首页|双心医疗干预联合认知重构护理在急性心肌梗死患者中的应用

双心医疗干预联合认知重构护理在急性心肌梗死患者中的应用

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目的 探讨双心医疗干预联合认知重构护理在急性心肌梗死(Acute Myocardial Infarction,AMI)患者中的应用效果.方法 随机选取济南市第八人民医院2021年8月—2023年7月收治的180例AMI患者为研究对象,以随机数表法分成对照组(n=90)和干预组(n=90),对照组给予常规护理干预,干预组给予双心医疗干预联合认知重构护理干预,比较两组健康行为、运动耐力、自我效能感、主要不良心血管事件(Major Adverse Cardiovascular Events,MACE).结果 干预后,干预组健康行为评分高于对照组,6 min步行试验距离长于对照组,一般自我效能感量表评分高于对照组,差异有统计学意义(P均<0.05).干预组MACE发生率(6.67%)较对照组(16.67%)更低,差异有统计学意义(χ2=4.367,P<0.05).结论 双心医疗干预联合认知重构护理应用于AMI患者干预中,可改善健康行为,提高运动耐力与自我效能感,预防MACE发生.
Application of Dual Heart Medical Intervention and Cognitive Reconstruc-tion Nursing in Patients with Acute Myocardial Infarction
Objective To explore the application effect of double heart medical intervention combined with cognitive reconstruction nursing in patients with acute myocardial infarction(AMI).Methods A total of 180 patients with AMI admitted to the Jinan Eighth People's Hospital from August 2021 to July 2023 were randomly selected as the research objects.They were divided into control group(n=90)and intervention group(n=90)by random number table method.The control group was given routine nursing intervention,and the intervention group was given dual heart medical in-tervention combined with cognitive reconstruction nursing intervention.The health behavior,exercise endurance,self-efficacy and major adverse cardiovascular events(MACE)were compared between the two groups.Results After inter-vention,the health behavior score of the intervention group was higher than that of the control group,the 6-minute Walking Test distance was longer than that of the control group,and the General Self-efficacy Scale score was higher than that of the control group,the differences were statistically significant(all P<0.05).The incidence of MACE in the intervention group(6.67%)was lower than that in the control group(16.67%),and the difference was statistically sig-nificant(χ2=4.367,P<0.05).Conclusion The application of dual heart medical intervention and cognitive reconstruc-tion nursing in the intervention of AMI patients can improve health behavior,enhance exercise endurance and self-efficacy,and prevent MACE.

Acute myocardial infarctionDual heart medical interventionCognitive reconstructionHealth behavior

李海燕、袁家菊、陈娇

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济南市第八人民医院心内科,山东 济南 271104

急性心肌梗死 双心医疗 认知重构 健康行为

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(18)
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