Keywords
Narrative nursing
Exercise training
Health belief
Cardiac rehabilitation
Submitted : 2025-03-05
Accepted : 2025-03-20
Published : 2025-04-04
Abstract
Objective: To explore the effect of narrative nursing combined with exercise training on health beliefs and cardiac rehabilitation in patients with acute myocardial infarction (AMI) after interventional treatment. Methods: A total of 111 patients with acute myocardial infarction (AMI) who received interventional therapy in Department of Cardiology of Hefei First People’s Hospital from January 2022 to September 2023 were selected as the study subjects. They were randomly divided into a control group (n = 55) and a study group (n = 56) using a random table method. Both groups received routine nursing care, while the control group received exercise training on top of it. The study group received narrative nursing care on top of the control group. Both groups were intervened until the patients were discharged. The health beliefs, heart function, psychological status, and quality of life after intervention were compared between two groups using a 6-minute walk test (6MWT). Results: After intervention, the scores of the TSK-SV Heart in all dimensions (fear of movement, functional disorders, risk perception, and avoidance of movement) decreased in both groups, and the study group was lower than the control group, with a statistical significant difference (P < 0.05). After intervention, the scores of the Self Rating Anxiety Scale (SAS) and Self Rating Depression Scale (SDS) in both groups decreased, and the study group was lower than the control group, with a statistical significant difference (P < 0.05). After intervention, both groups showed an increase in left ventricular ejection fraction (LVEF) and left ventricular early diastolic peak flow velocity/left ventricular late diastolic peak flow velocity (E/A), with the study group being higher than the control group. The left ventricular end diastolic diameter (LVEDD) and left atrial volume index (LAVI) decreased, and the study group was lower than the control group, with statistical significant differences (P < 0.05). The walking distance of the study group at 6MWT (488.8 ± 31.4) m was greater than that of the control group (425.54 ± 30.7) m, with statistical significant differences (P < 0.05). The quality of life measurement scale (CROQ-PTCA-Post) of the study group after coronary intervention treatment had higher scores in all dimensions (physical function, satisfaction, psychosocial function, adverse reactions, symptoms, cognitive function) than the control group, with statistical significant differences (P < 0.05). Conclusion: Narrative nursing combined with exercise training can enhance the health beliefs of AMI patients towards exercise training after intervention therapy, which is beneficial for cardiac rehabilitation and can improve psychological status and quality of life.
References
Shah ZA, Jamal QM, Ullah N, et al., 2022, Effectiveness of Cardiac Rehabilitation in Myocardial Infarction Patients After Percutaneous Coronary Intervention. Cureus, 14(7): e26684. DOI: 10.7759/cureus.26684.
Wang X, Chen D, Zou P, et al., 2024, Understanding Adaptive Tasks in Cardiac Rehabilitation Among Patients with Acute Myocardial Infarction: A Qualitative Study. Ann Med, 56(1): 2311227. DO I: 10.1080/07853890.2024.2311227.
Lin Y, Wang X, Liu Y, et al., 2020, Experimental Study on the Inhibition of Endothelium-Dependent Relaxation in Patients with Myocardial Infarction by Different Types of Exercise Training. Chinese Journal of Rehabilitation Medicine, 35(10): 1209–1216. DOI: 10.3969/j.issn.1001-1242.2020.10.010.
Guo X, Huang F, Fang L, et al., 2023, Effects of Different Rehabilitation Training Frequencies on Cardiopulmonary Exercise Tolerance, Inflammatory Transcription Factors and Quality of Life in Patients with Acute Myocardial Infarction After PCI. Advances in Modern Biomedicine, 23(6): 1196–1200. DOI: 10.13241/j.cnki.pmb.2023.06.039.
Zhai Y, Xu H, Li R, et al., 2023, Application of Narrative Nursing in Young Stroke Patients with Acute Stress Disorder. Nursing Research, 37(17): 3211–3216. DOI: 10.12102/j.issn.1009-6493. 2023.17.032.
Shao H, Zhong X, Shen A, et al., 2021, The Impact of Narrative Nursing on the Psychological State and Quality of Life of Elderly Patients with Chronic Diseases. Zhonghua General Practice, 19(9): 1600–1603. DOI: 10.16766/j.cnki.issn.1674-4152.002121.
Chinese Medical Doctor Association Emergency Physician Branch, Chinese Medical Association Cardiovascular Branch, Chinese Medical Association Laboratory Medicine Branch, 2016, Guidelines for Rapid Emergency Diagnosis and Treatment of Acute Coronary Syndrome. Chinese Journal of Emergency Medicine, 25(4): 397–404. DOI: 10.3760/cma.j.issn.1671-0282.2016.04.002.
Interventional Cardiology Group of Chinese Medical Association Cardiovascular Branch, Thrombosis Prevention and Control Professional Committee of Chinese Medical Association Cardiovascular Physicians Branch, Editorial Committee of Chinese Journal of Cardiovascular Diseases, 2016, Guidelines for Percutaneous Coronary Intervention in China, 2016. Chinese Journal of Cardiovascular Diseases, 44(5): 382–400. DOI: 10.3760/cma.j.issn.0253-3758.2016.05.006.
