| Abstract |
Objective: To explore the effect of psychological counseling and health education intervention on prognosis of patients with coronary heart disease and depression and anxiety. Methods: 100 patients with coronary heart disease and depression and anxiety were selected. They were all treated in our cardiovascular department from April 2017 to April 2019. Random number table extraction method was used to divide them into two groups. Psychological counseling and health education intervention (observation group, n=50) and routine nursing (control group, n=5) were emphasized. 0) Cognitive and self-efficacy score, anxiety and depression score, cardiac function index level and quality of life score were compared. Results: Before the intervention, there was no difference in cognitive score and self-efficacy score between the two groups (P > 0.05). After the intervention, all the measured values were improved. The improvement degree of the observation group was more significant than that of the control group, and the difference was statistically significant (P < 0.05). Before the intervention, there was no difference in HAMA score and HAMD score between the two groups (P > 0.05). After the intervention, the values of each test decreased, and the degree of reduction in the observation group was more significant than that in the control group, the difference was statistically significant (P < 0.05). Before the intervention, there was no difference in BNP and LVEF between the two groups (P > 0.05). After the intervention, BNP decreased and LVEF increased. In the observation group, the degree of decrease and increase was more obvious, and the difference was statistically significant (P < 0.05). Before intervention, there was no difference in ADL score between the two groups (P > 0.05). After intervention, the measured value increased significantly, and the degree of improvement in the observation group was more significant, with statistical significance (P < 0.05). Conclusion: Psychological counseling and health education intervention can improve cognitive level, enhance self-efficacy, eliminate negative emotions, enhance heart function, improve quality of life and carry out value for patients with coronary heart disease and depression and anxiety.
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