目的观察针对性心理干预对老年冠心病患者心理状态及健康行为的影响。方法选择2014年12月~2016年12月于我院就诊的老年冠心病患者110例,根据入院顺序分为对照组55例和干预组55例。对照组在治疗期间接受常规护理,干预组在常规护理基础上实施针对性心理干预。观察两组护理效果。结果护理后,对照组抑郁自评量表(Self-rating depressive scale,SDS)及焦虑自评量表评分均高于干预组,健康促进生活方式量表(Health promoting lifestyle profile,HPLP)评分低于干预组,差异有统计学意义(P<0.05)。结论在老年冠心病患者中实施针对性心理干预可有效改善患者心理状态及健康行为。 Objective To observe the effects of targeted psychological intervention on mental status and health behaviors of elderly patients with coronary heart disease. Methods A total of 110 elderly patients with coronary heart disease who were admitted to our hospital from December 2014 to December 2016 were divided into control group (n = 55) and intervention group (n = 55) according to admission sequence. The control group received routine nursing during the treatment period. The intervention group conducted targeted psychological intervention on the basis of routine nursing. Observation of two groups nursing effect. Results After nursing, the Self-rating depressive scale (SDS) and anxiety scale were higher in the control group than those in the intervention group. The scores of Health promoting lifestyle profile (HPLP) were lower than Intervention group, the difference was statistically significant (P <0.05). Conclusion The implementation of targeted psychological intervention in elderly patients with coronary heart disease can effectively improve the psychological status and health behavior of patients.