融滲充能概念於病人為中心的協同照護模式－以糖尿病照護為例

Fusing Empowerment Concept into Patient-Centered Collaborative Care Model

吳佳珍(Chia-Chen Wu) ； 林秋菊(Chiu-Chu Lin)

《護理雜誌》 61卷6期 (2014/12) Pp. 87-92

https://doi.org/10.6224/JN.61.6.87

摘要

慢性病是一種無法自行痊癒的長期性疾病，病人需調整個人的生活型態，學會如何在疾病控制與日常生活中取得平衡，因此自我管理實為慢性病控制的關鍵。要協助病人達到良好慢性病控制，疾病管理的典範轉移實有所必要，即應從強調慢性病人為被動遵從者的專業權威照護模式，轉變為視病人為積極參與自我管理照護者的協同照護模式。筆者將透過介紹充能（empowerment）概念、自我檢視方法，續而以糖尿病照護為例，說明充能照護模式於臨床照護應用之五步驟。期望藉此協助健康照護專業人員認識以充能為基礎、病人為中心的協同照護方式，和病人共同創造「與慢性病共處」的目標，達到良好疾病自我管理。

關鍵字

充能 ； 病人為中心 ； 協同照護 ； 糖尿病

並列摘要

Chronic diseases are incurable, long-term illnesses. To improve quality of life, patients with chronic diseases must adjust their own personal lifestyle to cope with their diseases and eventually learn to achieve a balance between disease control and daily life. Therefore, self-management necessarily plays a key role in chronic disease management. Different from physician-centered healthcare, the self-management practiced by chronic disease patients is more patient-centered with a greater emphasis on active patient participation. The main goal of this article is to elucidate the essence of the empowerment concept. An example of diabetes care, this article introduces a detailed five-step application as a basic model for incorporating the empowerment concept into the healthcare of patients with chronic disease. The author suggests that healthcare providers apply the empowerment model in clinical practice to assist patients to maintain an optimal balance between their health status and personal lives.

並列關鍵字

empowerment ； patient-centered ； collaborative care ； diabetes

參考文獻

李怡娟、吳麗瑜、張麗春、陳俞琪（2005）．充能式教育在長期照護機構的應用—以安養護機構中的外籍照顧服務員為對象．護理雜誌，52（6），23–29。[Li, I. C., Wu, L. Y., Chang, L. C., & Chen, Y. C. (2005). Application of empowering education in long-term care facilities: The experience with foreign nurse aides. The Journal of Nursing, 52(6), 23–29.] doi:10.6224/JN.52.6.23

張麗春、李怡娟（2004）．賦權概念分析．護理雜誌，51（2），84–90。[Chang, L. C., & Li, I. C. (2004). Concept analysis of empowerment. The Journal of Nursing, 51(2), 84–90.] doi:10.6224/JN.51.2.84

陳汶均、林秋菊（2010）．慢性病整合概念之分析．志為護理—慈濟護理雜誌，9（1），65–70。[Chen, W. C., & Lin, C. C. (2010). A concept analysis of chronic illness integration. Tzu Chi Nursing Journal, 9(1), 65–70.]

林秋菊（2011）．慢性病患者之自我管理．臺灣腎臟護理學會雜誌，10（1），1–18。[Lin, C. C. (2011). Self-management of patients with chronic illness. Journal of Taiwan Nephrology Nurses Association, 10(1), 1–18.]

Anderson, R. M., & Funnell, M. M. (2000). Compliance and adherence are dysfunctional concepts in diabetes care. The Diabetes Educator, 26(4), 597-604. doi:10.1177/14572170002600400