ArticleScientific reports2024
Resilience and its influencing factors after emergency percutaneous coronary intervention in young and middle-aged patients with first acute myocardial infarction.
Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed.
- Red flags for depression and PTSD following acute myocardial infarction: the role of early psychological symptoms.Scientific reports · 2025Article
- The relationship between physical exercise and psychological capital in college students: the mediating role of perceived social support and self-control.BMC public health · 2025Article
- Effect of basic psychological satisfaction needs on resilience in patients with first acute myocardial infarction: the mediating role of family resilience and hope.Frontiers in psychiatry · 2025Article
- Effect of a fast-track nursing pathway for emergency percutaneous coronary intervention on clinical outcomes in patients with acute myocardial infarction.Frontiers in cardiovascular medicine · 2025Article
- Analysis of current status and influencing factors of health promotion behaviors among patients after PCI: based on health ecology theory.Frontiers in public health · 2025Article
- The mediating role of psychological resilience in the relationship between health literacy and health promotion behaviors among older adult patients undergoing PCI in China.Frontiers in public health · 2025Article
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Abstract
Mental health after acute myocardial infarction (AMI) influences the prognosis of patients. Resilience may contribute to improving a patient's mental health. However, no study has investigated resilience and its associated factors in young and middle-aged patients undergoing emergency percutaneous coronary intervention (PCI) after the first AMI. This study aimed to identify critical associated factors influencing resilience in these patients. This cross-sectional study recruited 161 young and middle-aged patients with first-episode AMI using a purposive sampling method. These patients were assessed 48 h after emergency PCI using the General Information Questionnaire, the Connor-Davidson Resilience Scale-10, the Perceived Social Support Scale, the General Self-Efficacy Scale, and the Post-traumatic Stress Disorder Scale Civilian Version. Stepwise and logistic regression were conducted to analyze the factors influencing resilience. Receiver operating characteristics (ROC) were used to compare the area under the curves (AUC) for each indicator. The resilience of the 161 participants was 29.50 ± 4.158. Monthly household income, self-efficacy, social support, and post-traumatic stress disorder explained 51.4% of the variance in resilience. Self-efficacy (OR 0.716, CI 0.589-0.870, P < 0.01) and social support (OR 0.772, CI 0.635-0.938, P < 0.01) were protective factors for psychological resilience, while post-traumatic stress disorder (OR 1.278, CI 1.077-1.515, P < 0.01) was a risk factor. ROC curve revealed that self-efficacy, social support, and PTSD had an AUC of 0.822, 0.855, and 0.889, respectively. Self-efficacy and social support improve, and PTSD degrades psychological resilience in young and middle-aged AMI patients undergoing emergency PCI.
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