Investigation of anxiety and depression in patients with atrial fibrillation, and its influencing factors analysis

ObjectiveTo investigate the present situation of anxiety and depression in patients with atrial fibrillation (AF), and analyze its influencing factors.

MethodsThe clinical data of 116 patients with AF during hospitalization were collected by self-designed general data questionnaire.The patients were investigated using the self-rating anxiety scale, self-rating depression scale and disease uncertainty scale before a day of discharge.

ResultsCompared with the domestic norm, the levels of anxiety and depression in patients with AF were higher (P < 0.01).The results of multiple linear regression analysis showed that persistent AF and whether to receive radiofrequency ablation were the common influencing factors of anxiety and depression of patients (P < 0.05 to P < 0.01), the hypertension, educational level and whether to accept relevant knowledge education were the independent influencing factors of anxiety (P < 0.05 to P < 0.01), and the NYHA cardiac function classification and uncertainty of disease were the independent influencing factors of depression (P < 0.05 and P < 0.01).In the anxiety scoring model, 5 independent variables accounted for 56.2% of the variation of anxiety score (R²=0.562, adjusted R²=0.518).In the depression scoring model, 4 independent variables cumulatively explained 47.8% of the variation in depression score (R²=0.478, adjusted R²=0.453).

ConclusionsThe levels of anxiety and depression in patients with AF before radiofrequency ablation are significantly higher than those in domestic norm, and the preoperative anxiety and depression are affected by many factors.On the one hand, the medical staff should strengthen the education of patients' disease-related knowledge to reduce the uncertainty of patients' disease, on the other hand, the patients with high negative emotion should be heavily intervened.