King目标实现理论对清创缝合术病人焦虑的影响

目的探讨King目标实现理论对清创缝合病人焦虑状态的影响。方法选择2008年6月-2009年7月在本院行清创缝合伴有焦虑的病人200例,按治疗时间先后顺序随机分为实验组和对照组,每组各100例。两组病人均在行清创缝合前实施常规的心理护理,实验组在此基础上以King目标实现理论为指导对病人进行心理护理。采用汉密顿焦虑量表（Hamilton anxiety scale,HAMA）比较两组病人干预后的焦虑程度。结果干预后实验组病人HAMA评分均较对照组病人低,两组比较,差异具有统计学意义（均P〈0.01）,干预后实验组病人焦虑情绪较对照组病人明显改善。结论以King目标实现理论对存在焦虑情绪的病人实施心理护理可有效减轻病人的焦虑情绪,缓解病人应激状态,使病人在最佳的心理状态下接受治疗。

Objective To investigate the effect of King′s goal achieving theory on the anxiety of patients undergoing debridement and suturing. Methods 200 patients undergoing debridement and suturing and contracting anxiety were equally randomized into experimental group and control group. All the patients received routine psychological nursing before debridement and suturing;besides,those in the experiment were intervened with psychological nursing on the basis of King′s goal achieving theory. Hamilton anxiety scale was used to assess the level of anxiety after intervention,followed by comparing the anxiety levels between the two groups after intervention. Result After intervention,the level of anxiety in the experimental group was significantly lower than that of control group（P 0.01） ,indicating the significant improvement of anxiety in the experiment group. Conclusion The psychological nursing based on King′s goal achieving theory may be effective in relieving the anxiety,alleviating their stress and helping them treated with best mental state.