The Impact of Narrative Nursing Combined with Exercise Training on Health Beliefs and Cardiac Rehabilitation in Patients with Acute Myocardial Infarction After Intervention Therapy

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.