飲食行為修正方案對一位第一型糖尿病患者血糖控制成效之初探

Preliminary Report on the Efficacy of Using a Diet Behavioral Modification Protocol to Control Glycemic Levels in a Patient with Type 1 Diabetes

10.6224/JN.53.4.83

黃美娟(Mei-Chuan Huang)；林秋菊(Chiu-Chu Lin)

第一型糖尿病 ； 飲食行為修正 ； 血糖控制 ； type 1 diabetes ； diet behavioral modification ； glycemic control

護理雜誌

53卷4期（2006 / 08 / 01）

83 - 88

繁體中文

飲食治療是糖尿病治療基石。儘管許多研究顯示飲食控制是糖尿病自我管理中成效最差，但相關研究顯示運用行為修正理論可以增加飲食控制之成效。本文採用跨理論模式為基礎，設計一糖尿病患者飲食行為修正方案，將之應用於第一型糖尿病患者飲食行為。初步執行此飲食行為修正方案於一位個案後，發現此方案協助個案降低了糖化血色素值。

Diet control has been an important integrant part of diabetic treatment programs. However, studies have reported that diet control is the most difficult component of the diabetic self-management program for diabetic patients to follow. Many researches support the positive effects of behavioral modification on diet control. In this paper, we designed a diet behavioral modification protocol and applied this protocol to a patient with type 1 diabetes based on the transtheoretical model. Initial results indicate that this protocol helps this patient improve her HbA1c value.