基于幸福PERMA模式的积极心理干预在中青年乳腺癌护理中的应用效果

E ffectiveness of positive psychological interventions based on the PERMA model of well-being in the care of young and middle-aged patients with breast cancer

目的探讨基于幸福PERMA模式的积极心理干预对中青年乳腺癌患者癌症复发恐惧水平及主观幸福感的影响。方法选取2019年10月—2020年10月南阳市某医院收治的114例乳腺癌患者为研究对象。按收治顺序,分为对照组和研究组,每组57例。对照组患者实施常规健康教育,研究组患者在对照组基础上实施基于幸福PERMA模式的积极心理干预,2组患者均持续干预8周。比较2组患者干预前后恐惧疾病进展简化量表(Fo P-Q-SF)评分、积极心理资本问卷(PPQ)评分、主观幸福感指数量表(IWB)评分。结果干预前,2组患者Fo P-Q-SF评分、PPQ评分、IWB评分比较,差异均无统计学意义(P>0.05)。干预后,研究组患者Fo P-Q-SF总分及生理健康、社会家庭维度得分均低于对照组,差异均有统计学意义(P<0.05)。干预后,研究组患者PPQ总分及各维度得分、IWB总分及各维度得分均高于对照组,差异均有统计学意义(P<0.05)。结论基于幸福PERMA模式的积极心理干预可显著提高中青年乳腺癌患者心理资本水平和主观幸福感,减轻其对癌症复发的恐惧感。

Objective To explore the effectiveness of positive psychological interventions based on the PERMA model of wellbeing on the level of fear of cancer recurrence and subjective well-being of young and middle-aged patients with breast cancer.Methods One hundred and fourteen breast cancer patients admitted to a hospital in Nanyang from October 2019 to October 2020 were selected for the study.Patients were divided into a control group and a research group,with 57 cases in each group.Patients in the control group received conventional health education,and patients in the study group received positive psychological intervention based on the PERMA model of well-being on the basis of conventional health education,and both groups received consecutive intervention for 8 weeks.The Fear of Progression Questionnaire-Short Form(Fo P-QSF)scores,Positive Psycap Questionnaire(PPQ)scores,and subjective Index of Well-Being(IWB)scores were compared between the 2 groups before and after the intervention.Results After the intervention,the total score of PPQ and the scores of each dimension,the total score of IWB and the scores of each dimension in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the Fo P-Q-SF scores,physical health scores,and social and family dimensions scores of patients in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Positive psychological interventions based on the PERMA model of well-being can significantly improve the levels of psychological capital and subjective well-being of young and middle-aged patients with breast cancer and reduce their fear of cancer recurrence.