Abstract
Objective To explore the effects of post-discharge continuous nursing intervention on medication compliance and negative emotion of patients with acute myocardial infarction after percutaneous coronary intervention(PCI). Methods 168 patients with acute myocardial infarction were selected.All of them got emergency PCI after admitted.Then, they were simply randomized into observation group (84 cases) and control group (84 cases) using coin toss method combined with random comparison table.The observation group accepted continuous nursing intervention after discharged, including regular home visits, telephone feedback and clinical visits.The control group got a regular clinical follow-up.Their medication compliance and negative emotion were investigated after 1 month, 3 months, 6 months and 12 months from discharged, respectively. Results Relevant data with different periods of patients with repeated measurement data analysis of variance, discharge for 3 months, 6 months and 1 year, compared with the control group, the medication compliance of the observation group increased obviously, the SAS and SDS scores decreased obviously, the differences were statistically significant (t=1.432, 2.781, 1.432, 2.781, 2.504, 3.783, 2.761, 4.621, 4.884, all P 0.05).1 year after discharge, compared with the control group, the movement and exercise, interpersonal relationships, nutrition, health responsibility, self-actualization, stress management scores in the observation group significantly increased, the differences were statistically significant(t=2.463, 3.146, 2.463, 3.146, 2.633, 2.115, all P<0.05). Conclusion Continuous nursing interventions can effectively reduce acute myocardial infarction patients' anxiety and depression after PCI, improve their compliance and prevent recurrent cardiovascular events. Key words: Nursing intervention; Myocardial infarction; Percutaneous Coronary Intervention; Psychological state; Medication compliance
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