Berdoz D, Conus Michaeli K, Daeppen J B
Centre de traitement en alcoologie, 1011 Lausanne.
Rev Med Suisse. 2005 Oct 26;1(38):2453-6.
Helping patients modify risky health behaviors, including cigarette smoking, at-risk alcohol use, sedentary lifestyle and unhealthy diet, is a common and sometimes frustrating task. Motivational interviewing was developed from the notion that simple advice usually does not lead to behavioral change and may be even misperceived by patients. Based on active listening and an empathic attitude, some principles of motivational interviewing may be easily adapted to a primary care consultation. These principles facilitate positive, relaxed and constructive atmosphere for behavior change discussions and have been associated with promising results. This article presents key concepts of motivational interviewing such as ambivalence, resistance and stages of change, illustrated with practical examples.
帮助患者改变危险的健康行为，包括吸烟、危险饮酒、久坐不动的生活方式和不健康饮食，是一项常见但有时令人沮丧的任务。动机性访谈源于这样一种观念，即简单的建议通常不会导致行为改变，甚至可能被患者误解。基于积极倾听和共情态度，动机性访谈的一些原则可以很容易地应用于初级保健咨询。这些原则有助于营造积极、轻松和建设性的氛围来讨论行为改变，并且已经取得了有希望的结果。本文通过实际例子介绍了动机性访谈的关键概念，如矛盾心理、抵触情绪和改变阶段。
