應用自我調節理論研發糖尿病自我管理光碟

Applying Self-Regulation Theory to Develop a Self-Management VCD in Diabetes Mellitus

糖尿病屬於慢性疾病，病患為預防合併症，不僅要遵從治療，還要調整生活型態，因此病患必須要有自我調節的能力來自我管理糖尿病。自我調節理論(self regulation theory)是一種以病患為中心，健康專業人員為輔的理論。從此觀點來看，健康照護人員是從旁提供所需資源，協助病患從自我調節中學習行為修正來達到其期望的目標，藉由此策略可更進一步增進病患的信心。若病患沒有實際的經驗，可以藉著觀察他人的行為及行動的結果，從別人的經驗仿照學習。如果能將此模仿學習楷模的經驗製作成光碟，可增進中老年或教育水準不高的糖尿病患者的學習效果。本光碟特點是呈現自我調節的過程，提供病患模仿的對象，幫助病患瞭解自我調節複雜抽象的內容。我們將根據此理論去製作光碟，並透過介入性的研究來評估此光碟對糖尿病患者自我管理方面的效益。

Diabetes is a chronic disease. To prevent complication, patients with diabetes not only have to follow the treatment regimens, but also self regularize their lifestyle. Diabetic patients must, therefore, have the ability to self-manage their diabetes. Self regulation used in this paper is a theory in which patient is the center and health professional is an assistant in the health care. From this perspective, health professionals only provide necessary resources and assist patients learning behavior modification to achieve their desired goals by utilizing self-regulation strategies, and further enhance self-confidence. If patients do not have such experience, they can learn by observing others’ behavior and its outcome and then imitating their experience. It is a good way to enhance learning for elderly or people with lower educational level through imitating learning from Video Compact Disc (VCD). The characteristic of this VCD made by the authors is to present a process of self-regulation, providing a role model in the VCD for learner to imitate, and then help the diabetic patients understand the complex contents of selfregulation. We will develop this VCD based on the self-regulation theory and further evaluate its effect on self-management of patients with diabetes through intervention study.