Qian Lu, Shen Yan
Department of Cardiology, First affiliated hospital of Soochow university, Suzhou, 215000, China.
Heliyon. 2024 Oct 24;10(23):e39788. doi: 10.1016/j.heliyon.2024.e39788. eCollection 2024 Dec 15.
The procedure of catheter ablation is frequently utilized in the treatment of atrial fibrillation, and it is important to note that the mental well-being of patients who are about to undergo this procedure is typically stable. The purpose of this study is to assess the current state and influencing factors of anxiety and depression among patients with atrial fibrillation prior to undergoing catheter ablation, to offer valuable insights to clinical interventions and patient care.
This study included patients with atrial fibrillation who were treated by radiofrequency ablation in a tertiary hospital in Suzhou, China from February 1 to August 31, 2023. Hospital Anxiety and Depression Scale (HADS) was used to investigate the anxiety and depression in patients with atrial fibrillation. Correlation and multivariate logistic regression analysis were performed to analyze the influencing factors of anxiety and depression.
164 patients with atrial fibrillation were included. The prevalence of HADS test results indicating the presence of anxiety (HADS-A ≥ 8) was 34.15 % (56/164), the presence of depressive symptoms (HADS-D ≥ 8) was 25.61 % (42/164). Multivariate logistic regression analysis indicated that per capita monthly household income (OR = 2.96, 95%CI: 2.61-3.48), course of atrial fibrillation (OR = 2.03, 95%CI: 1.87-2.80), the number of episodes of atrial fibrillation in the past month (OR = 1.90, 95%CI: 1.26-2.42), duration of atrial fibrillation attack in the past month (OR = 2.51, 95%CI: 1.99-3.37) were the influencing factors of anxiety (all P < 0.05), no statistical effects were found on household income per capita corrected for marital status and household size (all P > 0.05). Age (OR = 2.17, 95%CI: 1.67-2.96), course of atrial fibrillation (OR = 1.82, 95%CI: 1.41-2.06), duration of atrial fibrillation attack in the past month (OR = 2.57, 95%CI: 2.06-3.01) were the independent influencing factors of depression (all P < 0.05).
The prevalence of anxiety and depression among patients with atrial fibrillation who undergo radiofrequency ablation is high and influenced by patient's income and medical condition. It is imperative for clinical medical professionals to implement targeted psychological interventions that address these contributing factors to reduce the anxiety and depression.
导管消融术常用于治疗心房颤动，需要注意的是，即将接受该手术的患者心理状态通常较为稳定。本研究旨在评估心房颤动患者在接受导管消融术前焦虑和抑郁的现状及影响因素，为临床干预和患者护理提供有价值的见解。
本研究纳入了2023年2月1日至8月31日在中国苏州某三级医院接受射频消融治疗的心房颤动患者。采用医院焦虑抑郁量表（HADS）调查心房颤动患者的焦虑和抑郁情况。进行相关性分析和多因素logistic回归分析以分析焦虑和抑郁的影响因素。
共纳入164例心房颤动患者。HADS测试结果显示存在焦虑（HADS-A≥8）的患病率为34.15%（56/164），存在抑郁症状（HADS-D≥8）的患病率为25.61%（42/164）。多因素logistic回归分析表明，人均月家庭收入（OR=2.96，95%CI：2.61-3.48）、房颤病程（OR=2.03，95%CI：1.87-2.80）、过去1个月内心房颤动发作次数（OR=1.90，95%CI：1.26-2.42）、过去1个月内心房颤动发作持续时间（OR=2.51，95%CI：1.99-3.37）是焦虑的影响因素（均P<0.05），对经婚姻状况和家庭规模校正后的人均家庭收入无统计学影响（均P>0.05）。年龄（OR=2.17，95%CI：1.67-2.96）、房颤病程（OR=1.82，95%CI：1.41-2.06）、过去1个月内心房颤动发作持续时间（OR=2.57，95%CI：2.06-3.01）是抑郁的独立影响因素（均P<0.05）。
接受射频消融治疗的心房颤动患者焦虑和抑郁的患病率较高，且受患者收入和病情影响。临床医疗专业人员必须实施针对性的心理干预措施，解决这些影响因素，以减轻焦虑和抑郁。
