基于互动达标理论的无创通气患者健康教育方案应用研究

doi:10.3761/j.issn.1672-9234.2026.02.018

摘要/Abstract

摘要：

目的探讨基于互动达标理论的健康教育在无创通气患者中的应用效果。方法采用便利抽样法，选取山西省某三级甲等医院呼吸与危重症医学科2024年3月—10月行无创通气治疗的98例住院患者作为研究对象，其中2024年3月—6月住院的50例患者作为对照组，2024年7月—10月住院的48例患者作为试验组。试验组接受基于互动达标理论的护士、患者及院外主要照顾者协同目标达成的健康教育模式，对照组接受常规健康教育。比较两组在治疗依从性、肺功能、PaO₂、PaCO₂及无创通气相关并发症发生率方面的差异。结果试验组无创通气患者的治疗依从性、PaO₂、PaCO₂结果均优于对照组（均P<0.05），试验组无创通气相关并发症发生率低于对照组（P<0.001），两组肺功能结果比较差异无统计学意义（P>0.05）。结论基于互动达标理论的健康教育有助于改善无创通气患者的治疗依从性及治疗效果，降低相关并发症的发生率。

关键词: 互动达标理论, 无创通气, 健康教育, 治疗依从性, 呼吸功能试验

Abstract:

Objective To explore the application effectiveness of health education based on King’s theory of goal attainment in patients receiving noninvasive ventilation. Methods By convenience sampling method，98 inpatients who underwent noninvasive ventilation in the Department of Respiratory and Critical Care Medicine of a tertiary hospital in Shanxi Province from March to October 2024 were selected as the research objects. Among them，50 patients who were treated from March to June 2024 were assigned to the control group，and 48 patients who were treated from July to October 2024 to the experimental group. The control group received routine health education，and the experimental group received a collaborative health education model based on King’s Theory of Goal Attainment，involving nurses，patients，and their primary family caregivers in a goal-setting and attainment process. The differences in treatment compliance，lung function results，PaO₂，PaCO₂ results and the incidence of non-invasive ventilation-related complications were compared between the two groups. Results Compared with the control group，the experimental group showed significantly better treatment compliance and PaO₂/PaCO₂ levels（all P<0.05），and a significantly lower incidence of complications（P<0.001）. No significant between-group difference was found in other lung function parameters（P>0.05）. Conclusion Health education based on the King’s theory of goal attainment is helpful to improve the treatment compliance and treatment effect of patients with non-invasive ventilation，and reduce the incidence of related complications.

Key words: King’s Theory of Goal Attainment, Noninvasive Ventilation, Health Education, Treatment Compliance, Respiratory Function Test

卫晶, 刘晶, 张嵘, 乔晓笑. 基于互动达标理论的无创通气患者健康教育方案应用研究[J]. 中华护理教育, 2026, 23(2): 242-248.

WEI Jing, LIU Jing, ZHANG Rong, QIAO Xiaoxiao. Application of health education based on King’s theory of goal attainment in patients receiving noninvasive ventilation[J]. Chinese Journal of Nursing Education, 2026, 23(2): 242-248.

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