Tu Min, Wang Fan, Shen Sanying, Wang Hui, Feng Jing
Department of Respiratory Medicine, Wuhan No.4 Hospital, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Drug and Equipment, Wuhan Prevention and Treatment Center for Occupational Diseases, Wuhan, China.
Iran J Public Health. 2021 Apr;50(4):728-736. doi: 10.18502/ijph.v50i4.5997.
Psychological status is a decisive factor for regulating the lung cancer chemotherapy patients' levels of fatigue and hope. Using the PERMA (Positive Emotion, Engagement, Relationships, Meaning, and Accomplishment) framework. We aimed to explore the influences of the psychological intervention on the patients' negative emotion, cancer-related fatigue, and level of hope.
A total of 100 lung cancer chemotherapy patients admitted in Wuhan No.4 Hospital, China, from Jan 2018 to Aug 2019 were enrolled as research objects divided into the control group and observation group. Positive psychological intervention using the PERMA framework was given to the observation group. The scores of Post-Traumatic Growth Inventory (PTGI), Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), Cancer Fatigue Scale (CFS), and Herth Hope Index (HHI) were evaluated and compared in the two groups.
After the intervention, PTGI score in the observation group is higher than that in the control group, whereas the SAS and SDS scores are lower in the observation group than in the control group, and the differences are statistically significant (<0.05). Score of each CFS dimension and total CFS score in the observation group are all lower than those in the control group, with statistically significant differences (<0.05). Score of each HHI dimension and total HHI score are higher than those in the control group, and the differences are statistically significant (<0.05).
Positive psychological intervention using the PERMA framework can improve the emotional and fatigue state of lung cancer chemotherapy patients and elevate their level of hope.
心理状态是调节肺癌化疗患者疲劳和希望水平的决定性因素。运用PERMA(积极情绪、投入、人际关系、意义和成就)框架,我们旨在探讨心理干预对患者负面情绪、癌症相关疲劳和希望水平的影响。
选取2018年1月至2019年8月在中国武汉第四医院收治的100例肺癌化疗患者作为研究对象,分为对照组和观察组。对观察组采用基于PERMA框架的积极心理干预。评估并比较两组患者的创伤后成长量表(PTGI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、癌症疲劳量表(CFS)和赫斯希望指数(HHI)得分。
干预后,观察组PTGI得分高于对照组,而观察组SAS和SDS得分低于对照组,差异有统计学意义(<0.05)。观察组CFS各维度得分及CFS总分均低于对照组,差异有统计学意义(<0.05)。观察组HHI各维度得分及HHI总分均高于对照组,差异有统计学意义(<0.05)。
运用PERMA框架进行积极心理干预可改善肺癌化疗患者的情绪和疲劳状态,提高其希望水平。