家庭照顧者參與慢性病自我管理課程之學習歷程與成效

Learning Process of and Effect of Chronic Disease Self-Management Program on Family Caregivers

10.29703/JGS.202406_(3).0001

洪悅琳(Yue-Lin Hong)

自我效能 ； 行動計畫 ； 家庭照顧者 ； 慢性病自我管理課程 ； self-efficacy ； action plan ； family caregiver ； chronic disease self-management program (CDSMP)

老年學研究

3期（2024 / 06 / 01）

1 - 25

繁體中文;英文

研究目的：家庭照顧者的照顧壓力與生活品質成反比，需要更多的照顧支援服務及自我健康管理，以提昇身心健康狀況。本研究進行家庭照顧者參與美國史丹佛大學慢性病自我管理課程的學習歷程，了解他們如何應用自我健康管理策略，並根據結果做為未來推動課程之參考。研究方法：以台北市某家庭照顧者支持中心辦理六周十五小時課程進行研究，參與者共十六位，採用課程觀察、心得分享報告等方式進行資料收集及分析。研究結果：學員平均年齡六十歲，以睡眠障礙最多、情緒負荷大。課程中最喜歡「制定行動計畫」，搭配生活型態運用課程中的自我管理策略，例如運動、飲食、呼吸、人際互動等方法，除了學習健康知識、技能外，最重要的是彼此相互支持，並提高自我效能。結論：相較其他家庭照顧者支持團體不同，課程設計及主題符合參與者的需求，學員透過行動計畫的執行和監控，調整自我健康管理策略，每周一次的課程，對於照顧者的身心健康、情緒支持有其助益，建議持續推廣。

Objectives: The care pressure experienced by family caregivers is inversely proportional to their quality of life. Hence, family caregivers should be provided with additional care support services and educated about self-health management strategies to improve their physical and mental health. This study explored the learning process of and effect of a chronic disease self-management program (CDSMP) on family caregivers. We examined how they applied self-management strategies learned in the program. The findings of this study can serve as a reference for similar courses in the future. Methods: This study included caregivers who participated in a 6-week, 15-hour course conducted by a family caregiver support center in Taipei City. A total of 16 participants were included in a closed group. The study conducted course observations and analyzed the participants' reports. Results: The average age of the participants was 60 years. Most of them reported having sleep disturbances and reported that "emotional load" was the greatest care pressure they experienced. In the course, the participants developed action plans and applied the learned self-management strategies in their daily lives, including exercise, diet, breathing, and interpersonal interaction. In particular, the CDSMP provided a platform for mutual support and the sharing of health knowledge and skills, thus enhancing their self-efficacy. Conclusions: The CDSMP design and themes met the needs of the study participants. The participants shared and discussed health knowledge and adjust their self-health management strategies. The program enhanced the participants' health and emotional support.