PERMA模式护理干预对急诊经皮冠脉介入术后患者运动恐惧和心理弹性的效果  

Effect of PERMA mode nursing intervention on exercise fear and mental resilience of patients after emergency percutaneous coronary intervention

作　　者：牛宗香[1] 张芳[2] 张敏[2] 王新霞[3] 张方霞[4] NIU Zongxiang;ZHANG Fang;ZHANG Min;WANG Xinxia;ZHANG Fangxia(School of Nursing,Binzhou Medical University,Yantai 264003,Shandong,P.R.China;Department of Nursing,Binzhou Medical University Hospital,Binzhou 256603,Shandong,P.R.China;Department of Cardiovascular Medicine,Binzhou Medical University Hospital,Binzhou 256603,Shandong,P.R.China;CCU,Binzhou Medical University Hospital,Binzhou 256603,Shandong,P.R.China)

机构地区：[1]滨州医学院护理学院,山东烟台264003 [2]滨州医学院附属医院护理部,山东滨州256603 [3]滨州医学院附属医院心血管内科,山东滨州256603 [4]滨州医学院附属医院CCU,山东滨州256603

出　　处：《滨州医学院学报》2024年第2期133-136,共4页Journal of Binzhou Medical University

基　　金：滨州医学附属医院护理科研项目(BYFYHL-PY202204)。

摘　　要：目的探讨PERMA模式护理干预对急性心肌行经皮冠脉介入(PCI)术后患者运动恐惧和心理弹性的影响。方法选取160例急诊PCI术后患者为研究对象,随机分为对照组(80例)和观察组(80例)。对照组予以常规护理,观察组在常规护理的基础上实施基于PERMA模式护理干预。在入院第2天和干预6周后采用运动恐惧量表和心理弹性量表进行效果评价。结果护理干预6周后,观察组TSK-Heart-C量表的害怕受伤、自身功能下降、避免运动、感知到心脏危险4个得分及总分均明显降低,且观察组干预6周后的总分低于对照组,P<0.05。护理干预6周后,观察组CD-RISC量表中坚韧、自强、乐观维度得分及总分均增加,P均<0.05,且观察组上述得分均高于对照组,P<0.01。结论PERMA模式护理干预可以有效的降低患者运动恐惧程度,提高心理弹性水平,对改善急诊PCI术后患者心脏康复具有重要意义。Objective To investigate the effects of PERMA nursing intervention on exercise fear and mental resilience of patients after acute myocardial percutaneous coronary intervention(PCI).Methods One hundred and sixty patients after emergency PCI were selected as the study objects,and were randomly divided into the control group(80 patients)and the observation group(80 patients).The control group received routine nursing,and the observation group received nursing intervention based on PERMA model on the basis of routine nursing.Exercise fear scale and mental resilience scale were used to evaluate the effects on the second day of admission and 6 weeks after the intervention.Results After 6 weeks of nursing intervention,four scores of fear of injury,self-function decline,avoidance of exercise and perceived heart risk and total score of the TSK-Heart-C scale in the observation group were significantly reduced,and the total score of the observation group after intervention was lower than that of the control group,P<0.05.After nursing intervention,the scores of tenacity,self-reliance and optimism and the total score in the CD-RISC scale of the observation group were increased,all P<0.05,and the above scores in the observation group were higher than those in the control group,P<0.01.Conclusion Nursing intervention based on PERMA model can effectively reduce the degree of exercise fear and improve the level of psychological resilience of patients,which is of great significance for improving cardiac rehabilitation of patients after emergency PCI.

关 键 词：急性心肌梗死 急诊PCI术 PERMA护理模式 运动恐惧 心理弹性 

分 类 号：R473.5[医药卫生—护理学]