Effect of refined nursing intervention on self-efficacy and quality of life in patients with acute myocardial infarction after percutaneous coronary intervention surgery
Objective To analyze the effect of refined nursing intervention on self-efficacy and quality of life in patients with acute myocardial in-farction after percutaneous coronary intervention(PCI)surgery.Methods A total of 78 patients with acute myocardial infarction who underwent PCI in the Anqing First People's Hospital,Anhui Province from June 2021 to June 2023 were selected,according to random number table method,they were divided into control group and experimental group,with 39 cases in each group.The control group received routine nursing,and the experi-mental group received refined nursing.Emotional score,cardiac function and other clinical indicators,self-efficacy,self-care ability,and quality of life were compared between the two groups.Results After intervention,the scores of Hamilton anxiety scale and Hamilton depression scale in the two groups were lower than those before intervention,and those of experimental group were lower than those of the control group(P<0.05);the 6-minute walking test(6MWT)of the two groups was longer than that before intervention,and the score of pain numerical rating scale(NRS)was lower than that before intervention,and the 6MWT of the experimental group was longer than that of the control group,and the NRS was lower than that of the control group(P<0.05);left ventricular ejection fraction(LVEF)was higher than that before intervention,left ventricular end-diastolic diameter(LVEDD)level was lower than that that before intervention,LVEF level in experimental group was higher than that of control group,LVEDD level was lower than that of control group(P<0.05).The scores of self-efficacy and self-care ability of the two groups were higher than those before intervention,and those of the experimental group was higher than that of the control group(P<0.05).Conclusion Refined nursing in-tervention can improve patients'self-efficacy and quality of life,and is conducive to the recovery of patients'cardiac function in the PCI interven-tion of acute myocardial infarction,which will have high application value in the actual situation.
Acute myocardial infarctionPercutaneous coronary interventionRefined nursingQuality of lifeSelf-efficacy