問題解決於糖尿病照護之概念分析

Concept Analysis: Problem Solving in Diabetes Care

巫菲翎(Fei-Ling Wu) ； 張媚(Mei-Chang Yeh)

《新臺北護理期刊》 13卷2期 (2011/11) Pp. 55-62

https://doi.org/10.6540/NTJN.2011.2.006

摘要

「問題解決」被視為糖尿病自我管理中重要的核心內涵。有效的問題解決，可以協助糖尿病患者處理疾病相關的照護問題。本文以Walker和Avant（2004）的概念分析步驟進行問題解決在糖尿病照護之概念分析，結果發現：（1）定義性特徵有：覺察疾病照護的問題、尋找問題的歸因、執行解決方法及自我調節。（2）先決條件包括先備知識、過去經驗轉換、個人因素與社會支持。（3）概念的結果可歸納為：改善生理的健康指標、改善情緒的調適、促進自我照護行為、增進問題解決的技能、改善患者處理問題的態度及增進糖尿病照護知識。經由概念的分析期望能增進臨床照護人員對問題解決的認識。

關鍵字

問題解決 ； 糖尿病 ； 概念分析

並列摘要

'Problem-Solving' is a central component of diabetes self-management. Effective problem-solving could help people with diabetes deal with disease-related care. This paper presents the strategies of concept analysis by Walker and Avant (2004) used to analyze the concept of diabetic problem solving. Results indicate that: 1. defining attributes include problem awareness, identification of the causes of problems, implemention of solutions, and self regulation; 2. antecedents of diabetes problem solving include knowledge, transfer of past experience, individual factors, and social support; 3. consequences of the concept analysis are improved physical health indicators, improved emotional adjustment, facilitated self-care behavior, and enhanced problem solving skill, attitude and knowledge. The results of the concept analysis could help healthcare providers to practice the concept of problem solving in diabetes care.

並列關鍵字

problem solving ； diabetes mellitus ； concept analysis