正强化干预对PCI术后心肌梗死合并心房颤动患者心理弹性和生活质量影响的评价  

Influence of positive reinforcement intervention on mental resilience and quality of life in patients with myocardial infarction complicated by atrial fibrillation after percutaneous coronary intervention

作　　者：郑丽娟 齐靖贤 吴琳 朱磊 Zheng Lijuan;Qi Jingxian;Wu Lin;Zhu Lei(Catheter Room,People's Hospital of Shijiazhuang City,Shijiazhuang 050000,China;不详)

机构地区：[1]石家庄市人民医院导管室,石家庄050000 [2]石家庄市人民医院心血管内科,石家庄050000

出　　处：《中国循证心血管医学杂志》2024年第10期1247-1249,共3页Chinese Journal of Evidence-Based Cardiovascular Medicine

基　　金：河北省石家庄市科学技术研究与发展计划项目(201460883)。

摘　　要：目的观察正强化干预在经皮冠状动脉介入治疗(PCI)术后心肌梗死合并心房颤动患者中的效果,并探析其对患者心理弹性和生活质量的影响。方法根据干预方法不同,将2021年3月至2022年2月于石家庄市人民医院接诊的68例PCI术后心肌梗死合并心房颤动患者,分为对照组与研究组,每组各34例。对照组予以常规干预,研究组予以正强化干预,比较两组患者的心理弹性及生活质量情况。结果研究组患者经干预后坚韧与控制、力量、乐观得分均高于对照组,差异有统计学意义(P<0.05);研究组遵医嘱服药、合理膳食、禁烟禁酒、起居规律等遵医嘱行为显著高于对照组(P<0.05)。干预后研究组患者心功能指标改善优于对照组,差异有统计学意义(P<0.05)。研究组患者护理总满意度高于对照组(94.12%vs.82.35%,P<0.05)。结论PCI术后心肌梗死合并心房颤动患者予以正强化干预,能提升患者心理弹性,改善遵医嘱行为,提高生活质量和护理满意度。Objective To observe the effectiveness and influence of positive reinforcement intervention on mental resilience and quality of life(QOL)in patients with myocardial infarction(MI)complicated by atrial fibrillation(AF)after percutaneous coronary intervention(PCI).Methods The patients with MI complicated by AF(n=68)after PCI were divided into control group and study group(each n=34)according to different interventional methods in People's Hospital of Shijiazhuang City from Mar.2021 to Feb.2022.The control group was given routine intervention and study group was given positive reinforcement intervention.The situations of mental resilience and QOL were compared between 2 groups.Results The scores of tenacity,control,strength and optimism were significantly higher in study group than those in control group(P<0.05)after the intervention.The rates of medication compliance,reasonable diet,smoking and alcohol prohibition,regular living were significantly higher in study group than those in control group(P<0.05).The improvement of heart function indexes were superior in study group than that in control group(P<0.05).The overall degree of satisfaction to nursing service was higher in study group than that in control group(94.12%vs.82.35%,P<0.05).Conclusion Positive reinforcement intervention can improve mental resilience,compliant behaviors,QOL and satisfaction to nursing service in patients with MI complicated by AF after PCI.

关 键 词：心肌梗死 正强化干预 心理弹性 

分 类 号：R542.22[医药卫生—心血管疾病]