摘要
目的 探讨基于积极情绪-投入-人际-意义-成就(PERMA)模式的干预方案对肺癌患者希望水平、应对方式及心理弹性的影响.方法 采用随机数字表法将于2020年3月至2023年2月在郑州大学附属肿瘤医院接受治疗的88例肺癌患者分为A组和B组,各44例.A组接受常规干预,B组接受基于PERMA模式的干预.两组均持续干预4周.比较两组干预前、干预4周后的癌因性疲乏程度、疼痛程度、希望水平、应对方式、心理弹性及自尊水平.结果 干预4周后,两组认知、情感、躯体、行为评分均降低,且与A组比较,B组更低(P＜0.05).干预4周后,两组轻微疼痛的患者占比升高,B组中度、重度疼痛的患者占比降低,且B组轻微疼痛的患者占比高于A组(P＜0.05).干预4周后,两组行为态度、积极态度、亲密关系评分及Herth希望量表总分均升高,且B组高于A组(P＜0.05).干预4周后,两组面对及心理弹性量表评分均升高,且B组高于A组;两组屈服、回避评分均降低,且B组低于A组(P＜0.05).干预4周后,两组社会自尊、行为自尊、外表自尊评分及社交自尊量表总分均升高,且B组高于A组(P＜0.05).结论 基于PERMA模式的干预方案能够有效增强肺癌患者心理弹性,减轻患者癌因性疲乏程度及疼痛程度,改善患者应对方式,提高患者自尊水平和希望水平.
Abstract
Objective To explore the influence of intervention program based on positive emotion-engagement-relationship-meaning-achievement(PERMA)model on the level for hope,coping style and psychological resilience of patients with lung cancer.Methods A total of 88 patients with lung cancer who were treated in the Affiliated Cancer Hospital of Zhengzhou University from March 2020 to February 2023 were divided into the group A and the group B by random number table method,with 44 cases in each group.The group A received routine intervention,while the group B received intervention based on the PERMA model.Both groups were continuously intervened for 4 weeks.The cancer-related fatigue,pain,the level of hope,coping style,psychological resilience and the level of self-esteem before and after 4 weeks of intervention were compared between the two groups.Results After 4 weeks of intervention,the scores of cognitive,emotional,physical and behavioral of both groups decreased,and compared with the group A,the group B was lower(P＜0.05).After 4 weeks of intervention,the proportion of patients with mild pain in both groups increased,while the proportion of patients with moderate to severe pain in the group B decreased,compared with the group A,the proportion of patients with mild pain in the group B was higher(P＜0.05).After 4 weeks of intervention,the scores of behavioral attitude,positive attitude,intimacy score,and total score of the Herth hope scale in both groups increased,and compared with the group A,the group B was higher(P＜0.05).After 4 weeks of intervention,the scores of the face and Connor-Davidson resilience scale in both groups increased,and compared with the group A,the group B was higher.The scores of yield and avoidance in both groups decreased,and compared with the group A,the group B was lower(P＜0.05).After 4 weeks of intervention,the scores of social self-esteem,behavioral self-esteem,appearance self-esteem,and total score of the state self-esteem scale in both groups increased,and compared with the group A,the group B was higher(P＜0.05).Conclusion The intervention program based on PERMA model can effectively enhance the psychological resilience of lung cancer patients,reduce the degree of cancer fatigue and pain,improve the coping style of patients,and improve the self-esteem and hope level of patients.
维普
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