以家庭主要照顾者为中心的赋能教育对AMI患者PCI术后心理弹性及自我效能的影响  

Effect of family primary caregiver-centered enabling education on mental resilience and self-efficacy in AMI patients after PCI

作　　者：梁敏[1] 丁雪茹[1] 董霞[1] LIANG Min;DING Xue-ru;DONG Xia(Intensive Care Unit,Cardiac Center,the First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang,830054,China)

机构地区：[1]新疆医科大学第一附属医院心脏中心重症监护室,新疆乌鲁木齐830054

出　　处：《心血管康复医学杂志》2025年第1期27-31,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金：2022年度“青年科研起航”专项基金护理人才专项13。

摘　　要：目的:探究以家庭主要照顾者为中心的赋能教育对急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)术后自我效能和心理弹性的影响。方法:选择2022年7月-2022年12月新疆医科大学第一附属医院收治的94例行PCI术的AMI患者,按区组随机法分为对照组(n=47,传统护理)和干预组(n=47,以家庭主要照顾者为中心的赋能教育)。两组患者均接受3个月的干预。对比两组心功能、心理弹性、自我效能、社会支持、睡眠质量、生活质量及不良事件发生情况。结果:干预后,与对照组比较,干预组左心室射血分数(LVEF)[(59.20±5.93)%比(52.57±4.67)%]、心理弹性量表(CD-RISC)[(91.96±1.61)分比(80.02±2.63)分]、一般自我效能感量表(GSES)[(32.53±3.21)分比(21.45±2.09)分]、社会支持评定量表(SSRS)[(49.27±3.11)分比(39.45±2.72)分]评分均显著提高,左心室舒张末期内径(LVEDd)[(50.54±3.57)mm比(59.03±3.62)mm]、左心室收缩末期内径(LVESd)[(39.60±2.31)mm比(45.52±2.68)mm]、阿森斯失眠量表(AIS)[(9.63±1.68)分比(12.90±1.20)分]和心肌梗死多维度量表(MIDAS)[(89.24±2.63)分比(117.63±4.89)分]及不良事件发生率(4.26%比21.28%)均显著降低(P<0.05或<0.01)。结论:以家庭主要照顾者为中心的赋能教育能改善AMI患者PCI术后的心功能及心理弹性,增强自我效能和社会支持,提高睡眠质量、生活质量,降低不良事件发生率。Objective:To investigate the effect of family primary caregiver-centered enabling education on mental resilience and self-efficacy in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods:This randomized controlled study enrolled 94 AMI patients undergoing PCI in First Affiliated Hospital of Xinjiang Medical University between July 2022 and December 2022.They were divided into control group(n=47,traditional nursing)and intervention group(n=47,family primary caregiver-centered enabling education).Both groups were intervened for 3 months.Cardiac function,mental resilience,self-efficacy,social support,sleep quality,quality of life and incidence of adverse events were compared between the two groups.Results:After intervention,compared with patients in control group,those in intervention group had significant higher left ventricular ejection fraction(LVEF)[(59.20±5.93)%vs.(52.57±4.67)%],scores of Connor-Davidson Resilience Scale(CD-RISC)[(91.96±1.61)points vs.(80.02±2.63)points],General Self-Efficacy Scale(GSES)[(32.53±3.21)points vs.(21.45±2.09)points],Social Support Rating Scale(SSRS)[(49.27±3.11)points vs.(39.45±2.72)points],and significant lower left ventricular end-diastolic diameter(LVEDd)[(50.54±3.57)mm vs.(59.03±3.62)mm],left ventricular end-systolic diameter(LVESd)[(39.60±2.31)mm vs.(45.52±2.68)mm],scores of Athens Insomnia Scale(AIS)[(9.63±1.68)points vs.(12.90±1.20)points],Myocardial Infarction Dimensional Assessment Scale(MIDAS)[(89.24±2.63)points vs.(117.63±4.89)points]and incidence of adverse events(4.26%vs.21.28%)(P<0.05 or<0.01).Conclusion:Family primary caregiver-centered enabling education could improve the cardiac function and mental resilience,enhance self-efficacy and social support,improve sleep quality and quality of life,and reduce the incidence of adverse events in AMI patients after PCI.

关 键 词：心肌梗死 血管成形术 气囊 冠状动脉 护理 

分 类 号：R542.22[医药卫生—心血管疾病]