世界衛生組織指出賦權對糖尿病個案是很重要的衛教策略。本文採系統性文獻回顧法，分析賦權介入措施於糖尿病個案之應用及其結果。方法為搜尋PubMed等6個中、英文資料庫，經收案與排除條件審核後，共19篇文章符合篩選標準。結果顯示，文章研究品質佔最多為A級的設計良好，具隨機化控制之研究與B級的控制好的回溯性研究或有良好的控制組研究，各佔8篇(42.1%)。

The World Health Organization has postulated that education in empowerment strategies is essential for patients living with diabetes. This study reviewed the literature on empowerment interventions for these patients. The literature search included six medical databases in either Chinese or English, including PubMed. Nineteen studies that met the inclusion criteria for this study were reviewed. The authors evaluated all studies in terms of quality of the research. Of the nineteen articles rated, eight (42%) received an A rating (a well-conducted and adequately randomized and controlled study), and eight (42%) received a B rating (a well-conducted cohort study or a well-conducted case-control study). Eighteen studies delivered the empowerment programs to groups. Whether the content of the programs focused mainly on specific problems which patients had, or on pre-planned diabetes related issues, the strategies included raising awareness, open communication, mutual participation and the provision of necessary information. With regard to outcome analysis, only two studies used qualitative methods whereas the others used quantitative methods. The results of all reviewed studies were consistent with the theory regarding change in self, change in behavior and change in relationships. Of the fifteen studies indicating that the HbA1C level was an important indicator of empowerment in this patient group, thirteen reported that empowerment interventions significantly improved HbA1C levels in their participants. The content and outcome of empowerment interventions were consistent with the theory about patient empowerment. The findings of this study may provide a reference for clinical practice and empowerment research.

系統性文獻回顧；賦權；糖尿病

systematic review; empowerment; diabetes