|
|
基于PERMA模式的积极心理干预在脑卒中患者中应用的Meta分析
|
Abstract:
目的：系统评价基于PERMA模式的积极心理干预在脑卒中患者中应用的效果评价。方法：计算机检索中、英文数据库(中国知网、万方数据库、维普数据库、Sinomed、Cochrane Library、Pub Med、Embase、Web of Science)，检索时限为建库至2023年3月31日。使用RevMan 5.3统计学软件进行Meta分析。结果：共纳入4篇文献，共297例研究对象。Meta分析结果显示，与常规护理相比，PERMA干预能提高脑卒中患者的创伤后成长[MD = 11.08, 95% CI (7.89, 14.27), P < 0.00001]、主观幸福感[MD = 1.97, 95% CI (1.21, 2.74), P < 0.00001]、伤残接受度[MD = 10.90, 95% CI (7.30, 14.49), P < 0.00001]。结论：基于PERMA模式的积极心理干预能够提高脑卒中患者的创伤后成长、主观幸福感和伤残接受度。
Objective: To systematically evaluate the effect of the application of positive psychological interven-tion in stroke patients based on PERMA model. Methods: A computer search of Chinese and English databases (China Knowledge Network, Wanfang Database, Wipu Database, Sinomed, Cochrane Li-brary, Pub Med, Embase, Web of Science) was conducted from the date of creation to 31 March 2023. Meta-analysis was performed using RevMan 5.3 statistical software. Results: A total of 297 subjects were included in 4 literatures. Meta-analysis results showed that compared with conven-tional care, PERMA intervention could improve post-traumatic growth of stroke patients [MD = 11.08, 95% CI (7.89, 14.27), P < 0.00001], subjective well-being [MD = 1.97, 95% CI (1.21, 2.74), P < 0.00001], disability acceptance [MD = 10.90, 95% CI (7.30, 14.49), P < 0.00001]. Conclusion: Posi-tive psychological intervention based on PERMA model can improve post-traumatic growth, subjec-tive well-being and disability acceptance in stroke patients.
| [1] | 陈巧鸽, 金莹, 等(2018). 家庭照顾者参与功能锻炼计划对脑卒中恢复期患者生活自理能力的影响. 护理与康复, 17(3), 67-68. |
| [2] | 崔萍, 热依娜, 等(2017). 基于跨理论模型的社区家庭访视护理对老年脑卒中患者主动参与功能锻炼依从性的效果研究. 护理管理杂志, 17(11), 837-840. |
| [3] | 郭华, 徐艳贺, 等(2021). 幸福PERMA模式对高血压脑出血患者伤残接受程度和心理健康的影响. 中国健康心理学杂志, 29(6), 899-903. |
| [4] | 李婷, 熊钰, 等(2018). 缺血性脑卒中患者伤残接受度与生活质量的相关性研究. 护理学杂志, 33(3), 40-43. |
| [5] | 刘清玄, 张振香, 等(2021). 中青年脑卒中患者创伤后成长轨迹的纵向质性研究. 护理学杂志, 36(21), 65-68. |
| [6] | 罗珊, 李玉, 等(2020). 脑卒中患者伤残接受度研究进展. 护理学杂志, 35(11), 101-104. |
| [7] | 唐浪娟, 彭雨燕, 等(2018). 老年人首发脑卒中创伤后成长现状及影响因素. 中国老年学杂志, 38(10), 2527-2529. |
| [8] | 王瑞娟, 寇洁(2016). 积极心理干预对急性冠脉综合征病人负性情绪和生活质量的影响. 护理研究, 30(8), 3032-3034. |
| [9] | 杨芷, 童晓飞(2018). 伤残接受度的研究进展. 护理与康复, 17(3), 43-47. |
| [10] | 叶颖, 张琳婷, 等(2023). 感恩与社会幸福感的双向关系: 来自长期追踪法和日记法的证据. 心理学报, 55(7), 1087-1098. |
| [11] | 张侍玉, 李倩, 等(2023). 基于PERMA模式的积极心理干预对癌症患者主观幸福感和负性情绪影响的Meta分析. 中国健康心理学杂志, 31(5), 661-666. |
| [12] | 张延红, 刘岩, 等(2015). 心理干预对脑卒中患者生活质量的影响. 河北医药, 37(7), 1098-1100. |
| [13] | 朱婷, 方艳春, 等(2020a). PERMA模式下心理干预对脑卒中伤残患者创伤后成长及主观幸福感的影响. 解放军护理杂志, 37(6), 43-46. |
| [14] | 朱婷, 黄雅莲, 等(2020b). 基于PERMA模式的积极心理干预对脑卒中病人伤残接受度及自理能力的影响. 护理研究, 34(6), 965-970. |
| [15] | Boot, E., Ekker, M. S. et al. (2020). Ischaemic Stroke in Young Adults: A Global Perspective. Journal of Neurology, Neurosurgery & Psychiatry, 91, 411-417. https://doi.org/10.1136/jnnp-2019-322424 |
| [16] | Clarke, P., Marshall, V. et al. (2002). Well-Being after Stroke in Cana-dian Seniors: Findings from the Canadian Study of Health and Aging. Stroke, 33, 1016-1021. https://doi.org/10.1161/01.STR.0000013066.24300.F9 |
| [17] | García-Pérez, P., del C. Rodríguez-Martínez, M., Lara, J. P., & de la Cruz-Cosme, C. (2021). Early Occupational Therapy Intervention in the Hospital Discharge after Stroke. Interna-tional Journal of Environmental Research and Public Health, 18, Article 12877. https://doi.org/10.3390/ijerph182412877 |
| [18] | Kuenemund, A., Zwick, S. et al. (2016). (Re-)Defining the Self-Enhanced Posttraumatic Growth and Event Centrality in Stroke Survivors: A Mixed-Method Approach and Control Comparison Study. Journal of Health Psychology, 21, 679-689. https://doi.org/10.1177/1359105314535457 |
| [19] | Morgan, B., & Simmons, L. (2021). A “PERMA” Response to the Pandemic: An Online Positive Education Programme to Promote Wellbeing in University Students. Frontiers in Education, 6, Article 642632.
https://doi.org/10.3389/feduc.2021.642632 |
| [20] | Seligman, M. E. (2011). Flourish: A Visionary New Understanding of Happiness and Well-Being. Simon and Schuster. |
| [21] | Shaghaghi, F., Abedian, Z. et al. (2019). Effect of Positive Psychol-ogy Interventions on Psychological Well-Being of Midwives: A Randomized Clinical Trial. Journal of Education and Health Promotion, 8, 160. |
| [22] | Slavin, S. J., Schindler, D. et al. (2012). PERMA: A Model for Institutional Leadership and Cul-ture Change. Academic Medicine, 87, 1481. https://doi.org/10.1097/ACM.0b013e31826c525a |
| [23] | Tu, M., Wang, F. et al. (2021). Influences of Psychological Intervention on Negative Emotion, Cancer-Related Fatigue and Level of Hope in Lung Cancer Chemotherapy Patients Based on the PERMA Framework. Iranian Journal of Public Health, 50, Article 728. https://doi.org/10.18502/ijph.v50i4.5997 |
| [24] | Zheng, Z., Song, R. et al. (2023). Effects of the PERMA Model-Based Psychological Intervention on Well-Being and Post-Traumatic Growth Levels in Young and Middle-Aged Stroke Patients. https://doi.org/10.21203/rs.3.rs-2453804/v1 |
