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| Analysis of Emotional Status and Its Related Factors in Patients with Acute Coronary Syndrome |
| LIDi, HEYuan-jun, PANXue-qin |
| First People's Hospital of Suining City, Sichuan Province,629000 |
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Abstract 【Objective】 To investigate the emotional status and emotion-related factors in patients with acute coronary syndrome (ACS). 【Methods】 The clinical data of 310 ACS patients admitted to our hospital from January 2016 to January 2017 were retrospectively analyzed. According to the Hamilton Anxiety Scale (HAMA), patients were divided into the observation group (n=154, anxious patients with HAMA score ≥14) and the control group (n=156, non-anxiety patients with HAMA <14). All patients underwent neuropsychological testing. The main tests included Minimental State Examination (MMSE), Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), Vocabulary Fluency Test (VFT), and color-code interference experiment test (ST). The testing scores were recorded and compared between the two groups. Patient's economic status, medical history and marriage history were also investigated by our hospital's "Basic Information Questionnaire". 【Results】 The scores of HAMA and HAMD were higher in the observation group than in the control group; the differences were statistically significant (P<0.05). There was no difference in MMSE, VFT or ST scores between the two groups (P>0.05). The proportion of patients >70 years old in the observation group was lower than that in the control group (P<0.05). The proportions of patients who had suffered the loss of loved one (widowhood), death of immediate family members with heart disease, chest pain, and coronary heart disease in the observation group were higher than those in the control group (P<0.05). The economic status, risk factors of ACS and types of chronic disease complications of the two groups showed statistically significant difference (P<0.05). Logistic multivariate regression analysis showed that age, widowhood, chest pain, history of hypertension, history of diabetes, and types of chronic diseases were independent risk factors for anxiety in patients with ACS. 【Conclusion】 Patients with acute coronary syndromes are prone to anxiety and depression. The loss of loved one, death of immediate family members with heart disease, chest pain, and economic conditions are the main factors. Among them, the widowhood, chest pain, and history of hypertension are independent risk factors.
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Received: 05 December 2017
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2018, Vol. 35 
