行为疗法对A型性格冠心病患者生活质量影响的临床研究  

CLINICAL RESEARCH FOR AFFECT OF BEHAVIOR THERAPY ON THE LIVING QUALITY OF TYPE A PERSONALITY PATIENTS WITH CORONARY DISEASE

作　　者：李雪华[1] 邱梅[1] 黄海容[1] 

机构地区：[1]广东医学院附属医院,湛江524001

出　　处：《现代预防医学》2008年第6期1176-1177,1179,共3页Modern Preventive Medicine

摘　　要：[目的]探讨行为疗法对A型性格冠心病患者生活质量的影响作用。[方法]将238例A型性格冠心病患者随机分为行为组128例和对照组110例。行为组在常规药物治疗的同时给予行为疗法措施干预,对照组只给予常规药物治疗,分别应用中文版SF-36量表对A型性格冠心病患者进行测定,评价两组患者的生活质量(QOL),并比较两组患者心绞痛的发生率。[结果]行为组SF-36量表的各项评分均明显高于对照组,两组比较,差异有统计学意义(P﹤0.01);行为组心绞痛的发生率为23.44%,而对照组心绞痛的发生率为43.64%,两组比较,差异有统计学意义(χ2=10.96,P﹤0.01)。[结论]行为疗法可明显降低A型性格冠心病患者心绞痛的发生率,增强治疗的信心,从而促进康复,达到提高A型性格冠心病患者生活质量的目的。[Objective]To explore the influencing effect of behavior therapy on the living quality of type A personality patients with coronary disease.[Methods]238 cases of type A personality patients with coronary disease were randomly classified into intervention group with 128 cases and control group with 110 cases. The intervention group were treated with common drug treatment and behavior therapy at the same time,and the control group could be treated with common drug treatment. These type A personality patients with coronary disease were determined with Chinese SF-36 measuring scale,so as to evaluate the living quality of two groups and compare the incidence of angina pectoris between the two groups.[Results]All scales of the items of SF-36 measuring scale in intervention group was 23.44%,and the incidence of angina pectoris in control group was 43.64%. There were significant difference between the two group（χ^2 = 10.96,P﹤0.01）.[Conclusion]The behavior therapy could significantly decrease the incidence of coronary disease for type A personality patients,strengthen the confidence of therapy,so as to promote the recovery and improve the quality of life of type A personality patients with coronary disease.

关 键 词：行为疗法 A型性格 冠心病 生活质量 

分 类 号：R541.4[医药卫生—心血管疾病]