Date of Award

January 2022

Document Type

Open Access Thesis

Degree Name

Master of Public Health (MPH)


School of Public Health

First Advisor

Becca Levy

Second Advisor

Joan K. Monin


AbstractObjective: To study the impact of medical-personalized nursing care on anxiety, depression, BMI, blood pressure, blood lipid and quality of life in elderly patients with coronary heart disease. Methods: In this study, 160 older adults with coronary heart disease had been enrolled and randomized using the random range method. The control group included 80 older adults who received a conventional nursing intervention, and the experiment group included 80 older adults who were treated with a focused and personalized nursing intervention. The two groups of older adults had been compared and evaluated for Self-rating Anxiety Scale (SAS) mark, the Self-rating Depression Scale (SDS) mark, Seattle Angina Questionnaire (SAQ) score, Body Mass Index (BMI), blood pressure, and blood lipids levels. Results: After the intervention, the extents of anxiety (as indicated by SAS mark) and depression (as indicated by SDS mark) of the experiment group were statistically less than those of the control group (SAS: Effect Size: 0.557, P<0.05; SDS: Effect Size: 0.800, P<0.05). Compared to the control group, reduced level of angina and increased angina-related life quality (as reflected by SAQ score) were observed in the experiment group after intervention (Effect Size: -0.203, P<0.05). The levels of BMI, blood pressure, and blood lipids in the experimental group after the intervention were lower than those in the control group (Effect Size: 0.231, P<0.05), indicating that patients in the personalized nursing group have better related physiological outcomes. Conclusion: Older adults with coronary heart disease receiving a targeted nursing intervention have benefits in these aspects: reduced anxiety and depression, increased angina-related life quality, and improved physiological outcomes. Keywords: Social and Behavioral Sciences, Elderly, Coronary Heart Disease, Targeted Nursing, Personalized Medication, Psychology, Mental Health, Quality of Life, Physiological Outcomes


This is an Open Access Thesis.

Open Access

This Article is Open Access