經驗

Nursing Experience of Using Empowerment to Enhance an Adolescent's Diabetes Self-Care Skills

游月玲(Yuzh-Ling Yu)

《志為護理-慈濟護理雜誌》 19卷5期 (2020/10) Pp. 131-140

摘要

本文運用賦權概念激發一位18歲罹患第一型糖尿病個案學習自我照護行為並管理糖尿病之護理經驗。護理期間為2017年1月9日到1月20日，運用Gordon十一項功能性健康型態評估，藉由觀察、會談、傾聽等技巧來收集資料，確立健康問題有：潛在危險性不穩定血糖濃度、無效性健康維護能力、家庭因應失能。在護理過程中發現個案初期對於糖尿病遵從行為欠佳，導致血糖控制不佳，進而造成親子間關係緊繃，故運用賦權概念策略介入，引導個案及家屬一同參與自我照顧計劃，從旁輔助個案學習改善自我照護行為與管理糖尿病，以達到最佳的健康狀態。期望本個案之護理經驗，能提供同仁未來照護青少年糖尿病患者之護理實務參考。

關鍵字

第一型糖尿病 ； 青少年 ； 賦權概念

並列摘要

This case report described the nursing process of assisting an 18-year-old man with type 1 diabetes by employing the concept of empowerment. The nursing period lasted from January 9 to January 20, 2017. Using Gordon's functional health patterns as the framework for assessment, the author collected data by observing and interviewing the patient and identified the following nursing problems: risk of unstable blood glucose, ineffective health maintenance, and limited family coping strategies. During the early stages of the nursing process, the patient had poor compliance with diabetes treatment, resulting in poor glycemic control, which required close monitoring by the parents. Therefore, the patient and his family were guided through an empowerment-based program to improve self-care behavior and manage diabetes in a collaborative manner to achieve optimal health. We hope this nursing experience serves as a reference for other clinical nurses when facing similar cases.

並列關鍵字

adolescents ； empowerment ； type 1 diabetes

參考文獻

中華民國糖尿病學會(2018)．2018糖尿病臨床照護指引．取自http://www.endo-dm.org.tw/dia/direct/index.asp

林素瓊(2015) 第 1 型兒童青少年糖尿病與家庭的心理社會適應．中華民國糖尿病衛教學會會訊，11(2)，23-26。

姜月桃、余幸宜、張綺紋、陳紀雯(2016)．16-25歲第1糖尿病患轉換期之疾病衝擊與照護趨勢．長庚護理，27(3)，342-352。

張景泓、陳碩菲(2017)．有氧運動對於糖尿病病患血脂肪及糖化血色素的影響．中華民國糖尿病衛教學會，13(4)，9-15。

陳美芳、王瑞霞(2012)．賦權於糖尿病個案自我照顧行為的應用—魔力策略．護理雜誌，59(5)，68-73。