目的:探讨健康教练技术对肝硬化患者自我管理能力及负性情绪的影响。方法:在这个单中心、随机、单盲对照试验中，采用便利抽样法，选取2019年5—10月住院治疗的肝硬化患者90例为研究对象，采用随机数字表法将受试者分为对照组（消化内科常规慢病管理）和试验组（健康教练技术干预）,各45例。采用肝硬化患者自我管理行为量表和抑郁—焦虑—压力量表（DASS-21）评价干预效果。结果:试验组2例失访,对照组3例失访，最终试验组43例,对照组42例完成研究，干预后试验组自我管理各维度得分及总分为（23.02 ± 1.68）、（25.07 ± 1.45）、（17.72 ± 1.64）、（18.95 ± 0.90）、（84.77 ± 3.32）分，对照组为（17.14 ± 1.49）、（23.43 ± 1.77）、（15.24 ± 1.95）、（15.88 ± 2.26）、（71.69 ± 3.85）分，2组比较差异有统计学意义（n t值为4.678~16.955，n P<0.05）。DASS-21各因子得分试验组为（8.05 ± 1.73）、（7.02 ± 1.85）、（12.40 ± 2.20）分，对照组为（10.10 ± 1.83）、（9.05 ± 2.39）、（14.02 ± 1.89）分，2组比较差异有统计学意义（n t值分别为-5.300、-4.379、-3.659，均n P<0.05）。n 结论:健康教练技术能够有效提高肝硬化患者的自我管理能力，降低患者的负性情绪。“,”Objective:To explore the influence of health coaching technology on self-management ability and negative emotions in patients with cirrhosis.Methods:In this single-center, randomized, single-blind controlled trial, 90 patients with cirrhosis hospitalized from May to October 2019 were selected as study subjects by means of convenience sampling method. Subjects were included in the control group (routine chronic disease management in the department of gastroenterology) and the experimental group (health coach technical intervention) with random number table method, with 45 cases each. The self-management Behavior Scale for patients with cirrhosis and the Depression-Anxiety-stress scale (DASS-21) were used to evaluate the intervention effect.Results:Two cases in the experimental group were lost to follow-up, and 3 cases in the control group were lost to follow-up. Finally, 43 cases in the experimental group and 42 cases in the control group completed the study. After the intervention, the experimental group's self-management scores and total scores were (23.02±1.68), (25.07±1.45), (17.72±1.64), (18.95±0.90), (84.77±3.32) points, the control group were (17.14±1.49), (23.43±1.77), (15.24±1.95), (15.88±2.26), (71.69±3.85) points, the difference between the two groups was statistically significant (n t values were 4.678-16.955, n P<0.05). The scores of DASS-21 were (8.05±1.73), (7.02±1.85), (12.40±2.20) points in the experimental group and (10.10±1.83), (9.05±2.39), (14.02±1.89) points in the control group. The differences between the two groups were statistically significant (n t values were -5.300, -4.379, -3.659, all n P < 0.05).n Conclusions:The health coaching technique can effectively improve the self-management ability of patients with cirrhosis and reduce their negative emotions.