Anxiety and depression in patients undergoing catheter ablation due to atrial fibrillation: A cross-sectional survey
Background: 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...
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Elsevier
2024-12-01
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| author | Lu Qian Yan Shen |
| author_facet | Lu Qian Yan Shen |
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| collection | DOAJ |
| description | Background: 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. Methods: 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. Results: 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). Conclusions: 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. |
| format | Article |
| id | doaj-art-99a9364e641647748c8152d8a5c576b2 |
| institution | DOAJ |
| issn | 2405-8440 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj-art-99a9364e641647748c8152d8a5c576b22025-08-20T02:49:49ZengElsevierHeliyon2405-84402024-12-011023e3978810.1016/j.heliyon.2024.e39788Anxiety and depression in patients undergoing catheter ablation due to atrial fibrillation: A cross-sectional surveyLu Qian0Yan Shen1Department of Cardiology, First affiliated hospital of Soochow university, Suzhou, 215000, ChinaCorresponding author. First affiliated hospital of Soochow university, 188 Shizi street, Gusu district, Suzhou, Jiangsu province, 215000, China.; Department of Cardiology, First affiliated hospital of Soochow university, Suzhou, 215000, ChinaBackground: 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. Methods: 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. Results: 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). Conclusions: 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.http://www.sciencedirect.com/science/article/pii/S2405844024158197AnxietyAtrial fibrillationCareDepressionNursing |
| spellingShingle | Lu Qian Yan Shen Anxiety and depression in patients undergoing catheter ablation due to atrial fibrillation: A cross-sectional survey Heliyon Anxiety Atrial fibrillation Care Depression Nursing |
| title | Anxiety and depression in patients undergoing catheter ablation due to atrial fibrillation: A cross-sectional survey |
| title_full | Anxiety and depression in patients undergoing catheter ablation due to atrial fibrillation: A cross-sectional survey |
| title_fullStr | Anxiety and depression in patients undergoing catheter ablation due to atrial fibrillation: A cross-sectional survey |
| title_full_unstemmed | Anxiety and depression in patients undergoing catheter ablation due to atrial fibrillation: A cross-sectional survey |
| title_short | Anxiety and depression in patients undergoing catheter ablation due to atrial fibrillation: A cross-sectional survey |
| title_sort | anxiety and depression in patients undergoing catheter ablation due to atrial fibrillation a cross sectional survey |
| topic | Anxiety Atrial fibrillation Care Depression Nursing |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024158197 |
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