基于幸福PERMA模式的护理干预在脊柱骨折脊髓损伤患者中的应用

Application of nursing intervention based on well-being PERMA model in patients with spinal fracture accompanying spinal cord injury

目的探讨基于幸福PERMA模式的护理干预在脊柱骨折脊髓损伤患者中的应用效果。方法采用便利抽样法选取2018年1月—2019年12月在北京积水潭医院综合骨科接受治疗的116例脊柱骨折伴脊髓损伤患者为研究对象。采用随机数字表法将患者分为对照组和观察组,各58例。对照组接受常规护理干预,观察组接受基于幸福PERMA模式的护理干预。比较干预前和干预后(出院3个月)两组患者主观幸福感、日常生活能力、运动功能及生活质量得分的差异。结果干预前,两组比较差异均无统计学意义(P>0.05)。干预后,观察组患者主观幸福感得分、运动功能得分、生活质量得分高于对照组,日常生活能力得分低于对照组,差异均有统计学意义(P<0.05)。结论在脊柱骨折伴脊髓损伤患者中应用基于幸福PERMA模式的护理干预,可以提高患者的主观幸福感和生活质量,改善患者日常生活能力和运动功能。

Objective To explore the application effect of nursing interventions based on well-being PERMA model in patients with spinal fracture accompanying spinal cord injury.Methods Using the convenient sampling method,a total of 116 patients with spinal fracture accompanying spinal cord injury who received treatment in the Comprehensive Orthopedics Department of Beijing Jishuitan Hospital from January 2018 to December 2019 were selected as the research objects.The patients were divided into the control group and the observation group using the random number table method,with 58 cases in each group.The control group received routine nursing intervention,while the observation group received nursing intervention based on well-being PERMA model.The scores of subjective well-being,activity of daily living,motor function and quality of life were compared between the two groups before intervention and after intervention(3 months after discharge).Results Before intervention,there was no statistically significant difference between the two groups(P>0.05).After the intervention,the scores of subjective well-being,motor function and quality of life in the observation group were higher than those in the control group,and the score of activity of daily living were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Application of nursing intervention based on well-being PERMA model in patients with spinal fracture accompanying spinal cord injury can improve subjective well-being and quality of life of patients,and improve their activity of daily living and motor function.