摘要
目的探讨基于PERMA模型的心理干预对非梗阻性无精子症患者心理健康状况、幸福指数及积极心理品质的影响。方法将行穿刺取精的64例非梗阻性无精子症患者按数字表法随机分为研究组(34例)和对照组(30例)。对照组接受常规护理干预,研究组在对照组基础上接受基于PERMA模型的心理干预,干预6周,随访2周复诊。干预前后及随访2周采用一般健康问卷、PERMA幸福指数量表以及积极心理品质量表评定患者的健康状况、幸福感及积极心理品质,比较两组上述量表评分。结果干预后及随访2周研究组一般健康问卷总分及自我肯定、焦虑维度评分较干预前显著降低(P<0.05或0.01),且显著低于对照组(P<0.05或0.01)。干预后及随访2周,研究组PERMA幸福指数量表总分及积极情绪、投入、意义维度评分均较干预前显著升高(P<0.05或0.01),且显著高于对照组(P<0.05或0.01),但关系维度评分两组间及干预前后组内比较差异均无统计学意义(P>0.05)。干预后及随访2周,研究组积极心理品质量表总分及勇气、正义、自制、精神卓越维度评分均较干预前显著升高(P<0.05或0.01),且显著高于对照组(P<0.05或0.01)。对照组上述量表评分干预前后及随访2周组内比较差异无统计学意义(P>0.05)。结论基于PERMA的心理干预能够显著提升非梗阻性无精子症患者的积极心理品质、幸福指数,改善其心理健康状况,优于常规护理干预。
Objective To explore the influences of psychological intervention based on PERMA model on mental health status,well-being indexes and positive psychological traits of patients with non-obstructive azoospermia(NOA).Methods A total of 64 NOA patients undergoing puncture sperm extraction were divided into research(n=34)and control(n=30)group according to random number table.Control group received routing nursing interventions,on this basis the research was plus psychological intervention based on PERMA model for 6 weeks,they were followed up for 2 weeks after intervention.Mental health status,well-being indexes and positive psychological traits were assessed with the General Health Questionnaire(GHQ),PERMA Index of Well-being(IWB)and Positive Psychological Quality Scale(PPQS)before and after intervention as well as in 2 week follow-up,respectively,and scores on above-mentioned scales compared between two groups.Results After intervention and in 2 week follow-up total,self-affirmation and anxiety score of the GHQ lower more significantly compared with pre-intervention in research group(P<0.05 or 0.01)and were significantly lower than in control group(P<0.05 or 0.01).After intervention and in 2 week follow-up total,positive emotion,engagement and meaning score of the IWB elevated more significantly compared with pre-intervention in research group(P<0.05 or 0.01)and were significantly higher than in control group(P<0.05 or 0.01).Inter-group as well as pre-and post-intervention intra-group relationship score had no obvious differences(P>0.05).After intervention and in 2 week follow-up total,courage,justice,self-control,and spiritual excellence scores of the PPQS elevated more significantly compared with pre-treatment in research group(P<0.05 or 0.01)and were significantly higher than in control group(P<0.05 or 0.01).Scores on above-mentioned scales had no obvious differeneces in control group before and after intervention as well as in 2 week follow-up(P>0.05).Conclusion PERMA-based psychological intervention could significantly promote positive psychological quality and well-being index,improve mental health status of NOA patients,and is more superior to routine nursing intervention.
作者
梁玉玲
程露瑶
杨萍
陈建华
Liang Yuling;Cheng Luyao;Yang Ping;Chen Jianhua(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan,China)
出处
《临床心身疾病杂志》
CAS
2023年第2期138-142,共5页
Journal of Clinical Psychosomatic Diseases
基金
河南省科技攻关项目(编号182102310139)。
