Effects of Beck's Cognitive Therapy Combined with Aerobic Exercise on Patients with Acute Myocardial Infarction after PCI
Objective:To explore the effect of Beck's cognitive therapy combined with aerobic exercise on patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Method:A total of 64 cases of PCI patients with acute myocardial infarction treated in Dangyang People's Hospital from January to July 2023 were selected as the study objects,and they were randomly divided into observation group and control group according to random number table method,with 32 cases in each group.The control group was given routine nursing,and the observation group was given Beck's cognitive therapy combined with aerobic exercise.Cardiac function,hope level,incidence of cardiac adverse events,degree of kineophobia and exercise ability were compared between the two groups.Result:Before intervention,there were no significant differences in hope level and kinetophobia degree between the two groups(P>0.05).At discharge,the Herth hope index scale(HHI)score of the observation group was higher than that of the control group,and the Tampa scale of kinesiophobia(TSK)score was lower than that of the control group,the differences were statistically significant(P<0.05).At discharge,there were no significant differences in cardiac function and motor function between the two groups(P>0.05).At 3 months after discharge,the left ventricular end-systolic diameter(LVESD)and left ventricular end-diastolic diameter(LVEDD)levels in the observation group were lower than those in the control group,and the 6 minutes utes walking test(6MWT)was higher than that in the control group,the differences were statistically significant(P<0.05).The incidence of cardiac adverse events in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion:Beck's cognitive therapy combined with aerobic exercise can improve the cardiac function of patients with acute myocardial infarction after PCI,reduce the incidence of cardiac adverse events and the degree of kinetophobia,and improve the level of hope and exercise ability of patients.