摘要慢性病患者常常存在症状反复发作、治疗依从性差等共性问题。虽然传统的健康教育能够提供患者科学的知识技能，但患者的生活方式仍然无法持续地改变。当前，大量国外研究已证实健康教练技术能够帮助患者设定可行的健康目标，激发患者持久地改变行为，但国内对健康教练技术的科学定义、干预作用、应用特点仍处在熟悉阶段，尤其是尚需一些高级别的循证医学依据。随着健康管理干预技术的不断完善，也必将使健康教练技术得到进一步的发展和规范。

abstractsThere are some common problems such as recurrent symptoms and poor compliance among patients with chronic diseases. Although scientific knowledge and skills have been learned from traditional health education, patients with chronic diseases cannot improve their life style continuously. At present, many researches abroad have proved that health coaching contributes to setting feasible goals and encourages continuously behavior change of patients. In China, health coaching is in the stage of becoming familiar with its scientific definition, intervention effect and application characteristics. And health coaching also needs evidences from high-level evidence-based studies. Along with continuous improvement of intervention techniques on health management, health coaching will get further development and standardization.