Abstract

We investigated the influencing factors of the psychological resilience and self-efficacy of acute myocardial infarction (AMI) patients after percutaneous coronary intervention (PCI) and the relationships of psychological resilience and self-efficacy with negative emotion. Eighty-eight participants were enrolled. Psychological resilience, self-efficacy, and negative emotion were assessed with the Psychological Resilience Scale, Self-Efficacy Scale, Zung Self-Rating Anxiety Scale (SAS), and Zung Self-Rating Depression Scale (SDS), respectively. Furthermore, the relationships of psychological resilience and self-efficacy with negative emotion were investigated. The average scores of psychological resilience, self-efficacy, anxiety, and depression were 70.08 ± 13.26, 21.56 ± 9.66, 53.68 ± 13.10, and 56.12 ± 12.37, respectively. The incidences of anxiety and depression were 23.90% (21/88) and 28.40% (25/88), respectively. The psychological resilience and self-efficacy scores of AMI patients after PCI varied significantly with age and economic status. SAS scores and SDS scores were significantly negatively correlated with psychological resilience and self-efficacy. Negative emotions in AMI patients after PCI are closely related to psychological resilience and self-efficacy. Therefore, anxiety and depression could be alleviated by improving the psychological resilience and self-efficacy of patients undergoing PCI, thus improving patients' quality of life.

Highlights

  • In recent years, coronary heart disease has become one of the chronic diseases that pose serious threats to human health, and its incidence has been increasing year by year [1]

  • Several studies have shown that percutaneous coronary intervention (PCI) patients have serious psychological problems, including high levels of anxiety and depression, strong disease uncertainty, and low self-evaluation, which can affect the health of patients [8,9,10,11]

  • The present study aimed to investigate the influencing factors of the psychological resilience and self-efficacy of acute myocardial infarction (AMI) patients after PCI and analyze the relationships of psychological resilience, self-efficacy with negative emotion, which would provide a theoretical reference for clinicians to develop practical measures

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Summary

Introduction

Coronary heart disease has become one of the chronic diseases that pose serious threats to human health, and its incidence has been increasing year by year [1]. As an important treatment for coronary heart disease, percutaneous coronary intervention (PCI) has a significant effect on improving myocardial ischemia caused by acute or persistent ischemia and hypoxia in coronary arteries [5,6,7]. Since it is an invasive treatment, PCI is a serious stressful event for patients. Several studies have shown that PCI patients have serious psychological problems, including high levels of anxiety and depression, strong disease uncertainty, and low self-evaluation, which can affect the health of patients [8,9,10,11]

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