实用心脑肺血管病杂志2026，Vol.34Issue(9)：18-22,27,6.DOI:10.12114/j.issn.1008-5971.2026.00.206
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
Application Effect of Multi-Dimensional Cardiac Rehabilitation Intervention Based on Acceptance Commitment Concept in Patients with Acute Myocardial Infarction after PCI
摘要
Abstract
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.关键词
心肌梗死/经皮冠状动脉介入治疗/接纳承诺理念/心脏康复/治疗结果Key words
Myocardial infarction/Percutaneous coronary intervention/Acceptance commitment concept/Cardiac rehabilitation/Treatment outcome分类
医药卫生引用本文复制引用
张蓓蓓,阚肖迪,谢志莹,张敬婷..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[J].实用心脑肺血管病杂志,2026,34(9):18-22,27,6.基金项目
安徽省重点研究与开发计划项目(2022e07020026) （2022e07020026）
