基于PERMA模型的积极心理干预对帕金森病患者心理状态及生活质量的影响
Effects of positive psychology intervention based on the PERMA model on psychological status and quality of life in patients with Parkinson's disease.
作者信息
Yao Yao, Wang Chun-Juan, Yin Shao-Ya, Xu Gui-Zhi, Cheng Yi-Feng, Huang Qian-Qian, Jin Yi
机构信息
Department of Neurosurgery, Tianjin University of Traditional Chinese Medicine, 301617, Tianjin, China.
Department of Neurosurgery, Tianjin Huanhu Hospital, 300350, Tianjin, China.
出版信息
Heliyon. 2024 Sep 7;10(20):e36902. doi: 10.1016/j.heliyon.2024.e36902. eCollection 2024 Oct 30.
OBJECTIVE
To explore the effect of a positive psychology intervention based on the PERMA model on depressive mood and the quality of life of patients with Parkinson's disease (PD).
METHODS
A total of 60 patients with PD with depression hospitalised between February 2022 and February 2023 were selected using a convenience sampling method. They were divided into a study group (30 cases) and control group (30 cases) using the random number table method. The control group was given routine nursing, whereas the observation group was treated using the PERMA model of positive psychological intervention. The Unified Parkinson's Disease Rating Scale (UPDRS), Parkinson's Disease Quality-of-Life Questionnaire (PDQ-39), Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA), Positive and Negative Affect Schedule (PANAS), and Connor-Davidson Resilience Scale (CD-RISC) scores were collected and compared before and after the intervention, and patient care satisfaction after the intervention was also recorded and compared.
RESULTS
Statistically significant differences were identified in the UPDRS (t = 4.221, < 0.001), PDQ-39 (t = 5.331, < 0.001), HAMD (t = 4.298, < 0.001), HAMA (t = 3.412, < 0.001), CD-RISC (t = 3.426, < 0.001), and PANAS (t = 3.432, t = 4.523, < 0.001) scores. The UPDRS, PDQ-39, HAMD, HAMA, and negative emotion scores in the study group were lower than those in the control group, whereas the CD-RISC and positive emotion scores in the study group were higher than those in the control group. A significant difference in nursing satisfaction was also determined between the two groups (Z = -2.700, = 0.012), and this result was higher in the study group (93.33 %) than in the control group (73.33 %).
CONCLUSION
A positive psychology intervention using the PERMA model can effectively counter the negative psychological states of depression, anxiety, and negative emotion in patients with PD, thereby significantly improving their quality of life, psychological resilience levels, and patient satisfaction.
目的
探讨基于PERMA模型的积极心理干预对帕金森病（PD）患者抑郁情绪及生活质量的影响。
方法
采用便利抽样法，选取2022年2月至2023年2月期间住院的60例伴抑郁的PD患者。采用随机数字表法将其分为研究组（30例）和对照组（30例）。对照组给予常规护理，而观察组采用积极心理干预的PERMA模型进行治疗。收集并比较干预前后的统一帕金森病评定量表（UPDRS）、帕金森病生活质量问卷（PDQ-39）、汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）、正负性情绪量表（PANAS）和康纳-戴维森心理韧性量表（CD-RISC）评分，同时记录并比较干预后患者的护理满意度。
结果
UPDRS（t = 4.221，< 0.001）、PDQ-39（t = 5.331，< 0.001）、HAMD（t = 4.298，< 0.001）、HAMA（t = 3.412，< 0.001）、CD-RISC（t = 3.426，< 0.001）和PANAS（t = 3.432，t = 4.523，< 0.001）评分存在统计学显著差异。研究组的UPDRS、PDQ-39、HAMD、HAMA及负性情绪评分低于对照组，而研究组的CD-RISC及正性情绪评分高于对照组。两组护理满意度也存在显著差异（Z = -2.700，= 0.012），研究组（93.33%）高于对照组（73.33%）。
结论
采用PERMA模型的积极心理干预可有效对抗PD患者抑郁、焦虑及负性情绪等消极心理状态，从而显著提高其生活质量、心理韧性水平及患者满意度。
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