PERMA模式下心理干预对脑卒中伤残患者创伤后成长及主观幸福感的影响  

Positive Psychological Intervention based on PERMA Mode on Post-Traumatic Growth of Patients with Stroke Disability

作　　者：朱婷 方艳春 徐俊敏 李娜 黄雅莲 ZHU Ting;FANG Yanchun;XU Junmin;LI Na;HUANG Yalian(School of Nursing,Nanhua University,Hengyang 421001,Hunan Province,China;Department of Nursing,Shaoyang Central Hospital,Shacyang 42000,Hunan Province,China)

机构地区：[1]南华大学护理学院,湖南衡阳421001 [2]邵阳市中心医院护理部,湖南邵阳422000

出　　处：《解放军护理杂志》2020年第6期43-46,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：湖南省技术创新引导计划-临床医疗技术创新引导项目(2018SK51804)。

摘　　要：目的 探讨PERMA模式下心理干预对脑卒中伤残患者创伤后成长及主观幸福感的影响.方法 2018年10月至2019年4月,方便抽样法选取某市某三级甲等医院康复科的住院脑卒中伤残患者为研究对象,分为对照组和观察组.对照组患者给予康复科常规健康教育,观察组在此基础上接受连续8次的PERMA模式下的心理干预.在干预前、干预结束时、干预结束后1个月采用创伤后成长评定量表(posttraumatic growth inventory,PTGI)、主观幸福感指数量表(index of well-being,IWB)进行效果评定.结果 干预结束时及干预结束后1个月,观察组PTGI中人生感悟、与他人关系、自我转变维度及总分、IWB总分均高于对照组,差异均有统计学意义(均P<0.05).PTGI中人生感悟、与他人关系、自我转变维度及总分、IWB总分的干预主效应及交互效应有统计学意义(均P<0.05),PTGI总分及各维度、IWB总分的时间效应均有统计学意义(P<0.05).结论 PERMA模式下构建的心理干预,能提高脑卒中伤残患者的创伤后成长及主观幸福感.Objective To explore the effect of positive psychological intervention based on the PERMA model on stroke patients’ post-traumatic growth and subjective well-being.Methods By convenience sampling method,stroke inpatients in the rehabilitation department of a tertiary hospital were selected and divided into the control group and observation group.The control group was given regular health education in the rehabilitation department, and the observation group received the PERMA model positive psychological workshop for 8 consecutive times on the base of regular health education.The posttraumatic growth inventory(PTGI) and index of well-being(IWB) were used to evaluate the effect before the intervention,at the end of the intervention, and one month after the intervention.Results At the end of the intervention and one month after the end of the intervention,the life perception,relationship with others,self-transformation dimension and total score and total IWB score in the PTGI of the intervention group were higher than those of the control group,the differences were statistically significant(all P<0.05).The main effects and interaction effects of life perception,relationship with others,self-transformation dimension and total score,and IWB total score in PTGI were statistically significant(all P<0.05). The total score of PTGI, the time effect of each dimension and the total score of IWB were statistically significant(P<0.05). Conclusions Positive psychological intervention based on the PERMA model can improve post-traumatic growth and subjective well-being of stroke patients.

关 键 词：脑卒中 创伤后成长 PERMA模式 积极心理学 主观幸福感 

分 类 号：R471[医药卫生—护理学]