Effects of high-quality health education on compliance behavior, psychological status, and cardiovascular adverse events in patients with acute myocardial infarction after percutaneous coronary intervention

To explore the effects of quality health education on medical compliance, psychological status and the occurrence of adverse cardiovascular events in patients with acute myocardial infarction after percutaneous coronary intervention (PCI). A total of 60 patients with acute myocardial infarction who underwent PCI in Zhoushan Hospital from February to December 2023 were selected as the research subjects. A randomized controlled clinical research method was used and they were divided into a study group (30 cases) and a control group (30 cases) according to the random number table method. The control group received routine health education; the study group received quality health education on the basis of the control group. The two groups were compared in terms of compliance with medical treatment, psychological status before and after intervention, exercise endurance, cardiac function, changes in quality of life, and the occurrence of adverse cardiovascular events. The patients in the study group had a light diet [93.33% (28/30)], took medicine on time [96.67% (29/30)], and had regular follow-up [100.00% (30/30)], which were significantly better than those in the control group [63.33% (19/30), 70.00% (21/30), 76.67% (23/30)] (χ2 = 7.95, 7.68, 4.63, all P < 0.05). After intervention, the Self-Rating Anxiety Scale (SAS) score [(43.43±3.27) points] and the Self-Rating Depression Scale (SDS) score [(41.29±4.05) points] of the study group were significantly lower than those of the control group (48.97±4.04) points and (46.57±3.28) points, respectively (t =5.84, 5.55, both P < 0.05). The 6-minute walking distance (6MWT) of the study group after intervention was higher than that of the control group (421.17±37.47) m (t =6.30, P < 0.05). The left ventricular end-diastolic volume (LVEDV) of the study group after intervention was lower than that of the control group (57.13±2.86) mL (52.37±3.16) mL, while the left ventricular ejection fraction (LVEF) of the study group was higher than that of the control group (54.57±2.96%) and the blood flow velocity in early diastole/end diastole (E/A) of the study group was higher than that of the control group (49.98±4.12%) and (0.82±0.08) (t =6.12, 4.96, 6.39, all P < 0.05). After intervention, the quality of life environment [(4.47±0.45) points], social relationship [(4.34±0.51) points], psychological [(4.15±0.48) points] and physiological [(4.18±0.38) points] of the study group were significantly higher than those of the control group (3.36±0.31), (3.29±0.36), (3.26±0.50) and (3.27±0.51) points, respectively (t =11.13, 9.21, 7.03, 7.84, all P < 0.05). There was no significant difference in the incidence of adverse cardiovascular events (MACE) between the two groups (P > 0.05). The implementation of high-quality health education for patients with acute myocardial infarction after PCI is effective, can significantly improve patients' compliance with medical advice, significantly improve patients' psychological status, and reduce the occurrence of adverse cardiovascular events.