心内科心血管疾病合并焦虑患者人文护理干预研究

Q: What are the key findings of this study?

Stratified humanistic nursing reduced cardiovascular event risk and lowered 6-month HADS anxiety scores vs routine care.

Q: What is the clinical evidence from this study?

Study design: RCT. Population: Cardiovascular disease (coronary heart disease or essential hypertension) complicated with anxiety disorder (n=230). Intervention: Stratified humanistic nursing intervention ('screening-stratification-intervention-follow-up' model with psychological counseling, empathetic communication, and family collaboration) vs. Routine cardiovascular nursing. Primary outcome: Composite cardiovascular events (first occurrence of angina pectoris, acute coronary syndrome, worsening heart failure, or rehospitalization) (HR 0.43, 95% CI 0.28-0.65, p=<0.001).

Q: What question did this study set out to answer?

To evaluate the impact of a stratified humanistic nursing care model on anxiety levels, quality of life, and cardiovascular event risk in cardiovascular disease patients with comorbid anxiety.

丽 刘

doi:10.37155/2717-5669-0705-22

January 1, 2026国际全科医学Open Access

心内科心血管疾病合并焦虑患者人文护理干预研究

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Key result

Stratified humanistic nursing cuts cardiovascular event risk ~57% vs routine care.

HR 0.43
95% CI 0.28-0.65
P<0.001
n=230

Why the study?

Does a stratified humanistic nursing intervention model based on HADS ≥ 8 improve anxiety symptoms, quality of life, and reduce cardiovascular event risk in patients with cardiovascular disease complicated by anxiety compared to routine nursing?

Key Points

To evaluate the impact of a stratified humanistic nursing care model on anxiety levels, quality of life, and cardiovascular event risk in cardiovascular disease patients with comorbid anxiety.
Randomized 230 cardiovascular disease patients with HADS scores ≥ 8 into an observation group receiving stratified humanistic nursing (counseling, empathy, family collaboration) or a control group receiving routine care (n=115 per group).
Assessed outcomes over a 6-month follow-up period using HADS for anxiety levels, SF-36 for quality of life, and Cox proportional hazards regression for cardiovascular events.
HADS anxiety scores decreased significantly more in the observation group (from 9.10±1.40 at baseline to 4.50±0.70 at 6 months) than in the control group (from 9.30±1.60 to 7.20±1.00; difference 2.70, P < 0.001).
Humanistic nursing intervention was an independent protective factor against cardiovascular events (HR 0.43, 95% CI 0.28–0.65, P < 0.001), alongside family involvement (HR 0.54, 95% CI 0.36–0.81, P = 0.002).

Study Design

Type

RCT (n=230)

Blinding

Open-label

Randomization

Random number table method

Multicenter

No

Structured PICO

Does a stratified humanistic nursing intervention model based on HADS ≥ 8 improve anxiety symptoms, quality of life, and reduce cardiovascular event risk in patients with cardiovascular disease complicated by anxiety compared to routine nursing?

P

Population

230 patients aged 45-75 years (mean age 58.5) with coronary heart disease or essential hypertension and moderate anxiety (HADS >= 8), excluding those with severe cognitive impairment or mental illness history, followed for 6 months.

I

Intervention

Closed-loop 'screening–stratification–intervention–follow-up' humanistic nursing model based on HADS stratification (≥11 high risk, 8–10 moderate risk, <8 normal) evaluated at baseline, 1, 3, and 6 months, including personalized psychological counseling (cognitive restructuring, emotion regulation training, somatic symptom management), empathetic communication techniques, and family collaborative participation, delivered once weekly for 6 months.

C

Comparator

Routine cardiovascular nursing (disease education, medication guidance, vital signs monitoring, and basic psychological support) delivered at the same frequency (once weekly for 6 months) without stratified assessment, personalized counseling, empathetic communication, or deep family participation.

O

Outcome

HADS anxiety score stratified dynamic trend, SF-36 quality of life multi-dimensional scores (at baseline, 1, 3, and 6 months), and composite cardiovascular events (first occurrence of angina pectoris, acute coronary syndrome, worsening heart failure, or rehospitalization) over 6 months.patient reported

Main Result

Hazard Ratio: 0.43 (95% CI 0.28–0.65)

p-value: p=<0.001

A stratified humanistic nursing intervention integrating psychological counseling, empathetic communication, and family collaboration significantly alleviates anxiety, improves multi-dimensional quality of life, and reduces the 6-month risk of cardiovascular events in patients with cardiovascular disease and comorbid anxiety.

Limitations

Single-center study design
Unblinded design
Potential issues with sample representativeness and subjective bias
Single-center design (单中心设计)
Unblinded (未设盲)
Potential issues with sample representativeness and subjective bias (样本代表性及主观偏倚问题尚存)

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Implication

Supports adoption in anxious CVD patients; extends RCT evidence for psychosocial nursing on events.

Abstract

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Discussion

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Cite This Study

丽刘 (2026) conducted an RCT in Cardiovascular disease (coronary heart disease or essential hypertension) complicated with anxiety disorder (n=230). Stratified humanistic nursing intervention ('screening-stratification-intervention-follow-up' model with psychological counseling, empathetic communication, and family collaboration) vs. Routine cardiovascular nursing was evaluated on Composite cardiovascular events (first occurrence of angina pectoris, acute coronary syndrome, worsening heart failure, or rehospitalization) (HR 0.43, 95% CI 0.28-0.65, p=<0.001). Stratified humanistic nursing reduced cardiovascular event risk and lowered 6-month HADS anxiety scores vs routine care.

synapsesocial.com/papers/6af347cdbdf2424ebd04f8b8 https://doi.org/10.37155/2717-5669-0705-22

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心内科心血管疾病合并焦虑患者人文护理干预研究

Key Points

Study Design

Structured PICO

Main Result

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

心内科心血管疾病合并焦虑患者人文护理干预研究

Key Points

Study Design

Structured PICO

Main Result

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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