老年代謝症候群同儕領導自我管理方案之建構

隨著國人生活型態改變，導致代謝症候群的發生率隨之增加，而年齡越大，代謝症候群盛行率亦隨之提升。老年患者因生理功能、社會心理、情緒和健康素養之影響，導致在自我管理上缺乏動機及自信。若能透過具成功自我管理經驗且具相同文化背景與疾病照護生活經驗的同儕領導者，引導老年患者學習自我管理技能，更能事半功倍。為改善此現況，故本文將以代謝症候群為例，提出以自我效能理論為基礎的老年代謝症候群同儕領導自我管理方案，期望未來能與研究相結合，進一步測試其成效及可行性，逐步在臨床實務中推廣。

關鍵字

老年；代謝症候群；自我管理；同儕領導；自我效能理論

並列摘要

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.

並列關鍵字

elderly ； metabolic syndrome ； self-management ； peer-led ； self- efficacy theory

參考文獻

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.]

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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

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

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

國際替代計量

老年代謝症候群同儕領導自我管理方案之建構

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