冠心病和非冠心病者心理状况、行为类型及个性特征的对比分析  

A correlative research on behaviour type,individual features,mental health of patients with coronary heart disease and without coronary heart disease

作　　者：张柏芳[1] 于凤兰[1] 朱桂平[1] 皇甫丽[1] 周万兴[1] 张卫[1] 

机构地区：[1]广东药学院附属第一医院临床医学院,广州510080

出　　处：《中国行为医学科学》2006年第7期593-595,共3页Chinese Journal of Behavioral Medical Science

摘　　要：目的了解冠状动脉造影诊断为冠心病和非冠心病者心理状况及影响因素。方法131例患者行冠状动脉造影术前采用症状自评量表(SCL-90)、A型行为问卷(TABP)、艾森克个性问卷(EPQ)进行问卷调查。结果诊断冠心病87例,其中A型行为41例,占47.12%,非冠心病44例,A型行为22例,占50%,两者比较差异无显著性(P>0.05)。非冠心病组个性情绪不稳定者占52.27%,明显高于冠心病组的27.58%,差异有显著性(P<0.05);EPQ神经质分明显高于冠心病组;SCL-90人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性因子分均明显高于冠心病组,差异有显著性(P<0.01)。A型行为CH因子与SCL-90强迫、抑郁、焦虑、恐怖因子呈显著正相关;EPQ神经质因子与SCL-90强迫、抑郁、焦虑、恐怖、偏执因子呈正相关。结论冠状动脉造影正常的非冠心病者心理症状较冠心病者严重,A型行为的CH行为特征和个性情绪稳定性是影响心理健康的重要因素。Objective To study the behaviour type,individual features,mental health and its influence factors of patients with coronary heart disease and without coronary heart disease based on diagnosis of coronary angiography.MethodsBy carrying out observation 131 cases of patients who were going to take the coronary angiography through SCL-90,TABP and EPQ,making questionnaire analyses.ResultsAmong 87 cases that are with coronary heart disease have 41 cases,which is 47.12%,indicating A behaviour type.On the other hand,among 44 cases that are without coronary heart disease have 22 cases showing A behaviour type,which is 50%.There has not had any significantly differences comparing to these two results.Also,there have no significant differences in those two A behaviour type groups using the factors core of TH,CH and L.In addition,patients without coronary heart disease,which is 52.27%,were having unstable emotion.It is significant higher than those with coronary heart disease that is 27.58%;the N factor score of EPQ is also significant higher than coronary heart disease group.The factor score of communication with people,depression,anxiety,hostile,phobicanxiety,paranoid and neuropathy of SCL-90 non-coronary heart disease group is higher than coronary heart disease group,which the difference is significant.There is a positive correlation between the factors scores of CH in A type behaviour and those of obsess-sive-compulsive,depression,anxiety and phobicanxiety of SCL-90;furthermore,there is also a positive correlation between the N factor scores of EPQ and the factor scores of obsessive-compulsive,depression, anxiety and phobicanxiety of SCL-90.ConclusionThe patients without coronary heart disease have more mental health problem than those with coronary heart disease after the diagnosis of coronary angiography,The A type behavior's CH characteristic and individual emotion stability is the vital influence factors of mental health.

关 键 词：冠状动脉造影 冠心病 行为类型 个性特征 心理健康 

分 类 号：R395[哲学宗教—心理学]