用通訊軟體LINE促進視障家庭糖尿病飲食自我管理之護理經驗

A Nursing Experience of Using communication software “Line” to Promote Diet Self-Management for the Family with Diabetes and Visual Impairment

目前視障者可用的糖尿病自我管理資源仍相當不足。本文乃是照護一個糖尿病視障夫婦家庭的護理經驗，於家訪期間，運用觀察、會談與家庭健康評估技巧，確認家庭現存健康問題。針對案家糖尿病飲食自我管理的問題，與案家共同討論適合的飲食指導及資訊提供方式，經討論後，案家選擇現代通訊軟體“LINE”做為學習輔助工具，因“LINE”是此家庭日常慣用的溝通工具，盲用智慧型手機可將傳到“LINE”的文字檔轉換成語音輸出，既可隨身攜帶又可儲存及重複播放。故除了提供面對面的討論與衛教外，也將糖尿病照護知識及飲食代換原則等內容整理成文字檔經“LINE”傳輸給案家。此方式提供方便且隨時可重複學習的資訊，協助案家藉由「聽」補償視覺受損的限制，改善其對糖尿病飲食的誤解及修正其飲食自我管理行為。

The diabetic self-management tools for patients with visual impairment are still inadequate. This article described the nursing experience of caring a family with a couple having visual impairment and diabetes. During home visits, observation, interview, and family health assessment skill were used to identify the existing family health problems. We focused on the family health problem of diabetic diet self-management and discussed with the couple about the appropriate ways of providing diabetic diet guidance and information. After discussion, the family elected the modern communication software “LINE” as their preferred learning aid, because the “LINE” was their common daily communication tool. The smart phone for the visual impaired has a function that can convert the text file in “LINE” into voice output. In addition, it is portable, storable, and repeatable. Therefore, in addition to face to face discussion and health education, the reorganized text files of diabetes care as well as the principle of diabetic diet and food exchange were also transmitted to the family by “LINE”. This channel provides a convenient and repeatable learning opportunity to persons with visual impairment. The use of communication application is novel way of applying ""listening"" to compensate the limitations of visual impairment and then rectify patients’ misunderstanding about diabetic diet and improved their diet self-management behaviors.