Effect of nursing intervention based on the PERMA model on stigma and self-efficacy in patients with psoriasis

ZHOU Wei; SHEN Jing; ZHOU Chenxi; FAN Hongyang; ZHANG Hui

doi:10.11786/sypfbxzz.1674-1293.20250315

Abstract：Objective To investigate the effect of nursing intervention based on the PERMA model(Positive Emotion,Engagement,Relationship,Meaning,Accomplishment)on reducing stigma and enhancing self-efficacy in patients with psoriasis.Methods A convenience sampling method was used to recruit 110 psoriasis patients from the Dermatology Department of Nanfang Hospital,Southern Medical University,between April 2021 and March 2024.The patients were divided into two groups:55 in the control group received routine nursing care,and 55 in the observation group received PERMA model-based nursing intervention in addition to routine care.The outcomes at different stages after intervention were analyzed and compared.Results Immediately after intervention,at 1 month,and at 3 months,the scores of the Feeling of Stigma of Psoriasis Questionnaire(FSQ)in both groups were significantly lower than those before intervention(indicating reduced stigma),with the observation group showing a more significant decrease than the control group(P<0.05).Repeated measures ANOVA revealed significant time effects,group effects,and interaction effects across different post-intervention periods(P<0.05).Similarly,scores on the General Self-Efficacy Scale(GSES)in both groups significantly increased after intervention compared with baseline,and the observation group had higher scores than the control group at all time points(P<0.05).Repeated measures ANOVA also showed significant time effects,group effects,and interaction effects for self-efficacy outcomes(P<0.05).Conclusion The PERMA model-based nursing intervention can effectively reduce stigma and improve self-efficacy in patients with psoriasis.