基于PERMA心理干预模式的空肠营养护理对重症急性胰腺炎患者负性情绪及希望水平的影响  

Impact of jejunal nutrition care based on the PERMA model on negative emotions and hope level in patients with severe acute pancreatitis

作　　者：杨柳[1] 陈玄[1] 蓝彩华 YANG Liu;CHEN Xuan;LAN Caihua(Department of Critical Care Medicine,the South Branch of Ganzhou People's Hospital,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市人民医院南院重症医学科,江西赣州341000

出　　处：《中国当代医药》2025年第11期147-150,155,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202311947)。

摘　　要：目的探讨PERMA心理干预模式下重症胰腺炎患者空肠营养护理对患者负性情绪及希望水平的影响。方法选择2020年1月至2024年3月赣州市人民医院收治的120例重症急性胰腺炎患者作为研究对象,按照随机数字表法分为对照组和PERMA组,每组60例,其中对照组患者行常规护理干预加用空肠营养干预,PERMA组患者在对照组基础上应用PERMA心理干预模式方案。比较两组患者的护理满意度、急性生理学和慢性健康状况评价Ⅱ(APACHEⅡ)、住院时间、退热时间、腹痛缓解时间、肠鸣音恢复时间、排气时间、排便时间、恐惧疾病进展简化量表(FoP-Q-SF)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、Herth希望指数量表(HHI)及不良反应发生情况。结果PERMA组患者护理总满意度和HHI均高于对照组,差异有统计学意义(P<0.05)。PERMA组患者的住院时间、退热时间、腹痛缓解时间、肠鸣音恢复时间、排气时间、排便时间均短于对照组,差异有统计学意义(P<0.05)。干预后,PERMA组患者FoP-Q-SF、SAS、SDS、APACHEⅡ及不良反应总发生率均低于对照组,差异有统计学意义(P<0.05)。结论PERMA心理干预模式在重症急性胰腺炎患者空肠营养干预中的应用可有效缓解患者负性情绪并提升希望水平,对患者的胃肠功能恢复也有一定促进作用。Objective To investigate the effect of jejunal nutrition care on negative emotions and hope level in patients with severe acute pancreatitis under PERMA psychological intervention mode.Methods A total of 120 patients with severe acute pancreatitis admitted to Ganzhou People's Hospital from January 2020 to March 2024 were selected as the study subjects,and they were divided into control group and PERMA group by random number table method,with 60 patients in each group.The control group received routine nursing intervention combined with jejunal nutrition intervention.The PERMA group was applied to the PERMA psychological intervention model based on the control group.The nursing satisfaction,acute physiology and chronic health evaluationⅡ(APACHEⅡ),length of hospital stay,fever remission time,abdominal pain relief time,bowel sound recovery time,flatus time,defecation time,fear of progression questionnaire-short form(FoP-Q-SF),self-rating anxiety scale(SAS),self-rating depression scale(SDS),Herth hope index(HHI),and incidence of adverse reactions were compared between the two groups of patients.Results The total nursing satisfaction and HHI score in the PERMA group were higher than those in control group,with statistical significances(P<0.05).The length of hospital stay,fever remission time,abdominal pain relief time,bowel sound recovery time,flatus time,and defecation time in the PERMA group was shorter than that in control group,with statistical significances(P<0.05).The scores of FoP-Q-SF,SAS,SDS,APACHEⅡand total incidence of adverse reactions in the PERMA group after intervention were lower than those in control group,with statistical significances(P<0.05).Conclusion The application of the PERMA model in jejunal nutrition intervention for patients with severe acute pancreatitis can effectively alleviate negative emotions and enhance hope levels,while also promoting the recovery of gastrointestinal function.

关 键 词：重症急性胰腺炎 PERMA心理干预模式 空肠营养护理 负性情绪 希望水平 

分 类 号：R576[医药卫生—消化系统]