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題名：運用行為改變跨理論模式協助一位第2型糖尿病患者運動促進之護理經驗
書刊名：護理雜誌
作者：黃秋玲／唐善美
作者(外文)：Huang, Chiou-Ling／Tang, Shan-Mei
出版日期：2007
卷期：54:5
頁次：頁99-103
主題關鍵詞：行為改變；跨理論模式；糖尿病；運動；Behavioral change；Transtheoretical model；Diabetes；Exercise
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:28
  • 點閱點閱:80
本篇個案報告在於分享運用行為改變跨理論模式，協助一位第二型糖尿病患運動促進的經驗。照護期間為民國95年5月至7月，藉由觀察及會談收集資料，經二次門診及五次電話訪視，結果分析顯示個案正處於行為改變之準備期階段；筆者藉由運用自我再評價、自我承諾、增強管理、自我改變計畫擬定、找出社會支持力量及環境線索的佈置等策略；經由上述的護理介入措施後，以促進個案執行規律運動的措施，進入行動期階段，個案能主動記錄運動日誌，擬訂及執行運動計畫，並逐日增加運動頻率及強度，協同家人一起執行規律運動。筆者期望藉此個案報告，能提供醫護人員以行為改變跨理論模式照護此類個案之參考。
This case report shares our experience using the transtheoretical model of health behavior change to promote exercise in a type 2 diabetes patient. The patient was under our care from May through July 2006, during which time the patient was under regular observation and interviewed to collect data. A total of two outpatient consultations and five telephone interviews were conducted. An analysis of results showed the subject to be in the preparation stage of behavior change. To help move the subject into the action stage, the author promoted regular exercise through a variety of strategies, including self-reevaluation, self-change plan development, self-liberation, contingency management, social support search and environmental reevaluation. After nursing intervention, the subject maintained an exercise journal and arranged his own exercise plan. His exercise regimen gradually increased the frequency and intensity of exercise and further extended the scope of exercise to include regular exercise with family members. The author hopes that this case report may provide a reference for health professionals on the use of the transtheoretical model of health behavior change in the care of this type of patient.
期刊論文
1.Sigal, R. J.、Kenny, G. P.、Wasserman, D. H.、Castaneda-Sceppa, C.、White, R. D.(2006)。Physical activity/exercise and type 2 diabetes: A consensus statement from the American Diabetes Association。Diabetes Care，29(6)，1433-1438。  new window
2.Wei, M.、Gibbons, L. W.、Kampert, J. B.、Nichaman, M. Z.、Blair, S. N.(2000)。Low cardiorespiratory fitness and physical inactivity as predictors of mortality in men with type 2 diabetes。Annals of Internal Medicine，132(8)，605-611。  new window
3.Chuang, L. M.、Soegondo, S.、Soewonde, P.、Young-Seol, K.、Mohamed, M.、Dalisay, E.(2006)。Comparisons of the outcome on control, type of management and complication status in early onset and late onset type 2 diabetes in Asia。Diabetes Research Clinical Practice，71(2)，146-155。  new window
4.American Diabetes Association(2002)。Standards of medical care for patients with diabetes mellitus。Diabetes Care，25(1)，S33-S49。  new window
5.黃輝宗、季立康(20030600)。從行為改變的階段探討運動促進策略--跨理論模式的應用。國民體育季刊，32(2)=137，7-12+102。  延伸查詢new window
6.Burbank, P. M.、Padula, C. A.、Nigg, C.(2000)。Changing health behaviors of older adults。Journal of Gerontological Nursing，26(3)，26-33。  new window
7.Humphreys, A. S.、Ku, Y. L.、Ohl, D. R.(1998)。Assessment of breastfeeding intention using the transtheoretical model and the theory of reasoned action。Health Education Research，13(3)，331-341。  new window
8.李靜芳、王琪珍、羅美雯(20030900)。應用行為改變策略及激發自我效能促進一位長期臥床截肢患者下床活動成效評價。長庚護理，14(3)=43，313-322。new window  延伸查詢new window
9.黃秋玲、陳淑芬、唐善美、戴研光(20060600)。探討糖尿病患者衛生教育介入措施前後之成效。福爾摩莎醫務管理雜誌，2(1)，28-35。  延伸查詢new window
10.黃美娟、林秋菊(20060800)。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。護理雜誌，53(4)，83-88。new window  延伸查詢new window
11.Kirk, A. F.、Higgins, L. A.、Hughes, A. R.、Fisher, B. M.、Mutrie, N.、Hillis, S.、MacIntyre, P. D.(2001)。A randomized, controlled trial to study the effect of exercise consultation on the promotion of physical activity in people with Type 2 diabetes: a pilot study。Diabetic Medicine，18(11)，877-882。  new window
12.The Diabetes Control and Complication Trial Research Group(1993)。The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus。New England Journal of Medicine，329(14)，977-986。  new window
13.Yamanouchi, K.、Shinozaki, T.、Chikada, K.、Nishikawa, T.、Ito, K.、Shimizu, S.(1995)。Daily walking combined with diet therapy is a useful means for obese NIDDM patients not only to reduce body weight but also to improve insulin sensitivity。Diabetes Care，18(6)，775-778。  new window
14.林旭龍、呂昌明(20011200)。應用改變階段模式於運動行為之研究--以大學女生為例。衛生教育學報，16，19-34。new window  延伸查詢new window
15.Marcus, B. H.、Rossi, J. S.、Selby, V. C.、Niaura, R. S.、Abrams, D. B.(1992)。The stages and processes of exercise adoption and maintenance in a worksite sample。Health Psychology，11(6)，386-395。  new window
16.Prochaska, J. O.、DiClemente, C. C.(1983)。Stages and processes of self-change of smoking: Toward an integrative model of change。Journal of Consulting and Clinical Psychology，51(3)，390-395。  new window
學位論文
1.高毓秀(2002)。職場員工運動行為改變計劃之實驗研究--跨理論模式之應用(博士論文)。國立臺灣師範大學。  延伸查詢new window
圖書
1.Prochaska, J. O.、Norcross, J. C.、DiClemente, C. C.(1994)。Change for good。New York：Avon book。  new window
其他
1.行政院衛生署(2006)。台灣地區主要死亡原因，http://www.doh.gov.tw/statistic/data/縣市癌症死因摘要/93年/表1.xls， 2006/05/12。  延伸查詢new window
圖書論文
1.陳俊忠(2005)。現代生活與健康。健康體適能指導手冊。台北：易利。  延伸查詢new window
2.卓俊伶(2005)。健身運動行為的改變技巧。健康體適能指導手冊。台北市：易利。  延伸查詢new window
 
 
 
 
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