The effect of goal-achievement-based positive behavior construction on discharge of lung surgery patients
基于目标达成理念的正性行为构建对肺部手术患者出院后的影响

摘要

目的 观察基于目标达成理念的正性行为构建对肺部手术患者出院后的影响。方法 选用广东省人民 医院肺外科 2021 年 3 月～2022 年 1 月收治的 100 例肺部手术患者为研究对象，依照区组随机化分组法将其分为 对照组和观察组各 50 例。对照组实施常规护理方式进行术后随访，观察组则在对照组的基础上实施基于目标达 成理念的正性行为构建护理方式进行术后随访。比较干预 3 个月后两组干预效果。结果 干预 3 个月后，观察组 患者运动情况、肺功能锻炼情况、复查情况均明显优于对照组（P<0.05）；观察组患者伤口 VAS 评分、PSQI 评 分、MSSNS 评分明显低于对照组（P<0.05）；两组 ESCA 评分较干预前均有显著升高（P<0.05），且观察组明 显高于同期对照组（P<0.05）。结论 基于目标达成理念的正性行为构建更能够有效提高肺部手术患者出院后的 遵医行为和自护技能，改善患者预后，具有较高临床应用价值。

Abstract

Objective To observe the effect of goal-achieving positive behavior construction on discharge of lung surgery patients.
Methods 100 patients with pulmonary surgery admitted to the Department of Pulmonary Surgery of Guangdong Provincial People's Hospital from March 2021 to January 2022 were selected as the study objects, and were divided into control group and observation group with 50 cases in each group according to block randomization. The control group was followed up with conventional nursing method, and the observation group was followed up with goal-achieving concept based positive behavioral construction nursing method. The two groups were compared after 3 months of intervention.
Results After 3 months of intervention, the exercise, lung function exercise and review of the observation group were significantly better than the control group (P<0.05); The wound VAS score, PSQI score and MSSNS score of observation group were significantly lower than those of control group (P<0.05). ESCA scores in both groups were significantly increased compared with before intervention (P<0.05), and the observation group was significantly higher than the control group at the same period (P<0.05).
Conclusion   The positive behavior construction based on the goal achievement concept can effectively improve the compliance behavior and self-care skills of patients after discharge from the hospital after lung surgery, and improve the prognosis of patients, which has high clinical application value.