D型人格与缺血性脑卒中患者颈动脉斑块易损性的相关性研究  

Correlation between type D personality and carotid plaque vulnerability in patients with ischemic stroke

作　　者：何燕[1] 王婷[2] 韩秋荣[1] 吴昭英[1] 张丽丽[1] 陈维慧 王雪梅[1] He Yan;Wang Ting;Han Qiurong;Wu Zhaoying;Zhang Lili;Chen Weihui;Wang Xuemei(Department of Neurology,Affiliated Hospital of Jining Medical University,Jining 272007,China;Nursing Department,Affiliated Hospital of Jining Medical University,Jining 272007,China)

机构地区：[1]济宁医学院附属医院神经内科,济宁272007 [2]济宁医学院附属医院护理部,济宁272007

出　　处：《中华现代护理杂志》2022年第9期1202-1206,共5页Chinese Journal of Modern Nursing

基　　金：中华医学会杂志社2019年护理学科研究课题(CMAPH-NRG2019002);2019年济宁医学院青年教师科研基金项目。

摘　　要：目的了解缺血性脑卒中患者D型人格分布特点,探讨D型人格与缺血性脑卒中患者颈动脉斑块易损性的相关性。方法采用便利抽样法,于2019年11月—2020年12月选取在济宁医学院附属医院神经内科治疗的缺血性脑卒中并行颈动脉彩色多普勒超声检查的125例患者为研究对象。采用彩色多普勒超声对缺血性脑卒中患者颈动脉斑块进行测量,确定是否为易损性斑块,应用D型人格问卷对患者进行调查。结果D型人格在缺血性脑卒中患者中的比例为52.8%(66/125)。Logistic回归分析结果显示,D型人格、D型人格中的社交抑制维度是缺血性脑卒中患者颈动脉斑块易损性的影响因素(P<0.05)。结论D型人格与缺血性脑卒中患者颈动脉斑块易损性密切相关,医护人员应加强对缺血性脑卒中患者D型人格的筛查,实施早期干预。Objective To understand the characteristics of type D personality in patients with ischemic stroke,and to explore the correlation between type D personality and carotid plaque vulnerability in patients with ischemic stroke.Methods From November 2019 to December 2020,convenience sampling was used to select 125 patients with ischemic stroke who underwent carotid color Doppler ultrasound examination in the Department of Neurology,Affiliated Hospital of Jining Medical University as the research subject.Carotid plaques were measured by color Doppler ultrasound in patients with ischemic stroke to determine whether they were vulnerable plaques.The patients were investigated using the Type D Personality Scale.Results The proportion of type D personality in ischemic stroke patients was 52.8%(66/125).Logistic regression analysis showed that type D personality and the social inhibition dimension of type D personality were the influencing factors of carotid plaque vulnerability in patients with ischemic stroke(P<0.05).Conclusions Type D personality is closely associated with carotid plaque vulnerability in ischemic stroke patients.Medical and nursing staff should strengthen the screening of type D personality in patients with ischemic stroke and implement early intervention.

关 键 词：脑卒中 D型人格 易损斑块 脑血管不良事件 

分 类 号：R743.3[医药卫生—神经病学与精神病学]