The impact of KTH integrated intervention nursing model on psychological state and medical coping strategies in patients with intestinal obstruction
KTH整合式干预护理模式对肠梗阻患者心理状态及医学应对方式的影响

摘要

目的 探讨知信行模式-跨理论模式-健康信念模式（KTH）整合式干预护理模式对肠梗阻患者的影响。方法 选取本院于2024年1月-2025年1月间收治的肠梗阻患者106例为研究对象，根据随机数字表法分为两组，各53例。对照组采取常规护理，观察组采取KTH整合式干预护理模式，比较干预前后两组临床指标[腹胀腹痛缓解时间、排气时间、排便时间、肠鸣音恢复正常时间]、心理状态[焦虑自评量表（SAS）、抑郁自评量表（SDS）]、医学应对方式[医学应对方式问卷（MCMQ）]、自我效能[一般自我效能感量表（GSES）]及生活质量[简明健康状况调查表（SF-36）]。结果 干预后，观察组临床指标恢复情况优于对照组，差异具备统计学差异（P＜0.05）。观察组干预后SAS评分、SDS评分低于对照组，差异具备统计学差异（P＜0.05）。观察组干预后MCMQ中屈服和面对维度评分低于对照组，面对维度评分高于对照组，差异具备统计学差异（P＜0.05）。观察组干预后GSES评分、SF-36评分高于对照组，差异具备统计学意义（P＜0.05）。结论 KTH整合式干预护理模式可促进肠梗阻患者康复，改善其心理状态，使其积极面对疾病，提高自我效能及生活质量。

Abstract

Objective To explore the impact of the Knowledge-Attitude-Practice Model-Trans-Theoretical Model-Health Belief Model (KTH) integrated nursing intervention model on patients with intestinal obstruction.
Methods A total of 106 patients with intestinal obstruction who were admitted to our hospital from January 2024 to January 2025 were selected as the research subjects. They were divided into two groups according to the random number table method, with 53 cases in each group. The control group received routine nursing care, while the observation group received the KTH integrated nursing intervention model. The clinical indicators [time to relief of abdominal distension and pain, time to flatus, time to defecation, time to normalization of bowel sounds], psychological status [Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS)], medical coping styles [Medical Coping Modes Questionnaire (MCMQ)], self-efficacy [General Self-Efficacy Scale (GSES)], and quality of life [Short Form-36 Health Survey (SF-36)] were compared between the two groups before and after the intervention.
Results After the intervention, the recovery of clinical indicators in the observation group was better than that in the control group, and the difference was statistically significant (P<0.05). After the intervention, the SAS score and SDS score of the observation group were lower than those of the control group, and the difference was statistically significant (P<0.05). After the intervention, the scores of the yielding and facing dimensions in the MCMQ of the observation group were lower than those of the control group, while the facing dimension score was higher than that of the control group, and the difference was statistically significant (P<0.05). After the intervention, the GSES score and SF-36 score of the observation group were higher than those of the control group, and the difference was statistically significant (P<0.05).
Conclusion   The KTH integrated nursing intervention model can promote the recovery of patients with intestinal obstruction, improve their psychological state, encourage them to actively face the disease, and enhance self-efficacy and quality of life.