賦權於糖尿病個案自我照顧行為的應用－魔力策略

良好的自我照顧行為可以有效控制糖尿病及預防合併症。然而，在現今的糖尿病照護下，不到兩成的糖尿病個案可執行專業人員建議的自我照顧行為。為促進糖尿病的照護品質，世界衛生組織指出賦權策略是可行的衛生教育策略，可以增進個案的能力以管理疾病。本文根據文獻發展賦權過程—魔力策略，包括激發（motivating）個案覺醒、評估（assessing）問題根源、目標設定（goalsetting）、個別性（individual）自我照顧計畫的發展與評值（checking）是否達到目標或計畫等，這樣的賦權互動過程就像魔力一樣，促使個案擁有自我照顧行為的能力。從傳統的衛教方式轉移至賦權衛教方式，專業人員需要專業知識的指引與不斷的練習，本文可作為臨床實務之參考。

關鍵字

賦權；糖尿病；魔力策

並列摘要

Good self-care behaviors can control diabetes and its complications effectively. Today, it is estimated that less than 20% of diabetes patients adhere to the self-care behavior regimens suggested by their healthcare providers. The World Health Organization advocates incorporating empowerment strategies into diabetes education to enhance patient abilities to control their disease and improve overall care efficacy. This article reviews the literature to develop the MAGIC strategy empowerment approach. MAGIC is an acronym for: Motivating patient self-awareness (M); assessing the causes of the problem (A); goal setting (G); individual self-care plan development (I) and Checking whether goals or plans have been achieved (C). The MAGIC empowerment process, involving interaction between healthcare professionals and patients, has the potential to work like ”magic” to help patients implement effective self-care behavior. Guidelines and practice are necessary to shift professionals from the traditional education model to the empowerment approach. This article is a useful reference for clinical practice.

並列關鍵字

empowerment ； diabetes ； MAGIC strategy

參考文獻

張麗春、李怡娟（2004）．賦權概念分析．護理雜誌，51（2），84－90。

陶蕃瀛（2004）．行動研究：一種增強權能的助人工作方法．應用心理研究，23，33－48。

Anderson, R. M., & Funnell, M. M. (2005). The art of empowerment: Stories and strategies for diabetes educators (2nd ed.). Alexandria, VA: American Diabetes Association.

Anderson, R. M., & Funnell, M. M. (2010). Patient empowerment: Myths and misconceptions. Patient Education and Counseling, 79(3), 277－282. doi:10.1016/j.pec.2009. 07.025

Anderson, R. M., Funnell, M. M., Aikens, J. E., Krein, S. L., Fitzgerald, J. T., Nwankwo, R., … Tang, T. S. (2009). Evaluating the efficacy of an empowerment-based self-management consultant intervention: Results of a two-year randomized controlled trial. Education Therapy Patient, 1(1), 3－11. doi:10.1051/tpe/2009002

被引用紀錄

林耕暉、高綺吟（2020）。運用賦能概念協助照顧者照護失智晚期老人之護理經驗。高雄護理雜誌，37(1)，64-74。https://doi.org/10.6692/KJN.202004_37(1).0006

姚姿羽、巫菲翎（2021）。慢性病照護模式於HIV感染群體的評估。長庚科技學刊，(34)，111-122。https://doi.org/10.6192/CGUST.202106_(34).9

蔡玉梅、莊峰玲、陳冠蓁、陳寶珍（2020）。以賦權式術前衛教提昇膝關節置換術病人之自我照顧效能。榮總護理，37(1)，14-24。https://doi.org/10.6142/VGHN.202003_37(1).0002

范紀萱、卓欣寧、羅雅馨（2019）。運用Orem照顧理論照顧一名糖尿病婦女併酮酸中毒之護理經驗。臺灣腎臟護理學會雜誌，18(2)，89-103。https://doi.org/10.3966/172674042019121802007

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賦權於糖尿病個案自我照顧行為的應用－魔力策略

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