目的 探究急性心肌梗死(acute myocardial infarction,AMI)行经皮冠状动脉介入(percutaneous coronary interven-tion,PCI)治疗患者心脏运动康复的依从动机,为提升患者运动康复参与及行为改变提供建议和依据.方法 采用描述性质性研究,通过目的抽样法选取 2021 年 7 月至 2022 年 1 月在上海某三级甲等医院复诊的 29 例 AMI患者进行半结构式深度访谈,其中 18 例来源于心脏康复中心、11 例来源于随访门诊.采用内容分析法整理访谈资料.结果 共提炼 3 个主题和 9 个亚主题:患者的运动体验(康复获益感、风险感知),患者的心理状态(悲观、恐惧、积极心态)和社会支持(家庭依恋及支持、专业指导及支持、同伴交流及支持、物理资源及支持).结论 护理人员应重视 AMI 行 PCI 治疗患者的运动体验、心理状态及社会支持情况,以提高患者心脏运动康复依从动机.
Objective To explore motivational factors influencing exercise-based cardiac rehabilitation ad-herence among patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI)and to provide suggestions and evidence for promoting patients'positive behaviors in exercise-based cardiac rehabilitation.Methods A descriptive qualitative study was conducted.Purposive sampling method was used to select 29 patients with AMI for semi-structured in-depth interviews,who were revisited at a tertiary hospital in Shanghai between July 2021 and January 2022.18 patients were from a cardiac rehabili-tation center and 11 from a follow-up clinic.The content analysis method was used for analyzing the inter-view data.Results Three themes and nine sub-themes were extracted,including patient's exercise experience(sense of benefit from exercise-based cardiac rehabilitation,perception of exercise-related risks),psychological state(pessimism,fear and positive mental attitude),and social support(family attachment and support,professional in-struction and support,peer communication and support,physical resources and support).Conclusions Nurses should pay attention to the patient's exercise experience,psychological state,and social support during the post-AMI period,so as to enhance their motivation for adherence to exercise-based cardiac rehabilitation.