急性心肌梗死患者与正常人社会心理因素、个性特征和生活方式的对照研究  

Comparative Study of Social Psychological Factors, Personality Characteristics and Life Study of Acute Myocardial Infarction and Normal Persons

作　　者：程艳春[1] 邹文华[2] 何杏桃[2] 曹检化[2] 

机构地区：[1]中南大学湘雅医学院附二院心血管科,410011 [2]长沙市精神病医院

出　　处：《神经疾病与精神卫生》2003年第4期261-262,264,共3页Journal of Neuroscience and Mental Health

摘　　要：目的 探寻社会心理因素、个性特征、生活方式与急性心肌梗死(Acute Myocardial Infarc-tion AMI)的病因学联系。方法 对51例AMI病人和50例正常人应用生活事件量表(LES)、社会支持评定量表(SSRS)、艾森克个性问卷(EPQ)、生活方式定式调查表及一般情况调查表进行对照调查。结果 AMI病人发作前有明显心理刺激因素占80.39％,AMI组负性生活事件发生率更高(P<0.01),社会支持度更低(P<0.01),有更多的外倾行为和情绪不稳定性格,E.N分更高(P<0.01),在生活方式方面AMI组有更多的饮食偏咸,不饮牛奶,喜食肥肉、猪油、高脂食品,业余生活单调,缺乏锻炼,嗜烟酒,睡眠差或睡眠无规律等(P<0.01)。结论 负性事件多发,缺乏亲人和社会支持,不良个性和不良生活方式等均是AMI的发病危险因素。Objective To study etiological relations of social psychological factors, personality characteristics, life style and acute myocardial infarction (AMI). Methods 51 AMI patients and 50 normal persons were investigated with LES, SSRS, EPQ, Life-style and general situation investigated table. Results Compared with normal person, AMI patients had higher E. N score, more extraversion behavior, emotional unstable personality and negative life events (P < 0. 01). As well as they had clearly lower scores in social supports (P< 0. 01). AMI group had clearly higher scores in harmful dietetic habits, monotonous amateur life, lacking physical exercises, having a liking for cigarette and drinking, and irregular sleep (P < 0. 05 or P < 0. 01). Conclusions More much negative life events, lacking relatives and social supports, unhealthy personality characteristics and harmful life style are access dangerous factors.

关 键 词：急性心肌梗死 正常人 社会心理因素 个性特征 生活方式 对照研究 

分 类 号：R542.22[医药卫生—心血管疾病] R395.2[医药卫生—内科学]