A型行为因子与冠心病患病关系的研究  

Relationship between factors of type-A behavior pattern and coronary heart disease

作　　者：吴学勤[1] 朱霞[2] 罗正学[2] 杜德伟[3] 李陕区[4] 问芳芳[1] 张玲[1] 苗丹民[2] 

机构地区：[1]第四军医大学唐都医院心内科,陕西西安710033 [2]第四军医大学航空航天医学系心理学教研室,陕西西安710033 [3]第四军医大学唐都医院肾脏科,陕西西安710033 [4]第四军医大学唐都医院门诊部,陕西西安710033

出　　处：《第四军医大学学报》2007年第20期1885-1887,共3页Journal of the Fourth Military Medical University

摘　　要：目的:研究冠心病患者A型行为因子相关分值,为调整此类患者心理健康提供依据.方法:采用随机抽样的方法,使用PSACIV行为评定量表对252名冠心病患者和102名健康者进行问卷调查,分析各行为因子与冠心病的关系.结果:A型行为模式在总体上与冠心病有关(P=0.022),细化后的具体结果显示A型行为因子时间匆忙感(P=0.003),时间紧迫感(P=0.044),活动速度(P=0.003)等因子与冠心病有关,而争强好胜(P=0.233),成就感(P=0.170),竞争意识(P=0.084),暴躁(P=0.879),敌意(P=0.771)等因子与冠心病无关.结论:冠心病患者存在明显的个性特征,有较强的时间观念,日常紧迫感明显.AIM： To research the scales of the factors of type-A behavior pattern in patients with coronary heart disease （CHD） and to provide the basis for adjusting the psychologically healthy level of patients with CHD. METHODS： 252 CHD patients and 102 normal controls were chosen with the random sampling method. A questionnaire survey was performed by using the PSACIV behavior evaluation scale to analyze the relationship between the behavior factors and the coronary disease. RESULTS： The type-A behavior pattern had the relevance in the overall with the CHD （ P = 0. 022 ）. For the concrete factors, the factors of pressing （ P = 0. 044） and the active speed （ P = 0.003 ） had remarkable correlation with the CHD. But the factors of the achievement （P =0. 170）, competition （P =0.084）, irritation （P =0. 879） and vigilance （ P = 0. 771 ） had no correlation with the CHD. CONCLUSION： The patients with CHD have the obvious individual characteristics including the stronger sense of time and obvious routine sense of urgency.

关 键 词：A型行为模式 因子 冠心病 

分 类 号：R541[医药卫生—心血管疾病] R256.2[医药卫生—内科学]