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July 8, 2025Frontiers in Cardiovascular MedicineOpen Access

The effects of high-quality nursing accompaniment on the sleep quality, negative psychological moods and quality of life of patients with acute myocardial infarct

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Key result

High-quality nursing accompaniment improves sleep and cuts complications ~85% vs standard care in AMI patients.

  • P<0.05
  • n=160

Why the study?

High-quality nursing accompaniment provides comprehensive care, but its effects on sleep quality, negative psychological moods, and quality of life in patients with acute myocardial infarction needed investigation.

Does high-quality nursing accompaniment improve sleep quality, psychological status, and quality of life in patients with acute myocardial infarction?

Population

Patients with acute myocardial infarct recruited from January 2023 to December 2024

Comparison

High-quality nursing accompaniment interventions vs standard conventional nursing care

Design

Two-cohort study

Authors

HZHongdi ZhouJZJing ZhangYLYaqiang Li

Discussion

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Overview

Supports implementing high-quality nursing accompaniment in AMI care; confirms benefits with RCT evidence.

Study Design

Type

RCT (n=160)

Blinding

Open-label

Randomization

Computer-generated randomization sequence

Multicenter

No

Structured PICO

Does high-quality nursing accompaniment improve sleep quality, psychological status, and quality of life in patients with acute myocardial infarction?

P
Population
160 adults aged 18-80 years with acute myocardial infarction, followed for 3 months to assess the effects of high-quality nursing accompaniment.
I
Intervention
High-quality nursing accompaniment (comprehensive health education, psychological nursing, optimized medical/sleeping environment, pain/dietary nursing, moderate exercise, post-discharge follow-up, and family involvement) added to basic treatment.
C
Comparator
Standard conventional nursing care (dietary instructions, bed rest, basic monitoring, oxygenation, and complication prevention).
O
Outcome
Sleep quality (Pittsburgh Sleep Quality Index), psychological status (Self-rating Anxiety Scale and Self-rating Depression Scale), and quality of life (Generic Quality of Life Inventory-74) at 3 months post-intervention.patient reported

Main Result

Absolute Event Rate: 1.16% vs 1.81%

p-value: p=<0.05

High-quality nursing accompaniment significantly improves sleep, psychological well-being, and quality of life while reducing complications in patients recovering from acute myocardial infarction.

Limitations

  • Conducted at a single institution with a relatively small sample size, potentially limiting generalizability.
  • Brief intervention and follow-up period of only three months.
  • Absence of blinding, as researchers analyzing the data were aware of group assignments.
  • Potential unmeasured confounding factors such as economic status and social support systems.
  • Lack of detailed baseline data on cardiovascular risk factors (e.g., tobacco use, diabetes) and specific cardiac parameters (e.g., ejection fraction).

Cite This Study

Zhou et al. (2025) conducted an RCT in Acute myocardial infarction (n=160). High-quality nursing accompaniment vs. Standard conventional nursing care was evaluated on Sleep quality (PSQI component score) (p=<0.05). High-quality nursing accompaniment significantly improved sleep quality, reduced anxiety and depression, and lowered the total incidence of complications (2.5% vs 16.25%, P=0.003) compared to standard care in patients with acute myocardial infarction.

synapsesocial.com/papers/6a20ec69920f77b2c049e478https://doi.org/10.3389/fcvm.2025.1562236
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