通讯作者: 梁桂英, 595181232@qq.com

DOI：10.12201/bmr.202601.00013

The impact of nursing intervention based on the PERMA model on the negative emotions of primiparous women

• 摘要：目的：探讨基于PERMA模式的护理干预对初产妇不良情绪的影响。方法：2024年2月—2025年8月选取南宁市妇幼保健院产科收治的初产妇120例为研究对象，基于随机数字表将初产妇分为观察组及对照组，每组各60例。对照组行产科常规性护理，观察组实施基于PERMA模式的护理干预，比较两组干预前后不良情绪、分娩自我效能、分娩产程、分娩结局及产妇对分娩的满意度。结果：干预后观察组焦虑评分(SAS: 38.69±2.96 vs 45.10±3.44)、抑郁评分(SDS: 37.89±3.85 vs 42.55±3.41)显著低于对照组(均P<0.001)。观察组分娩自我效能总分(258.74±7.96 vs 212.74±8.10)显著更高(P<0.001)。观察组第一、第二及总产程时间更短，自然分娩率(75.00% vs 50.00%)显著提升(P<0.01)，剖宫产率、产后出血率更低(均P<0.05)，产妇分娩满意率(98.33% vs 80.00%)显著提高(P<0.01)。结论：基于PERMA模式的护理干预能有效减轻初产妇不良情绪，增强产妇自我效能，缩短产妇分娩产程，预防不良妊娠结局，提升产妇分娩满意率。

  关键词： PERMA模式; 初产妇; 不良情绪; 分娩自我效能; 产程; 满意率

   

  Abstract: Objective: To investigate the impact of nursing interventions based on the PERMA model on adverse emotions in primiparous women. Methods: From February 2024 to August 2025,120 primiparous women admitted to the obstetrics department of our hospital were selected as research subjects. The participants were randomly divided into an observation group and a control group (60 cases each) using a random number table. The control group received routine obstetric care, while the observation group underwent nursing interventions based on the PERMA model. The study compared adverse emotions, childbirth self-efficacy, labor progression, delivery outcomes, and maternal satisfaction between the two groups before and after intervention. Results: After intervention, the observation group showed significantly lower anxiety scores (SAS: 38.69±2.96 vs 45.10±3.44) and depression scores (SDS: 37.89±3.85 vs 42.55±3.41) than the control group (both P<0.001). The observation group also demonstrated significantly higher total self-efficacy in childbirth (258.74±7.96 vs 212.74±8.10) (P<0.001). Notably, the observation group experienced shorter first, second, and total labor duration, with a significantly higher natural delivery rate (75.00% vs 50.00%) (P<0.01). Additionally, the cesarean section rate and postpartum hemorrhage rate were lower (all P<0.05), while the maternal satisfaction rate with childbirth (98.33% vs 80.00%) showed a significant improvement (P<0.001). Conclusion: Nursing interventions based on the PERMA model can effectively alleviate adverse emotions in primiparous women, enhance maternal self-efficacy, shorten labor progression, prevent adverse pregnancy outcomes, and improve maternal satisfaction during childbirth.

  Key words: PERMA model; primipara; negative emotions; birth self-efficacy; labor process; satisfaction rate

  提交时间：2026-01-06

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• 序号	提交日期	编号	操作
  1	2025-11-26	10.12201/bmr.202601.00013V1	下载

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