運用自我調節理論於一位年輕個案罹患慢性病的照護經驗

Nursing Experience in the Application of Self-Regulation Theory to a Young Man with Chronic Illness

本篇主要描述一位年輕個案罹患慢性病的照護經驗。因年輕慢性病個案須面臨潛在併發症的威脅，慢性病自我管理便成為重要健康議題。筆者運用生理、心理、靈性與社會等層面作一整體性護理評估，經會談、溝通、觀察個案的行為，確認個案有「焦慮」、「體重過重」之護理問題。利用門診會談、電訪、電子郵件及手機網路訊息進行後續追蹤，筆者以健康照護者角色，運用自我調節理論，引導個案在連續性的自我管理過程，予個案及家屬心理支持，減輕焦慮，修正自己的行為，提升自我效能。透由此連續性護理過程，經雲端科技資訊平台策略使用，而得到改善提升照護品質。

The purpose of this article was to describe the nursing experience of a young man with chronic disease. For individuals afflicted with chronic diseases subjected to the development of potential complications, the concept of chronic disease self-management is especially important. Through interviews, communication, and observation from an integrated physiological, psychological, spiritual, and social perspective, the author revealed two important nursing issues for that patient, “anxiety” and “overweight”. Subsequent follow-up of the patient was conducted through outpatient visits, telephone interviews, emails, and text messages. Based on the self-regulation theory, the author acted as a health care provider who led the patient and his family through the process of continuous self-management as well as provided psychological support for alleviating anxiety, modifying their behaviors, and enhancing self-efficacy. The results of the present study suggest that the quality of care for patients with chronic diseases can be improved by continuous nursing intervention based on the concept of chronic disease self-management through strategic use of information technologies.