運用Johnson自我調節理論發展接受化療病患疲憊自我調節方案

Applying Johnson's Self-Regulation Conceptual Model to the Development of a Self-Regulation Protocol for Patients with Fatigue Related to Chemotherapy

10.6880/TJON.200812_8(2).03

吳美樺(Mei-Hua Wu)；林秋菊(Chiu-Chu Lin)

自我調節理論 ； 自我調節方案 ； 化療相關疲憊 ； self-regulation theory ； self-regulation protocol ； chemotherapy-related fatigue

腫瘤護理雜誌

8卷2期（2008 / 12 / 01）

25 - 32

繁體中文

疲憊是癌症患者在接受化學治療時常見及困擾的副作用，影響生活甚鉅。本文最主要的目的是運用Johnson自我調節理論為概念架構，設計一套化療相關疲憊之自我調節方案。Johnson自我調節理論已廣泛被應用於癌症照護上，此理論提供具體客觀的衛教，可有效幫助病患妥善的因應疾病或症狀困擾，其日常活動與情緒的干擾也因而得以舒緩。期望藉由此理論根基的介入措施建立，在未來進一步驗證此方案的成效，進而提供臨床護理人員能適時給予病患有效的衛教資訊，改善癌症患者的疲憊困擾，提昇其生活品質。

Fatigue is a common and disturbing side-effect for cancer patients who are receiving chemotherapy. Fatigue greatly influences the cancer patients' daily life. The purpose of this article was to design a self-regulation protocol for dealing with fatigue related to chemotherapy based on Johnson's conceptual model. Johnson's self-regulation model has been broadly applied to the care of cancer patients. This model proposes that the provision of the practical health education in advance can help cancer patients effectively cope with the disease or symptom disturbances, reduce the emotional problems and discomforts in daily activities. It is expected that the theoretical based intervention could enhance the accuracy and appropriateness of health education nurses offered, reduce the patient's fatigue, and improve the quality of th cancer patients.