運用賦權概念提升一位青少年糖尿病患者自我照顧技能之護理經驗

Nursing Experience of Using Empowerment to Enhance an Adolescent's Diabetes Self-Care Skills

本文運用賦權概念激發一位18歲罹患第一型糖尿病個案學習自我照護行為並管理糖尿 病之護理經驗。護理期間為2017年1月9日到1月20日，運用Gordon十一項功能性健康型態 評估，藉由觀察、會談、傾聽等技巧來收集資料，確立健康問題有：潛在危險性不穩定 血糖濃度、無效性健康維護能力、家庭因應失能。在護理過程中發現個案初期對於糖尿 病遵從行為欠佳，導致血糖控制不佳，進而造成親子間關係緊繃，故運用賦權概念策略 介入，引導個案及家屬一同參與自我照顧計劃，從旁輔助個案學習改善自我照護行為與 管理糖尿病，以達到最佳的健康狀態。期望本個案之護理經驗，能提供同仁未來照護青 少年糖尿病患者之護理實務參考。（志為護理，2020; 19:5, 131-140 ）

This case report described the nursing process of assisting an 18-year-old man with type 1 diabetes by employing the concept of empowerment. The nursing period lasted from January 9 to January 20, 2017. Using Gordon's functional health patterns as the framework for assessment, the author collected data by observing and interviewing the patient and identified the following nursing problems: risk of unstable blood glucose, ineffective health maintenance, and limited family coping strategies. During the early stages of the nursing process, the patient had poor compliance with diabetes treatment, resulting in poor glycemic control, which required close monitoring by the parents. Therefore, the patient and his family were guided through an empowerment-based program to improve self-care behavior and manage diabetes in a collaborative manner to achieve optimal health. We hope this nursing experience serves as a reference for other clinical nurses when facing similar cases. (Tzu Chi Nursing Journal, 2020; 19:5, 131-140)