基于King达标理论的术前访视在开放性甲状腺切除术患者中的应用研究

Application of Preoperative Visit Based on King’s Theory of Goal Attainment in Patients with Open Thyroidectomy

目的:探索基于King达标理论的术前访视对开放性甲状腺切除术患者的干预效果。方法:选取2020年11月-2021年8月牡丹江医学院附属红旗医院普外科住院患者106例作为研究对象。采用随机数字表法将患者分为试验组与对照组,每组53例。对两组患者分别进行术前访视,其中试验组以King达标理论为指导,对照组遵循传统模式。比较两组焦虑水平、心理弹性水平、术前准备完善情况和术前访视满意度。结果:两组患者术前访视前后焦虑差值比较,差异有统计学意义(P<0.05)。两组术前1 d心理弹性水平比较,差异均无统计学意义(P>0.05);术后第2天随访,两组心理弹性各维度得分及总分较术前1 d均提高,且试验组自强、乐观、心理弹性总分均高于对照组,差异均有统计学意义(P<0.05),但两组坚韧评分比较,差异无统计学意义(P>0.05)。两组患者术前准备完善度、满意度比较,差异均有统计学意义(P<0.05)。结论:基于King达标理论的术前访视有效缓解患者焦虑,提升患者的心理弹性,改善患者术前准备完善情况和术前访视满意度。

Objective:To explore the intervention effect of preoperative visit based on King’s theory of goal attainment in patients with open thyroidectomy.Method:A total of 106 inpatients in General Surgery of Hongqi Hospital Affiliated to Mudanjiang Medical College from November 2020 to August 2021 were selected as the research objects.The patients were divided into the experimental group and the control group according to random number table method,53 cases in each group.The patients in two groups were visited before operation,the experimental group was guided by King’s theory of goal attainment,the control group was followed the traditional model.The anxiety level,psychological elasticity level,preoperative preparation and preoperative visit satisfaction were compared between two groups.Result:The difference of anxiety between two groups before and after preoperative visit compared,the difference was statistically significant (P<0.05).There were no significant differences in the level of mental resilience at 1 d before surgery between two groups (P>0.05);follow-up on the second day after surgery,the scores in different dimensions and total scores of mental resilience in two groups were improved compared with those at 1 day before surgery,scores of self-strengthening,optimism and the total scores in the experimental group were higher than those in the control group,the differences were statistically significant (P<0.05),but there was no statistical significance in tenacity scores between two groups (P>0.05).There were statistically significant differences in preoperative preparation perfection and satisfaction between two groups (P<0.05).Conclusion:Preoperative visit based on King’s theory of goal attainment can effectively relieve patients ‘anxiety,improve patients’ psychological resilience,improve the perfection of preoperative preparation and preoperative visit satisfaction.