CCU, Anqing Municipal Hospital, Anqing, China.
Department of Cardiovascular Medicine, Anqing Municipal Hospital, Anqing, China.
Medicine (Baltimore). 2024 Aug 9;103(32):e39201. doi: 10.1097/MD.0000000000039201.
To explore the influence of the 5E rehabilitation nursing model integrated with mindfulness training on mitigating psychological distress and adjusting coping styles in patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI). The clinical data of 94 patients with AMI who underwent PCI from August 2020 to January 2022 were retrospectively analyzed. Patients were divided into 2 groups based on different nursing modes. Among them, 47 cases received routine interventions were categorized into the control group, and 47 cases received the 5E rehabilitation nursing model integrated with mindfulness training on the basis of routine interventions were categorized into the study group. After 3 months of intervention, both groups exhibited a significant reduction in Self-Rating Anxiety Scale and Depression Scale scores compared to the pre-intervention period, with the study group demonstrating lower scores than the control group (P < .05). Herth Hope Index scores significantly improved in both groups after intervention, with the study group exhibiting higher scores than the control group (P < .05). After 3 months of interventions, Self-Care Agency scores significantly elevated in both groups, with the study group demonstrating higher scores than the control group (P < .05). WHO Quality of Life-BREF scores significantly improved in both groups, with the study group demonstrating higher scores than the control group (P < .05). The study group exhibited higher compliance and satisfaction levels and lower complication rate compared to the control group (P < .05). Integrating the 5E rehabilitation nursing model with mindfulness training effectively alleviates psychological distress, ameliorates quality of life, and improves satisfaction in AMI patients after PCI.
探讨 5E 康复护理模式联合正念训练对经皮冠状动脉介入治疗(PCI)后急性心肌梗死(AMI)患者心理困扰减轻和应对方式调整的影响。回顾性分析 2020 年 8 月至 2022 年 1 月接受 PCI 的 94 例 AMI 患者的临床资料。根据不同的护理模式将患者分为两组。其中,47 例行常规干预的患者归入对照组,47 例在常规干预基础上联合 5E 康复护理模式联合正念训练的患者归入研究组。干预 3 个月后,两组患者的自评焦虑量表和抑郁量表评分均较干预前显著降低,且研究组评分低于对照组(P<0.05)。干预后两组患者 Herth 希望指数评分均显著升高,且研究组评分高于对照组(P<0.05)。干预 3 个月后,两组患者自我护理能力评分均显著升高,且研究组评分高于对照组(P<0.05)。两组患者的 WHO 生活质量简表评分均显著升高,且研究组评分高于对照组(P<0.05)。研究组患者的依从性和满意度高于对照组,并发症发生率低于对照组(P<0.05)。5E 康复护理模式联合正念训练能有效减轻 PCI 后 AMI 患者的心理困扰,改善生活质量,提高满意度。