基于PERMA的激励式护理在卒中后中重度残疾患者中的应用效果  

Application effects of incentive nursing based on PERMA in patients with moderate to severe disability after stroke

作　　者：高萌 张超雁 GAO Meng;ZHANG Chaoyan(Department of Neurology of Luoyang Central Hospital Affiliated to Zhengzhou University,Luoyang 471000 Henan,China)

机构地区：[1]郑州大学附属洛阳中心医院神经内科,河南洛阳471000

出　　处：《中国民康医学》2025年第3期167-169,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于PERMA的激励式护理在卒中后中重度残疾患者中的应用效果。方法:回顾性分析2022年2月至2023年3月收治的100例卒中后中重度残疾患者的临床资料,根据护理方法不同将其分为对照组和研究组各50例。对照组实施常规护理,研究组实施基于PERMA的激励式护理。比较两组护理前后心理弹性[Connor-Davidson心理弹性量表(CD-RISC)]评分、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、自理能力[Barthel指数(BI)]评分和致残接受能力[伤残接受度量表(ADS)]评分。结果:护理后,两组乐观、坚韧、自强评分及CD-RISC总分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);两组SAS、SDS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);两组BI、ADS评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:基于PERMA的激励式护理应用于卒中后中重度残疾患者,可提高患者心理弹性、自理能力和致残接受能力,减轻负性情绪,效果优于常规护理。Objective:To observe application effects of incentive nursing based on PERMA in patients with moderate to severe disability after stroke.Methods:The clinical data of 100 patients with moderate to severe disability after stroke admitted from February 2022 to March 2023 were retrospectively analyzed.According to different nursing methods,they were divided into control group and study group,50 cases in each group.The control group was given routine nursing,while the study group was given the incentive nursing based on PERMA.The scores of psychological resilience[Connor-Davidson resilience scale(CD-RISC)],negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],self-care ability[Barthel index(BI)]and disability acceptance ability[the acceptance of disability scale(ADS)]were compared between the two groups before and after the nursing.Results:After the nursing,the CD-RISC total score and the scores of optimism,tenacity,self-improvement and in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the SAS and SDS scores of the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,after the nursing,the scores of BI and ADS in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The incentive nursing based on PERMA in the patients with moderate and severe disability after stroke can improve the psychological resilience,the self-care ability and the disability acceptance ability,and reduce the negative emotions.Moreover,it is superior to routine nursing.

关 键 词：激励式护理 卒中 中重度残疾 心理弹性 负性情绪 

分 类 号：R473.6[医药卫生—护理学]