摘要
目的探讨基于PERMA模式的积极心理干预在慢性心力衰竭(CHF)患者中的应用效果。方法采用便利抽样法,选取温州医科大学附属第二医院心血管内科2022年1月—2023年12月的230例CHF患者为研究对象,依据随机数字表法分为试验组(n=115)和对照组(n=115)。对照组予以常规干预,试验组在对照组的基础上予以基于PERMA模式的积极心理干预,均干预4周。采用自我感受负担量表(SPBS)、心力衰竭患者自我管理量表、沃里克-爱丁堡积极心理健康量表(WEM-WBS)、6 min步行试验、纽卡斯尔护理服务满意度量表(NSNS)比较干预的效果。结果试验组干预后的SPBS评分低于对照组,心力衰竭患者自我管理量表、WEM-WBS评分高于对照组,6 min步行试验距离长于对照组,护理服务满意度高于对照组,差异均有统计学意义(P<0.05)。结论基于PERMA模式的积极心理干预可减轻CHF患者的自我感受负担,提高患者的自我管理能力、积极心理状态和满意度。
ObjectiveTo explore the effectiveness of positive psychological intervention based on the positive emotion,engagement,relationship,meaning,accomplishment(PERMA)model in patients with chronic heart failure(CHF).MethodsFrom January 2022 to December 2023,230 patients with CHF in the Department of Cardiovascular Medicine of the Second Affiliated Hospital of Wenzhou Medical University were selected by convenience sampling method.The patients were divided into an experimental group(n=115)and a control group(n=115)based on the randomized numerical table method.Control group was given conventional intervention and experimental group was treated with positive psychological intervention based on the PERMA model on the basis of control group,both for four weeks.The Self-Perceived Burden Scale(SPBS),Self-Management Scale of Heart Failure Patients,Warwick-Edinburgh Mental Well-being Scale(WEM-WBS),Six-Minute Walk Test,and Newcastle Satisfaction with Nursing Scale(NSNS)were used to compare the effects of the intervention.ResultsAfter the intervention,the SPBS score of experimental group was lower than that of control group,the Self-Management Scale of Heart Failure Patients score and WEM-WBS score were higher than those of control group,the Six-Minute Walk Test distance was longer than that of control group,and the satisfaction with nursing services was higher than that of control group,and the differences were all statistically significant(P<0.05).ConclusionsPositive psychological interventions based on the PERMA model can reduce the self-perceived burden of CHF patients and improve their self-management,positive psychological state,and satisfaction.
作者
徐小青
周海桃
张明明
Xu Xiaoqing;Zhou Haitao;Zhang Mingming(Department of Cardiovascular Medicine,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)
出处
《中华现代护理杂志》
2025年第17期2329-2334,共6页
Chinese Journal of Modern Nursing
基金
温州市基础性医疗卫生科技项目(Y20210827)。
关键词
慢性心力衰竭
PERMA模式
积极心理干预
自我感受负担
自我管理
Chronic heart failure
PERMA model
Positive psychological intervention
Self-perceived burden
Self-management
