基于PERMA模式的积极心理干预对乳腺癌患者癌症复发恐惧的影响  

The effect of positive psychological intervention based on PERMA model on the fear of cancer recurrence in breast cancer patients

作　　者：王佳佳 方艳春 王蓉[1] 肖苏琴 李娜[1] Wang Jiajia;Fang Yanchun;Wang Rong;Xiao Suqin;Li Na(School of Nursing,University of South China,Hengyang 421001,China;Department of Nursing,the Central Hospital of Shaoyang,Shaoyang 422000,China)

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

出　　处：《中国实用护理杂志》2021年第4期279-285,共7页Chinese Journal of Practical Nursing

摘　　要：目的探讨基于PERMA模式的积极心理干预对化疗期乳腺癌患者癌症复发恐惧及心理资本的影响。方法采用随机数字表法将在邵阳市中心医院2019年11月至2020年1月化疗的60例乳腺癌患者分为干预组和对照组,每组各30例,对照组进行常规健康教育,干预组在此基础上给予8次积极心理干预,采用一般情况调查表、恐惧疾病进展简化量表(FoP-Q-SF)及积极心理资本问卷(PPQ)对2组干预前后结果进行评价。结果干预前、干预4周后及干预8周后,干预组患者的复发恐惧得分分别为(39.67±4.24)、(34.60±3.78)、(31.17±3.60)分,不同时间点复发恐惧得分差异有统计学意义(F值为257.757,P<0.05);心理资本得分分别为(113.20±19.75)、(125.57±18.79)、(134.43±17.59)分,不同时间点心理资本水平差异有统计学意义(F值为154.225,P<0.05)。结论基于PERMA模式的积极心理干预可以降低化疗期乳腺癌患者的癌症复发恐惧,提高其心理资本水平。Objective To explore the effect of positive psychological intervention based on PERMA model on the fear of cancer recurrence and psychological capital in breast cancer patients during chemotherapy.Methods A total of 60 breast cancer patients who received chemotherapy from November 2019 to January 2020 were divided into intervention group and control group with 30 cases in each group.The control group received routine health education.On this basis,the intervention group was given 8 times of positive psychological intervention.The general situation questionnaire,Fear of Progression Questionnaire-Short Form(FoP-Q-SF)and Positive Psychological Capital Questionnaire(PPQ)were used to evaluate the results of the two groups before and after intervention.Results Before,4 weeks after and 8 weeks after the intervention,the score of fear of cancer recurrence in the intervention group were 39.67±4.24,34.60±3.78 and 31.17±3.60.The difference of the score of fear of cancer recurrence at different time points was statistically significant(F value was 257.757,P<0.05).The scores of psychological capital were 113.20±19.75,125.57±18.79 and 134.43±17.59.The difference of psychological capital level at different time points was statistically significant(F value was 154.225,P<0.05).Conclusions Positive psychological intervention based on PERMA model can reduce the fear of cancer recurrence in breast cancer patients during chemotherapy and improve their psychological capital level.

关 键 词：乳腺癌 积极心理干预 PERMA模式 癌症复发恐惧 心理资本 

分 类 号：R473.73[医药卫生—护理学]