運用健康信念模式增進一位第1型糖尿病患遵從行為之護理經驗

Nursing Experience by Using the Health-belief Model to Enhance Compliance of a Patient with Type 1 Diabetes Mellitus

本文針對一位第1型糖尿病患者，以Becker健康信念模式評估，發現個案不遵從行為之影響因素為：資訊來源不足、缺乏學習動機、健康信念偏負向及缺乏與醫療團隊之互動等。提供護理措施如：（1）矯正錯誤認知；（2）促進親情的凝聚引發學習動機；（3）增加個案疾病威脅的價值觀；（4）運用醫療團隊協助以及提供可運用之資源，並以減敏療法協助個案自行執行血糖監測，增進個案醫療遵從行為，進而達到自我照顧的目標，期能藉此提供臨床護理人員在照護此類病患之參考。

This article is based on Becker's health belief model to assess non-compliance risk factors in a Type I DM patient. It shows that the risk factors include insufficient information, lack of learning motivation, false health beliefs and lack of interaction among health professionals. The nursing intervention include: 1) to educate on health and medical knowledge; 2) to facilitate relationship between parents and children to engender learning motives; 3) to help the patient to keep pace with knowledge regarding the threatening disease; 4) to mobilize resources from health professionals to encourage the patient to self monitor the blood sugar, to improve compliance and do the self care on one's own. This article aims to offer our experience in caring Type I DM patient.