Status and influencing factors of anxiety and depression in patients with atrial fibrillation undergoing radiofrequency ablation and their family members
10.3760/cma.j.cn115682-20210903-03996
- VernacularTitle:拟行射频消融术房颤患者及其家属焦虑、抑郁现状及影响因素分析
- Author:
Yuan TIAN
1
;
Sitong LI
;
Mengmeng LI
;
Wenyue ZHOU
;
Changsheng MA
Author Information
1. 首都医科大学附属北京安贞医院心律失常中心，北京 100029
- Keywords:
Atrial fibrillation;
Patients;
Family members;
Anxiety;
Depression
- From:
Chinese Journal of Modern Nursing
2022;28(12):1613-1617
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current situation of anxiety and depression in patients with atrial fibrillation who are going to undergo radiofrequency ablation and their family members and analyze the influencing factors.Methods:Using the convenient sampling method, a total of 197 patients with atrial fibrillation and their family members who were admitted to Arrhythmia Center of Beijing Anzhen Hospital Affiliated to Capital Medical University and planned to undergo radiofrequency ablation from October to December 2020 were selected as the research objects. The general information questionnaire, Generalized Anxiety Disorder (GAD-7) and Patient Health Questionaire-9 items (PHQ-9) were used to investigate them. Binomial logistic regression analysis was used to investigate the influencing factors of anxiety and depression in patients with atrial fibrillation who were going to undergo radiofrequency ablation and their family members.Results:The PHQ-9 score of 197 patients with atrial fibrillation undergoing radiofrequency ablation was (3.9±3.8) , the GAD-7 score was (2.7±3.1) , the detection rate of depressive symptom was 34.5% (68/197) and the detection rate of anxiety symptom was 20.3% (40/197) . The PHQ-9 score of family members of patients was (1.9±3.0) , the GAD-7 score was (1.8±2.9) , the detection rate of anxiety symptom was 15.2% (30/197) and the detection rate of depressive symptoms was 16.2% (32/197) . Binomial Logistic regression analysis showed that the number of attacks in the past 1 month was greater than or equal to 4 times and the duration of atrial fibrillation episodes in the past 1 month was greater than or equal to 6 hours as the influencing factors of depressive symptoms ( P<0.05) . The number of seizures more than or equal to 4 in the past month was the influencing factor of anxiety symptoms of patients ( P<0.05) . The anxiety state of patients was the influencing factor of anxiety symptoms of family members ( P<0.05) . Conclusions:The current situation of anxiety and depression in patients with atrial fibrillation who are going to undergo radiofrequency ablation and their family members is not optimistic. The recent frequent attack of atrial fibrillation is the influencing factor of anxiety and depression symptoms of patients and the anxiety state of patients is the influencing factor of anxiety symptoms of family members. Medical staff should also pay attention to the anxiety and depression of patients with atrial fibrillation who are going to undergo radiofrequency ablation and their family members and give effective interventions as soon as possible.
