Impact of psychological nursing based on the PERMA theory on tumor patients undergoing mechanical ventilation in the intensive care unit
Objective Exploring the application effect of psychological nursing interventions based on the PERMA theory in tumor patients undergoing mechanical ventilation in the intensive care unit(ICU)and providing a theoretical basis for clinical nursing research.Methods A total of 62 patients with acute respiratory failure who received mechanical ventilation at Anhui Cancer Hospital from January to April 2024 were selected.Using a random number table method,the patients were divided into an observation group and a control group,with 31 patients in each group.The control group received conventional nursing care,while the observation group received psychological nursing interventions based on the PERMA theory in addition to standard care.Before and after the intervention,the Self-Rating Anxiety Scale(SAS)and the Self-Rating Depression Scale(SDS)were used to assess negative emotions in patients.The General Self-Efficacy Scale(GSES)was employed to evaluate the level of self-efficacy,and the Connor-Davidson Resilience Scale(CD-RISC)was used to assess psychological resilience.The duration of mechanical ventilation,ICU stay,and total hospital stay were observed and recorded.Results Among the 62 patients included in the study,one patient in the observation group withdrew due to worsening condition,and one patient in the control group dropped out after being transferred to another hospital for treatment.After the intervention,the SAS and SDS scores of the observation group were(41.07±4.15)and(41.73±3.61),respectively,which were significantly lower than those of the control group[(46.33±3.68)and(45.50±2.93),both P＜0.001].The GSES and CD-RISC scores of the observation group were(29.03±2.47)and(73.37±1.83),respectively,which were significantly higher than those of the control group[(27.50±1.41)and(71.57±2.67),both P＜0.001].The duration of mechanical ventilation,ICU stay,and total hospital stay in the observation group were(7.27±1.14)days,(9.27±1.26)days,and(17.57±2.74)days,respectively,which were significantly shorter than those in the control group[(8.63±1.10)days,(11.40±1.67)days,and(20.23±2.42)days],with statistically significant differences(t-values of 4.72,5.58,and 4.00,all P＜0.001).Conclusion Psychological nursing interventions based on the PERMA theory can effectively alleviate anxiety and depressive negative emotions in ICU patients undergoing mechanical ventilation,improve self-efficacy and psychological resilience,reduce the duration of mechanical ventilation and hospital stay,and accelerate patient recovery.
PERMA theoryMechanical ventilationMental nursingIntensive Care
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