摘要
目的探讨D型人格不稳定心绞痛患者治疗前后抑郁情绪躯体疲劳状况及生活质量的变化。方法依据D型人格量表（DS14）评分情况，将109名患者分为D型人格组（n=32）和非D型人格组①：77）。在治疗前和治疗后1个月，采用抑郁自评量表（SDS）、疲劳评定量表（FIA）和生活质量综合评定问卷（GQOL-74）进行评估。结果1）D型人格在冠心病患者中约占29％。2）治疗前后D型人格组疲劳改善不明显；D型人格组较非D型人格组抑郁情绪改善的程度差，2组治疗前后SDS评分差值分别为（0．85±1．04）分，（-2．31±0．809）分，差异有显著性（P〈0．05）；生活质量方面D型人格组改善更差。3）治疗前后GQOL-74项分值差为因变量，进入回归方程的是D型人格和疲劳评定因子1得分差值。结论影响冠心患者治疗结果和生活质量的因素主要是D型人格和FIA-1得分差值。
Objective To find out the relation of type D personality and unstable angina. Methods 109 patients with unstable angina （UA） were drawn out in the some hospital in Dalian. All patients were divided into two groups according to DS14 diagnostic criterion （Type D Personality Scale）, one group had 32 patients with D type personality（ type D group） and the other group had 77 patients without D type personality （non-type D group）. All of them were investigated with the General Health Questionnaire, the Zung＇ Self-Rating Depression scale （SDS）, Fatigue Assessment Instrument（FIA） and General Quality of Life Inventory-74 （GQOL-74） before receiving medication and after one month. SPSS11.0 software was used. Results 1 ） 29% patients with UA were type D patients. After 1 mouth, when the patients have recovered from the stress. A significant difference were found in FIA-14, SDS（0. 85 ± 1. 049, - 2.31 ± 0. 809, t = 2.311, P = 0. 027 ） and GQOL between the D type group and non-type D group. The GQOL-74 difference serve as a dependence value, and other psychologic factors as independent value, results enter the regression equation are D type personality and FIA-1 difference. Conclusion D type personality and FIA-1 effect on GQOL of CHD with D type personality.
出处
《中国行为医学科学》
CSCD
2008年第10期889-890,共2页
Chinese Journal of Behavioral Medical Science
关键词
不稳定心绞痛
D型人格
生活质量
Unstable angina
Type D personality
Quality of life
