Abstract:Objective To observe mindfulness level and coping style of patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI), and to analyze the relationship between mindfulness level and coping style. Methods A total of 110 AMI patients who received PCI treatment from January 2018 to January 2021 in People’s Hospital of Garzi Tibetan Autonomous Prefecture, Sichuan Province were selected as the study subjects. Mindful attention awareness scale (MAAS) and medical coping modes questionnaire (MCMQ) were used to evaluate the mindfulness level and coping style of all patients at the end of treatment, one and two weeks after treatment, Pearson correlation coefficient was used to analyze the relationship between mindfulness level and coping style. Results At two weeks after treatment, 10 of the 110 patients were shed and 100 cases were eventually included in the study. The MAAS score of AMI patients at one and two weeks after treatment was higher than that at the end of treatment, and two weeks after treatment was higher than one week after treatment, the differences were statistically significant (P < 0.05). The scores of face dimension MCMQ in AMI patients at one and two weeks after treatment were higher than those at the end of treatment, while the scores of avoidance and yield dimensions were lower than those at the end of treatment; the scores of face dimension at two weeks after treatment was higher than one week after treatment, and the scores of avoidance dimension and yield dimension at two weeks after treatment were lower than one week after treatment, the differences were statistically significant (P < 0.05). The results of correlation analysis showed that there was a positive correlation between MAAS score and score of face dimension in MCMQ (r > 0, P < 0.05), and a negative correlation between MAAS score and scores of avoidance and yield dimension in MCMQ (r < 0, P > 0.05). Conclusion Mindfulness level after PCI in AMI patients is related to coping style.
[1] Januszek R,Bujak K,G?諭 sior M,et al. Survival rate after acute myocardial infarction in patients treated with percutaneous coronary intervention within the left main coronary artery according to time of admission [J]. Medicine (Baltimore),2021,100(4):e24360.
[2] 马骄娜,孙桂芝,韩永奎.正念减压训练对心肌梗死患者重返工作后负性情绪知觉压力及社会功能的影响[J].护士进修杂志,2019,34(21):1921-1924.
[3] Compen F,Bisseling E,Schellekens M,et al. Face-to-Face and Internet-Based Mindfulness-Based Cognitive Therapy Compared With Treatment as Usual in Reducing Psychological Distress in Patients With Cancer:A Multicenter Randomized Controlled Trial [J]. J Clin Oncol,2018, 36(23):2413-2421.
[4] Nagel KE,Wesley TD,Herman AN,et al. The association between dispositional mindfulness and glycemic control in type 1 diabetes during early adulthood:Differences by age and adverse childhood experiences [J]. Pediatr Diabetes,2020,21(4):681-691.
[5] Karabulut V,Evren C. The relationship of suicide attempt story and stress coping style among the patients with opioid substitution therapy [J]. J Clin Psychiatry,2018,21(3):245-253.
[6] Wang Y,Wang P. Perceived stress and psychological distress among chinese physicians:The mediating role of coping style [J]. Medicine(Baltimore),2019,98(23):e15950.
[7] Thygesen K,Alpert JS,Jaffe AS,et al. Fourth Universal Definition of Myocardial Infarction(2018)[J]. J Am Coll Cardiol,2018,72(18):2231-2264.
[8] 陈思佚,崔红,周仁来,等.正念注意觉知量表(MAAS)的修订及信效度检验[J].中国临床心理学杂志,2012,20(2):148-151.
[9] 沈晓红,姜乾金.医学应对方式问卷中文版701例测试报告[J].中国行为医学科学,2000,9(1):18.
[10] 国家卫生计生委医政医管局.国家临床路径(内科部分·上册)[M].北京:人民卫生出版社,2018:72-73.
[11] 袁理,冯红,丁淑贞,等.正念水平在肠造口病人造口适应与疾病获益感间的中介作用[J].护理研究,2019,33(21):56-60.
[12] Dikaios E,Escobar S,Nassim M,et al. Continuation Sessions of Mindfulness-Based Cognitive Therapy(MBCT-C) vs. Treatment as Usual in Late-Life Depression and Anxiety:An Open-Label Extension Study [J]. Int J Geriatr Psychiatry,2020,35(10):1228-1232.
[13] 范勤琴,马艳丽,姜慧.正念音乐训练对急性心肌梗死患者介入术后心理应激反应及睡眠质量的影响[J].海南医学,2019,30(20):2714-2717.
[14] 樊丽娟.正念认知干预对心肌梗死初诊病人治疗依从性及心功能的影响[J].中西医结合心脑血管病杂志,2019, 17(3):468-470.
[15] 张友丽,郭蕾蕾.应对方式在慢性便秘患者正念水平与健康行为之间的中介作用研究[J].现代预防医学,2018, 45(7):99-102.
[16] 彭菊意,呼亚丽,任燕,等.双相障碍抑郁发作病人病耻感与正念水平的相关性研究[J].护理研究,2019,33(10):182-185.
[17] Pariwatcharakul P,Apha WR,Sumalrot T,et al. Depression,quality of life and coping style among Thai doctors before their first year of residency training [J]. Postgrad Med J,2020,96(1136):321-324.
[18] 李思思,梁春光,王玥,等.冠心病患者应对方式在正念水平和健康行为之间的中介效应 [J].现代预防医学,2017, 44(14):2593-2596.
[19] 谭琳,李倩,罗珊,等.应对方式在脑卒中患者心理一致感与健康行为间的中介效应[J].护理管理杂志,2019, 19(10):7-12.
[20] 赫英娟,马子媛,王冬梅,等.认知行为干预对肺癌化疗患者应对方式、一般自我效能感的影响研究[J].中国医药科学,2019,9(10):129-133.
[21] 王在远.心内科护理单元对急性心肌梗死患者应对方式及自护能力的影响[J].检验医学与临床,2017,14(18):2772-2774.
[22] 曾秋霞,何海燕,徐春美,等.急性心肌梗死患者创伤后成长特征及其与社会支持和应对方式的关系[J].第三军医大学学报,2018,40(2):176-182.
[23] 巫秋霞,刘沛珍,方丹.脑出血患者希望水平与应对方式的相关性研究[J].中国慢性病预防与控制,2018,26(2):127-129.
[24] 刘科华,何琼,宁惠雯,等.肠癌患者心理社会适应与自我效能感、应对方式的相关性[J].中国当代医药,2021, 28(22):212-215.
[25] 苏小萍,陈瑞敏,孙未,等.冠心病并发心力衰竭患者自我管理行为与健康心理控制源及应对方式的相关性研究[J].中华全科医学,2018,16(4):600-602,633.
[26] 张晓霞,邢绍芝,武建凤.正念减压疗法对癌痛患者心理及睡眠质量的影响[J].中国医药科学,2021,11(15):115-118.
[27] 焦岗军,李天牧,李晓达,等.乳腺癌化疗患者正念水平与负性情绪及生活质量的相关性分析[J].现代肿瘤医学,2021,29(1):71-74.
[28] 张亚娟,钱超,陆海燕,等.正念疗法对乳腺癌术后患者生活质量及负性情绪影响的meta分析[J].中国医药导报,2020,17(25):164-167,183.
[29] 尤敏.正念减压疗法在早期肺癌手术患者护理中的应用及对心理痛苦、行为功能状态的影响[J].中国现代医生,2020,58(7):180-184.
[30] 郭冬梅,刘金虎,王义利,等.应对方式在有留守经历大学生自尊与消极情绪间的中介作用[J].中华行为医学与脑科学杂志,2018,27(10):927-930.