幸福PERMA模式对高血压脑出血患者伤残接受程度和心理健康的影响

Impacts of well-being PERMA mode on acceptance of disability and mental health of patients with hypertensive cerebral hemorrhage

目的:探讨幸福PERMA模式对高血压脑出血患者伤残接受程度、心理健康的影响。方法:选择2019年1月至2020年4月某院神经外科住院的高血压脑出血患者作为研究对象,采用随机数字表法分为观察组(56例)及对照组(58例),对照组患者进行常规健康教育,观察组在对照组基础上接受PERMA模式积极心理干预,采用伤残接受度量表(ADS)、创伤后成长评定量表(PTGI)、主观幸福感指数量表(IWB)、汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)评估干预前后患者伤残接受度、创伤后成长、主观幸福度及心理健康情况。结果:干预后观察组转变维度、扩大维度及ADS总分高于对照组(t=3.30,5.41,5.63;P<0.05);干预后观察组人生感悟、与他人关系等维度及PTGI总分均显著高于对照组(t=4.25,5.23,6.03;P<0.05);干预后观察组情感、生活满意度及IWB总分均显著高于对照组(t=3.75,2.10,3.77;P<0.05);干预后观察组HAMA得分、HAMD得分显著低于对照组(t=4.129,3.874;P<0.05)。结论:幸福PERMA模式指导下积极心理干预可提高高血压脑出血患者伤残接受程度,改善负性情绪,提高主观幸福感,有较好的应用效果。

Objective:To explore the impacts of well-being PERMA mode on acceptance of disability and mental health of patients with hypertensive cerebral hemorrhage.Methods:Patients with hypertensive intracerebral hemorrhage hospitalized in the department of neurosurgery of the hospital from January 2019 to April 2020 were selected study subjects.They were divided into observation group(56 cases)and control group(58 cases)by random number table method.The control group received routine health education, and on this basis, the observation group received PERMA mode of positive psychological intervention.The Acceptance of Disability Scale(ADS),Post Traumatic Growth Inventory(PTGI),Index of Well-Being(IWB),Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to assess the patients’ acceptance of disability, post-traumatic growth, subjective well-being and mental health before and after intervention.Results:After intervention,the scores of transition,expansion and total AODS score of the observation group were higher than those of the control group(t=3.30,5.41,5.63;P<0.05).The scores of life perception,relationship with others and the total PTGI score were significantly higher than those of the control group(t=4.25,5.23,6.03;P<0.05).The scores of emotion,life satisfaction and total PANAS score were significantly higher than those of the control group(t=3.75,2.10,3.77;P<0.05).The HAMA score and HAMD score were significantly lower than those of the control group(t=4.129,3.874;P<0.05).Conclusion:Positive psychological intervention under the guidance of well-being PERMA mode can improve the acceptance of disability,negative emotions,and subjective well-being of patients with hypertensive intracerebral hemorrhage.