Abstract:

Objective  To investigate the effects of comprehensive nursing intervention on modifying the depressed mood for elderly patients with coronary heart disease(CHD). Methods  Ninety elderly CHD patients were included from 2012 to 2014, and randomized into observational group and control group(n=45 for each). The control group only received conventional nursing and therapy, and the observational group were provided with comprehensive nursing intervention besides the conventional care. Patients in the two groups were followed up after discharge and surveyed with questionnaire response concerning the recognition on CHD, changes in life style and modification of anxiety. Results  Patients in the observational group improved a lot in recognition on CHD, life style, health conditions and mental state. Poor life styles and diet habits, including smoking (>5/d), lack of exercise, alcohol drink(> 30g / d), intake of high fat food and high salt intake were modified by 85.7%, 91.6%, 87.5%, 83.3% and 88.6%, respectively, compared to 26.4%, 56.7%, 64.1%, 43.9% and 63.8% in the control group. Forty patients(88.8%) in the observational group were found free of any anxiety or with mild anxiety, whereas the number is 33(73.3%)in the controls, the difference was significant (P <0.05 ). Conclusion  Comprehensive nursing intervention can aid the elderly CHD patients to develop healthy living styles and relieving their anxiety as well as other negative emotions, and finally improve the quality of life and health state of such patients.

Key words: Integrated care, Coronary heart disease, Lifestyle, Anxiety