應用跨理論模式改變糖尿病患者飲食知識之護理經驗

Application of a Transtheoretical Model to Change a Diabetic Patient's Knowledge on Diet

本文是應用跨理論模式改變糖尿病愚者飲食知識之護理經驗。筆者於2011年2月3日至2012年5月3日護理期間，運用整體性護理評估、觀察、會談、病歷查閱等方式收集資料，發現個案主要健康問題有糖尿病飲食及血糖自我監測之知識缺失，導致血糖控制不佳，並以跨理論模式分析個案正處於？備期之行為改變階段，依不同階段提供相關認知及行為改變策略，藉由病友經驗分享、糖尿病相關影片衛教、專屬飲食搭配表及行為改變契約，成功改變個案飲食習價及案妻準備糖尿病飲食之技巧，使個案達到血糖控制及維持之成效。

This paper shares a nursing experience of applying a transtheoretical model to change a patient's knowledge on diabetics diet. During the nursing care period from February 3 to May 3, 2012, the author collected data through a comprehensive nursing assessment, observation, interview, and medical chart review. The patient's major health problems were a lack of knowledge on diabetic diet and poor self-monitoring of blood sugar levels, which led to the patient's poor control of blood sugar. Upon applying a transtheoretical model for behavior change, the case entered the preparatory stage of behavioral change. Following each distinct stage, the author offered relevant knowledge and strategies for behavioral change. Through experience sharing with a diabetic support group, a diabetic video presentation, the use of a diabetic diet table, and set contract on behavioral change with the patient, the patient successfully modified diet habits and cooking skills to fit a diabetic dietultimately achieving the goal of blood sugar level control and maintenance.