Lifestyle prescriptions are essential for managing chronic diseases patients' behaviors and have been recommended in several international guidelines. Primary healthcare workers play a critical role in delivering lifestyle services, yet their competencies are still insufficient. While existing trials indicate that training can enhance healthcare workers' capacity for health behavior management, comprehensive evidence on the effectiveness of lifestyle education interventions remains limited. This paper systematically reviews the current training programs aimed at improving primary healthcare workers' skills in health behavior management, analyzing their content, format, and outcomes. The paper also identifies existing gaps in chronic disease behavior management training and offers recommendations for improvement. It highlights that current training programs inadequately address patient stress, sleep and social engagement, and there is a lack of standardized training on the fundamental theories and skills of behavior change. While educational interventions have shown some effectiveness in enhancing the knowledge and skills of primary healthcare workers, their impact on improving patient health outcomes remains limited. This paper provides valuable insights for enhancing the quality of chronic disease management by primary healthcare workers.

生活方式处方是慢性病患者行为管理的重要内容，已被多个慢性病国际指南作为推荐治疗方案。基层医务人员是提供生活方式服务的重要来源，但存在能力不足的问题。已有试验证明培训可提高基层医务人员健康行为的管理能力，但仍缺乏生活方式教育培训干预效果的证据整合。本文系统全面地探讨了目前针对基层医务人员健康行为管理培训的内容、形式、效果，通过梳理文献发现现有慢性病行为管理培训存在的问题并提出建议。本文发现现有培训中对改善患者压力、睡眠、社交方面培训不足，缺乏对行为改变基础理论和技能的规范性培训。教育干预虽对提升基层医务人员行为管理知识和技能有一定效果，但对于改善患者健康作用有限。本文可为提升基层医务人员慢性病管理质量提供一定的参考。