基于PERMA的护理干预在脑梗死后偏瘫患者中的应用效果

Application Effect of Nursing Intervention Based on Positive Emotion-Engagement-Relationship-Meaning-Accomplishment in Patients with Hemiplegia After Cerebral Infarction

目的探究以积极情绪-投入-人际关系-意义-成就的积极心理作用坊(PERMA)为基础的护理干预在脑梗死后偏瘫患者中的应用效果。方法选取郑州大学第一附属医院2020年12月至2021年12月收治的146例脑梗死后偏瘫患者作为研究对象,随机分为PERMA干预组和常规组,各73例。常规组接受常规护理,PERMA干预组在常规组基础上接受以PERMA为基础的护理干预。对比两组心理状态[焦虑自评量表(SAS)和抑郁自评量表(SDS)评分]、希望水平[Herth希望量表(HHI)]、幸福感[纽芬兰纪念大学幸福度量表(MUNSH)]、自我负担感[自我负担感受量表(SPBS)评分]、生活质量[脑卒中专用生活质量量表(SS-QOL)]及护理满意度。结果干预后,PERMA干预组SAS、SPBS、SDS评分低于常规组,HHI、MUNSH、SS-QOL评分高于常规组(P<0.05);PERMA干预组护理满意度(95.89%)高于常规组(80.82%)(P<0.05)。结论以PERMA为基础的护理干预可改善脑梗死后偏瘫患者的心理状态,减轻自我负担感,提升幸福感和希望水平,改善患者的生活质量。

Objective To explore the application effect of nursing interventions based on the positive emotion-engagement-relationship-meaning-accomplishment(PERMA)of positive emotions,engagement,interpersonal relationships,significance,and achievement in patients with hemiplegia after cerebral infarction.Methods A total of 146 patients with hemiplegia after cerebral infarction admitted to the First Affiliated Hospital of Zhengzhou University from December 2020 to December 2021 were selected as the research subjects and randomly divided into the PERMA intervention group and the conventional group,with 73 patients in each group.The routine group received routine care,while the PERMA intervention group received nursing interventions based on PERMA on the basis of the routine group.The psychological state[self-rating anxiety scale(SAS),self-rating depression scale(SDS)score],hope level[Herth hope scale(HHI)],happiness[Memorial University of Newfoundland happiness scale(MUNSH)],sense of self-burden[sense of self-burden scale(SPBS)score],quality of life[stroke specific quality of life scale(SS-QOL)]and nursing satisfaction.Results After intervention,the scores of SAS,SPBS and SDS in PERMA intervention group were lower than those in conventional group,while the scores of HHI,MUNSH and SS-QOL were higher than those in conventional group(P<0.05).The nursing satisfaction of PERMA intervention group(95.89%)was higher than that of conventional group(80.82%)(P<0.05).Conclusion Nursing interventions based on PERMA can improve the psychological state of hemiplegic patients after cerebral infarction,reduce their sense of self burden,enhance their sense of happiness and hope,and improve their quality of life.