基于King达标互动理论的护理在基底节区高血压脑出血患者术后的应用效果  

Application effects of nursing based on King’s theory of goal attainment in postoperative patients with hypertensive cerebral hemorrhage in basal ganglia

作　　者：李冰 LI Bing(Department of Neurosurgery of the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000 Henan,China)

机构地区：[1]南阳医学高等专科学校第一附属医院神经外科,河南南阳473000

出　　处：《中国民康医学》2023年第7期165-168,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于King达标互动理论的护理在基底节区高血压脑出血(HBGH)患者术后的应用效果。方法:回顾性分析2019年10月至2020年4月该院收治的154例HBGH患者的临床资料,按护理方法不同将其分为对照组76例和观察组78例。两组均行小骨窗微创手术治疗,术后对照组采用常规护理,观察组在对照组基础上联合基于King达标互动理论的护理。比较两组遵医率、护理前后日常生活活动能力[Barthel指数(BI)]评分、运动功能[Fugl-Meyer评定量表(FMA)]评分、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分,以及护理满意度。结果:观察组遵医率为93.59%(73/78),高于对照组的75.00%(57/76),差异有统计学意义(P<0.05);护理后,观察组FMA和BI评分均高于对照组,SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);观察组护理满意度为96.15%(75/78),高于对照组的84.21%(64/76),差异有统计学意义(P<0.05)。结论:基于King达标互动理论的护理可提高HBGH患者遵医率、运动功能、日常生活活动能力和护理满意度,并减轻负性情绪,效果优于单纯常规护理。Objective:To observe application effects of nursing based on King’s theory of goal attainment in postoperative patients with hypertensive cerebral hemorrhage in basal ganglia(HBGH).Methods:The clinical data of 154 HBGH patients admitted to the hospital from October 2019 to April 2020 were retrospectively analyzed.According to different nursing methods,they were divided into control group(76 cases)and observation group(78 cases).Both groups were treated with small bone window minimally invasive surgery.The control group was given routine nursing after the operation,while the observation group was combined with nursing based on King’s theory of goal attainment on the basis of that of the control group.The compliance rate,the activities of daily living[Barthel index(BI)]score,the motor function[Fugl-Meyer assessment(FMA)]score,the negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]score,and the nursing satisfaction were compared between the two groups.Results:The compliance rate of the observation group was 93.59%(73/78),which was significantly higher than 75.00%(57/76)of the control group,and the difference was statistically significant(P<0.05).After the nursing,the FMA and BI scores of the observation group were higher than those of the control group,the SAS and SDS scores were lower than those of the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 96.15%(75/78),which was higher than 84.21%(64/76)of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the nursing based on King’s theory of goal attainment can improve the compliance rate,the FMA score,the BI score and the nursing satisfaction of the HBGH patients,and reduce the negative emotion score.Moreover,it is superior to single routine nursing.

关 键 词：King达标互动理论 护理 基底节区高血压脑出血 遵医率 日常生活活动能力 运动功能 负性情绪 

分 类 号：R473.74[医药卫生—护理学]