Letourneau Katherine, Goodman Janice H
J Gerontol Nurs. 2014 Nov;40(11):26-33; quiz 34-5. doi: 10.3928/00989134-20140819-01. Epub 2014 Sep 8.
Regular physical activity reduces the burden of chronic diseases in older adults, but the majority of this population is relatively sedentary. Individuals considering a change in behavior, such as increasing exercise, often experience a mental state of ambivalence, which can lead to inaction. Ambivalence is resistant to traditional counseling methods used in medical settings, such as patient education. Motivational interviewing (MI) is a conversational style that has been shown to help overcome ambivalence by guiding patients to voice their personal reasons for change. Nurse practitioners are uniquely positioned to use MI with older adults to address ambivalence toward increasing physical activity.
规律的体育活动可减轻老年人慢性病的负担，但该人群中的大多数人相对久坐不动。考虑改变行为（如增加运动量）的个体常常会经历一种矛盾心理状态，这可能导致不作为。矛盾心理难以通过医疗环境中使用的传统咨询方法（如患者教育）来克服。动机性访谈（MI）是一种谈话方式，已被证明可通过引导患者说出他们改变的个人原因来帮助克服矛盾心理。执业护士在对老年人使用动机性访谈以解决对增加体育活动的矛盾心理方面具有独特优势。
