以PERMA为基础的心理干预对急性早幼粒细胞白血病化疗患者心理痛苦的影响  

Effect of Psychological Intervention Based on PERMA on the Psychological Distress of Patients with Acute Promyelocytic Leukemia Chemotherapy

作　　者：汤景艳 李东亮[1] 韩美乐 陈玲[1] TANG Jingyan;LI Dongliang;HAN Meile;CHEN Ling(The First People’s Hospital of Lianyungang City,Lianyungang 222000,China;不详)

机构地区：[1]连云港市第一人民医院,江苏连云港222000

出　　处：《中外医学研究》2022年第4期153-157,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究与分析以PERMA为基础心理干预对急性早幼粒细胞白血病化疗患者心理痛苦的影响。方法:选取2019年5月-2021年3月连云港市第一人民医院收治的102例急性早幼粒细胞白血病化疗患者,采取随机数字表法将其分为对照组与观察组,每组51例,除去中途因各种原因退出研究、临床资料缺失者,最终有95例纳入最后研究,对照组49例,观察组46例。对照组给予常规干预,观察组在其基础上给予以PERMA为基础心理干预。比较两组干预前后心理痛苦温度计评分、积极心理资本问卷(PPQ)评分、恐惧疾病进展简化量表(FoP-Q-SF)评分及患者对化疗的依从性。结果:干预后,观察组心理痛苦温度计评分低于对照组,差异有统计学意义(P<0.05)。干预后,两组自我效能、韧性、希望、乐观及总分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。干预后,两组生理健康、社会家庭及FoP-Q-SF总分均低于干预前,且观察组均低于对照组,差异均有统计学意义(P<0.05)。观察组依从率高于对照组,差异有统计学意义(P<0.05)。结论:以PERMA为基础的心理干预应用于急性早幼粒细胞白血病化疗患者中明显缓解了其心理痛苦,同时增加了其心理资本,减少了患者对疾病进展的恐惧情绪,患者对化疗的依从性也随之升高。Objective:To explore and analyze the effects of psychological intervention based on PERMA on the psychological distress of patients with acute promyelocytic leukemia chemotherapy.Method:A total of 102 acute promyelocytic leukemia chemotherapy patients admitted to the First People’s Hospital of Lianyungang City from May 2019 to March 2021 were selected,they were divided into the control group and the observation group according to random number table,with 51 cases in each group,except that they were withdrawn from the study,clinical for various reasons and missing data,in the end,95 patients with were included in the final study.There were 49 cases in the control group and 46 cases in the observation group.The control group was given routine intervention,and the observation group was given psychological intervention based on PERMA.Psychological distress thermometer score,positive psychological capital questionnaire (PPQ) score,simplified fear disease progression scale (FoP-Q-SF) score before and after intervention and patients’ compliance to chemotherapy were compared between two groups.Result:After intervention,the psychological distress thermometer score of the observation group was lower than that of the control group,and the difference was statistically significant (P<0.05).After intervention,self-efficacy,resilience,hope,optimism and total scores of both groups were higher than those before intervention,and those of the observation group were higher than those of the control group,the differences were statistically significant (P<0.05).After intervention,the physiological health,social family and FoP-Q-SF scores of both groups were lower than those before intervention,and those of the observation group were lower than those of the control group,the differences were statistically significant (P<0.05).The compliance rate of the observation group was higher than that of the control group,the difference was statistically significant (P<0.05).Conclusion:The application of PERMA-based psychological intervention

关 键 词：PERMA模式 心理干预 急性早幼粒细胞白血病 化疗 心理痛苦 

分 类 号：R473.73[医药卫生—护理学]