運用跨理論模式協助一位高齡糖尿病個案運動減重之護理經驗

Using a Transtheoretical Model to Help a Senior with Diabetes Lose Weight

本篇個案報告為運用跨理論模式(Transtheoretical Model,TTM)，協助糖尿病高齡個案運動減重之護理經驗。研究顯示運動介入可降低糖尿病發生率、改善胰島素阻抗現象及達成體重控制。因此透過跨理論模式相關行為促進，經整體性評估、面對面會談及電話關懷追蹤收集資料，提供個案不同階段的認知行為修正方案及相關策略，協助個案因應工作型態及無力感，對於運動減重難持之以恆之狀況，強化學習自我健康管理，持續執行維護健康行為，期望藉此個案報告，能提供醫護人員日後照護此類個案之參考。

This article shares a nursing experience of using the Transtheoretical Model to support a senior with diabetes in achieving weight loss. Research has demonstrated that regular exercise can play a crucial role in managing diabetes by improving insulin sensitivity, reducing insulin resistance, and maintaining a healthy weight. Through a comprehensive assessment and ongoing support via face-to-face consultations and telephone care, our goal was to empower the patient to take an active role in self-health management. This article provides an overview of our nursing experience and offers a case example that can inform care for patients with similar conditions.