心内科护理中情绪支持对患者心理状态的影响分析

Q: What is the clinical evidence from this study?

Study design: Cohort. Population: Coronary heart disease and heart failure (n=230). Intervention: Structured emotional support vs. Usual care. Primary outcome: Psychological deterioration events within 6 months (HR 0.4, 95% CI 0.2-0.7, p=0.005).

Q: What does this research mean for the field?

Structured emotional support reduces psychological deterioration events by 60% and significantly improves anxiety, depression, and social support in cardiology patients over a 6-month follow-up, with coronary heart disease patients experiencing the greatest benefit. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

岩 李; 韩 菁

doi:10.37155/2717-5650-0706-25

January 1, 2026国际护理与健康Open Access

心内科护理中情绪支持对患者心理状态的影响分析

View Full Paper

Ask AI

Bookmark

Share

Why the study?

The long-term effects of structured emotional support nursing on psychological status in cardiology patients and its impact across different diseases were unclear.

Does structured emotional support nursing reduce psychological state deterioration and improve anxiety, depression, and social support in patients with coronary heart disease or heart failure compared to routine care?

Key Points

To evaluate the sustained impact of structured emotional support nursing on psychological status and social support in cardiology patients across different cardiac diagnoses over a six-month period.
Conducted a propensity score-matched cohort study of 230 cardiology patients (140 with coronary heart disease, 80 with heart failure) at Ningxia Medical University General Hospital, allocated equally into an observation group (n = 115) and a routine nursing control group (n = 115).
Delivered structured emotional support encompassing empathic listening, cognitive behavioral reframing, and mindfulness breathing alongside regular care, evaluated by blinded raters using HADS and SSRS at baseline, 1, 3, and 6 months.
Over 6 months, the observation group exhibited progressive declines in anxiety (HADS-A: β = -1.30, 95% CI -1.80 to -0.80, P < 0.001) and depression (HADS-D: β = -1.30, 95% CI -1.70 to -0.90, P < 0.001), alongside gains in social support (SSRS: β = 3.50, 95% CI 2.10 to 4.90, P < 0.001).
Psychological deterioration occurred in 10.4% (12/115) of the observation group versus 21.7% (25/115) of controls (adjusted HR 0.4, 95% CI 0.2–0.7, P = 0.005), with significant protective effects observed in the coronary heart disease subgroup (10.0% vs 21.4%; adjusted HR 0.3, 95% CI 0.1–0.8, P = 0.02).

Study Design

Type

Cohort (n=230)

Blinding

Single-blind

Randomization

Propensity Score Matching

Multicenter

No

Structured PICO

Does structured emotional support nursing reduce psychological state deterioration and improve anxiety, depression, and social support in patients with coronary heart disease or heart failure compared to routine care?

P

Population

230 stable patients with coronary heart disease or heart failure, mean age 58.5 years, followed for 6 months after propensity score matching to compare structured emotional support versus usual care.

I

Intervention

Structured emotional support nursing (incorporating empathy theory, cognitive behavioral model, and mindfulness interventions) implemented from admission through 6 months post-discharge.

C

Comparator

Routine cardiology nursing (health education, medication administration, and life guidance) without specialized emotional support or psychological intervention.

O

Outcome

Psychological state deterioration events (defined as HADS-A or HADS-D score increasing by ≥3 points from baseline or first reaching the clinical intervention threshold) at 6 months.patient reported

Main Result

Hazard Ratio: 0.4 (95% CI 0.2–0.7)

Absolute Event Rate: 10.4% vs 21.7%

p-value: p=0.005

Implementing a structured emotional support nursing program provides sustained, independent benefits in reducing psychological deterioration and alleviating anxiety and depression in cardiology patients, particularly those with coronary heart disease.

Limitations

Single-center study design
Small sample size in certain subgroups
Single-center study
Small sample size in some subgroups

Ask about this paper

Answers are grounded in this paper and cite their sources.

Implication

Should not yet change cardiology practice; leaves open randomized confirmation of emotional support benefits.

Abstract

目的：研究结构化情绪支持护理是否能够长期调控心内科患者的心理，不同病种的干预效果如何。方法：选取该院230例患者经倾向评分匹配后分组，观察组进行综合情绪干预、对照组常规护理，随访半年，运用量表多时点测评，通过统计学模型分析数据；结果：显示观察组焦虑抑郁评分逐渐降低、社会支持评分提高，心理不良事件发生率下降、冠心病亚组获益更明显，干预作用独立稳定。结论：认为本护理模式可长效改善心内科患者负面情绪、增强其社会支持，冠心病人群获益最优，可纳入常规护理中。

Discussion

No takes yet. Share an insight, caveat, or question.

Cite This Study

李 et al. (2026) conducted a cohort in Coronary heart disease and heart failure (n=230). Structured emotional support vs. Usual care was evaluated on Psychological deterioration events within 6 months (HR 0.4, 95% CI 0.2-0.7, p=0.005).

synapsesocial.com/papers/6ace6db8b52af824ab02bae6 https://doi.org/10.37155/2717-5650-0706-25

View Full Paper

Ask AI

Bookmark

Share

心内科护理中情绪支持对患者心理状态的影响分析

Key Points

Study Design

Structured PICO

Main Result

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

心内科护理中情绪支持对患者心理状态的影响分析

Key Points

Study Design

Structured PICO

Main Result

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Keep reading

Keep reading