Abstract
BackgroundAcceptance and commitment therapy (ACT) is an intervention focusing on altering how patients relate to their thoughts. This study aimed to investigate the effects of ACT on self-management ability and psychological resilience of young and middle-aged patients undergoing percutaneous transluminal coronary intervention (PCI) for primary myocardial infarction (MI).MethodsThis pilot study included 98 young and middle-aged patients who underwent PCI for primary MI using a convenient sampling method. The patients were divided into a control group and an ACT group using the random number table method. The patients in the control group received routine nursing, while those in the ACT group received routine nursing combined with ACT.ResultsThe psychological resilience and self-management ability scores were significantly higher in the ACT group than in the control group 3 months after the intervention (P < 0.001 and < 0.05, respectively). In addition, compared to the baseline scores of psychological resilience and self-management ability, these scores were significantly higher in the ACT group at 3 months post-intervention (P < 0.001 and < 0.05, respectively).ConclusionACT could enhance the psychological resilience and self-efficacy and improve the self-management ability of young and middle-aged patients who underwent PCI for primary MI.Trial registrationChina Clinical Trial Center ChiCTR2000029775. Registered on 13 February 2020. Registration title:Study on the popularization and application of rotational atherectomy for the treatment of severely calcified coronary lesions.
Highlights
Acceptance and commitment therapy (ACT) is an intervention focusing on altering how patients relate to their thoughts
Acute myocardial infarction (AMI) is a common potentially lethal heart disease characterized by myocardial necrosis induced by acute and persistent ischemia and anoxia of a coronary artery [1]
The inclusion criteria were (1) patients diagnosed with AMI according to the 2001 revised criteria of the Cardiovascular Medicine Branch of the Chinese Medical Association and had undergone percutaneous transluminal coronary intervention (PCI), (2) the patients were conscious and able to communicate clearly, (3) the patients were 18–60 years, (4) the patients consented to participate in the study by signing the informed consent form, and (5) the patients were able to complete the questionnaire
Summary
Acceptance and commitment therapy (ACT) is an intervention focusing on altering how patients relate to their thoughts. This study aimed to investigate the effects of ACT on self-management ability and psychological resilience of young and middle-aged patients undergoing percutaneous transluminal coronary intervention (PCI) for primary myocardial infarction (MI). Percutaneous transluminal coronary intervention (PCI) is the most common intervention for AMI and is known to effectively improve the blood and oxygen supply to the myocardium [2]. Identified risk factors related to lifestyle choices, such as smoking, male gender, and family history of cardiovascular heart disease, are associated with the incidence of AMI in young patients. Due to the different degrees of physical and psychological issues, more and more young and middle-aged AMI patients display reduced self-efficiency and treatment compliance, which substantially influence the disease outcomes [5]. It is important to apply effective psychological interventions to such patients
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