世界睡眠医学杂志2026，Vol.13Issue(2)：419-421,425,4.DOI:10.3969/j.issn.2095-7130.2026.02.052
睡眠认知行为疗法联合正念减压对中青年急性心肌梗死PCI术后患者疾病感知及睡眠质量的影响
Effects of Cognitive Behavioral Therapy for Insomnia Combined with Mindfulness-based Stress Reduction on Illness Perception and Sleep Quality in Young and Middle-aged Patients with Acute Myocardial Infarction after Percutaneous Coronary Intervention
摘要
Abstract
Objective:To investigate the effects of cognitive behavioral therapy for insomnia combined with mindfulness-based stress reduction on illness perception and sleep quality in young and middle-aged patients with acute myocardial infarction after percutaneous coronary intervention.Methods:A total of 108 young and middle-aged patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI)admitted to Longyan First Affiliated Hospital of Fujian Medical University from June 2025 to October 2025 were selected as the study subjects.They were divided into the control group and the observation group according to the random number table method,with 54 cases in each group.The control group received routine postoperative nursing intervention,while the observation group received cognitive behavioral therapy for insomnia combined with mindfulness-based stress reduction on the basis of routine postoperative nursing intervention.The psychological status[Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)],illness perception[Brief Illness Perception Questionnaire(BIPQ)],sleep quality[Pittsburgh Sleep Quality Index(PSQI)],self-efficacy[General Self-Efficacy Scale(GSES)],and quality of life[36-Item Short Form Health Survey(SF-36)]were compared between the two groups at different intervention time points.Results:After the intervention,the HAMD score,HAMA score,total BIPQ score,and total PSQI score in both groups were lower than those before the intervention,and those in the observation group were lower than those in the control group,with statistically significant differ-ences(P＜0.05).The total GSES score and total SF-36 score in both groups were higher than those before the intervention,and those in the observation group were higher than those in the control group,with statistically significant differences(P＜0.05).Conclusion:Cognitive behavioral therapy for insomnia combined with mindfulness-based stress reduction can significantly improve psychological status,illness perception,sleep quality,self-efficacy,and quality of life in young and middle-aged patients with AMI after PCI.关键词
睡眠认知行为疗法/正念减压/AMI/PCI术后/中青年患者/疾病感知/睡眠质量/自我效能/生命质量Key words
Cognitive behavioral therapy for insomnia/Mindfulness-based stress reduction/Acute myocardial infarction/Percu-taneous coronary intervention/Young and middle-aged patients/Illness perception/Sleep quality/Self-efficacy/Quality of life分类
医药卫生引用本文复制引用
林福金,包梅香,罗清清,邱玮珑..睡眠认知行为疗法联合正念减压对中青年急性心肌梗死PCI术后患者疾病感知及睡眠质量的影响[J].世界睡眠医学杂志,2026,13(2):419-421,425,4.基金项目
龙岩市科技计划项目联合资金项目(龙岩)(2024LYF17079). （龙岩）
