Effect of mindfulness-based cognitive therapy in the sense of personal control and illness perception of young and middle-aged patients after PCI
10.3760/cma.j.cn211501-20240627-01695
- VernacularTitle:正念认知干预对中青年PCI术后患者个人掌控感和疾病感知的影响
- Author:
Weiling HAO
1
;
Xiaoxiang YU
1
;
Yanfang ZHAO
1
;
Jiayu HAN
1
;
Jing YU
1
;
Shunna GAN
1
;
Minrou XU
1
;
Ying XU
1
;
Meng YUAN
1
;
Mingxing XU
1
Author Information
1. 中国人民解放军东部战区总医院秦淮医疗区心内科,南京 210002
- Publication Type:Journal Article
- Keywords:
Mindfulness based cognitive therapy;
Percutaneous coronary intervention;
Young and middle-aged;
Personal sense of control;
Self-efficacy;
Illness perceptio
- From:
Chinese Journal of Practical Nursing
2025;41(22):1681-1687
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of mindfulness-based cognitive therapy on the sense of personal control and illness perception of young and middle-aged patients after percutaneous coronary intervention (PCI), so as to provide theoretical and practical guidance for the psychological care of patients after PCI.Methods:A randomized controlled trial was conducted. From January 2022 to December 2023, young and middle-aged patients after PCI admitted to the Department of Cardiology, Qinhuai Medical District, Eastern Theater Command General Hospital of the Chinese People′s Liberation Army were selected as the research subjects by convenient sampling method, patients were divided into the experimental group and the control group by the random number table method. The control group was given routine nursing, and the experimental group was given mindfulness-based cognitive therapy on the basis of routine nursing. The Personal Mastery Scale (PMS), Cardiac Self-Efficacy Questionnaire (CSEQ), and Brief Illness Perception Questionnaire (BIPQ) were used to evaluate personal sense of control, self-efficacy, and illness perception before and after the intervention respectively.Results:A total of 80 young and middle-aged patients after PCI were included. There were 40 cases in the control group, including 25 males and 15 females, aged (49.43 ± 5.55) years old. There were 40 cases in the experimental group, including 19 males and 21 females, aged (49.03 ± 4.19) years old. Before the intervention, there was no statistically significant difference in the PMS, CSEQ and BIPQ scores between the two groups of patients (all P>0.05). After the intervention, the PMS, CSEQ scores of the patients in the experimental group were (23.03 ± 2.54), (45.85 ± 8.16) points respectively, which were higher than (21.95 ± 2.28), (39.05 ± 8.78) points in the control group, the BIPQ score of the patients in the experimental group was(39.63 ± 8.12) points, which was lower the (45.45 ± 8.64) points in the control group, the differences were statistically significant ( t=-2.00, -3.59, 3.11, all P<0.05). Conclusions:Mindfulness-based cognitive therapy can effectively improve the sense of personal control and self-efficacy of young and middle-aged patients after PCI, reduce the sense of threat to the disease.