AIM  To explore the effect of motivational interviews combined with refined health education in elderly patients with acute attack of coronary heart disease and angina pectoris.

  METHODS  108 elderly patients with acute attack of coronary heart disease and angina pectoris were included in this study. They were randomly divided into routine group and research group, 54 cases in each group. Routine nursing was given in the routine group, while motivational interviews and fine health education were given in the research group. The emotional states before and after intervention, health knowledge cognition after intervention, degree of cooperation between diagnosis and treatment, length of stay and frequency of angina pectoris attack before and after intervention were compared.

  RESULTS  Negative emotional scores in both groups decreased after intervention (P< 0.01), and those in the study group were lower than those in the routine group(P<0.05 or P<0.01), After intervention, the awareness rate of risk factors, clinical prevention and treatment, prevention and control of complications and improvement of prognosis in the study group was higher than that in the routine group (P<0.05). There was a significant difference between the study group and the routine group (P<0.05), and the complete cooperation rate of the study group was significantly higher than that of the routine group (P<0.05). The hospitalization time of study group was shorter than that of routine group (P<0.01). After intervention, the frequency of angina pectoris in both groups decreased (P<0.01), and that of study group was lower than that of routine group (P<0.01).

  CONCLUSION  Motivational interviews combined with fine health education during acute attack of coronary heart disease and angina pectoris in the elderly alleviates negative emotions, improves the coordination of diagnosis and treatment, shortens hospital stay, and controls the attack of angina pectoris.