Chen QQ, Lin FM, Chen DH, Ye YM, Gong GM, Chen FF, Huang SF, Peng SL. Analysis of mental health status and related factors in patients with acute cerebral infarction. World J Psychiatry 2023; 13(10): 793-802 [PMID: 38058683 DOI: 10.5498/wjp.v13.i10.793]
Corresponding Author of This Article
Shan-Ling Peng, BSc, Associate Chief Nurse, Department of Nursing, The 900 Hospital of the Joint Service Support Force of the People’s Liberation Army of China, No. 156 West Second Ring North Road, Gulou District, Fuzhou 350025, Fujian Province, China. psl3030@163.com
Research Domain of This Article
Psychiatry
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Qing-Qin Chen, Yi-Min Ye, Guo-Mei Gong, Fen-Fei Chen, Su-Fen Huang, Quanzhou Medical College, Quanzhou 362000, Fujian Province, China
Fu-Mei Lin, Department of Emergency, Fuqing City Hospital Affiliated to Fujian Medical University, Fuqing 350300, Fujian Province, China
Dan-Hong Chen, Department of Neurology, Quanzhou First Hospital, Quanzhou 362000, Fujian Province, China
Shan-Ling Peng, Department of Nursing, The 900 Hospital of the Joint Service Support Force of the People’s Liberation Army of China, Fuzhou 350025, Fujian Province, China
Author contributions: Chen QQ and Lin FM contributed equally to this work and are co-first authors. Chen QQ and Lin FM contributed to the study design and manuscript preparation; Chen DH, Ye YM, and Chen FF involved in the data acquisition; Gong GM and Huang SF participated in the statistical analysis; Peng SL reviewed the manuscript.
Institutional review board statement: The study was approved by the Ethics Committee of Fuqing City Hospital Affiliated to Fujian Medical University.
Informed consent statement: All participants have signed an informed consent form.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Data for this study can be obtained from the corresponding author.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shan-Ling Peng, BSc, Associate Chief Nurse, Department of Nursing, The 900 Hospital of the Joint Service Support Force of the People’s Liberation Army of China, No. 156 West Second Ring North Road, Gulou District, Fuzhou 350025, Fujian Province, China. psl3030@163.com
Received: August 8, 2023 Peer-review started: August 8, 2023 First decision: August 24, 2023 Revised: September 2, 2023 Accepted: September 11, 2023 Article in press: September 11, 2023 Published online: October 19, 2023 Processing time: 65 Days and 2.1 Hours
Abstract
BACKGROUND
Acute cerebral infarction (ACI) is characterized by a high incidence of morbidity, disability, recurrence, death and heavy economic burden, and has become a disease of concern in global researchers. As ACI has serious effects on patients’ physical status, life and economy, often causing anxiety, depression and other psychological problems, these problems can lead to the aggravation of physical symptoms; thus, it is very important to understand the factors affecting the mental health of these patients.
AIM
To understand the elements that affect the mental health of patients who have suffered an ACI.
METHODS
A questionnaire survey was conducted among patients with ACI admitted to three tertiary hospitals (Quanzhou First Hospital, Fuqing City Hospital Affiliated to Fujian Medical University, and the 900 Hospital of the Joint Service Support Force of the People’s Liberation Army of China) in Fujian Province from January 2022 to December 2022 using the convenience sampling method. ACI inpatients who met the inclusion criteria were selected. Informed consent was obtained from the patients before the investigation, and a face-to-face questionnaire survey was conducted using a unified scale. The questionnaire included a general situation questionnaire, Zung’s self-rating depression scale and Zung’s self-rating anxiety scale. All questionnaires were checked by two researchers and then the data were input and sorted using Excel software. The general situation of patients with ACI was analyzed by descriptive statistics, the influence of variables on mental health by the independent sample t test and variance analysis, and the influencing factors on psychological distress were analyzed by multiple stepwise regression.
RESULTS
The average age of the 220 patients with ACI was 68.64 ± 10.74 years, including 142 males and 78 females. Most of the patients were between 60 and 74 years old, the majority had high school or technical secondary school education, most lived with their spouse, and most lived in cities. The majority of patients had a personal income of 3001 to 5000 RMB yuan per month. The new rural cooperative medical insurance system had the largest number of participants. Most stroke patients were cared for by their spouses and of these patients, 52.3% had previously smoked. Univariate analysis showed that gender, age, residence, course of disease, number of previous chronic diseases and smoking history were the main factors affecting the anxiety scores of patients with ACI. Age, living conditions, monthly income, course of disease and knowledge of disease were the primary variables influencing the depression score in patients with ACI. The findings of multivariate analysis revealed that the course of disease and gender were the most important factors influencing patients’ anxiety scores, and the course of disease was also the most important factor influencing patients’ depression scores.
CONCLUSION
Long disease course and female patients with ACI were more likely to have psychological problems such as a high incidence of emotional disorders. These groups require more attention and counseling.
Core Tip: In recent years, research on acute cerebral infarction has not only focused on the effects of the infarction on the body, but also the psychological effects. In this study, we found that long disease course may be the main factor leading to psychological problems in patients, and female patients with a high incidence of emotional disorders are more likely to have psychological problems. Such groups require more attention and psychological counseling.
