冠心病患者的人格特征分析  

Personality characteristics of coronary heart disease patients

作　　者：赵霞[1] 王道先 贺志莉[1] 葛永玲[1] 

机构地区：[1]解放军第一医院营养科,兰州730030

出　　处：《山西医科大学学报》2014年第9期821-824,共4页Journal of Shanxi Medical University

基　　金：军队合同课题B类基金资助项目(CLZ11JB40)

摘　　要：目的 了解冠心病患者的人格特征,旨在为冠心病（coronary heart disease,CHD）患者的诊断与治疗提供辅助依据.方法 使用16种人格因素问卷评估2010-04～2014-02收住我院的CHD患者615例的人格特征,并与574例健康对照组（normal group,NG）的评估结果进行t检验统计分析. 结果 CHD患者的怀疑性、紧张性和忧虑性均显著高于NG（P＜0.05）,幻想性则明显低于NG（P ＜0.05）.女性患者在乐群性、恃强性、兴奋性、幻想性、世故性和自律性方面明显强于男性患者,而在紧张性方面则低于男性患者,差异有统计学意义（P＜0.05）.＜60岁患者在乐群性、恃强性、兴奋性方面上均高于≥60岁患者,而≥60岁患者在幻想性和自律性方面则比＜60岁患者更加稳定,差异有统计学意义（P＜0.05）.大专及以上文化程度的患者在乐群性、聪慧性、恃强性、忧虑性方面的得分明显高于大专以下患者,而兴奋性得分低于大专以下患者,差异有统计学意义（P＜0.01）. 结论 本研究显示CHD患者心理健康状况较差,提示应对已经或潜在具有人格偏离的CHD患者及时进行针对性心理干预.Objective To evaluate the personality characteristics of patients with coronary heart disease （CHD）,and to provide an auxiliary basis for the diagnosis and treatment of CHD.Methods The personality characteristics of CHD patients（n =615） who admitted in our hospital from April 2010 to February 2014 were assessed by the Cattell Sixteen Personality Factor Questionnaire （16PF）,and then compared with normal group（n =574） using independent sample t test.Results The factors of suspicion,tension and anxiety in CHD patients were significantly higher than in normal controls （P ＜ 0.05 or P ＜ 0.01）,however,the fantasy was significantly lower （P ＜ 0.05）.The factors of gregariousness,aggressiveness,excitement,fantasy,sophistication and self-discipline were obviously higher in female than in male,while the tension was significantly lower（P ＜ 0.05 or P ＜ 0.01）.The factors of gregariousness,aggressiveness,excitability in ＜ 60-year-old patients were higher than that of ≥60-year-old patients,while the fantasy and self-discipline were lower（P ＜ 0.05）.The scores of gregarious,intelligence,aggressiveness and anxiety in the patients who received higher than tertiary education were significantly higher than those of patients who had a lower education,while the excitability was statistically lower （P ＜ 0.05 or P ＜ 0.01）.Conclusion The results suggest that CHD patients are in poor mental health,and the CHD patients should be given psychological intervention timely.

关 键 词：冠心病 16PF 人格特征 心理健康 

分 类 号：R541.4[医药卫生—心血管疾病]