摘要
目的 探讨D型与非D型人格在冠心病病人的心理、生理和生活质量方面的差别。方法 连续收集大连市友谊医院心内科109例冠心病病人。采用D型人格量表（DS14）把病人分为D型人格组和非D型人格组。治疗前2组分别接受了一般问卷调查、抑郁自评量表、疲劳评定量表、生活质量综合评定问卷测试，收集临床生理指标。采用SPSS11．0软件包进行统计分析。结果 1．D型人格在冠心病病人中约占29％。2．治疗前D型人格组和非D型人格组的临床生理指标差异均无显著性；D型人格病人在抑郁情绪自评中得分更高[（55．66±9．22）分，（50．56±8．82）分]；3．D型人格组和非D型人格组生活质量上差异无显著性；4．躯体疲劳程度2组间差异无显著性。结论 1．在急性应激的状态下，D型人格冠心病人的应对方式，可能是情绪化应对为主，2.在急性应激状态下，对于D型人格冠心病进行生活质量的评估缺少科学性.
Objective To compare quality of life（QOL） and somatopsychic health of coronary heart disease（CHD） with D type personality and without D type personality. Methods 109 patients with coronary heart disease（CHD） in circulate department of Dalian friendship hospital were drawn out. All patients were divided into two groups according to DS14 diagnostic criterion （D type personality scale）, the one group with type D personality,and the other without. All of them are investigated with the General Health Questionnaire, Zung＇ Self-Rating Depression Scale （ SDS）, Fatigue Assessment Instrument （ FIA）, General Quality of Life Inventory-74 （GQOL-74） before receiving medication, In the same time clinic results from assistant examination were collected. Results 1.29% patients are CHD with type D personality. 2. There are no significant different between the two groups in the physical factors. But there are significant different between the two groups in the SDS（55.66 ± 9.22, 50.56 ± 8.82）. 3. The scores of GQOL-74 were not significant difference between the D type and no-D type per- sonality. 4. Fatigue evaluation did not suggested any differenc between the D type and no D type personality CHD. 5. There are significant different between the two groups in recognization for serious degree of CHD. Conclusions 1. When the CHD patients with type D personality met a acute stress events, they may use emotional coping. 2. It is not appropriate to evaluated to QOL of CHD patients with D type personality.
出处
《中国行为医学科学》
CSCD
2007年第4期325-327,共3页
Chinese Journal of Behavioral Medical Science
关键词
D型人格
冠心病
生活质量
认知
Type D personality
Coronary heart disease （CHD）
Quality of life
Recognition for serious degree of CHD
