通过动机谈话促进2型糖尿病患者的行为改变——快乐生活俱乐部TM注项目报告（三）.docVIP

· 697 · · 特 稿 · 【编者按】 当今人口老龄化和慢性病海啸给各个国家和地区的卫生服务系统带来了巨大挑战，首当其冲的问题是 卫生服务提供系统怎样响应老龄化社区的健康服务需要。它促使卫生政策和服务的研究者们向探索创新性的卫生服务 系统方向发展，初级卫生保健和全科医学位于这场新战役的前沿阵地。“快乐生活俱乐部”是受国际商标保护的慢性 病管理项目，它源于澳大利亚的美好生活俱乐部，作为一种创新性的探索，它以动机谈话为主要干预措施，致力于把 社区卫生服务更进一步地推向生物-心理-社会健康的服务模式。本期对“快乐生活俱乐部”项目之三进行了介绍， 重点阐述慢性病管理的关键干预措施动机谈话的概念和相关理论、核心技术要点和实施环节，以及保证干预质量的主 要措施，并讨论了动机谈话等心理学服务技术对中国社区卫生服务政策、质量及医学教育的意义。文后附中文翻译， 敬请关注。 The happy life club (3): Motivational interview as a key interven- tion of behaviour change among type 2 diabetes patients Colette Browning,Shane Thomas, Hui Yang, Anna Chapman, Tuohong Zhang, Zhirin Li 【Abstract 】 This is the third article of the Happy Life Club series. The article explores motivational interviewing(MI)as the key intervention of the project in changing behaviours of type 2 diabetes patients. Concept of the MI and related behaviour change models are discussed then followed detailed discussion on MI principle and key skills. MI training,process monitor and outcome assessment method are also explained. It concludes with implication discussion on how the motivational interviewing use as an innovation in healtheare settings for promoting patient - centre care and improving quality of care and quality of life. Improvement on health policy and medical education is also critical for ensuing quality of psychological and behaviour change services both in primary care and hospital services. 【Key words 】 Motivational interviewing; Psychological skills; The happy life club t.harghom(1874- 1965),.Sonminy 9n Introduction Most of our patients, including ourselves, have enough knowledge of harm of smoking; however it is difficult for them to give up smoking. Nearly all of us have no doubt about risk of fried foods; however many still enjoy oily dishes. Plenty of health messa- ges informed that sedentary and inactive is bad for cardiovascular health; however, many of us suffering