運用自我調節理論發展糖尿病運動方案

Applying Self-Regulation Theory to Develop an Exercise Protocol for Diabetes Mellitus

近年來在台灣的糖尿病盛行率及死亡率正逐年上升，根據中央健康保險局1998年資料統計，糖尿病花費了所有醫療支出的11.5%，造成社會及患者沉重的負擔。在糖尿病控制計劃中，運動是最具經濟效益也是最難以建立及維持的行為。而自我調節理論可用來發展有效策略使患者達到行為修正。本文以自我調節理論為架構發展一糖尿病患者的運動方案，此方案依自我調節理論中的三個概念，也就是自我監測、自我評價、自我回應為主軸來設計活動，期望能有效地改善糖尿病患者的運動行為。

The prevalence and mortality rates for diabetes in Taiwan have gradually increased in recent years. Moreover, according to the Bureau of National Health Insurance in 1998, diabetes accounts for 11.5% of overall health care spending in Taiwan, which imposes a substantial cost burden on society and patients. From the perspective of economics, exercise is the most effective, and yet the hardest behavior for patients to carry out in terms of diabetes control. Self-regulation theory is a model that can be used to develop effective strategies for behavioral modification. We designed activities for a diabetes exercise protocol on the basis of three components (i.e., self-monitoring, self-judgment and self-reaction) of self-regulation theory. It is expected that this protocol will effectively improve patients' exercise behavior.