老年代謝症候群同儕領導自我管理方案之建構

陳汶均; 林秋菊

doi:10.6224/JN.000075

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P111 - 119

Health & Medical Care > Health Promotion & Hygiene
Health & Medical Care > Social Medicine

DOI： 10.6224/JN

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老年代謝症候群同儕領導自我管理方案之建構

Constructing a Peer-Led Self-Management Program for Elderly Patients With Metabolic Syndrome

陳汶均(Wen-Chun Chen) ；林秋菊(Chiu-Chu Lin)

護理雜誌； 64卷5期 (2017 / 10 / 01) ， P111 - 119

繁體中文 DOI： 10.6224/JN.000075

老年；代謝症候群；自我管理；同儕領導；自我效能理論； elderly ； metabolic syndrome ； self-management ； peer-led ； self- efficacy theory

Abstract │ Reference (29) │ Altmetrics

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Changes in lifestyle and increasing age are associated with an increased risk of metabolic syndrome. In order to better control the incidence of metabolic syndrome nationwide, healthcare providers must provide age-appropriate care information to their elderly patients that addresses critical factors such as physiological function, social psychology, and emotional and health literacy in order to empower these patients to self-manage their condition and to enhance their self-care-related motivation and confidence. Using peer leaders with relevant experience may be helpful in promoting the learning of self-management skills, as these leaders share backgrounds that are similar to elderly patients in terms of culture and disease-care needs. The present paper proposes a peer-led, self-management program for metabolic syndrome for the elderly that is based on a theoretical framework of self-efficacy. We expect to test this program for effectiveness and feasibility in clinical practice in the future.

Reference ( 29 ) 〈TOP〉

張美娟（2009）．健康素養與健康照護．志為護理—慈濟護理雜誌，8（3），65–69。[Chang, M. C. (2009). Health literacy in health care. Tzu Chi Nursing Journal, 8(3), 65–69.]
連結：
Bandura, A. (1991). Social cognitive theory of self-regulation. Organizational Behavior and Human Decision Process, 50(2), 248-287. doi:10.1016/0749-5978(91)90022-L
連結：
Best, K. L., Miller, W. C., Eng, J. J., & Routhier, F. (2016). Systematic review and meta-analysis of peer-led self-management programs for increasing physical activity. International Journal of Behavioral Medicine, 23(5), 527-538. doi:10.1007/s12529-016-9540-4
連結：
Blackford, K., Jancey, J., Lee, A. H., James, A. P., Howat, P., Hills, A. P., & Anderson, A. (2015). A randomised controlled trial of a physical activity and nutrition program targeting middle-aged adults at risk of metabolic syndrome in a disadvantaged rural community. BMC Public Health, 15(1), article 284. doi:10.1186/s12889-015-1613-9
連結：
Bowen, P. G., Clay, O. J., Lee, L. T., Vice, J., Ovalle, F., & Crowe, M. (2015). Associations of social support and self-efficacy with quality of life in older adults with diabetes. Journal of Gerontological Nursing, 41(12), 21-29. doi:10.3928/00989134-20151008-44
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