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

本研究的目的是：1)利用生活史研究方法，厘清糖尿病患者的疾病轨迹；2)利用现象学方法，了解专家护士护理经验对糖尿病患者的意义；3)获得对糖尿病患者护理模式（辅导）的建议。1998年对13例住院3个月的糖尿病患者进行了访谈。结果，一位糖尿病患者把自己的经历说成是解释身体和时间的患者生活在一个被称为“现在”的维度中。对1999年6名糖尿病护理专家进行了为期5个月的访谈。结果，出现了4个元素。护士告诉病人自己会痊愈。护士支持病人可以经历身体的变化。护士为病人量身定做糖尿病独立生活的人。4)护士及时与病人进行交流。据此，建立了包含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.