一位第二型糖尿病患飲食行為修正之護理經驗——跨理論模式之運用

An Experience of Diet and Behavior Modification in a Type 2 Diabetes Patient Using the Transtheoretical Model

本篇報告在於分享運用行為改變跨理論模式，對一位第2型糖尿病患飲食行為修正之經驗。照護期間為民國95年5月至9月，藉由觀察、會談、電訪及電子郵件方式收集資料，評估顯示個案之飲食行為是處於行為改變之準備期階段；筆者運用Marcus等人根據跨理論模式所提出之策略，包括自我承諾、自我再評價、強化管理、替代選擇、找出社會支持力量及環境線索的佈置等策略，促進個案執行飲食行為的措施下，進入行動期階段。經由以上的護理介入措施後，個案能自行擬訂飲食計畫，記錄飲食日誌，並逐日修正飲食行為，協同家人一起執行健康的飲食行為，因此筆者期望藉此個案報告，能提供醫護人員以行為改變跨理論模式照護此類個案之參考。

In this case report we share our experience of diet and behavior modification in a type 2 diabetes patient using the transtheoretical model. This case had been followed up from May through September 2006, during which time data were obtained by regular observation, interviews, telephone interviews, and e-mail. The results showed that the study subjects were initially in the preparation stage of behavior change. With help from nurses, the subject was able to move into the action stage using intervention including arranging client's own diet plan, recording diet diary, revising diet behavior, with joint collaboration from family members to achieve at healthy diet behavior. The author hopes to provide a reference for health professionals with the transtheoretical model of health behavior change in the care of this type of patient.