健康教练技术在心血管疾病患者自我管理中应用的研究进展

Progress in studies on application of health coaching in self-management of patients with cardiovascular diseases

本文综述了健康教练技术在心血管疾病患者自我管理中的应用，健康教练技术可帮助心血管疾病患者获得其所需要的知识、技能、工具以及自信心，使患者成为自我健康的积极参与者，增强患者的自我管理。健康教练技术实施方式有动机访谈、自我管理支持及家庭远程监护，健康教练技术可提高心血管疾病患者的药物依从性，促进患者采用健康的生活方式和保持良好的心理状态等，从而加强患者的自我管理。最后提出我国需加大对健康教练技术的重视，如建立健康教练相关部门，通过理论与技能的考核加强对健康教练的培养与认证，探索建立适合我国的健康教练技术干预方案，为心血管疾病患者带来福祉。

This paper summarizes the application of health coaching in self-management of patients with cardiovascular diseases. Health coaching can help patients with cardiovascular diseases gain the knowledge, skills, tools, and confidence that they need to become active participants in their self-health and enhance their self-management. The form of health coaching includes motivational interview, self-management support and remote home monitoring. Health coaching can enhance the medication adherence among patients with cardiovascular diseases, promote healthy lifestyles and maintain good psychology in patients, and finally strengthen their self-management. Finally, this paper proposes that China should pay more attention to the health coaching, such as establishing the relevant departments of health coaching, strengthening the training and certification of health coaches through the examination of theory and skills, and exploring the establishment of a technical program for health coaching and intervention that is suitable for China, so that patients with cardiovascular diseases can be benefited.