主动脉夹层患者的心理社会因素分析  

Analysis of the psychosomatic factors in patients with aortic dissection

作　　者：笪玉荣[1,2] 赵媛[3] 

机构地区：[1]江汉大学卫生技术学院 [2]武汉大学医学院 [3]华中科技大学协和医院心外科,湖北武汉430030

出　　处：《海南医学院学报》2010年第1期62-64,共3页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020100009)~~

摘　　要：目的:探讨分析主动脉夹层患者的心理社会因素的特点。方法:应用临床心理测定工具分别评价62例主动脉夹层患者及62例正常对照人群的生活事件、人格特征、应付方式、社会支持、患病后的心身健康状况及其影响因素。结果:病例组患病前所经历的生活事件频数及紧张值,消极应付方式评分,抑郁及焦虑分值均显著高于对照组(P<0.05)。病例组积极应付评分、社会支持总分低于对照组(P<0.05)。生活事件负性紧张、焦虑和抑郁为主动脉夹层的危险因素,而积极应付方式和社会支持为疾病的保护因子。结论:本研究发现主动脉夹层患者具有特殊的心理社会特征和心身健康状况,除了常规治疗同时,应采取积极的社会心理干预措施。Objective： To investigate psychosomatic factors in patients with aortic dissection. Method： Significant life events, personality traits, coping style and social support, current physical and mental health status of 62 patients with aortic dissection and 62 normal controls were evaluated by psychological tests. Result： Higher scores of life events, negative coping style, anxiety and depression were presented in the patient group than that of the normal control （P〈0.05）, patients group also showed low scores in positive coping style and social support. Thus the risk factors for aortic dissection included negative tension of life events, anxiety and depression, protective factors included positive coping and better social support. Conclusion： The present study suggests that aortic dissection is related to psychosomatic factors, thus psychological intervention is an important supplementation of clinical treatments.

关 键 词：主动脉夹层 心理学 社会 心理评估 因素分析 统计学 

分 类 号：R395.1[哲学宗教—心理学]