TY - JOUR AU - Jerawatana, Ratanaporn AU - Siripitayakunkit, Apinya PY - 2017/02/09 Y2 - 2024/03/29 TI - Development of Self-care Agency in Diabetic Patient with Fear of Hypoglycemia from Insulin Administration: A case study JF - Nursing Research and Innovation Journal JA - Nurs Res Inno J VL - 22 IS - 3 SE - บทความวิชาการ DO - UR - https://he02.tci-thaijo.org/index.php/RNJ/article/view/77011 SP - 233-246 AB - <p>Abstract<br />Fear of hypoglycemia in patients with diabetes receiving insulin administration is a common phenomenon in clinical practice. Hypoglycemic episodes can affect persons’ health, adherence to treatment regimens, and quality of life. Orem’s Self-Care theory, the motivational interviewing technique, and the evidence-based approach are important<br />to improve patients’ self-care abilities. This article presents a case study of a patient<br />with diabetes fearing of hypoglycemia and roles of advanced practice nurses (APNs) in<br />incorporating multiple helping methods in order to develop the patient’s self-care agency.<br />Promoting self-care agency requires an educative-supportive nursing system, a good<br />patient-provider relationship, empathy expression to patients’ behavior, motivating<br />patients to understand themselves and aware of their situation. Moreover, APNs should<br />provide substantive knowledge and skills training, empower patients to make decision<br />and perform self-care, facilitate resource mobilization, monitor signs of hypoglycemia<br />and the blood glucose level, encourage patients’ self-assessment, and affirm their<br />self-confidence to minimize fear of hypoglycemia. These approaches would help them<br />maintain self-care appropriately and improve glycemic control to prevent diabetic<br />complications, and promote their quality of life.</p><p><br />Keywords: Advanced practice nurse, Fear of hypoglycemia, Motivation, Insulin<br />administration, Self-care.<br /><br /></p> ER -