| 摘要 |
[Objectives] To systematically evaluate the impact of interventions based on the Common Sense Model of Self-Regulation (CSM) on the psychosocial adaptation of young and middle-aged patients with acute coronary syndrome (ACS), providing evidence-based support for clinical practice. [Methods] A systematic review was conducted using a literature search method, systematically searching through Chinese and English databases such as PubMed, Embase, Cochrane Library, CINAHL, China National Knowledge Infrastructure (CNKI), Wanfang Database, and VIP Database, from the database inception to December 31, 2024. The search focused on studies related to the impact of the CSM on the psychosocial adaptation of young and middle-aged ACS patients. Two researchers independently performed literature screening, quality assessment, and data extraction. [Results] A total of 18 studies were included, comprising 12 randomized controlled trials, 4 quasi-experimental studies, and 2 cohort studies, involving 2 847 young and middle-aged ACS patients. Interventions based on the CSM significantly improved patients’ disease perception, emotional regulation, self-efficacy, and quality of life. Patients in the intervention group showed significant reductions in anxiety and depression levels, cardiac-related fear, and improvements in disease perception accuracy, treatment adherence, and social function recovery. [Conclusions] Interventions based on the CSM can effectively promote the psychosocial adaptation of young and middle-aged ACS patients, improve their disease perception and emotional state, and enhance their quality of life. It is recommended that this model be widely applied in the clinical care of young and middle-aged ACS patients. |
