余丽珍

【摘要】 目的：探讨PERMA幸福护理联合虚拟现实（VR）技术在乳腺癌术后康复护理中的影响。方法：将2020年5月—2023年5月在鹰潭市人民医院行乳腺癌切除术的60例患者作为研究对象，并按随机数字表法分为两组，每组30例。两组均干预2个月，对照组患者接受常规护理，观察组在对照组的基础上进行PERMA幸福护理联合VR技术干预。比较两组乳腺癌患者生命质量测定量表（FACT-B）、焦虑自评量表（SAS）和抑郁自评量表（SDS）、总体幸福感量表（GWB）和治疗依从性。结果：干预后观察组FACT-B、GWB评分均高于对照组，SAS和SDS评分均低于对照组，差异均有统计学意义（P<0.05）；观察组治疗总依从性显著高于对照组，差异有统计学意义（P<0.05）。结论：PERMA幸福护理联合VR技术能够明显提升患者的生活质量和幸福感，改善患者负面心理状态，促进乳腺癌术后患者的康复。

【关键词】 乳腺癌 PERMA幸福护理 虚拟现实技术 康复护理

Study on the Application of PERMA Well-being Nursing Combined with Virtual Reality Technology in Rehabilitation Nursing after Breast Cancer Surgery/YU Lizhen. //Medical Innovation of China， 2024， 21（13）： 0-087

[Abstract] Objective： To investigate the effect of PERMA well-being nursing combined with virtual reality （VR） technology in rehabilitation nursing after breast cancer surgery. Method： A total of 60 patients underwent breast cancer resection in Yingtan City People's Hospital from May 2020 to May 2023 were divided into two groups according to random number table method， with 30 cases in each group. Both groups were given 2 months of intervention. Patients in the control group received routine nursing， and the observation group received PERMA well-being nursing combined with VR technology intervention on the basis of the control group. The functional assessment of cancer therapy-breast cancer （FACT-B）， self-rating anxiety scale （SAS）， self-rating depression scale （SDS）， general well-being schedule （GWB） and therapy adherence were compared between the two groups. Result： After intervention， FACT-B and GWB scores in observation group were higher than those in control group， SAS and SDS scores were lower than those in control group， the differences were statistically significant （P<0.05）. The total therapy adherence of the observation group was significantly higher than that of the control group， the difference was statistically significant （P<0.05）. Conclusion： PERMA well-being nursing combined with VR technology can obviously improve the quality of life and well-being of patients， improve their negative mental state and promote the rehabilitation of patients after breast cancer surgery.

[Key words] Breast cancer PERMA well-being nursing Virtual reality technology Rehabilitation nursing

First-author's address： General Surgery Ⅰ Ward， Yingtan City People's Hospital， Yingtan 335000， China

doi：10.3969/j.issn.1674-4985.2024.13.019

乳腺癌是女性常见恶性肿瘤之一，其发病率居我国女性恶性肿瘤首位，并呈现出逐年递增、年轻化的趋势，临床通常采用手术切除加以化疗、放疗的方式达到疾病根治的目的[1]。但手术的创伤较大，易引起伤口感染等并发症，并且化疗、放疗也会对患者机体造成一定伤害，极大限度地影响患者的生活质量，还会使患者产生不良心理情绪和心理负担，不利于患者的预后[2-3]，所以探寻一种有效的护理干预模式来开展康复护理对乳腺癌术后患者的早期恢复意义重大。PERMA幸福护理包括积极情绪、投入、人际关系、意义、成就5个方面，通过这5个方面寻找患者在治疗期间的积极情绪，以消除消极情绪，提升患者的幸福感[4]。有研究发现，应用虚拟现实（VR）技术于脑卒中、产妇分娩等护理中，能够起到促进功能康复、改善心理状态的作用。……