Author(s)

Yajing Guo ¹, Yaxuan Guo ¹, Peiqi Li ¹, Wei Zhao ¹, Haiyan Zhang ², Pan Zhang ¹

Affiliation(s)

¹ College of Nursing and Rehabilitation, North China University of Science and Technology, 21 Bohai Avenue, Caofeidian New City, Tangshan, Hebei, 063200, China
² Blood Purification Department, North China University of Science and Technology Affiliated Hospital, 73 Jianshe South Road, Lubei District, Tangshan, Hebei, 063000, China

Corresponding Author

Pan Zhang

ABSTRACT

To explore the impact of nurse-led positive psychological interventions based on the PERMA model on demoralization syndrome in elderly stroke patients. Using the PERMA model as the theoretical basis, a literature review was conducted, combined with clinical practice and patient expectations to draft the initial intervention plan for demoralization syndrome. Through two rounds of delphi expert consultation, the final version of the plan was formed. A total of 15 experts were included, and the questionnaire response rate was 100% after 2 rounds; the experts' authority levels were 0.88 and 0.90 respectively; Kendall's harmony coefficients were 0.217 and 0.305 (P < 0.001). The final intervention plan consisted of 8 primary items, 8 secondary items, and 30 tertiary items, covering themes such as disease explanation and self-awareness, emotional expression and release, positive thinking, positive emotions, engagement, positive relationships, and meaning. The intervention plan for demoralization syndrome in elderly stroke patients based on the PERMA model is scientific, reliable, feasible, and practical, providing new ideas and methods for clinical nursing of elderly stroke patients.

KEYWORDS

Stroke, PERMA Model, Demoralization Syndrome, Protocol, Delphi Method

CITE THIS PAPER

Yajing Guo, Yaxuan Guo, Peiqi Li, Wei Zhao, Haiyan Zhang, Pan Zhang, Effect of Nurse-Led Positive Psychological Intervention Based on the PERMA Model on Demoralization Syndrome in Elderly Stroke Patients: Study Protocol for a Randomized Controlled Trial. MEDS Clinical Medicine (2025) Vol. 6: 54-61. DOI: http://dx.doi.org/10.23977/medsc.2025.060508.

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