基于接纳承诺理念的多维度心脏康复干预在急性心肌梗死PCI后患者中的应用效果OA

Objective To analyze the application effect of multi-dimensional cardiac rehabilitation intervention based on acceptance commitment concept in patients with acute myocardial infarction after PCI.Methods A total of 49 patients with acute myocardial infarction who underwent PCI in the Third People's Hospital of Bengbu in 2024 were prospectively included in the multidimensional group,and 49 patients who underwent PCI in this hospital from January to November 2025 were included in the acceptance commitment concept group.The multidimensional group received multi-dimensional cardiac rehabilitation intervention,while the acceptance commitment concept group received multi-dimensional cardiac rehabilitation intervention based on acceptance commitment concept.Both groups of patients received intervention for 6 months.The Chinese version of the Tampa Scale for Kinesiophobia Heart(TSK-SV Heart)scores before intervention and at discharge,cardiac function indicators(LVEF,LVEDD),pulmonary function indicators[peak oxygen uptake(peakVO2),anaerobic threshold(AT)],6MWD and General Self-Efficacy Scale(GSES)scores before intervention and after 6 months of intervention were compared between the two groups.Results At discharge,the Chinese version of TSK-SV Heart scores of the multidimensional group and the acceptance commitment concept group were lower than those before intervention respectively,and those of the acceptance commitment concept group were lower than those of the multidimensional group(P<0.05).After intervention,the LVEF of the multidimensional group and the acceptance commitment concept group were higher than those before intervention,and the LVEDD was smaller than that before intervention,respectively,moreover,the LVEF of the acceptance commitment concept group was higher than that of the multidimensional group,and the LVEDD was smaller than that of the multidimensional group(P<0.05).After intervention,peakVO2 and AT in the multidimensional group and the acceptance commitment concept group were higher than those before intervention respectively,and those of the acceptance commitment concept group were higher than those of the multidimensional group(P<0.05).After intervention,the 6MWD of the multidimensional group and the acceptance commitment concept group was longer than that before intervention respectively,and that of the acceptance commitment concept group was longer than that of the multidimensional group(P<0.05).After intervention,the GSES scores of the multidimensional group and the acceptance commitment concept group were higher than those before intervention respectively,and those of the acceptance commitment concept group were higher than those of the multidimensional group(P<0.05).Conclusion The multi-dimensional cardiac rehabilitation intervention based on acceptance commitment concept can effectively reduce the level of exercise fear in patients with acute myocardial infarction after PCI,improve cardiac and pulmonary function,enhance exercise tolerance and self-efficacy.