Influences of Psychological Intervention on Negative Emotion, Cancer-Related Fatigue and Level of Hope in Lung Cancer Chemotherapy Patients Based on the PERMA Framework

Abstract

Background: Psychological status is a decisive factor for regulating the lung cancer chemotherapy patients’ levels of fatigue and hope. Using the PERMA (Positive Emotion, Engagement, Relationships, Meaning, and Accomplishment) framework. We aimed to explore the influences of the psychological intervention on the patients’ negative emotion, cancer-related fatigue, and level of hope.
 Method: A total of 100 lung cancer chemotherapy patients admitted in Wuhan No.4 Hospital, China, from Jan 2018 to Aug 2019 were enrolled as research objects divided into the control group and observation group. Positive psychological intervention using the PERMA framework was given to the observation group. The scores of Post-Traumatic Growth Inventory (PTGI), Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), Cancer Fatigue Scale (CFS), and Herth Hope Index (HHI) were evaluated and compared in the two groups.
 Results: After the intervention, PTGI score in the observation group is higher than that in the control group, whereas the SAS and SDS scores are lower in the observation group than in the control group, and the differences are statistically significant (P<0.05). Score of each CFS dimension and total CFS score in the observation group are all lower than those in the control group, with statistically significant differences (P<0.05). Score of each HHI dimension and total HHI score are higher than those in the control group, and the differences are statistically significant (P<0.05).
 Conclusion: Positive psychological intervention using the PERMA framework can improve the emotional and fatigue state of lung cancer chemotherapy patients and elevate their level of hope.

Continuity of Care plus Whole Process Psychological Intervention for Lung Cancer Patients undergoing Chemotherapy

“…Chemotherapy can inhibit the growth of cancer cells but may result in collateral damage to adjacent normal cells, which elicits multiple complications after treatment [ 2 ]. It has been reported that lung cancer patients after chemotherapy are prone to adverse psychological states such as depression, anxiety, fatigue, and irritability [ 3 , 4 ]. Moreover, lax treatment compliance may cause disease recurrence [ 5 ].…”

Improvement Effect of PERMA Model-Based Nursing Intervention plus Music Therapy on Patients with Acute Liver Failure Undergoing Plasma Exchange Therapy

“…Music therapy is a systematic interventional process in which the therapist utilizes various forms of musical experience, and the therapeutic relationship is developed during the course of therapy as a therapeutic motivator to help the treated person achieve healthy goals. Today, the PERMA model-based nursing concept has been gradually popularized in clinical practice, and excellent results have been achieved in the treatment of lung cancer, posttraumatic stress disorder, and other diseases [ 10 , 11 ]. But its application effect in AHF is still unclear.…”

Adding Granularity of COPD Self-Management to Impact Quality of Life

“…18 The Positive emotions, Engagement, Relationships, Meaning and Accomplishment model (PERMA) may represent a meaningful framework for positive psychology interventions to enhance positivity and hope. [19][20][21] We interpret the association found between emotional function and finding an agreeable activity related to the concept of "optimal experience or flow." When people do activities that they love, they are completely in the present moment, oblivious to anything else.…”

“…22 In the flow state, the attention shifts to the task at hand, allowing symptoms and limitations to fade. 21 Another key component associated with emotions revealed in this analysis is nurturing (active effort) supportive relationships. Our results confirm and extend the previous report about the need to address the quality of relationships and caregiving to improve difficult emotions (anxiety/depression).…”