Effect of comprehensive intervention on quality of life in elderly patients with acute coronary syndrome

Abstract

Objective To analyze the effect of comprehensive intervention measurements on quality of life in elderly patients with acute coronary syndrome(ACS). Methods 80 cases of ACS randomly divided into intervention group( n =40) and control group( n =40). All the patients received standard ACS treatment. The patients in two groups were given commonly cardiologic nursing care and healthy direction and beyond that the patients in intervention group received combined intervention measurement of cognition, behaviour, home-society support. Zung self-rating anxiety scale ( SAS), self rating depression scale (SDS) and quality of life index (QOL) were taken to evaluate the psychological state of patients respectively within 3 days after admission and before hospital discharge. Results The differences of the SAS, SDS scores between the two groups within 3 days in hospital were not statistically significant( P ＞ 0. 05 ) The SAS score in intervention group decreased much more compared with control group before hospital discharge [(44.58 ± 8.08) vs (54.82 ± 12.06)] , there was statistically significant difference(t =-4.46,P ＜0. 01 ), and the same result to the score on SDS[(42.13 ± 6.75) vs (50.25 ± 11.16)], there was statistically significant difference (t =-3.94,P ＜0. 01 ), the scores on QOL in intervention group were higher than control group( P ＜ 0. 05 ). Conclusions Clinic nursing staff can evaluate depression and anxiety of elderly patients with ACS using SAS and SDS. Then they can give nursing interventions aiming at negative emotion in order to improve the psychological status, to improve the rehabilitation of disease and to enhance the life quality of patients. Key words: Elderly; Acute coronary syndrome; Quality of life; Negative emotions; Nursing intervention