PERMA模式在老年慢阻肺患者肺功能与生活质量改善中的应用研究

Application of PERMA model in improving lung function and quality of life in elderly patients with COPD

中文关键词: 老年  慢性阻塞性肺疾病  PERMA模式  心理健康  生活质量

英文关键词: elderly  chronic obstructive pulmonary disease  PERMA model  mental health  quality of life

中文摘要:

      目的 本研究通过分析PERMA模式下激励干预对老年COPD患者心理健康和生活质量的影响,以期为临床积极心理学的干预应用提供更多试验依据.方法 回顾性分析2020年12月—2022年12月在首都医科大学附属北京朝阳医院接受治疗的90例老年COPD患者的临床资料,依据不同的干预方式将患者分为观察组(45例)和对照组(45例).对照组患者行常规干预,观察组在与对照组相同干预基础上加用PERMA模式下激励干预,2组患者均持续干预2周.干预前后对2组应用简明心境问卷(POMS-SF)评估心理健康,采用健康状况问卷量表(SF-36)评估生活质量,记录2组肺功能指标值,并对上述检测值进行比较和统计学分析.结果 干预前,观察组和对照组患者POMS-SF各分量表评分差异均无统计学意义(P＞0.05).干预后,观察组和对照组患者精力-活力评分均较同组干预前升高,迷惑-混乱、紧张-焦虑、疲乏-迟钝、抑郁-沮丧和愤怒-敌意评分均较同组干预前降低,且观察组精力-活力评分高于对照组,迷惑-混乱、紧张-焦虑、疲乏-迟钝、抑郁-沮丧和愤怒-敌意评分均低于对照组,差异均有统计学意义(P＜0.05).干预前,观察组和对照组患者SF-36量表评分差异均无统计学意义(P＞0.05).干预后,观察组和对照组患者总体健康、生理功能、活力、生理职能、情感职能、社会功能、精神健康和躯体疼痛评分均较同组干预前升高(P＜0.05),且观察组SF-36量表各项评分均高于对照组(P＜0.05).干预前,观察组和对照组患者FVC、FEV1、FEV1/FVC值差异均无统计学意义(P＞0.05);干预后,观察组和对照组患者FVC、FEV1/FVC值均较同组干预前升高,且观察组FVC、FEV1/FVC值高于对照组(均P＜0.05).结论 PERMA模式下激励干预可能改善老年慢阻肺患者心理健康与生活质量,提高患者的肺功能水平,改善患者的预后.

英文摘要:

      Objective To analyze the effects of incentive intervention under the PERMA model on the mental health and quality of life of elderly patients with chronic obstructive pulmonary disease(COPD),and provide more experimental basis for the application of positive psychology intervention in clinical practice.Methods The clinical data of 90 elderly patients with COPD who were treated in Beijing Chaoyang Hospital,Capital Medical University from December 2020 to December 2022 were retrospectively analyzed.According to different intervention methods,they were divided into control group(45 cases)and observation group(45 cases).The control group received routine intervention,and the observation group received incen-tive intervention under the PERMA model on the basis of the control group.The intervention lasted for 2 weeks in both groups.Before and after the intervention,the mental health of patients was assessed by the Brief Mood Questionnaire(POMS-SF),their quality of life was assessed by the Health Status Questionnaire Scale(SF-36),and their pulmonary function indexes were recorded.The above values of the two groups were compared and statistically analyzed.Results Before intervention,there were no significant differences in the scores of each subscale of POMS-SF between the two groups(P＞0.05).After interven-tion,the energy-vitality scores of both groups were higher than those of the same group before intervention,and the scores of disorient-confusion,tension-anxiety,fatigation-lethargy,depression-frustration and anger-hostility were lower than those of the same group before intervention,while the energy-vitality score of the observation group was higher than that of the control group and the scores of disorient-confusion,tension-anxiety,fatiging-lethargy,depression-frustration and anger-hostility were all lower than those of the control group,with statistical significance(P＜0.05).Before intervention,there was no significant difference in SF-36 scale scores between the two groups(P＞0.05).After intervention,the scores of overall health,physio-logical function,vitality,physiological function,emotional function,social function,mental health and physical pain of both groups were higher than those of the same group before intervention,and SF-36 scale scores of the observation group were high-er than those of the control group(P＜0.05).Before intervention,there were no significant differences in the values of FVC,FEV1 and FEV1/FVC between both groups(P＞0.05).After intervention,the values of FVC and FEV1/FVC of both groups were higher than those of the same group before intervention,while the observation group were higher than the control group(P＜0.05).Conclusion Incentive intervention under PERM A model may improve the mental health and quality of life of elderly COPD patients,enhance their lung function,and improve their prognosis.