PRIDE'教育方案對一位糖尿病前期成人代謝控制之成效

The Efficacy of the PRIDE Educational Protocol in Facilitating Metabolic Control in an Adult with Pre-Diabetes

糖尿病前期個案之血壓、總膽固醇、三酸甘油酯及身體質量指數（body mass index, BMI）等數值皆較正常血糖者偏高，可說是由正常血糖進展為糖尿病的一個中間過程，在這個時期給予適當的介入措施，將可延緩或預防糖尿病的發生。本文依「PRIDE」教育計畫為整體架構來設計糖尿病前期個案的代謝控制方案。活動期間為96年5月4日至96年6月4日，並運用自我調節理論的原則與概念教導修正健康行為，發現個案於日常生活中漸能履行健康生活型態，在自我效能方面也已提升，預測未來有良好的代謝控制成效，進一步可延緩或預防糖尿病的發生；希望藉此照護經驗與護理同仁分享，並提供作為日後相關人員進行糖尿病防治計畫之參考。

Blood pressure, total cholesterol, triglyceride, and BMI in pre-diabetes cases are all higher than in persons with normal blood sugar. Such cases can be said to be in an intermediate stage of development between normal blood sugar and diabetes. If we can offer proper intervention in this period, it can delay or prevent future diabetes. In this paper, we designed a metabolic control protocol and applied this protocol to an adult with pre-diabetes in accordance with the whole structure of the「PRIDE」 educational plan. The activity lasted from May 4,2007 to June 4,2007, and used the principles and concepts of self-regulation theory to modify health behavior. Initial results indicated that this protocol helped this adult to enforce a healthy lifestyle in daily life and improve self-efficacy. We can predict that there will be good efficacy of metabolic control in the future, and, further, that this may delay or prevent diabetes. We sincerely wish to share this experience with nursing colleague, and offer this protocol as a diabetes prevention plan for the future.