目的：探究 PERMA 模式下心理干预联合渐进性肌肉放松训练（PMR）在机器人辅助宫颈癌根治术后 放疗患者中的应用效果。方法：选取 2017 年 1 月—2024 年 1 月空军军医大学第一附属医院妇产科收治的 100 例行 机器人辅助宫颈癌根治术后放疗患者。采用随机数字表法简单分成两组，对照组 50 例实施常规护理，观察组 50 例 在对照组的基础上实施 PERMA 模式心理干预结合 PMR。比较两组患者 Piper 疲乏量表（PFS）、创伤后应激障碍量 表平民版（PCL-C）评分以及术后并发症发生情况。结果：干预后 3 个月，两组患者 PFS 评分、PCL-C 评分均低于 干预前；与对照组相比，观察组 PFS、PCL-C 评分更低，并发症总发生率更低（P<0.05）。结论：PERMA 模式下心 理干预联合 PMR 应用于机器人辅助宫颈癌根治术后放疗患者的护理中，具有重要的实践价值和推广意义，这一综 合护理模式有望为患者提供更加全面、个性化的护理支持，促进患者的身心康复，提高生活质量。

Objective: To investigate the application effect of psychological nursing intervention combined with progressive muscle relaxation (PMR) under PERMA model on patients who underwent radiation therapy after robot-assisted radical hysterectomy for cervical cancer. Methods: 100 patients who underwent radiation therapy after robot-assisted radical hysterectomy for cervical cancer in the First Affiliated Hospital of Air Force Military Medical University from January 2017 to January 2024 were selected. They were divided into the control group (n=50) and the observation group (n=50) using a random number table. The control group received conventional nursing care, and the observation group received psychological nursing intervention combined with PMR under PERMA model. The Piper fatigue scale (PFS) scores, posttraumatic stress disorder checklist-civilian version (PCL-C) scores, and the incidence of postoperative complications of patients in the two groups were compared. Results: 3 months after intervention, PFS and PCL-C scores in the two groups were both lowered than that before intervention. Compared with the control group, the observation group had lower PFS and PCL-C scores, and a lower overall incidence rate of complications (P<0.05). Conclusion: Application of psychological intervention combined with PMR under the PERMA model in patients undergoing radiation therapy after robot-assisted radical hysterectomy for cervical cancer could provide more comprehensive and personalized nursing support for patients, contribute to promote physical and psychological recovery of patients, and improve their quality of life, which has significant value in clinical practice and promotion.

收稿日期：2024-01-18  录用日期：2024-03-13 

Received Date: 2024-01-18  Accepted Date: 2024-03-13 

基金项目：陕西省科学技术计划项目（2020SF-162） 

Foundation Item: Science and Technology Plan Project of Shaanxi Province (2020SF-162) 

通讯作者：郝雪瑞，Email：haosirhappy_713@sina.com 

Corresponding Author: HAO Xuerui, Email: haosirhappy_713@sina.com 

引用格式：田佳兴，郝雪瑞，张红菊，等 . PERMA 模式下心理干预联合渐进性肌肉放松训练在机器人辅助宫颈癌根治术后放疗患 者中的应用 [J]. 机器人外科学杂志（中英文），2024，5（6）：1083-1087. 

Citation: TIAN J X, HAO X R, ZHANG H J, et al. Application effect of psychological intervention combined with progressive muscle relaxation training under PERMA model on patients undergoing radiation therapy after robot-assisted radical hysterectomy for cervical cancer[J]. Chinese Journal of Robotic Surgery, 2024, 5(6): 1083-1087.

[1] 李琳 , 赵倩 , 郝璐瑶 , 等 . 机器人辅助腹腔镜下子宫颈癌术后 盆腔淋巴囊肿形成的危险因素分析 [J]. 中国妇产科临床杂志 , 2022, 23(2): 124-126. 

[2] Aubrey C, Pond G R, Helpman L, et al. Oncologic outcomes of surgically treated cervical cancer with no residual disease on hysterectomy specimen: a 4C (Canadian Cervical Cancer Collaborative) working group study[J]. Curr Oncol, 2023, 30(2): 1977-1985. 

[3] 陈宝杰 , 杜丹 , 邓宇 , 等 .106 例局部晚期宫颈癌根治性同步放 化疗的临床疗效及预后影响因素 [J]. 现代妇产科进展 , 2023, 32(3): 207-213. 

