Type D personality negatively associated with self-care in Chinese heart failure patients  

作　　者：Xi CAO Xiu-Hua WANG Eliza ML Wong Choi Kai Chow Sek Ying Chair 

机构地区：[1]The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, China [2]Nursing School, Central South University, Changsha, China

出　　处：《Journal of Geriatric Cardiology》2016年第5期401-407,共7页老年心脏病学杂志（英文版）

摘　　要：Background Little is known about the association between type D personality and self-care behaviors in heart failure （HF） patients. We examined the effect of type D personality on self-care behaviors and self-efficacy among Chinese HF patients. Methods A cross-sectional study with a convenience sample was conducted. All participants completed the questionnaires of the self-care of HF index （V6） and type D personality scale. Demographic and clinical variables were obtained from medical records and patient interviews. The me- thods used for data analysis included descriptive analysis, independent-sample t-test, Z2 test, and multiple linear regression. Results A total of 127 HF patients were included and 61.4% of them were male. The average age for this study sample was 64.9± 12.34 years. The majority of the participants were in a New York Heart Association class III or IV （87%）, and the average length of living with HF was 38.24 ± 41.1 months. A total of 33.1% of the participants were identified as having type D personality. No significant differences were determined in the demographic and clinical variables between type D and non-type D patients, except for the mean age and the length of living with HF. Type D patients were younger and had a shorter time of living with HF than their non-type D counterparts. Multiple regression demonstrated significant associations between type D personality and self-care maintenance and self-efficacy after adjusting the demographic and clinical factors. However, type D personality was not significantly associated with self-care management behaviors. Conclusions Type D personality was negatively related to self-care maintenance and self-efficacy in Chinese HF patients. Future study is warranted to develop a tailored intervention to improve engagement in self-care behaviors in HF patients with type D personality.

关 键 词：Heart failure Self care SELF-EFFICACY Type D personality 

分 类 号：O212.4[理学—概率论与数理统计] S858.292[理学—数学]