Objective To analyze anxiety and medical coping style in emergency patients and explore their correlation. Methods From February 2020 through February 2022, 95 patients requiring emergency care were chosen to serve as the study's observation group (retrospectively studied), while 105 similarly situated healthy individuals served as the study's control group. The age, gender, nationality, education level, occupation, marital status, household registration type, insurance type and other basic data of the patients were collected and sorted out, and contrasted the two groups' scores on the Generalized Anxiety Disorder Measure and the Self-Rating Anxiety Inventory. Patients in the observation group, who were found to have the highest demand for the hospital's diagnostic and therapeutic services, had their psychological requirements assessed. The patients in the surveillance group were then split into two subgroups: group 1 (with intervention, n = 50) and group 2(without intervention, n = 45) based on whether or not the preventive steps were put into place. After 28 days of emergency therapy, the scores of those in Observation Group 1 and Observation Group 2 on the Self-Rating Anxiety Measure and the Generalized Anxiety Disorder Inventory were compared. The prognosis and multiple hospitalization rate of observation group 1 and observation group 2 after 1 year were compared. The correlation between anxiety and medical coping style of emergency patients was analyzed. Results ① In terms of demographics such as age, sex, country, schooling, employment, marriage status, and family registration and insurance status, there are no differences between the surveillance group and the control group.(P > 0.05). ② Patients in the surveillance group had significantly higher mean scores on the Self-rating Anxiety Scale and the Generalized Anxiety Disorder Inventory than those in the control group (P < 0.05). ③Patients in the control group's top three psychological needs were time-sensitive diagnosis and treatment, enhanced service attitudes, and streamlined procedures ④ After 28 days of emergency treatment, observation group 1 had significantly lower scores on the Self-rating Anxiety Scale and the generalized anxiety disorder scale than observation group 2,there was significant difference.(P < 0.05). ⑤ After one year, the prognosis in Observation Group 1 was better than in Observation Group 2, and the rate of multiple hospitalizations was lower in Group 1 than in Group 2. These differences were statistically significant (P < 0.05). ⑥ There was a negative correlation between medical positive coping measures and anxiety of emergency patients. Conclusion Anxiety is common in emergency patients. It is hoped that the hospital can provide patients with positive medical coping styles, such as more thoughtful and flexible medical services, so as to improve the anxiety state of patients, and then the quality of emergency service can be significantly improved.