心理控制源对老年慢性心力衰竭患者心理健康及生命质量的影响研究  

Effects of locus of control on psychological health and quality of life in elderly patients with chronic heart

作　　者：孙淑红 俞泓 王芳 尹向宇 管龙韬 任月 张蛟 SUN Shuhong;YU Hong;WANG Fang;YIN Xiangyu;GUAN Longtao;REN Yue;ZHANG Jiao(Department of Cardiology,Beijing Electric Power Hospital of State Grid Corporation,Beijing 100073,China)

机构地区：[1]国家电网公司北京电力医院心内科,100073

出　　处：《心肺血管病杂志》2024年第10期1068-1072,共5页Journal of Cardiovascular and Pulmonary Diseases

基　　金：北京市自然科学基金资助项目(7234398)。

摘　　要：目的:观察心理控制源对老年慢性心力衰竭(chronic heart failure,CHF)患者心理健康、生命质量的影响。方法:选取2018年5月至2019年8月,本院收治的老年CHF患者194例,采用多维度健康心理状况心理控制源量表(multidimentional health locus of control scale,MHLC)、症状自评量表(symptom Check-list 90,SCL-90)、明尼苏达心力衰竭生命质量问卷(Minnesota living with heart failure questionnaire,MLHFQ)评估患者的心理控制源倾向,心理健康,生命质量。结果:老年CHF患者内控性、机遇得分显著低于常模(P<0.05),权威人士得分显著高于常模(P<0.05);老年CHF患者躯体化、强迫、恐怖、人际敏感、焦虑、抑郁等心理健康因子高于常模评分(P<0.05);老年CHF患者躯体领域、情绪领域与其他领域的生命质量评分高于常模(P<0.05);内控性、权威人士评分与心理健康因子、生命质量因子呈负相关(P<0.05),机遇评分与心理健康因子、生命质量因子呈正相关(P<0.05);结论:老年CHF患者心理控制源倾向于权威人士,其心理健康与生命质量低于常模,心理控制源在一定程度上与患者的心理健康、生命质量密切相关。医护人员可根据CHF患者心理控制源类型给患者制定针对性计划,改善患者心理健康及生命质量。Objective:To observe the effects of locus of control on psychological health and quality of life in elderly patients with chronic heart failure(CHF).Methods:A total of 194 elderly CHF patients who were admitted to the hospital from May 2018 to August 2019 were enrolled.The tendency to locus of control,psychological health and quality of life were evaluated by multidimentional health locus of control scale(MHLC),symptom check-list 90(SCL-90)and Minnesota living with heart failure questionnaire(MLHFQ).Results:The scores of internal focus of control and opportunity in elderly CHF patients were significantly lower than the norms(P<0.05),while scores of powerful others control were significantly higher than the norms(P<0.05).The scores of psychological health factors(somatization,forcing,fear,interpersonal sensitivity,anxiety,depression)in elderly CHF patients were higher than the norms(P<0.05),scores of quality of life(physical field,emotion field,other fields)were higher than the norms(P<0.05).The scores of internal focus of control and powerful others control were negatively correlated with psychological health and quality of life factors(P<0.05),while opportunity scores were positively correlated with them(P<0.05).Conclusion:The locus of control in elderly CHF patients tends to powerful others control,their psychological health and quality of life are lower than the norms.The locus of control is closely related to psychological health and quality of life to some extent.Medical staffs can develop targeted plans for CHF patients based on types of locus of control to improve their psychological health and quality of life.

关 键 词：心理控制源 慢性心力衰竭 心理健康 生命质量 

分 类 号：R54[医药卫生—心血管疾病]