Killip T 3rd, Kimball JT. 1967, Treatment of Myocardial Infarction in a Coronary Care Unit. A Two Year Experience with 250 Patients, Am J Cardiol, 20(4): 457–464. DOI: 10.1016/0002-9149 (67) 90023-9.
Lei M, Liu T, Xiong S, Sang M, Jin C, 2019, Sinicization and Reliability Validity Test of Exercise Fear Scale for Heart Disease Patients. China Nursing Management, 19(11): 1637–1642. DOI: 10.3969/j.issn.1672-1756.2019.11.009.
Duan Q, Shengli, 2012, Clinical Validity of Self-Rating Scale for Anxiety and Depression. Chinese Journal of Mental Health, 26(9): 676–679. DOI: 10.3969/j.issn.1000-6729.2012.09.007.
Cao S, Zhao Q, Zhang G, 2009, Reliability and Validity of Quality of Life Measurement Scale After Coronary Interventional Therapy. Journal of Nurse Rehabilitation, 24(6): 488–491. DOI: 10.3969/j.issn.1002-6975.2009.06.003.
Guo W, Zhao S, Zhao L, 2022, Efficacy of Cardiac Rehabilitation Combined with Cognitive Behavioral Therapy in AMI Patients with ADHD. Journal of Cardiovascular Rehabilitation Medicine, 31(3): 285–290. DOI: 10.3969/j.issn.1008-0074.2022.03.05.
Cai H, Cao P, Zhou W, et al, 2021, Effect of Early Cardiac Rehabilitation on Prognosis in Patients with Heart Failure Following Acute Myocardial Infarction. BMC Sports Sci Med Rehabil, 13(1): 139. DO I: 10.1186/s13102-021-00368-z.
Nemani RRS, Gade BS, Panchumarthi D, et al, 2023, Role of Cardiac Rehabilitation in Improving Outcomes After Myocardial Infarction. Cureus, 15(12): e50886. DOI: 10.7759/cureus.50886.
Marcin T, Trachsel LD, Dy sli M, et al, 2022, Effect of Self-Tailored High-Intensity Interval Training Versus Moderate-Intensity Continuous Exercise on Cardiorespiratory Fitness After Myocardial Infarction: A Randomised Controlled Trial. Ann Phys Rehabil Med, 65(1): 101490. DOI: 10.1016/j.rehab 202.101490.
Ren Y, Tian T, Wei G, et al, 2024, Effect of Phase I Comprehensive Cardiac Rehabilitation on Patients with ST-Segment Elevation Myocardial Infarction After Emergency Percutaneous Coronary Intervention. Journal of Practical Medicine, 40(5): 682–687. DOI: 10.3969/j.issn.1006-5725.2024.05.016.
Chen Y, Zeng D, Wei J, et al, 2023, Effects of Respiratory Training in PNF Mode on Cardiopulmonary Function and Exercise Capacity in Patients with Acute Myocardial Infarction After PCI. Chinese Journal of Coal Industry Medicine, 26(5): 526–530. DOI: 10.11723/mtgyyx1007-9564202305015.
Chen Y, Zeng D, Wei J, et al, 2023, Effects of Respiratory Training in PNF Mode on Cardiopulmonary Function and Exercise Capacity in Patients with Acute Myocardial Infarction After PCI. Chinese Journal of Coal Industry Medicine, 26(5): 526–530. DOI: 10.1371/journal.pone.0255682.
Du Q, Wang Y, Chen Y, et al, 2021, Effects of Progressive Muscle Relaxation Training on Exercise Endurance and Psychological Stress Response in Elderly Patients with Acute Myocardial Infarction After PCI. Chinese Journal of Health Care Medicine, 23(1): 47–50. DO I: 10.3969/j.issn.1674-3245.2021.01.013.
Sancassiani F, Montisci R, Preti A, et al, 2021, Surviving to Acute Myocardial Infarction: The Role of Psychological Factors and Alexithymia in Delayed Time to Searching Care: A Systematic Review. J Clin Med, 10(17): 3813. DOI: 10.3390/jcm10173813.
Liu L, Cao K, Sun H, 2022, Application of Cardiac Exercise Rehabilitation Combined with Mindfulness Music Training in Patients with Acute Myocardial Infarction After PCI. China Journal of Modern Nursing, 28(1): 91–95. DOI: 10.3760/cma.j.cn115682-20210629-02837.
Yang P, Zhang M, Peng J, et al, 2024, Effect of Refined Nursing Intervention on Self-Efficacy and Quality of Life in Patients with Acute Myocardial Infarction After PCI. China Medical Herald, 21(14): 134–137. DOI: 10.20047/j.issn1673-7210. 2024.14.36.