Clinical Study On The Onset Of Anxiety And Depression In AMI Patients After Coronary Intervention And Its Influencing Factors

Background of the studyWith the increasing social pressure and aging population,the incidence of acute myocardial infarction(AMI)is increasing year by year,and coronary intervention is widely recognized for its minimal trauma and good emergency effect,but the results of studies on the factors affecting anxiety and depression after coronary intervention vary,and can be manifested as anxiety and depression alone or both,which affects the effectiveness of surgical treatment and has a negative impact on the prognosis of patients.Therefore,post-coronary intervention anxiety and depression in AMI patients has received more attention and focus from clinical workers.Study objectivesTo investigate the current occurrence and duration of anxiety and depression in patients with AMI after coronary intervention,and to analyze the relevant influencing factors.To explore the relationship between anxiety and depression and prognosis in patients after coronary intervention,and to provide a theoretical basis for appropriate interventions to improve prognosis in clinical work.MethodsA cross-sectional survey was conducted to collect patients who were continuously admitted to the emergency department of Shandong Qianfo Mountain Hospital for coronary interventions due to acute myocardial infarction between January and October 2022 according to the inclusion and exclusion criteria,and the Hospital Anxiety and Depression Scale(HADS)was used to assess the postoperative anxiety and depression status of the subjects.At the same time,general information and clinical data were collected from all study subjects,including gender,age,education level,occupational status,medical reimbursement method,average monthly income,residence status,place of residence,and marital status.Clinical data includes the presence of family history of coronary heart disease,presence of chronic underlying diseases(hypertension,diabetes,cerebral infarction),mode of intervention,C-reactive protein(CRP)level after admission,and duration of postoperative anxiety and depression.The main influencing factors for the occurrence of anxiety and depression in postoperative patients were analyzed.The relationship between postoperative patients’ anxiety and depression and prognosis was investigated by recording the Major Adverse Cardiovascular Event(MACE)and readmission status of postoperative patients within 6 months.An Excel database was established,and the data was analysed by SPSS 25.0 software.Count data were showd as percentages,and the comparisons between groups were made by chi-square test;measures are expressed as mean±standard deviation,and the normality test and chi-square test were performed,and the t-test for independent samples was used for comparison between groups.The main factors influencing the occurrence of postoperative anxiety and depression in AMI patients after coronary intervention were analyzed by applying single variable analysis and multiple linear regression;the cardinal test was used to explore the differences in the incidence of MACE and readmission status rate between patients in the postoperative anxiety and depression group and those in the non-anxiety and depression group within 6 months.P<0.05 was considered a statistically significant difference.Results1.The prevalence of anxiety after coronary intervention in AMI patients was 38.33%,the prevalence of depression was 23.89%,and the prevalence of concomitant anxiety and depression was 19.44%.The duration of the postoperative mood disorder course of patients varied,and most patients will be in remission within 1 to 3 months.2.The results of the correlation analysis between postoperative patient anxiety and depression and influencing factors:the differences in the occurrence of postoperative anxiety among patients with different average monthly income,residence status,marital status,and whether they had combined diabetes were statistically significant(P<0.05);the differences in the occurrence of postoperative depression among patients with different age,medical reimbursement method,marital status,residence status,average monthly income,and whether they had combined hypertension were all statistically significant(P<0.05).3.Results of multiple linear regression analysis:age and marital status were the main influencing factors for the occurrence of anxiety in patients after surgery(P<0.05);residential status and marital status were the main influencing factors for the occurrence of depression in patients after surgery(P<0.05).4.The results of the correlation analysis between postoperative patient anxiety and depression and prognosis:the difference between the incidence of MACE and readmission status rate within 6 months in AMI patients with or without anxiety after coronary intervention was statistically significant(P<0.05).Conclusions1.The incidence of postoperative anxiety and depression in AMI patients after coronary intervention was high,and most patients could be relieved within 1 to 3 months;age and marital status were the main factors influencing the occurrence of postoperative anxiety in patients,i.e.,younger people and widowhood had an effect on the occurrence of postoperative anxiety.Residence status and marital status were the main factors influencing the occurrence of postoperative depression in patients,i.e.,living alone and widowhood had an effect on the occurrence of postoperative depression.2.Anxiety status in AMI after coronary intervention patients can affect both the incidence of MACE and increased readmission rates within 6 months.