认知行为疗法联合心脏康复护理应用于PCI术后STAMI患者的效果  

The effect of cognitive behavioral therapy combined with cardiac rehabilitation care in patients with STAMI after PCI

作　　者：韩会会 毛明月 冯欣 杨铭霞 HAN Hui-hui;MAO Ming-yue;FENG Xin;YANG Ming-xia

机构地区：[1]河南大学第一附属医院心内科,475000

出　　处：《中国疗养医学》2023年第3期302-305,共4页Chinese Journal of Convalescent Medicine

基　　金：2022年度开封市科技发展计划项目(2204015)。

摘　　要：目的研究认知行为疗法联合心脏康复护理应用于经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后急性ST段抬高型心肌梗死(ST-segment elevation myocardial infarction,STEMI)患者的效果。方法根据随机数字表将2022年4月至11月来河南大学第一附属医院接受治疗的84例PCI术后STEMI患者分为对照组42例与研究组42例。两组患者入院后均接受常规的基础治疗。对照组患者在基础治疗上采用心脏康复护理,研究组在对照组的基础上联合应用认知行为疗法。连续接受治疗1个月后,对比两组患者的血清学指标、情绪状况、生活质量以及心肌梗死发作情况。结果两组患者接受治疗1个月后血小板(blood platelet,PLT)、心钠肽(atrial natriuretic peptide,ANP)、血清C反应蛋白(C-reactiveprotein,CRP)、白介素6(Interleukin-6,IL-6)水平均低于治疗前,且研究组明显低于对照组(P<0.05);贝克抑郁自评量表(Beck depression inventory,BDI)、功能失调态度量表(dysfunctional attitude scale,DAS)评分均低于治疗前,且研究组明显低于对照组(P<0.05);改良Barthel指数量表(modified Barthel index,MBI)、蒙特利尔认知评估量表(Montreal cognitive assessment,Mo CA)评分均高于治疗前,且研究组明显高于对照组(P<0.05);两组患者接受治疗1个月后的心肌梗死发作次数、时间均低于治疗前,且研究组明显低于对照组(P<0.05)。结论认知行为疗法联合心脏康复护理应用于PCI术后STAMI患者改善心肌血清学水平和心肌梗死发作情况,减少不良情绪的产生,提高患者的预后生活质量。Objective To study the effect of cognitive behavioral therapy combined with cardiac rehabilitation nursing on patients with acute ST-segment elevation myocardial infarction(STEMI)after percutaneous coronary intervention(PCI).Methods According to the random number table,84 patients with STEMI after PCI who were treated in the First Affiliated Hospital of Henan University from April to November 2022 were divided into control group(42 cases)and study group(42 cases).Both groups of patients received routine basic treatment after admission.The patients in the control group received cardiac rehabilitation nursing on the basis of basic treatment,while the patients in the study group received cognitive behavioral therapy on the basis of the control group.After one month of continuous treatment,the serological indexes,emotional status,quality of life and the incidence of myocardial infarction were compared between the two groups.Results The levels of blood platelet(PLT),atrial natriuretic peptide(ANP),serum C-reactive protein(CRP),interleukin-6(IL-6)in the two groups were lower than those before treatment one month after treatment,and the levels in the study group were significantly lower than those in the control group(P<0.05);The scores of Beck depression inventory(BDI)and dysfunctional attitude scale(DAS)were lower than those before treatment,and the study group was significantly lower than the control group(P<0.05);The scores of modified Barthel index(MBI)and Montreal cognitive assessment(MoCA)were higher than those before treatment,and the study group was significantly higher than the control group(P<0.05);The number and time of myocardial infarction attacks in the two groups after 1 month of treatment were lower than those before treatment,and the study group was significantly lower than the control group(P<0.05).Conclusion Cognitive behavioral therapy combined with cardiac rehabilitation nursing is applied to improve the myocardial serology level and the attack of myocardial infarction in patients with STAMI after

关 键 词：急性ST段抬高型心肌梗死 经皮冠状动脉介入治疗 心脏康复运动 认知行为疗法 

分 类 号：R473.5[医药卫生—护理学]