Observational Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Oct 19, 2023; 13(10): 793-802
Published online Oct 19, 2023. doi: 10.5498/wjp.v13.i10.793
Analysis of mental health status and related factors in patients with acute cerebral infarction
Qing-Qin Chen, Fu-Mei Lin, Dan-Hong Chen, Yi-Min Ye, Guo-Mei Gong, Fen-Fei Chen, Su-Fen Huang, Shan-Ling Peng
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
ARTICLE HIGHLIGHTS
Research background

Acute cerebral infarction (ACI) is a sudden cerebrovascular disease. ACI occurs when the patient’s brain is blocked by coronary arteries and other blood vessels, resulting in ischemia and hypoxia. Even after receiving treatment, there may be persistent neurological dysfunction. Patients with anxiety and depression tend to have a poor prognosis, take longer to recover and are more likely to relapse.

Research motivation

This study analyzed the factors affecting the mental health of patients with ACI, with the hope of identifying the key factors affecting mental health.

Research objectives

The object of this study is to improve the mental health status of patients with ACI, and pave the way for early clinical intervention.

Research methods

A questionnaire survey was conducted among patients with ACI admitted to three tertiary hospitals in Fujian Province from January 2022 to December 2022 using the convenience sampling method. Patients with ACI who were inpatients and met the inclusion criteria were selected. A face-to-face questionnaire survey was conducted using a unified scale. To evaluate potential signs of anxiety and depression, the Zung’s self-rating depression scale and Zung’s self-rating anxiety scale were used. All questionnaires were checked by two researchers and then the data were input and sorted using Excel software. The general situation of ACI patients 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.

Research results

Univariate analysis showed that gender, age, residence, course of disease, number of previous chronic diseases and smoking history were the main factors affecting anxiety scores in ACI patients. Age, living conditions, monthly income, course of disease and knowledge of ACI were the main factors affecting the depression score in ACI patients. According to the results of the multivariate analysis, the course of disease and gender were the key factors affecting the anxiety score, and the course of disease was also the key factor affecting the depression score.

Research conclusions

Patients with ACI generally have psychological issues including depression and anxiety. A long disease course may be the main factor leading to psychological problems in patients, and female patients are more likely to have psychological problems such as a high incidence of emotional disorders. Such groups require more attention and psychological counseling.

Research perspectives

More patient records should be collected to more comprehensively evaluate the key factors affecting the mental health of patients with ACI.