Study on the effect of evidence-based emotional nursing model on the psychological status and treatment compliance of elderly patients with hypertension and coronary heart disease
循证-情志护理模式对老年高血压合并冠心病病人心理状态及治疗依从性的作用研究

摘要

目的 探讨高血压合并冠心病的老年患者使用循证-情志护理对于减轻患者心理压力和提升治疗依从性的意义。方法 选择研究的样本对象为60例高血压合并冠心病的老年患者，研究为2022年1月至2025年8月，随机分为对照组和观察组。在治疗过程中对照组接受一般性护理，观察组使用循证-情志护理模式。护理前后使用焦虑（SAS）和抑郁（SDS）自评量表评估患者心理状况，记录患者遵医嘱行为。结果 护理后观察组患者的SAS和SDS自评量表得分均低于对照组；观察组的遵医嘱行为高于对照组。结论 高血压合并冠心病的老年患者在疾病治疗过程中使用循证-情志护理能够明显减轻患者心理压力和提升治疗依从性，具有临床使用价值。

Abstract

Objective To explore the significance of evidence-based emotional nursing in reducing psychological stress and improving treatment compliance in elderly patients with hypertension and coronary heart disease.
Methods A sample of 60 elderly patients with hypertension and coronary heart disease were selected for the study, which was conducted from January 2022 to August 2025. They were randomly divided into a control group and an observation group. During the treatment process, the control group received general care, while the observation group used an evidence-based emotional care model. The Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used to assess the psychological status of patients before and after nursing, and record their compliance with medical advice.
Results The SAS and SDS scores of the observation group after nursing were lower than those of the control group; The observation group showed higher adherence to medical advice than the control group.
Conclusion   Evidence-based emotional nursing can significantly reduce psychological pressure and improve treatment compliance in elderly patients with hypertension and coronary heart disease during disease treatment, and has clinical value.