贝克认知疗法联合有氧运动对急性心肌梗死PCI后患者的影响

Effects of Beck's Cognitive Therapy Combined with Aerobic Exercise on Patients with Acute Myocardial Infarction after PCI

目的:探究贝克认知疗法联合有氧运动对急性心肌梗死经皮冠状动脉介入治疗(PCI)后患者的影响。方法:选取2023年1—7月就诊于当阳市人民医院的64例急性心肌梗死PCI患者作为研究对象,根据随机数表法分为观察组和对照组,各32例。对照组给予常规护理,观察组给予贝克认知疗法联合有氧运动。比较两组心功能、希望水平、心脏不良事件发生率、恐动症程度及运动能力。结果:干预前,两组希望水平、恐动症程度水平比较,差异无统计学意义(P>0.05);出院时,观察组Herth希望量表(HHI)评分高于对照组,恐动症评估量表(TSK)评分低于对照组,差异有统计学意义(P<0.05)。出院时,两组心功能水平和运动功能比较,差异无统计学意义(P>0.05),出院3个月后,观察组左室收缩末期内径(LVESD)和左室舒张末期内径(LVEDD)水平低于对照组,6分钟步行试验(6MWT)高于对照组,差异有统计学意义(P<0.05)。观察组心脏不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论:贝克认知疗法联合有氧运动可改善急性心肌梗死PCI后患者的心功能,减少患者的心脏不良事件发生率和恐动症程度,提高患者的希望水平及运动能力。

Objective:To explore the effect of Beck's cognitive therapy combined with aerobic exercise on patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Method:A total of 64 cases of PCI patients with acute myocardial infarction treated in Dangyang People's Hospital from January to July 2023 were selected as the study objects,and they were randomly divided into observation group and control group according to random number table method,with 32 cases in each group.The control group was given routine nursing,and the observation group was given Beck's cognitive therapy combined with aerobic exercise.Cardiac function,hope level,incidence of cardiac adverse events,degree of kineophobia and exercise ability were compared between the two groups.Result:Before intervention,there were no significant differences in hope level and kinetophobia degree between the two groups(P>0.05).At discharge,the Herth hope index scale(HHI)score of the observation group was higher than that of the control group,and the Tampa scale of kinesiophobia(TSK)score was lower than that of the control group,the differences were statistically significant(P<0.05).At discharge,there were no significant differences in cardiac function and motor function between the two groups(P>0.05).At 3 months after discharge,the left ventricular end-systolic diameter(LVESD)and left ventricular end-diastolic diameter(LVEDD)levels in the observation group were lower than those in the control group,and the 6 minutes utes walking test(6MWT)was higher than that in the control group,the differences were statistically significant(P<0.05).The incidence of cardiac adverse events in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion:Beck's cognitive therapy combined with aerobic exercise can improve the cardiac function of patients with acute myocardial infarction after PCI,reduce the incidence of cardiac adverse events and the degree of kinetophobia,and improve the level of hope and exercise ability of patients.