首页|基于PERMA理论下的积极心理干预在老年冠心病PCI术后患者中的应用

基于PERMA理论下的积极心理干预在老年冠心病PCI术后患者中的应用

Application of positive psychological intervention based on PERMA theory in elderly postoperative coro-nary heart disease(CHD)percutaneous coronary intervention(PCI)patients

扫码查看
目的:探究基于PERMA理论下的积极心理干预在老年冠心病经皮冠状动脉介入(PCI)术后患者中的应用效果.方法:选取 2023 年 9 月~2024 年 3 月贵州中医药大学第二附属医院收治的PCI术后老年患者作为研究对象.在研究开始前患者根据入院顺序,从不透明容器抽取标记为 1~70 的卡片,抽取为单数卡片的患者入组对照组,抽取双数卡片的患者入组PERMA组,各 35 例.对照组采取常规护理模式,PERMA组在其基础上实施基于PERMA理论下的积极心理干预.在干预5 周后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、心脏疾病患者恐动症量表(TSK-SV Heart)、心理弹性量表(CD-RISC)进行效果评价.结果:干预 5 周后,PERMA组的SAS量表、SDS量表得分明显低于对照组,差异有统计学意义(P<0.05);两组TSK-SV Heart评分均降低,且PERMA组低于对照组,差异有统计学意义(P<0.05);两组CD-RISC评分均提高,且PERMA组高于对照组,差异有统计学意义(P<0.05).结论:对老年冠心病PCI术后患者采用基于PERMA模式的积极心理干预,可改善患者负性情绪,降低运动恐惧心理,促进患者心理弹性水平提高.
Objective To investigate the effect of positive psychological intervention based on PERMA theory in elderly postopera-tive coronary heart disease(CHD)percutaneous coronary intervention(PCI)patients.Method Elderly patients admitted to the De-partment of Cardiology of the Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine after PCI from September 2023 to March 2024 were selected as study subjects.Before the beginning of the study patients were selected according to the order of admission,cards labeled 1-70 were drawn from opaque containers,patients with an odd number of cards were enrolled in the control group,and patients with an even number of cards were enrolled in the PERMA group,35 cases in each group.In the control group,the conventional care model was adopted,and in the PERMA group,the positive psychological intervention based on PERMA theory was adopted on its basis.After 5 weeks of intervention,the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),the Tampa Scale for kinesiophobia Heart(TSK-SV Heart),and the Cornor-Davidson Resilience Scale(CD-RISC)were used to evaluate the effect.Results After 5 weeks of intervention,the SAS scale and SDS scale scores of the PERMA group were significant-ly lower than those of the control group(P<0.05);The TSK-SV Heart scores of the two groups were lower,and the PERMA group was lower than that of the control group(P<0.05);The CD-RISC scores of the two groups were higher and the PERMA group was higher than the control group(P<0.05).Conclusion Positive psychological intervention based on the PERMA model for elderly patients with coronary artery disease after PCI can improve patients'negative emotions,reduce the Kinesiophobia,and promote the improvement of patients'psychological resilience.

PERMA modePositive psychologyKinesiophobiaNegative emotionsPsychological resilience

李洁、许滔、石国凤、舒华、张禹、宋越月、廖苑竹、周谊霞

展开 >

贵州中医药大学护理学院,贵阳 贵州 550025

贵州中医药大学第二附属医院心内科

PERMA模式 积极心理学 运动恐惧 负性情绪 心理弹性

2025

吉林医学
吉林省人民医院

吉林医学

影响因子:0.926
ISSN:1004-0412
年,卷(期):2025.46(1)