Objective To explore the application effect of happiness PERMA (positive emotion, engagement, relationships, meaning, and accomplishment) model combined with health education in the control of chronic pain after brachial plexus nerve injury. Methods A total of 88 patients with chronic pain after brachial plexus nerve injury in the hospital were enrolled between June 2021 and June 2025. According to random number table method, they were divided into control group (routine pain management and health education) and study group (happiness PERMA model combined with health education), 44 cases in each group. All patients were intervened for 8 weeks. The scores of numerical rating scale (NRS) before intervention and after 2, 4, 6 and 8 weeks of intervention, scores and total score of exercise of self-care agency scale (ESCA), scores of self-rating anxiety scale (SAS), self-rating depression scale (SDS) and pain catastrophizing scale (PCS), scores and total scores of general well-being schedule (GWB) before intervention and after 8 weeks of intervention were compared between the two groups. Results After 2, 4, 6 and 8 weeks of intervention, NRS scores in study group were significantly lower than those in control group. After intervention, scores and total score of ESCA (health knowledge level, self-care skills, self-care responsibility, self-concept) were higher than those in control group, scores of SAS, SDS and PCS were significantly lower than those in control group, scores and total score of GWB (concern for health, energy, satisfaction and interest in life, depression or pleasure, control of emotions and behaviors, relaxation and tension) were higher than those in control group. Conclusion The happiness PERMA model combined with health education can effectively alleviate chronic pain after brachial plexus nerve injury, improve psychological state and self-management ability, which is worthy of clinical promotion and application.
Key words
brachial plexus nerve injury /
chronic pain control /
happiness PERMA model /
health education /
self-management ability /
subjective well-being
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