题名

第2型糖尿病病人問題解決能力培養之護理經驗

并列篇名

Nursing Experience of a Patient with T2DM in Problem-Solving Training

DOI

10.6530/YYN.202307_17(2).0005

作者

王曉梅(Hsiao-Mei Wang)；吳莉喻(Li-Yu Wu)；阮淑萍(Shu-Ping Juan)

关键词

第2型糖尿病 ； 問題解決 ； 自我管理 ； Type 2 Diabetes mellitus ； problem- solving ； self-management

期刊名称

源遠護理

卷期/出版年月

17卷2期（2023 / 07 / 01）

页次

28 - 34

内容语文

繁體中文;英文
中文摘要

糖尿病是目前慢性病管理中最具挑戰性之一，臨床處置之首要目標為有效控制血糖，而自我管理能有效控制血糖、降低糖化血色素。目前問題解決是糖尿病自我管理最重要的過程與措施，卻也是病人最難培養的技能。本文以ADOPT問題解決模式培養一位血糖控制不佳的第2型糖尿病病人之問題解決能力，護理過程中透過治療性關係的建立，進行全面性評估，運用ADOPT問題解決模式協助病人確立最重要的問題為血糖控制不佳，並發展各種不同情境下的問題因應方法，進而培養病人問題解決的能力。藉由此案例之分享，期許未來以糖尿病人為中心之問題解決能力培養能夠在臨床廣泛被應用，以能有效提升糖尿病病人自我管理的成效。
英文摘要

Type 2 Diabetes Mellitus (T2DM), a chronic progressive metabolic disease, is characterized by hyperglycemia due to relative insulin deficiency. The crucial issues in diabetic patients are poor glycemic control, the prevention of complications, and disability. Self-management behavior is positively correlated with reasonable glycemic control, reduced complications, and improved quality of life. The most challenging essential self-management behavior in people with T2DM is sound problem-solving skills. This case report uses the ADOPT problem-solving training model to teach a T2DM patient with poor glycemic control. During the nursing process, the authors built a therapeutic relationship and conducted a comprehensive evaluation. The results indicated that improving poor glycemia control was the top priority for this patient. The evaluation also demonstrated the efficacy of the ADOPT model on glycemic control in various daily life situations. The authors share this approach to support patient-centered care, and to elevate problem-solving skills and self-management among diabetic patients.
主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
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