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來源文獻資料
摘要
外文摘要
引文資料
題名:
自我效能諮商技巧訓練於糖尿病衛生教育之運用
書刊名:
護理雜誌
作者:
吳淑芳
/
李玉嬋
/
張嘉容
/
Courtney, Mary
/
張月玲
作者(外文):
Wu, Shu-fang
/
Li, Yu-chan
/
Chang, Jia-rong
/
Chang, Yueh-ling
出版日期:
2007
卷期:
54:1
頁次:
頁70-77
主題關鍵詞:
自我效能
;
充能
;
諮商技巧
;
糖尿病
;
衛生教育
;
Self-efficacy
;
Empowerment
;
Counseling skills
;
Diabetes
;
Health education
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
5
) 博士論文(
1
) 專書(0) 專書論文(0)
排除自我引用:
5
共同引用:0
點閱:225
隨著糖尿病人數的增加,授權病患自我照顧責任越來越被重視。自我效能(self-efficacy)能激發人們執行特定行為,得到預期的結果。強化醫護人員自我效能諮商技巧為落實病患自我照護之有效方式,可改善傳統糖尿病衛教之不足,避免病患急、慢性併發症。自我效能諮商技巧提升策咯包括:提出問題、從病人之議題開始、擬定個人化之治療計畫、定義問題、一步一步達成目標、定期訪問追蹤執行情形,持續與病人保持聯絡、將問題排序、腦力激盪、評估過去成功及失敗之努力、再次評估自信、最後處理自我效能有關的行為改變,這些諮商技巧經由結構式諮商課程訓練便可獲學習。本文以文獻分析法說明糖尿病衛生教育合併自我效能諮商技巧作法;再以案例分析,具體呈現健康諮商師應用自我效能提升策略,引導患者建立自我照顧活動的自我信心及作法。是兼顧病患身心照護的發展趨勢,期許誰動更多護理措施應用心理諮商技能於臨床護理實務。
以文找文
As the incidence of chronic disease increases, empowerment of patients with chronic disease to adopt self-care responsibilities becomes paramount. Self-efficacy is a belief in one's ability to perform a task that will lead to the desired outcome. Utilizing self-efficacy counseling skills is an effective way to enhance patients' compliance with self-care activities. The development of such skills can compensate for the lack of traditional health education provided for diabetes patients and plays a significant part in the prevention of acute and chronic complications. Self-efficacy counseling strategies involve: asking questions; focusing on patient's agenda; planning personal treatment schedules; defining problems; setting goals (taking a step-by-step approach); regular follow-up and contact with patients; scaling questions; brainstorming solutions; considering past efforts, successes and failures; reassessing confidence; and finally checking behavior changes. Self-efficacy counseling skills can be learned through structured training courses in counseling skills. The aims of this report were twofold: (1) to undertake a literature review on self-efficacy and counseling skills used as the theoretical framework in a health education training program for diabetes; (2) to analyze cases when a counseling guide based upon a self-efficacy framework was used by health counselors to help patients improve their self-confidence and self-care ability. This report reveals it is important to promote the application of counseling skills in nursing interventions in the clinical practice field.
以文找文
期刊論文
1.
Caravalho, J. Y.、Saylor, C. R.(2000)。An evaluation of a nurse case-managed program for children with diabetes。Pediatric Nursing,26(3),296-328。
2.
Ismail, K.、Winkley, K.、Rabe-Hesketh, S.(2004)。Systematic review and meta-analysis of randomised controlled trial of psychological interventions to improve glycaemic control in patients with type 2 diabetes。Lancet,363(15),1589-1597。
3.
Johnson, Jeffrey A.(1996)。Self-efficacy theory as a framework for community pharmacy based diabetes education programs。The Diabetes Educator,22(3),237-241。
4.
McDowell, J.、Courtney, M.、Edwards, H.、Shortridge-Baggett, L. M.(2005)。Validation of the Australian/English version of the diabetes management self-efficacy scale。International Journal of Nursing Practice,11(4),177-184。
5.
Pasavic, E.(1980)。Evaluations of patient education programs: A meta-analysis。Evaluation and the Health Profession,3(1),47-62。
6.
Peyrot, M.、Rubin, R. R.、Lauritzen, T.、Snoek, F. J.、Matthews, D. R.、Skovlund, S. E.(2005)。Psychosocial problems and barriers to improved diabetes management: Results of the cross-national diabetes attitudes, wishes and needs (DAWN) study。Diabetic medicine,22(10),1379-1385。
7.
Via, P. S.、Salyer, J.(1999)。Psychosocial self-efficacy and personal characteristics of verterans attending a diabetes education program。The Diabetes Educator,25(5),727-737。
8.
Walker, R.(1998)。Diabetes: Reflecting on empowerment。Nursing Standard,12(23),49-56。
9.
Bandura, Albert(1977)。Self-efficacy: Toward a unifying theory of behavioral change。Psychological Review,84(2),191-215。
10.
Gibson, C. H.(1991)。A concept analysis of empowerment。Journal of Advanced Nursing,16(3),354-361。
11.
Sigurðardóttir, Árún K.(2005)。Self-care in diabetes: model of factors affecting self-care。Journal of Clinical Nursing,14(3),301-314。
12.
Brown, S. A.(1990)。Studies of Educational Interventions and Outcomes in Diabetic Adults: A Meta-Analysis Revisited。Patient Education and Counseling,16(3),189-215。
13.
Tseng, C. H.(2003)。Prevalence and risk factor of peripheral arterial obstructive disease in Taiwanese type 2 diabetes patients。Angiology,54(3),331-338。
圖書
1.
Egan, G.(1994)。The skilled helper: A problem-management approach to helping。Pacific Grove, Califormia:Brooks。
2.
Iveson, G.、Ratner, H.(1990)。Problem to solution。London:Brief Therapy Press。
3.
Lorig, K.(2001)。Patient education: A practical approach。Greater Kailash I, ND:Sage。
4.
Rollnick, S.、Mason, P.、Bulter, C.(2003)。Health beahvior change: A guide for practitioners。New York:Churchill Livingstone。
5.
Tasi, S. T.、Wong, C. H.、Lin, R. S.、Chang, S. H.(2002)。A report of diabetes quality care: Annual report of Taiwanese association of diabetes educator。Taipei:Taiwanese Asso ciation of Diabetes Educator。
6.
Bandura, A.、Wessels, S.(1997)。Self-efficacy: The exercise of self-control。New York:Freeman。
圖書論文
1.
Goldstein, M.(2002)。Promoting self-management primary care settings: Limitations and opportunities。The evidence base for diabetes care。London:John Wiley and Sons。
2.
Rubin, R. R.(2000)。Psychotherapy and counselling in diabetes mellitus。Psychology in diabetes care。London:John Wiley and Sons。
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