基于PERMA模式的积极心理干预在患儿首次扁桃体挑割治疗中的应用价值研究  

Application Value Study of Positive Psychological Intervention Based on the PERMA Model in the Initial Tonsillectomy Treatment of Children

作　　者：熊丹丹 梅祥胜[1] 王瑞雪 贾丽[1] 李元钦 尚艳华[1] 王冰[1] 赵丹丹[1] 刘媛媛[1] 马逍瑶 许冬玉 XIONG Dandan;MEI Xiangsheng;WANG Ruixue;JIA Li;LI Yuanqin;SHANG Yanhua;WANG Bing;ZUAO Dandan;LIU Yuanyuan;MA Xiaoyao;XU Dongyu(The First Affiliated Hospital of Henan University of CM,Zhengzhou,Henan 450000,China)

机构地区：[1]河南中医药大学第一附属医院,郑州450000

出　　处：《中国中西医结合耳鼻咽喉科杂志》2025年第1期63-66,32,共5页Chinese Journal of Otorhinolaryngology in Integrative Medicine

基　　金：河南省中医药科学研究重点课题,基于扁桃体挑割治疗法对儿童鼾症的疗效及免疫影响的研究(课题编号:2019ZY1005)。

摘　　要：目的 探讨基于PERMA模式的积极心理干预对首次进行扁桃体挑割治疗的患儿恐惧度、依从性及治疗后痛感的影响。方法 选取2022年8月~2023年4月在河南中医药大学第一附属医院嗓音咽喉病科首次行扁桃体挑割治疗的96例患儿作为研究对象,随机分为对照组48例和观察组48例。对照组接受治疗前的常规健康教育;观察组在对照组的基础上进行基于PERMA模式的积极心理干预。比较两组患儿对待扁桃体挑割治疗前的恐惧、治疗中的依从性和治疗后患儿主观痛感评价。结果观察组48例、对照组48例均完成本研究。干预后两组比较,患儿医疗恐惧评分、Houpt行为量表评分、Wong-Baker面部表情疼痛分级量表评分,差异均具有统计学意义(P<0.01)。结论 基于PERMA模式的积极心理干预能够有效地降低患儿对扁桃体挑割治疗法的恐惧程度,提高患儿对治疗的依从性,降低患儿对疼痛不适的感知,适用于临床推广。Objective This study explores the impact of positive psychological intervention based on the PERMA model on the fear,compliance,and post-treatment pain perception of children undergoing initial tonsillectomy treatment.Methods Ninety-six children undergoing initial tonsillectomy treatment in the Otorhinolaryngology Department of the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from August 2022 to April 2023 were selected as the research subjects.They were randomly divided into a control group(n=48)and an experimental group(n=48).The control group received routine health education before treatment,while the experimental group received positive psychological intervention based on the PERMA model in addition to routine education.A comparison was made between the two groups regarding the pre-treatment fear,compliance during treatment,and subjective pain assessment after treatment.Results All 96 subjects completed the study.After intervention,there were statistically significant differences(P<0.01)in children's medical fear scores,Houpt behavior scale scores,and Wong-Baker facial expression pain rating scale scores between the two groups.Conclusion Positive psychological intervention based on the PERMA model can effectively reduce children's fear of tonsillectomy treatment,improve their compliance with treatment,and decrease their perception of pain discomfort.It is suitable for clinical promotion.

关 键 词：积极心理干预 扁桃体挑割治疗 恐惧心理 治疗依从性 

分 类 号：R473.76[医药卫生—护理学]