Application of positive psychological nursing based on PERMA model in elderly patients with coronary heart disease and chronic heart failure
基于PERMA模式的积极心理护理在老年冠心病合并慢性心力衰竭患者中的应用

摘要

目的 探讨采用PERMA模式的积极心理干预对于冠心病并慢性心力衰竭的老年群体的临床价值。方法 选取2022年10月至2024年10月本院心内科收治的91位符合条件的冠心病并慢性心力衰竭的老年患者临床资料，通过随机数表法将其分为接受常规护理的对照组（n=45）与接受基于PERMA框架的心理支持的观察组（n=46）。观察护理效果。结果 干预后，观察组自我参与经验不协调、自我灵活性、自我刻板性评分优于对照组（P<0.05）；观察组的LVEF、6MWT评分高于对照组，LVEDD评分低于对照组（P<0.05）；观察组遵医行为、ESCA评分高于对照组（P<0.05）。结论 将基于PERMA模式的积极心理护理应用于冠心病合并慢性心力衰竭患者中，有利于心脏机能的康复。

Abstract

Objective To explore the clinical value of active psychological intervention using PERMA model in the elderly population with coronary heart disease and chronic heart failure.
Methods The clinical data of 91 elderly patients with eligible coronary heart disease and chronic heart failure admitted to the Department of Cardiology of this hospital from October 2022 to October 2024 were selected. They were divided into control group receiving routine care (n=45) and observation group receiving psychological support based on the PERMA framework (n=46) through random number table method. Observe the nursing effect.
Results After the intervention, the self-participation experience in the observation group was not coordinated, self-flexibility, and self-steretic scores were better than those in the control group (P<0.05); the LVEF and 6MWT scores in the observation group were higher than those in the control group, and the LVEDD scores were lower than those in the control group (P<0.05); the medical behavior and ESCA scores in the observation group were higher than those in the control group (P<0.05).
Conclusion   Applying positive psychological care based on PERMA model to patients with coronary heart disease and chronic heart failure is conducive to the recovery of heart function.