【作者】 李楚婷； 徐晶晶； 杜金玲； 陈文强； 潘芳；

【Author】 Li chuting;Xu jingjing;Du Jin-ling;Chen wen-qiang;Pan fang;Department of Medical psychology School of medicine,Shandong University;

【机构】 山东大学医学院医学心理学系； 齐鲁医院心内科； 山东大学医学院医学心理系；

【摘要】 目的研究冠脉内支架置入者的人格类型和心理应激。方法选取以冠状动脉造影确诊的90例冠心病患者(其中稳定性心绞痛45例,不稳定性心绞痛45例)和30例正常对照者,于患者冠脉内支架置入术后3天以A型行为类型问卷、D型人格量表、抑郁自评量表、焦虑自评量表和症状自评量表进行调查研究。结果 A型行为类型在对照组、稳定性心绞痛和不稳定性心绞痛组的比率存在显著性差异(2=21.168,P<0.01)。D型人格类型三组差异不显著。不稳定性心绞痛组同时具备A型和D型人格者为15.56%,显著高于对照组和稳定组。不稳定性心绞痛组D型人格和A型人格总分和各因子分均显著高于对照组和稳定组(P<0.05;P<0.01﹚。不稳定性心绞痛组焦虑、抑郁得分,症状自评量表的总分显著高于对照组和稳定性心绞痛组(P<0.05;P<0.01﹚。焦虑、抑郁、心理健康状况与D型人格、A型人格呈显著正相关。结论冠状动脉置入患者存在D型、A型人格倾向和明显的焦虑、抑郁情绪,心理健康水平低。患者的心理应激反应与人格类型和应对方式相关。更多还原

【Abstract】 Objective To study the personality type and psychological stress of patients with coronary heart disease after coronary intervention. Methods 90 patients including 45 cases of stable angina and 45 unstable angina and 30 normal people were tested by type A behaviora questionnaire, D personality questionnaire, SAS, SDS and SCL-90 at 3 days after coronary intervention. Results There were significant different in ratio of type A behavior in 3 groups( 2=21.168,P<0.01), there were not obvious different in ratio of type D behavior in 3 groups. But ratio of A personality and D personality in unstable angina was higher than that of control group and stable angina group. The scores of A personality and D personality of unstable angina group were higher than that of control group and stable angina group(P<0.05;P<0.01). Unstable angina patients had anxiety and depression symptoms and lower level of mental health(P<0.05;P<0.01). The anxiety, depression and low level of mental health had negative relation with A personality. Conclusion Patients with coronary intervention had A and D personality tendencies and obvious anxiety, depression emotion and lower level of mental health; those psychological responses were related with personality.更多还原