運用動機式晤談法促進病人之改變動機

10.6647/CN.201809_25(3).0006

黃冠豪

動機式晤談法 ； 改變動機 ； 健康促進行為

彰化護理

25卷3期（2018 / 09 / 01）

23 - 35

繁體中文

如何促進某些病人的改變動機對於多數醫護人員在照護病人來說是個常見的議題，這也涉及病人能否遵從醫囑、配合執行醫療建議與健康促進行為。動機式晤談法（Motivational Interviewing）即是有效促進病人改變動機的實徵方法，本方法已廣泛運用於成癮戒治、體重管理、心血管疾病之預防與管理等臨床領域，本文回顧國內外相關文獻，淺談動機式晤談法的核心精神、基本歷程與開放式問句、肯定、回映、摘要等核心晤談技巧，提供醫護人員在照護病人與提升病人的改變動機之參考。

1. Alperstein, D.,Sharpe, L.(2016).The efficacy of motivational interviewing in adults with chronic pain: A meta-analysis and systematic review.Journal of Pain,17(4),393-403.
2. Apodaca, T. R.,Longabaugh, R.(2009).Mechanisms of change in motivational interviewing: A review and preliminary evaluation of the evidence.Addiction,104(5),705-715.
3. Camp, J. R.(2002).Start with no: The negotiating tools that the pros don't want you to know.New York:Crown.
4. Chapman, A.,Liu, S.,Merkouris, S.,Enticott, J. C.,Yang, H.,Browning, C. J.,Thomas, S. A.(2015).Psychological interventions for the management of glycemic and psychological outcomes of type 2 diabetes mellitus in China: A systematic review and meta-analyses of randomized controlled trials.Frontiers in Public Health,3,252.
5. Clifford, D.,Curtis, L.(2016).Motivational interviewing in nutrition and fitness.New York:Guilford Press.
6. Concert, C. M.,Burke, R. E.,Eusebio, A. M.,Slavin, E. A.,hortridge-Baggett, L. M.(2012).The effectiveness of motivational interviewing on glycemic control for adults with type 2 diabetes mellitus (DM2): A systematic review.JBI library of systematic. reviews,10(42 Suppl),1-17.
7. Day, P.,Gould, J.,Hazelby, G.(2017).The use of motivational interviewing in community nursing.Journal of Community Nursing,31(3),59-63.
8. Duncan, B. L.,Miller, S. D.,Sparks, J. A.,Claud, D. A.,Reynolds, L. R.,Brown, J.(2003).The Session Rating Scale: Preliminary psychometric properties of a "working" alliance measure.Journal of Brief Therapy,3(1),3-12.
9. Engle, D. E.,Arkowitz, H.(2006).Ambivalence in psychotherapy: Facilitating readiness to change.New York:Guilford Press.
10. Frey, J.(2008).Newberg, OR,George Fox University.
11. Gordon, T. G.(1970).Parent effectiveness training: The "no-lose" program for raising responsible children.New York:Wyden.
12. Health Education England (2017). Making every contact count. Available online: www.makingeverycontactcount. co.uk.
13. Hohman, M. (Ed.)(2012).Motivational interviewing in social work practice.New York:Guilford Press.
14. Lambert, M.(Ed.)(2004).Bergin and Garji.eld's handbook of psychotherapy and behavior change.New York:Wiley.
15. Levounis, P.,Arnaout, B.,Marienfeld, C.(2017).Motivational Interviewing for Clinical Practice.American Psychiatric Association Publishing.
16. Macdonald, P.,Hibbs, R.,Corfield, F.,Treasure, J.(2012).The use of motivational interviewing in eating disorders: a systematic review.Psychiatry Research,200(1),1-11.
17. Miller, W.R.(1983).Motivational interviewing with problem drinker.Behavioural Psychotherapy,11(2),147-172.
18. Miller, W.R.,Rollnick, S.(2013).Motivational Interviewing: Helping people change.New York:Guilford Press.
19. Miller, W.R.,Rollnick, S.(2003).Motivational Intervicwing: Preparing pcople for change.Journal for Healthcare Quality,25(3),46.
20. Miller, W.R.,Rollnick, S.(1991).Motivational Interviewing: Preparing people to change addictive behavior.New York:Guilford Press.
21. Norcross, J. C. (Ed.)(2002).Psychotherapy relationships that work: Therapist contributions and responsiveness to patients.New York:Oxford University Press.
22. Paradis, V.,Cossette, S.,Frasure-Smith, N.,Heppell, S.,Guertin, M.C.(2010).The efficacy of a motivational nursing intervention based on the stages of change on self-care in heart failure patients.The Journal of cardiovascular nursing,25(2),130-141.
23. Spencer, J. C.,Wheeler, S. B.(2016).A systematic review of motivational interviewing interventions in cancer patients and survivors.Patient Education and Counseling,99(7),1099-1105.
24. Steinberg, M. P.,Miller, W. R.(2015).Motivational interviewing in diabetes care.New York:Guilford Press.
25. Stinson, J.D.,Clark, M.D.(2017).Motivational Interviewing With Offenders: Engagement, Rehabilitation, and Reentry.New York:Guilford.
26. Teeter, B. S.,Kavookjian, J.(2014).Telephone-based motivational interviewing for medication adherence: A systematic review.Translational Behavioral Medicine,4(4),372-381.
27. Voorhis, P. Van(Ed.),Braswell, M.(Ed.),Lester, D.(Ed.)(1997).Correctional counseling and rehabilitation.Cincinnati, OH:Anderson.
28. Windy, L.,Choi, K. C.,Yum, R.,Yu, D. S. F.(2016).Effectiveness of motivational interviewing on lifestyle modification and health outcomes of clients at risk or diagnosed with cardiovascular diseases: A systematic review.International Journal of Nursing Studies,53,331-341.
29. 林采蓉,林秋菊(2009)。運用動機式會談於肥胖糖尿病患者之護理經驗。護理雜誌，57(5)，102-108。

1. 陳綉惠,胡千逸(2022)。運用Swanson關懷理論照顧一位不遵從血液透析病人之護理經驗。臺灣腎臟護理學會雜誌，20(2)，73-86。
2. 簡瑩佩,鄒淑萍,郭旭展,洪翠妹,杜慧婷(2020)。協助一位神仙水成癮個案度過譫妄之護理經驗。精神衛生護理雜誌，15(2)，28-39。
3. 賴倩瑜,陳庭羽,洪翠妹(2019)。動機式會談於護理管理的應用。領導護理，20(2)，3-16。
4. 邱翊嵐(2019)。以個人中心治療出發，談動機式晤談。諮商與輔導，404，39-42+62。