脑卒中患者焦虑抑郁情绪对其临床决策态度的探究OA

Objective:To analyze and study the presence of anxiety and depression in stroke patients,as well as their impact on patients'own clinical decision-making attitudes.Method:A prospective cohort study was conducted,enrolling 145 stroke patients treated in The Second Hospital of Harbin Medical University from December 2023 to March 2024.After their condition stabilized,in-hospital follow-up was performed using the Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)to assess depressive and anxiety states,and the Control Preferences Scale(CPS)to evaluate their attitude tendencies in clinical decision-making.A follow-up was conducted again after 90 days,during which CPS and modified Rankin Scale(mRS)scores were collected once more to analyze the association between patients'decision-making attitudes and negative emotions.Result:The incidence rates of anxiety and depression were 48.97%and 44.14%,respectively.In terms of clinical decision-making,passive decision-making(83.45%)was predominant.The proportion of passive decision-making was significantly higher in patients with severe anxiety and depression compared to those without severe anxiety and depression(P<0.05).A follow-up at 90 days revealed that patients with an mRS score≤2(favorable outcome)had a higher proportion of active and collaborative decision-making attitudes compared to those with a score>2(unfavorable outcome).Additionally,the incidence of in-hospital anxiety and depression was lower in the favorable outcome group than in the unfavorable outcome group(P<0.05).Conclusion:Stroke patients are likely to experience depression and anxiety,and such negative emotions can lead them to adopt a more passive attitude in clinical decision-making,lacking treatment initiative.Therefore,early screening for depression and anxiety in patients should be strengthened,and timely targeted interventions should be implemented to effectively enhance patients'engagement and initiative in clinical decision-making.