[4] 李月 , 赖巧蓉 , 周娟 , 等 . 宫颈癌术后同步放化疗患者自我管理 现状及其影响因素的研究 [J]. 中国性科学 , 2023, 32(4): 59-62. 

[5] Tanaka T, Ueda S, Miyamoto S, et al. Comparison of prognosis between minimally invasive and abdominal radical hysterectomy for patients with early-stage cervical cancer[J]. Curr Oncol, 2022, 29(4): 2272-2283. 

[6] LIU X L, HOU X R, HU K, et al. Risk factors for nodal failure in patients with FIGO Ⅲ C cervical cancer receiving definitive imageguided radiotherapy[J]. Curr Oncol, 2023, 30(12): 10385-10395. 

[7] 龚雪 , 黎埔君 , 李津津 , 等 . 机器人辅助腹腔镜妇科手术的安 全性及可行性分析 [J]. 中国实用妇科与产科杂志 , 2022, 38(5): 550-552. 

[8] ZHANG J, CHEN J, YANG X Q, et al. Novel risk prediction models, involving coagulation, thromboelastography, stress response, and immune function indicators, for deep vein thrombosis after radical resection of cervical cancer and ovarian cancer[J]. J Obstetrics Gynaecol, 2023, 43(1): 2204162. 

[9] 现状与思辨 [J]. 中华医学杂志 , 凌开建 , 梁志清 . 子宫颈癌根治术开腹与微创手术路径选择的 2022, 102(26): 1967-1972. 

[10] 中国抗癌协会妇科肿瘤专业委员会 . 子宫颈癌诊断与治疗指南 (2021 年版 )[J]. 中国癌症杂志 , 2021, 31(6): 474-489. 

[11] Karnofsky D A. Chemotherapy of neoplastic disease[J]. N Engl J Med, 1948, 239(8): 299-305. 

[12] So W K W, Dodgson J, Tai J W M. Fatigue and quality of life among Chinese patients with hematologic malignancy after bone marrow transplantation[J]. Cancer Nurs, 2003, 26(3): 220-221. 

[13] Weathers F, Ford J. Psychometric review of PTSD Checklist (PCL-C, PCL-S, PCL-M, PCL-PR)[J]. J Trauma Stress, 1996, 9(4): 250-251. 

[14] 聂斌 , 于静萍 , 孙威 , 等 . ⅠB1~ ⅡA 具有中危复发因素的宫颈 癌患者术后不同治疗模式对预后影响的分析 [J]. 中华放射医学 与防护杂志 , 2021, 41(11): 818-823. 

[15] 颜文娟 , 朱慧婷 . 宫颈癌患者根治性手术辅助放化疗后复发 的早期死亡影响因素分析 [J]. 医学研究生学报 , 2021, 34(10): 1073-1076. 

[16] 李伟兰 , 谢宗源 , 王雅静 , 等 .IVIM-MRI 在宫颈癌根治性同步 放化疗效果评价中的应用价值 [J]. 中国医药导报 , 2022, 19(19): 160-163. 

[17] Courcier H, Azaïs H, Belghiti J, et al. Minimally invasive surgery for early-stage cervical cancer: Rediscovering the Schautheim robotassisted procedure[J]. J Gynecol Obstet Hum Reprod, 2021, 50(2): 101980. 

[18] 郝沛 , 金瑞华 , 淮盼盼 , 等 . 基于 PERMA 模式的积极心理干 预在宫颈癌放化疗病人中的应用 [J]. 护理研究 , 2023, 37(21): 3975-3980. 

[19]   刘楷东 , 孙岩萍 .不同辅助治疗方式对术后存在中危因素 子宫颈癌患者的疗效分析 [J]. 肿瘤研究与临床 , 2023, 35(7): 532-536. 

[20] 胡英 , 徐燕 , 韩雪 , 等 . 协同护理指导下积极心理干预联合渐进 性肌肉放松训练在甲状腺肿瘤病人围手术期的应用 [J]. 蚌埠医 学院学报 , 2022, 47(9): 1310-1313, 1317. 

[21] 张丹 , 孙秀云 , 周丽娜 , 等 . 盆底肌肉康复训练联合盆底重建术 对女性盆底功能障碍性疾病患者炎症反应及应激反应的影响 [J]. 现代生物医学进展 , 2022, 22(1): 187-191. 

[22] 胡航 , 黄领 , 卜嫚嫚 , 等 . 基于前馈控制模式的综合优质护理 对宫颈癌根治术后恢复及并发症的影响 [J]. 海南医学 , 2022, 33(6): 810-813.