动机式访谈在儿童与青少年疾病诊治中的应用

doi:10.12372/jcp.2026.25e1121

摘要/Abstract

摘要：

动机式访谈（MI）是一种以人为中心、目标导向的沟通方法，通过探索和解决矛盾心理，增强个体行为改变的内在动机。近年来，MI逐渐应用到儿科领域，在儿童精神与心理障碍、慢性病健康管理等方面展现出良好的应用前景。同时，父母参与的MI干预模式也在提高治疗依从性、改善父母心理健康和患儿临床结局等方面显示出多维度效果。由于儿童的身心发展与成人存在显著差异，MI在儿科领域的应用存在有别于成人应用的特点和挑战。本文系统总结了目前MI在儿科领域的应用模式、现状与效果，并对未来研究方向进行了展望。

关键词: 动机式访谈, 儿科, 身心疾病, 父母参与

Abstract:

Motivational interviewing (MI) is a person-centered, goal-oriented communication method that enhances individuals' intrinsic motivation for behavior change by exploring and resolving ambivalence. In recent years, MI has been gradually applied in pediatrics, demonstrating significant clinical potential in areas such as pediatric mental and psychological disorders and chronic disease health management. Additionally, the parent-involved MI intervention model demonstrates multidimensional effects in improving treatment adherence, enhancing parental mental health, and optimizing clinical outcomes for children with illnesses. Since there are significant differences between children and adults in physical and psychological development, the application of MI in pediatrics has unique characteristics and challenges distinct from those in adults. This article systematically summarizes the current application models, status and effects of MI in pediatrics, and discusses future research directions.

Key words: motivational interviewing, pediatrics, psychosomatic disorders, parental involvement

中图分类号:

顾思懿, 徐明玉, 李斐. 动机式访谈在儿童与青少年疾病诊治中的应用[J]. 临床儿科杂志, 2026, 44(5): 471-477.

GU Siyi, XU Mingyu, LI Fei. Application of motivational interviewing in the management of pediatric and adolescent diseases[J]. Journal of Clinical Pediatrics, 2026, 44(5): 471-477.

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