Background:The constructing PERMA model in psychological intervention was applied to patients with chronic cancer pain to provide data reference for reducing pain,fear of cancer recurrence,and improving the level of p...Background:The constructing PERMA model in psychological intervention was applied to patients with chronic cancer pain to provide data reference for reducing pain,fear of cancer recurrence,and improving the level of psychological capital.Aim:To explore the clinical effects of constructing PERMA model in psychological intervention for patients with chronic cancer pain.Methods:A total of 98 patients with chronic cancer pain admitted to our hospital from March 2021 to March 2023 were randomly divided into two groups,49 cases in each group.The control group received routine intervention,while the research group constructed PERMA model based on the routine intervention for psychological intervention.The pain severity,fear of cancer recurrence,psychological capital and quality of life before and after intervention were compared between the two groups.Results:After two months of intervention,the pain in the research group was milder than that in the control group(p<0.05).The scores and total scores of all dimensions of fear of cancer recurrence in the research group were lower than those in the control group(p<0.05).The scores and total scores of each dimension of psychological capital in the research group were higher than those in the control group(p<0.05).The scores of all dimensions of quality of life in the research group were higher than those in the control group(p<0.05).Conclusion:The PERMA model constructed in psychological interventions for patients with chronic cancer pain can assist analgesic medications to reduce pain and alleviate the fear of cancer recurrence,increase the level of psychological capital,and thus improve quality of life.展开更多
目的探讨基于积极情绪、投入、人际关系、意义、成就(positive emotion,engagement,relationships,meaning,accomplishment,PERMA)模式的围术期干预策略在老年髋部骨折患者术后谵妄管理中的应用。方法通过文献分析结合临床实践,构建针...目的探讨基于积极情绪、投入、人际关系、意义、成就(positive emotion,engagement,relationships,meaning,accomplishment,PERMA)模式的围术期干预策略在老年髋部骨折患者术后谵妄管理中的应用。方法通过文献分析结合临床实践,构建针对术后谵妄的基于PERMA模式的围术期干预策略,并应用于老年髋部骨折患者中。选择2023年3月~2024年10月110例老年髋部骨折患者为研究对象,随机分为干预组和对照组,每组各55例。两组患者接受切开复位内固定或髋关节置换术,常规护理。干预组患者在此基础上实施了基于PERMA模式的围术期干预策略。在住院期间对两组患者采用中文版意识模糊评估法(confusion assessment method,CAM)量表进行谵妄的诊断,对比两组患者的谵妄发生率;对于谵妄患者在确诊当日采用谵妄分级量表98修订版(delirium rating scale-revised-98,DRS)评估严重程度;在入院时、术后一周、术后一个月采用Harris髋关节功能评分量表(Harris hip score,HHS)进行评分,采用生命意义感问卷(the meaning in life questionaire,MLQ)、简版老年抑郁量表(15-item geriatric depression scale,GDS-15)、患者满意度调查表进行评分,对比两组患者髋关节功能情况、对生活意义的感知变化、情绪状态、满意度。结果接受PERMA模式干预的老年髋部骨折患者在髋关节功能(HHS评分更高)、生命意义感(MLQ-5评分更高)及情绪状态(GDS-15评分更低)方面均优于对照组(P<0.05),且术后谵妄发生率显著减少(14.5%vs.52.7%),发生谵妄患者的谵妄程度更低,差异具有统计学意义(P<0.05)。结论基于PERMA模式的围术期干预策略能有效降低老年髋部骨折患者术后谵妄发生率及严重程度,提升整体康复质量,为骨科护理提供创新性干预策略。展开更多
基金the Deanship of Research and Graduate Studies of King Khalid University for funding this work through grant number RGP1/194/45Research Project Funded by Nantong Municipal Health Commission(QNZ2023058).
文摘Background:The constructing PERMA model in psychological intervention was applied to patients with chronic cancer pain to provide data reference for reducing pain,fear of cancer recurrence,and improving the level of psychological capital.Aim:To explore the clinical effects of constructing PERMA model in psychological intervention for patients with chronic cancer pain.Methods:A total of 98 patients with chronic cancer pain admitted to our hospital from March 2021 to March 2023 were randomly divided into two groups,49 cases in each group.The control group received routine intervention,while the research group constructed PERMA model based on the routine intervention for psychological intervention.The pain severity,fear of cancer recurrence,psychological capital and quality of life before and after intervention were compared between the two groups.Results:After two months of intervention,the pain in the research group was milder than that in the control group(p<0.05).The scores and total scores of all dimensions of fear of cancer recurrence in the research group were lower than those in the control group(p<0.05).The scores and total scores of each dimension of psychological capital in the research group were higher than those in the control group(p<0.05).The scores of all dimensions of quality of life in the research group were higher than those in the control group(p<0.05).Conclusion:The PERMA model constructed in psychological interventions for patients with chronic cancer pain can assist analgesic medications to reduce pain and alleviate the fear of cancer recurrence,increase the level of psychological capital,and thus improve quality of life.
文摘目的探讨基于积极情绪、投入、人际关系、意义、成就(positive emotion,engagement,relationships,meaning,accomplishment,PERMA)模式的围术期干预策略在老年髋部骨折患者术后谵妄管理中的应用。方法通过文献分析结合临床实践,构建针对术后谵妄的基于PERMA模式的围术期干预策略,并应用于老年髋部骨折患者中。选择2023年3月~2024年10月110例老年髋部骨折患者为研究对象,随机分为干预组和对照组,每组各55例。两组患者接受切开复位内固定或髋关节置换术,常规护理。干预组患者在此基础上实施了基于PERMA模式的围术期干预策略。在住院期间对两组患者采用中文版意识模糊评估法(confusion assessment method,CAM)量表进行谵妄的诊断,对比两组患者的谵妄发生率;对于谵妄患者在确诊当日采用谵妄分级量表98修订版(delirium rating scale-revised-98,DRS)评估严重程度;在入院时、术后一周、术后一个月采用Harris髋关节功能评分量表(Harris hip score,HHS)进行评分,采用生命意义感问卷(the meaning in life questionaire,MLQ)、简版老年抑郁量表(15-item geriatric depression scale,GDS-15)、患者满意度调查表进行评分,对比两组患者髋关节功能情况、对生活意义的感知变化、情绪状态、满意度。结果接受PERMA模式干预的老年髋部骨折患者在髋关节功能(HHS评分更高)、生命意义感(MLQ-5评分更高)及情绪状态(GDS-15评分更低)方面均优于对照组(P<0.05),且术后谵妄发生率显著减少(14.5%vs.52.7%),发生谵妄患者的谵妄程度更低,差异具有统计学意义(P<0.05)。结论基于PERMA模式的围术期干预策略能有效降低老年髋部骨折患者术后谵妄发生率及严重程度,提升整体康复质量,为骨科护理提供创新性干预策略。
