問題解決於糖尿病照護之概念分析

Concept Analysis: Problem Solving in Diabetes Care

「問題解決」被視為糖展病自我管理中重要的核心內涵。有效的問題解決，可以協助糖床病患者處理疾病相關的照護問題。本文以Walker和Avant（2004）的概念分析步驟進行問題解決在糖尿病照護之概念分析，結果發現：（1）定義性特徵有：覺察疾病照護的問題、尋找問題的歸因、執行解決方法及自我調節。（2）先決條件包括先備知識、過去經驗轉換、個人因素與社會支持。（3）概念的結果可歸納為：改善生理的健康指標、改善情緒的調適、促進自我照護行為、增進問題解決的技能、改善患者處理問題的態度及增進糖尿病照護知識。經由概念的分析期望能增進臨床照護人員對問題解決的認識。Problem-Solving’ is a central component of diabetes self - management. Effective problem-solving could help people with diabetes deal with disease-related care. This paper presents the strategies of concept analysis by Walker and Avant (2004) used to analyze the concept of diabetic problem solving. Results indicate that: 1. defining attributes include problem awareness, identification of the causes of problems, implemention of solutions, and self regulation; 2. antecedents of diabetes problem solving include knowledge, transfer of past experience, individual factors, and social support; 3. consequences of the concept analysis are improved physical health indicators, improved emotional adjustment, facilitated self-care behavior, and enhanced problem solving skill, attitude and knowledge. The results of the concept analysis could help healthcare providers to practice the concept of problem solving in diabetes care.