糖尿病之病友團體正確飲食行為計畫的執行與評價

Implementation and Evaluation of a Proper Dietary Behavior Program in Diabetes Support Groups

背景：近年來，行政院衛生署及醫療界積極推動糖尿病共同照護工作，並逐步建構糖尿病支持系統，成立糖尿病病友團體，期待病友及高危險群，經由參與團體的運作過程中，建立健康的生活型態，以延緩病人併發症及高危險群者糖尿病之發生。
目的：透過病友團體的運作，執行糖尿病正確飲食行為計劃，並評價其成效。
方法：以類實驗性單組前、後測設計，於民國96年12月至97年5月，針對高雄市某區域教學醫院糖尿病病友團體之48名病友為對象，運用Donabedian所提出的架構，做為本計畫評價成效之指引。
結果：顯示此計畫的介入能增進病友正確執行飲食行為。
結論：本計畫執行及評價過程中能提供及時性的資訊以改善計畫成效。期望藉此經驗，提供醫護人員在執行計畫評價時之參考。

Background: Active promotion in recent years of the Diabetes Share Care Program by the national Department of Health and the medical profession has gradually established a diabetes support system as well as patient support groups in Taiwan. The program concept holds that, by participating in a patient support group, diabetes patients and people in high risk categories will learn to adopt a healthier lifestyle in order to delay / avoid diabetes onset and complications.
Purpose: Within the diabetes support group framework, we implemented correct dietary behavior programs and evaluated their efficacy.
Method: A study using a quasi-experimental, single-group pretest and posttest design was carried out from December 2007 to May 2008. Participants included 48 registered patient members of a diabetes patient group located at a regional teaching hospital in Kaohsiung. Researchers used the Donabedian framework to evaluate program efficacy.
Results: Results indicated that the program could effectively promote proper dietary behavior in patients.
Conclusion: Providing instant data during program execution and evaluation can enhance program efficacy. We hope that this experience can serve as a reference for medical staff when executing such programs.