ABSTRACT

【Abstract】Objective To analyze the related factors of depression in patients with acute myocardial infarction.
Methods A total of sixty AMI patients admitted to our hospital from January 2020 to January 2023 were selected for the study. Assess depression one week after admission,According to the Hamilton Depression Rating Scale (HAMD), the patients were divided into a depression group of 18 cases (HAMD ≥ 8 points) and a non depression group of 42 cases (HAMD<8 points).Compare the baseline data of two groups of patients and analyze the influencing factors of depression in AMI patients through ROC and multivariate logistic regression.
Results The Pittsburgh sleep quality index (PSQI) and Acute Physiology and Chronic Health Evaluation (APACHEII) in the depression group were higher than those in the non depression group (P<0.05); Through multiple logistic regression analysis, it was confirmed that PSQI>11.983 points and APACHEII>29.453 points are both risk factors for depression in AMI patients (P<0.05); After ROC analysis, it was confirmed that PSQI and APACHEII can be used to predict the occurrence of depression in AMI patients, with areas under the curves of 0.841 and 0.813, respectively (P<0.05).
Conclusion   Sleep quality and physical health are both risk factors for depression in AMI patients, and clinical attention should be paid to them.

Key words: 【Key words】Acute myocardial infarction; Depressed; Hamilton depression scale; Pittsburgh sleep quality index