本文旨在運用動機式會談照護一位體重過重之第2型糖尿病人於體重自我管理的照護經驗，筆者於照護期間為2021年4月11日至7月13日，住院期間及出院後分別採用面對面及電話方式進行各3次的動機式會談。病人住院期間運用生、心、靈、社會、四項全面健康護理評估病人的生活型態，確定病人有體重過重但缺乏體重自我管理動機，導致血糖控制不佳等問題。運用動機式會談技巧，配合病人行動改變階段（stage of change）給予適合病人的個別性措施，會談引發病人體重自我管理的動機後，設計以每日APP計步器萬步步行運動執行8周，結果成功協助病患體重從70公斤減到66公斤，糖化血色素也由住院期間8.4%到出院3個月後降至7.2%。藉此護理經驗分享希冀提供護理人員未來照護糖尿病併體重過重病人之參考。

The purpose of this article was to apply motivational interviewing to care for a patient with overweight and type 2 diabetes mellitus in weight self-management. The author conducted 3 face-to-face motivational interviews during hospitalization and 3 telephonic motivational interviews after discharge from the hospital from April 11 to July 13,2021. During hospitalization, the patient's life style was assessed using the four comprehensive health care aspects of physical, psychological, spiritual, social health assessments, and it was determined that the patient had problems such as being overweight but lacking motivation for self-management of weight, resulting in poor blood sugar control. The motivational interview skills, gave patient suitable intervention in their stage of change, and after the interview induced the patient's motivation for self-management of weight. The daily APP pedometer ten-thousand-step walking exercise was designed to be performed for 8 weeks. As a result, the patient's weight was successfully reduced from 70 kg to 66 kg, and the glycated hemoglobin was also reduced from 8.4% in hospital to 7.2% after 3 months of discharge. Through the sharing of nursing experience, it can provide reference for nursing staff in the nursing experience of diabetes patient care.