Meng De-Fang, Bao Jun, Cai Tao-Zhi, Ji Ying-Jie, Yang Yan
Department of Cardiovascular Medicine, Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China.
World J Psychiatry. 2024 Dec 19;14(12):1886-1891. doi: 10.5498/wjp.v14.i12.1886.
Percutaneous coronary intervention (PCI) is one of the main treatment methods for myocardial infarction (MI). Despite its positive effects, patients often experience different degrees of anxiety and depression after the intervention. Therefore, effectively changing the emotional state of patients with MI during PCI remains a focus of clinical research.
To assess the effect of music therapy and motivational interviewing in young and middle-aged patients with anxiety and depression after PCI.
We collected data from January 2022 to December 2023 from 86 young and middle-aged patients with MI after PCI. They were divided into observation and control groups according to the random throwing method. The observation group consisted of 43 patients undergoing music therapy and motivational interviewing, and the control group (43 cases) underwent music therapy and conventional communication. The two groups were then compared on mood status [Chinese Brief Mood Status Scale (POMS)], coping methods [Medical Coping Methods Questionnaire (MCMQ) Chinese version], and healthy lifestyle behaviors [Heart Health Self-Efficacy and Self-Management (HH-SESM) scale].
Two weeks post-intervention, the observation group had lower POMS scores, improved MCMQ scores, and higher HH-SESM scores than the control group ( < 0.05).
The combined intervention of music therapy and motivational interviewing for young and middle-aged patients with anxiety and depression after MI can effectively regulate their mood, reduce anxiety and depression symptoms, and stimulate patients to actively face their condition. It also encourages the formation of healthy behavioral habits.
经皮冠状动脉介入治疗(PCI)是心肌梗死(MI)的主要治疗方法之一。尽管其具有积极作用,但患者在介入治疗后常出现不同程度的焦虑和抑郁。因此,在PCI期间有效改变MI患者的情绪状态仍是临床研究的重点。
评估音乐疗法和动机性访谈对PCI术后中青年焦虑和抑郁患者的效果。
我们收集了2022年1月至2023年12月86例PCI术后中青年MI患者的数据。根据随机分组法将他们分为观察组和对照组。观察组43例患者接受音乐疗法和动机性访谈,对照组(43例)接受音乐疗法和常规沟通。然后比较两组的情绪状态[中国简式心境状态量表(POMS)]、应对方式[医学应对方式问卷(MCMQ)中文版]和健康生活方式行为[心脏健康自我效能和自我管理(HH - SESM)量表]。
干预两周后,观察组的POMS得分较低,MCMQ得分有所改善,HH - SESM得分高于对照组(<0.05)。
音乐疗法和动机性访谈联合干预对MI后中青年焦虑和抑郁患者可有效调节其情绪,减轻焦虑和抑郁症状,促使患者积极面对病情,还能鼓励形成健康的行为习惯。