Gache P, Fortini C, Meynard A, Reiner Meylan M, Sommer J
Département de médecine communautaire, HUG, Genève.
Rev Med Suisse. 2006 Sep 27;2(80):2154, 2156-62.
Heath behavior change is an important task for caregivers. Motivational Interviewing (MI) is an effective evidence-based approach to overcoming the ambivalence that keeps many people from desired changes in their lives. In a warm and empathic atmosphere and in a basic trust in the patient self efficacy for achieving the change, MI is a patient-centered approach to enhance patient motivation to commit them in the change decision. Among critical conditions of change, MI practicing emphasizes on expressing empathy, supporting self-efficacy, rolling with resistance and developing discrepancy. Regular practicing with helping and non judgmental teachers is a necessary condition of a fruitful learning.
健康行为改变是护理人员的一项重要任务。动机性访谈(MI)是一种基于证据的有效方法,用于克服矛盾心理,这种矛盾心理使许多人无法在生活中做出期望的改变。在温暖且共情的氛围中,以及在对患者实现改变的自我效能有基本信任的基础上,动机性访谈是以患者为中心的方法,以增强患者做出改变决定的动机。在改变的关键条件中,动机性访谈的实践强调表达共情、支持自我效能、顺应阻力和制造差异。与乐于助人且不评判的指导者定期练习是取得良好学习效果的必要条件。