The Development and Effects of Nursing Care According to King’s Theory of Goal Attainment with a Virtual Reality Program on Skills Required for Substance Relapse Prevention Among Patients with Amphetamine Addiction during the Rehabilitation Phase
Keywords:
King’s theory of goal attainment, Nursing care, Patients with amphetamine addiction, Substance relapse prevention skills, Virtual realityAbstract
Relapse following treatment remains a major challenge among individuals with amphetamine use disorder; therefore, relapse prevention constitutes a critical treatment goal. The purpose of this study was to develop and test the effects of nursing care according to King’s theory of goal attainment with a virtual reality program on skills required for substance relapse prevention among patients with amphetamine addiction during the rehabilitation phase. The research process comprised three phases: 1) program development, including a situation analysis by review of medical records, in-depth interviews, focus group, and literature review, 2) program analysis, comprising a review by five experts, yielding a content validity of 1.0 for both overall consistency and relapse prevention skills; program piloting used a sample of 10 participants, with revisions made accordingly, and 3) program testing, using 56 participants divided into an experimental group and a control group, with twenty-eight in each group. Research instruments consisted of 1) nursing care according to King’s theory of goal attainment with a virtual reality program, and 2) a questionnaire on skills required for substance relapse prevention. Data were analyzed using descriptive statistics and t-test, while the qualitative data were analyzed using content analysis.
The results revealed that:
1. The nursing care according to King’s theory of goal attainment with a virtual reality program on skills required for substance relapse prevention among patients with amphetamine addiction during the rehabilitation phase consisted of group activities; each activity lasted for 60–90 minutes and was done 2 times per week for 3 consecutive weeks.
2. After completing the program, the experimental group had a significantly higher mean score of skills required for substance relapse prevention than before participating in the program (t = 29.21, p < .001) and a significantly higher mean score than the corresponding score of the control group (t = 22.60, p < .001).
The findings revealed that the program enhanced patients’ goal attainment through structured goal setting and interaction guided by King’s theory. The integration of virtual reality, which simulated realistic relapse-triggering scenarios, enabled patients to strengthen relapse-prevention skills effectively. Therefore, nurses should apply this program for patients with amphetamine dependence in hospitals.
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