Objective: To explore the influence of the diagnosis and treatment mode based on thepsychological concept for the mental state of elderly patients in emergency ward. Method: From January to March 2019,105 elderly patients in ward were selected as control group and given routine treatment mode;98 elderly patients as observation group, and the concept of psychosomatic medicine the was integrated intodiagnosis and treatment.The scores of SRQ, SAS, SDS and TCSQ at admission and discharge were compared between the two groups.The questionnaire survey of patients or family members at discharge were compared. Results: Compared with the control group, at discharge the score of SRQ,SAS,SDS in the observation group were lower(P<0.05); the score of positive coping of TCSQwas higher than that in control group (P<0.01), and the score of negative coping was lower than that in control group (P<0.01). The family questionnaire at discharge showed attitudes, technical level, medication and satisfaction of the whole department in the observation group were higher than those in the control group. P<0.05).