REBT联合有氧运动对行介入治疗的急性心肌梗死患者心理负担水平及病耻感的影响

The effect of REBT combined with aerobic exercise on the psychological burden and stigma of patients with acute myocardial infarction undergoing interventional therapy via radial artery

目的理性情绪行为疗法(REBT)联合有氧运动对行经桡动脉途径介入治疗的急性心肌梗死患者心理负担水平及病耻感的影响。方法选取我科2018年8月~2020年12月期间103例行经桡动脉途径介入治疗的急性心肌梗死患者进行研究,采用信封法将患者分为两组,对照组51例给予实施常规干预及有氧运动,观察组52例在此基础上联合理性情绪行为疗法。对比两组患者心理负担水平、病耻感、运动耐力、心血管不良事件发生率。结果干预后观察组自我感受负担量表评分中身体维度、情感维度、经济维度、总分,以及内在病耻感、外在病耻感、病耻感总分、心血管不良反应发生率均低于对照组(P<0.05);观察组的6分钟步行距离水平高于对照组(P<0.05)。结论理性情绪行为疗法联合有氧运动可以明显降低经桡动脉途径介入治疗的急性心肌梗死患者的心理负担、病耻感以及心血管不良反应,同时可以有效提高患者运动耐力。

Objective The effect of rational emotional behavior therapy(REBT)combined with aerobic exercise on the psychological burden and stigma of patients with acute myocardial infarction undergoing transradial artery interventional therapy.Methods From August 2018 to December 2020 in our department,103 patients with acute myocardial infarction who underwent transradial artery intervention were selected for the study.The patients were divided into two groups by the envelope method,and 51 patients in the control group were given routine intervention and aerobic exercise,52 cases in the observation group combined with rational emotional behavior therapy on this basis.The levels of psychological burden,stigma,exercise endurance,and incidence of adverse cardiovascular events were compared between the two groups.Results After the intervention,the physical dimension,emotional dimension,economic dimension,total score,as well as the internal stigma,external stigma,total score of stigma,and the incidence of cardiovascular adverse reactions in the self-feeling burden scale score in the observation group were lower than those in the control group(P<0.05);the 6-minute walking distance level in the observation group was higher than that in the control group(P<0.05).Conclusion Rational emotional behavior therapy combined with aerobic exercise can significantly reduce the psychological burden,stigma and adverse cardiovascular reactions of patients with acute myocardial infarction treated by transradial artery intervention,and can effectively improve the exercise endurance of patients.