Development of Nursing model (coaching) to a diabetes patient in outpatient

本研究的目的是：1)用生活史研究方法阐明糖尿病患者的患病轨迹；2)用现象学方法阐明专家护士对糖尿病患者护理经验的意义；3)对1例糖尿病患者的护理模式(指导)提出建议。结果，一位糖尿病患者表达了他作为解读身体和时间的患者的经历，他生活在一个被称为现在的维度。1999年，6名糖尿病护理专家接受了为期5个月的访谈。由此产生了4个要素：1)护士帮助病人自我康复；2)护士支持病人经历身体的变化；3)护士为病人量身定做独立生活的糖尿病人；4)护士与病人及时沟通，形成包含4个要素的护理模式(辅导)。

The purpose of this research were to clarify, 1) a illness trajectory of a diabetes patient by using life history research method, 2) the meaning of nursing experience to patients with diabetes among expert nurses by using phenomenology, 3) to obtain the suggestion for nursing model (coaching ) to a diabetes patient.An interview was utilized to 13 diabetes patients in hospitalization for 3 months in 1998. As a result, a diabetes patient expressed his experience as the patient that interpreted the body and time has lived in a dimension called the present.Six expert nurses of diabetes nursing were interviewed for 5 months in 1999. As a result, 4 elements were emerged.1) Nurse helps that a patient is going to heal with himself.2) Nurse supports that a patient can experienced a change of a body.3) Nurse tailors a patient to be the person who lives diabetes independently.4) Nurse gets on a flow in time with a patient.As the result, nursing model (coaching )including 4 elements was developed.