基于幸福PERMA模型的肝切除术后恐动症患者护理干预方案的构建与应用OA

Summary This study aimed to investigate effect of an nursing intervention program based on the positive emotion,engagement,relationship,meaning,accomplishment(PERMA)happiness model on patients with kinesiophobia after hepatectomy for liver cancer.A total of 100 patients with liver cancer who developed kinesiophobia following hepatectomy were recruited from the Department of Hepatobiliary Surgery at Quzhou People's Hospital between June 2024 and June 2025.Using a random number table method,patients were assigned to either a control group(n=50)or an experimental group(n=50).The control group received routine perioperative nursing,while the experimental group received an additional intervention based on the PERMA happiness model.Post-intervention outcomes,including kinesiophobia score,exercise compliance score,pain score,and early postoperative rehabilitation indices,were compared between the two groups.The results indicated that after the intervention,the experimental group had a significantly lower kinesiophobia score than the control group[(38.61±2.69)vs(50.20±2.85),t=-20.700,P<0.001]and a higher exercise compliance score[(45.41±2.20)vs(43.69±3.16),t=3.115,P=0.003].Furthermore,the experimental group demonstrated shorter times for first getting out of bed[(39.69±1.67)h vs(42.92±5.95)h,t=-2.664,P=0.009],first exhaust time[(43.86±3.29)h vs(46.22±4.56)h,t=-2.946,P=0.004],and first defecation time[(61.22±2.81)h vs(63.98±7.27)h,t=-2.475,P=0.015]compared to the control group.A repeated measures analysis of variance revealed that the main effects of time(F=329.528,P<0.001)and groups(F=19.917,P<0.001)on pain scores were statistically significant across the four assessment points(postoperative 6 h,3 d,6 d,and the day of discharge);however,the interaction effect between time and group was not significant(F=1.453,P=0.230).Therefore,the intervention program based on the PERMA model is a safe and effective approach for managing kinesiophobia in patients after hepatectomy,effectively reducing its severity.