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| Effects of a Health Education Program Based on Goal Attainment Theory on Psychological Status and Cardiac Function in Patients with Acute Myocardial Infarction after Percutaneous Coronary Intervention |
| WEI Yanan, HAN Yu |
| Department of Cardiovascular Medicine, the First Affiliated Hospital of Henan University of Science and Technology, Luoyang Henan 471000 |
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Abstract 【Objective】To investigate the effects of a health education program based on goal attainment theory on the psychological status and cardiac function of patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI). 【Methods】A total of 80 patients with AMI admitted to the First Affiliated Hospital of Henan University of Science and Technology from January 2024 to June 2025 were selected and divided into a control group (receiving routine nursing intervention) and an observation group (receiving a health education program based on goal attainment theory) using a random number table method, with 40 cases in each group. Before the intervention and 6 months after the intervention, cardiac function indicators [left ventricular ejection fraction (LVEF), left ventricular end-diastolic dimension (LVEDD)], exercise tolerance [maximum distance of the 6-minute walk test (six-minute walk distance, 6MWD)], psychological status [Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) scores], and the incidence of major adverse cardiovascular events were compared between the two groups. 【Results】Six months after the intervention, the SAS and SDS scores of both groups were lower than those before the intervention, and the above scores in the observation group were lower than those in the control group, with statistically significant differences (all P<0.05). The LVEF and 6MWD of both groups were greater than those before the intervention, and the LVEDD of both groups was lower than that before the intervention; moreover, the LVEF and 6MWD in the observation group were greater than those in the control group, and the LVEDD in the observation group was lower than that in the control group, with statistically significant differences (all P<0.05). The incidence of major adverse cardiovascular events was 7.50% (3/40) in the observation group and 20.00% (8/40) in the control group, with no statistically significant difference between the two groups (χ2=2.635, P=0.105). 【Conclusion】The health education program based on goal attainment theory can alleviate the anxiety and depression of AMI patients after PCI, improve their cardiac function, and enhance their exercise tolerance.
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Received: 21 November 2025
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2026, Vol. 43 
