Application Effect Analysis of King's Interaction Goal Attainment Theory Combined with Multidisciplinary Team in Patients with Pulmonary Embolism

FENG Chang; LI Jing; NIE Qu

doi:10.3969/j.issn.2096-305X.2026.01.016

Abstract：Objective To explore and evaluate the rehabilitation effect of multidisciplinary team(MDT)intervention based on King's Theory of Goal Attainment in patients with pulmonary embolism(PE).Methods A total of 60 patients with acute pulmonary embolism(APE)were consecutively recruited from the Respiratory Medicine Ward of the First Affiliated Hospital of Jinzhou Medical University between August 2025 and November 2025.A computer-generated random number table was used to allocate these patients into a control group and an observation group in a 1∶1 ratio,with 30 cases in each group.The control group received routine nursing care for respiratory diseases,while the observation group was given an additional multidisciplinary team collaborative nursing intervention based on the King's Theory of Goal Attainment on top of the routine care.Both groups underwent synchronous in-hospital nursing and follow-up management for 4 weeks after discharge.After the intervention,the two groups were compared in terms of chest pain intensity,peak lower extremity venous blood flow velocity,coagulation function parameters,psychological status and quality of life scores.Results After the intervention,the chest pain severity in the observation group was significantly lighter than that in the control group(P＜0.05).After the intervention,the peak velocity of lower extremity venous blood flow,activated partial thromboplastin time(APTT),prothrombin time(PT),and thrombin time(TT)increased in both groups,while the D-dimer(D-D)and fibrinogen(FIB)decreased.In addition,the improvement degree of each index in the observation group was significantly better than that in the control group(P＜0.05).After the intervention,the emotional scores evaluated by the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)decreased in both groups,with a greater decrease in the observation group,and the scores were significantly lower than those in the control group(P＜0.05);the scores of all dimensions of quality of life increased in both groups,with a more significant increase in the observation group,and the scores of all dimensions were better than those in the control group(P＜0.05).Conclusion Multidisciplinary team-based nursing intervention integrated with King's Theory of Goal Attainment can significantly alleviate chest pain symptoms,improve coagulation function and hemodynamic indexes,relieve anxiety and depression,and remarkably enhance the quality of life in patients with pulmonary embolism.All outcome indicators demonstrate that this intervention yields superior effects compared with routine nursing care,indicating its suitability for clinical promotion.