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篇名
癲癇患者自我監測之概念分析
並列篇名
An Analysis of the Concept of Self-Monitoring for Patients with Epilepsy
作者 湯麗君
中文摘要
促進癲癇患者自我管理能力及患者與家屬的生活品質是疾病管制局與世界衛生組織對癲癇的照護目標。自我監測一詞經常被運用於慢性疾病的管理,文獻中被視為自我管理的前驅行為。自我監測、自我管理、及自我調節經常於文獻中某些定義特徵是互通,但並非具有相同之概念意涵。經概念分析結果顯示,癲癇患者的自我監測的定義特徵為:(1)察覺身體症狀及日常活動之影響,識別可能引起發作的個人行為習慣,察覺能力會隨個人疾病的體驗時間而增加;(2)客觀的觀察測量及紀錄以提供資訊做為健康照護計畫之依據。此概念分析的結果可增進醫護團隊確認癲癇患者自我監測的特質及條件,協助癲癇患者做最佳的自我控制行為,提升生活品質為目的。
英文摘要
Promotion of self-management competency and enhancement of quality of life for patients with epilepsy and their families are two major goals of the Center for Disease Control and World Health Organization. The term "self-monitoring" has been used often in chronic disease management and has been viewed as the preliminary behavior for self-management. Self-monitoring, self-management, and selfregulation are interchangeable in terms of the characteristics that define them according to some literature; however, they are not the same in terms of conceptual implications. This article aims to analyze the concept of self-monitoring by using Walker and Avant's methodology, which includes a broad literature review to confirm the definition of self-monitoring and the characteristics of its operational definition. The author includes examples of typical, borderline, and opposite concepts to confirm the prerequisite for self-monitoring and its consequences and points out the clinical measurements of self-monitoring as reference. The results of the analysis show that the characteristics defining self-monitoring for patients with epilepsy are (1) being aware of the impacts of physical symptoms on daily activities, knowing possible individual behavior habits that induce a seizure, and monitoring changes that the individual experiences with the disease and (2) objective observations and records that provide evidence for a health care plan. This analysis can help facilitate the health care team's efforts to ensure the characteristics and prerequisites for self-monitoring, further assisting patients with epilepsy in bettering their self-control behavior and promoting their quality of life.
起訖頁 67-77
關鍵詞 癲癇自我監測自我管理生活品質epilepsyself-monitoringself-managementquality of life
刊名 領導護理  
期數 201409 (15:3期)
出版單位 聯新國際醫療集團
該期刊-上一篇 運用全人關懷於上肢創傷性截肢個案到院前急症照護經驗
該期刊-下一篇 僕人式領導在護理專業的意涵與運用
 

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