PERMA模式认知护理对结直肠癌化疗患者病耻感的影响  

Effect of PERMA model cognitive nursing on stigma in patients with colorectal cancer undergoing chemotherapy

作　　者：王纪梅 王捷 赵静 WANG Jimei;WANG Jie;ZHAO Jing(Nanjing Gaochun People's Hospital,Nanjing 211300,China)

机构地区：[1]南京市高淳人民医院,江苏南京211300

出　　处：《心理月刊》2025年第4期170-172,共3页

摘　　要：目的研究结直肠癌化疗患者护理中实施幸福论模型(PERMA)认知护理的临床价值。方法选择对象:结直肠癌(CN)患者共92例,选取时间:2023年1月~2024年3月。分组方式:根据护理方式的不同分为两组,每组46例。对照组行常规护理干预,观察组行PERMA模式认知护理。对护理前后两组病耻感、负面情绪、癌因性疲乏及护理后满意度进行比较。正态计量资料以t检验,计数资料以x2检验。结果经护理,两组Link的贬低-歧视感知量表(PDD)评分同步降低,且观察组评分低于对照组(P<0.05)。经护理,两组焦虑自评量表(SAS)与抑郁自评量表(SDS)评分均降低,且观察组评分低于对照组(P<0.05)。Piper疲乏量表(PFS)各维度评分比较,护理前组间差异不显著(P>0.05),护理后观察组评分更低(P<0.05)。观察组总满意率97.83%高于对照组80.00%(P<0.05)。结论PERMA模式认知护理能有效降低结直肠癌化疗患者的病耻感与不良情绪,还能改善癌因性疲乏状态,提高患者满意程度。Objective To study the clinical value of implementing the happiness model(PERMA)in the cognitive nursing of patients with colorectal cancer undergoing chemotherapy.Methods A total of 92 patients with colorectal cancer(CN)were selected from January 2023 to March 2024.Grouping method:according to the different nursing methods were divided into 2 groups,46 cases in each group.The control group received routine nursing intervention,and the observation group received PERMA mode cognitive nursing.The stigma,negative emotion,cancer-related fatigue and satisfaction after nursing were compared between the two groups.T test was used for normal measurement data,and x~2 test was used for count data.Results After nursing,the perceived devaluation-discrimination scale(PDD)score of the two groups decreased simultaneously,and the score of the observation group was lower than that of the control group(P<0.05).After nursing,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the two groups were decreased,and the score of the observation group was lower than that of the control group(P<0.05).The score of Piper fatigue score(PFS)in all dimensions showed little difference between the groups before nursing(P>0.05),and the score of the observation group after nursing was lower(P<0.05).The total satisfaction rate of observation group was 97.83%higher than that of control group 80.00%(P<0.05).Conclusion PERMA model of cognitive nursing can effectively reduce the stigma and bad mood of patients with colorectal cancer chemotherapy,and can also improve the status of cancer-related fatigue and improve patients'satisfaction.

关 键 词：结直肠癌 化疗 幸福论模型护理 认知护理 病耻感 癌因性疲乏 

分 类 号：R47[医药卫生—护理学]