| Abstract |
[abstract]Objective To explore the influence of cognitive behavioral stress management on anxiety, depression and quality of life of patients with acute myocardial infarction ( acute myocardial infarction,AMI) after percutaneous coronary intervention (percutaneous coronary intervention,PCI).Methods 0From August 2020 to August 2022, 98 patients with acute myocardial infarction in our hospital were selected for retrospective study, and they were divided into study group with 49 cases and control group with 49 cases according to different clinical management methods. The control group was given routine management, while the study group was given cognitive behavioral stress management. The differences of anxiety, depression, athens Insomnia Scale (athens Insomnia Scale ,AIS), Quality of Life Scale 36 ( Life Scale 36 ,SF-36 score) and satisfaction between the two groups were compared.Results: The rank sum test of rank data showed that the anxiety and depression of the two groups were improved after the intervention (Z=5.638, 2.601, 5.754, 3.607, P<0.05), and the anxiety and depression of the study group were lighter after the intervention (Z=3.174, P<0.05). The analysis of variance of repeated measurement showed that there were statistically significant differences in time-point effect, inter-group effect and interaction effect of AIS score (P<0.05). Compared with before intervention, the AIS scores of the two groups decreased (P<0.05), and compared with the control group, the AIS scores of the study group were lower after intervention (P<0.05). Compared with before intervention, the scores of SF-36 in both groups increased after intervention (P< 0.05). And the study group was higher than the control group (P<0.05). Rank sum test of grade data showed that the study group was more satisfied than the control group (Z=2.555, P<0.05). Conclusion The application of cognitive behavioral stress management in patients with acute myocardial infarction after PCI can effectively improve their anxiety and depression, improve their sleep quality and quality of life, and enhance their satisfaction with clinical management.
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