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认知重构干预联合八段锦在急性心肌梗死PCI后患者中的应用

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目的:探讨认知重构干预联合八段锦在急性心肌梗死(AMI)经皮冠状动脉介入治疗(PCI)后患者中的应用。方法:选取 2021 年 4 月—2023 年 3 月洪湖市中医医院收治的 110 例AMI PCI后患者。根据随机数表法将其分为干预组(n=55)与对照组(n=55)。对照组给予常规干预,干预组在对照组基础上给予认知重构干预联合八段锦。比较两组干预前后疾病感知水平、心功能、生活质量,主要不良心血管事件(MACE)。结果:干预后,两组认知描绘、情绪描绘、综合理解评分均下降,干预组认知描绘、情绪描绘、综合理解评分均低于对照组,差异有统计学意义(P<0。05)。干预后,两组左心室舒张末期容积(LVEDV)降低,左心室射血分数(LVEF)升高,干预组LVEDV低于对照组,LVEF高于对照组,差异有统计学意义(P<0。05)。干预后,两组生活质量评分升高,干预组生活质量评分高于对照组,差异有统计学意义(P<0。05)。干预组MACE发生率低于对照组,差异有统计学意义(P<0。05)。结论:AMI PCI后患者采用认知重构干预联合八段锦,可降低患者疾病感知水平,提高生活质量,有效改善患者心功能,避免MACE发生。
Application of Cognitive Reconstruction Intervention Combined with Baduanjin in Patients with Acute Myocardial Infarction after PCI
Objective:To explore the application of cognitive reconstruction intervention combined with Baduanjin in patients with acute myocardial infarction(ACI)after percutaneous coronary intervention(PCI).Method:A total of 110 patients with AMI after PCI admitted to Honghu Traditional Chinese Medicine Hospital from April 2021 to March 2023 were selected.They were divided into intervention group(n=55)and control group(n=55)according to random number table method.The control group received conventional intervention,and the intervention group received cognitive reconstruction intervention combined with Baduanjin on the basis of the control group.Disease perception level,heart function,quality of life before and after intervention and major adverse cardiovascular events(MACE)were compared between the two groups.Result:After intervention,the scores of cognitive description,emotional description and comprehensive understanding of both groups were decreased,and the scores of cognitive description,emotional description and comprehensive understanding of the intervention group were lower than those of the control group,the differences were statistically significant(P<0.05).After intervention,left ventricular end-diastolic volume(LVEDV)decreased and left ventricular ejection fraction(LVEF)increased in both groups,LVEDV in the intervention group was lower than that in the control group,and LVEF was higher than that in the control group,the differences were statistically significant(P<0.05).After intervention,the quality of life score of the two groups increased,and the quality of life score of the intervention group was higher than that of the control group,the differences were statistically significant(P<0.05).The incidence of MACE in the intervention group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:After PCI,the patients with AMI take the combination of cognitive reconstruction intervention and Baduanjin can reduce the patients'disease perception level,improve their quality of life,effectively improve patients'heart function,and avoid the occurrence of MACE.

Cognitive reconstruction interventionBaduanjinAcute myocardial infarctionPercutaneous coronary intervention

孙昌洁

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洪湖市中医医院 湖北 洪湖 433200

认知重构干预 八段锦 急性心肌梗死 经皮冠状动脉介入治疗

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(28)