Bonde Ane Høstgaard, Bentsen Peter, Hindhede Anette Lykke
Steno Health Promotion Center, Steno Diabetes Center A/S, Gentofte, Denmark
Steno Health Promotion Center, Steno Diabetes Center A/S, Gentofte, Denmark.
J Sch Nurs. 2014 Dec;30(6):448-55. doi: 10.1177/1059840514521240. Epub 2014 Jan 31.
Motivational interviewing is a counseling method used to bring about behavior change; its application by school nurses for preventing obesity in children is still new. This study, based on in-depth interviews with 12 school nurses, shows how school nurses adapted motivational interviewing and integrated it into their daily practice along with other methods they knew from the past. Three dilemmas for school nurses were revealed: when the child was severely overweight and the parents did not perceive this as a problem, when the child and the parents were at different stages of motivation to change, and when applying an individualized approach such as motivational interviewing for preventing a complex societal problem, in this instance obesity. The study raises an important issue to consider, with implications for school nursing and obesity prevention: motivational interviewing as either a counseling method or a prevention strategy.
动机性访谈是一种用于促成行为改变的咨询方法；学校护士将其应用于预防儿童肥胖方面仍属新尝试。这项基于对12名学校护士进行深入访谈的研究，展示了学校护士如何调整动机性访谈，并将其与她们过去所熟知的其他方法相结合融入日常实践。研究揭示了学校护士面临的三个困境：孩子严重超重但家长却不认为这是个问题；孩子和家长处于不同的改变动机阶段；以及在应用诸如动机性访谈这种个性化方法来预防像肥胖这样复杂的社会问题时。该研究提出了一个值得考虑的重要问题，对学校护理和肥胖预防具有启示意义：动机性访谈作为一种咨询方法或预防策略。
