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. |