Analyzing Factors that Influence Depression and Cognitive Dysfunction Following Cerebral Hemorrhage Surgery

Abstract

Abstract Objective This study aimed to identify the factors influencing depression and cognitive dysfunction in hypertensive patients after surgery for cerebral haemorrhage. Methods A total of 94 patients who underwent surgery were included, and their demographic information, pre- and post-surgical haemorrhagic data, and psychological assessments were collected. Results At 2 weeks post-surgery, the HAMD score for the right Basal Ganglia Haemorrhage (BGH) group was significantly higher than that of the right Basal Ganglia Breaking into Ventricular Haemorrhage (BGBVH), Ventricular Infarction and Haemorrhage (VIH), or Cerebellar Haemorrhage (CLH) groups (all P < 0.05). At 3 months, there was a significant difference in HAMD score between the high-risk right BGH and the low-risk VIH groups (P = 0.023). There was a correlation between Functional Independence Measure (FMA) ,Activities of Daily Living (ADL) and HAMD scores, as well as a linear relationship between Glasgow Coma Scale (GCS)/ADL scores and Mini-Mental State Examination (MMSE) scores, and a linear relationship between haemorrhage location, ADL score, and Montreal Cognitive Assessment (MoCA) scores. Conclusion The primary factor contributing to depression in patients with intracerebral haemorrhage (ICH) is the decrease in ADL and FMA scores after surgery. Additionally, ADL, GCS, surgical methods and bleeding sites can affect the cognitive function of patients.