Effect of family primary caregiver-centered enabling education on mental resilience and self-efficacy in AMI patients after PCI
10.3969/j.issn.1008-0074.2025.01.06
- VernacularTitle: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
- Author:
Min LIANG
1
;
Xue-ru DING
1
;
Xia DONG
1
Author Information
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
- Publication Type:Journal Article
- Keywords:
Myocardial infarction;
Angioplasty,balloon,coronary;
Nursing care
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(1):27-31
- CountryChina
- Language:Chinese
-
Abstract:
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 inter-vention(PCI).Methods:This randomized controlled study enrolled 94 AMI patients undergoing PCI in First Affili-ated 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 ed-ucation).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.Re-sults:After intervention,compared with patients in control group,those in intervention group had significant high-er left ventricular ejection fraction(L VEF)[(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.
