Risk Factors for Comorbid Anxiety in Patients with Coronary Heart Disease and Association with Noise Exposure.
The study aims to investigate the risk factors for comorbid anxiety in patients with coronary heart disease (CHD) and its association with noise exposure, to improve anxiety symptoms through noise reduction management, and to maintain optimal psychological well-being.
Retrospective analysis was performed on clinical data from 138 CHD patients hospitalized between June 2023 and December 2024. Participants were stratified into an anxiety group (n = 78) and a nonanxiety group (n = 60) based on the presence of clinically significant anxiety during hospitalization. Between-group comparisons were performed on noise levels (dB), baseline characteristics, sleep quality [assessed by the Pittsburgh Sleep Quality Index (PSQI)], and disease-related parameters. The correlation between noise exposure and anxiety in CHD patients was quantified, and determinants of anxiety were identified. Noise reduction management was implemented, and a comparison of the Self-Rating Anxiety Scale (SAS) scores before and after noise reduction was performed.
The nonanxiety group showed significantly lower SAS scores (47.25 ± 2.47) than the anxiety group (55.64 ± 3.85; t = 14.706, P < 0.05). Pearson correlation analysis indicated a positive association between noise exposure and anxiety (r = 0.522, P < 0.05). Compared with the nonanxiety group, the anxiety group had higher rates of multivessel disease (≥3 vessels), prior percutaneous coronary intervention (PCI) history, PSQI scores, and noise levels (all P < 0.05). According to the univariate logistic regression analysis, the anxiety determinants included poor sleep quality, multivessel disease, elevated noise exposure, and prior PCI (odds ratios = 7.352, 2.240, 1.329, 2.266; all P < 0.05). Postmanagement data showed reduced noise levels and SAS scores compared with the baseline (all P < 0.05).
Patients with CHD are prone to anxiety, with hospital noise being a potential risk factor. Risk factors include poor sleep quality, multiple diseased vessels, high noise levels, and prior PCI history. Clinical attention should be paid to patients' emotional states, and noise reduction management can effectively alleviate anxiety.
Retrospective analysis was performed on clinical data from 138 CHD patients hospitalized between June 2023 and December 2024. Participants were stratified into an anxiety group (n = 78) and a nonanxiety group (n = 60) based on the presence of clinically significant anxiety during hospitalization. Between-group comparisons were performed on noise levels (dB), baseline characteristics, sleep quality [assessed by the Pittsburgh Sleep Quality Index (PSQI)], and disease-related parameters. The correlation between noise exposure and anxiety in CHD patients was quantified, and determinants of anxiety were identified. Noise reduction management was implemented, and a comparison of the Self-Rating Anxiety Scale (SAS) scores before and after noise reduction was performed.
The nonanxiety group showed significantly lower SAS scores (47.25 ± 2.47) than the anxiety group (55.64 ± 3.85; t = 14.706, P < 0.05). Pearson correlation analysis indicated a positive association between noise exposure and anxiety (r = 0.522, P < 0.05). Compared with the nonanxiety group, the anxiety group had higher rates of multivessel disease (≥3 vessels), prior percutaneous coronary intervention (PCI) history, PSQI scores, and noise levels (all P < 0.05). According to the univariate logistic regression analysis, the anxiety determinants included poor sleep quality, multivessel disease, elevated noise exposure, and prior PCI (odds ratios = 7.352, 2.240, 1.329, 2.266; all P < 0.05). Postmanagement data showed reduced noise levels and SAS scores compared with the baseline (all P < 0.05).
Patients with CHD are prone to anxiety, with hospital noise being a potential risk factor. Risk factors include poor sleep quality, multiple diseased vessels, high noise levels, and prior PCI history. Clinical attention should be paid to patients' emotional states, and noise reduction management can effectively alleviate anxiety.