賦權於糖尿病個案自我照顧行為的應用－－魔力策略

Enhancing Self-Care Behavior to Empower Diabetes Patients: The MAGIC Strategy

良好的自我照顧行為可以有效控制糖尿病及預防合併症。然而，在現今的糖尿病照護下，不到兩成的糖尿病個案可執行專業人員建議的自我照顧行為。為促進糖尿病的照護品質，世界衛生組織指出賦權策略是可行的衛生教育策略，可以增進個案的能力以管理疾病。本文根據文獻發展賦權過程—魔力策略，包括激發（motivating）個案覺醒、評估（assessing）問題根源、目標設定（goalsetting）、個別性（individual）自我照顧計畫的發展與評值（checking）是否達到目標或計畫等，這樣的賦權互動過程就像魔力一樣，促使個案擁有自我照顧行為的能力。從傳統的衛教方式轉移至賦權衛教方式，專業人員需要專業知識的指引與不斷的練習，本文可作為臨床實務之參考。

Good self-care behaviors can control diabetes and its complications effectively. Today, it is estimated that less than 20% of diabetes patients adhere to the self-care behavior regimens suggested by their healthcare providers. The World Health Organization advocates incorporating empowerment strategies into diabetes education to enhance patient abilities to control their disease and improve overall care efficacy. This article reviews the literature to develop the MAGIC strategy empowerment approach. MAGIC is an acronym for: Motivating patient self-awareness (M); assessing the causes of the problem (A); goal setting (G); individual self-care plan development (I) and Checking whether goals or plans have been achieved (C). The MAGIC empowerment process, involving interaction between healthcare professionals and patients, has the potential to work like ”magic” to help patients implement effective self-care behavior. Guidelines and practice are necessary to shift professionals from the traditional education model to the empowerment approach. This article is a useful reference for clinical practice.