A型性格高血压患者抑郁状况及影响因素分析.pdfVIP

当代医学　2015 年 1 月第 21卷第 1 期总第 372 期　Contemporary Medicine, Jan.2015,Vol.21 No.1 Issue No.372 doi :10.3969/j .issn .1009-4393.2015.1.012 A型性格高血压患者抑郁状况及影响因素分析 谌秘 陈嘉希 宗芳 唐浪娟 [摘要] 目的 方法 调查 A 型性格高血压患者抑郁状况并分析其影响因素，为 A 型性格高血压患者抑郁情况进行干预措施提供参考。 本研究自 2012 年 10 月起应用 A 型性格量表在本院心内科、老年科和呼吸科筛选出 140 位高血压 A 型性格患者，用一般资料调查表、抑郁 自评量表、医学应对问 结果 % 卷和社会支持评定量表收集资料。 抑郁 自评量表显示，有 125 例患者（89.28 ）有不同程度的抑郁；医学应对方式相比于国内常模较低；社会支 结论 持得分低于正常人；抑郁状况与应对方式的面对、回避和屈服均呈正相关，与客观支持、主观支持、社会支持总分均呈负相关。 A 型性格高血压患 者的抑郁倾向较高，应该受到临床护理的重视。 [关键词] A 型性格；高血压；抑郁；护理应对方式；社会支持 [Abstract] Objective To survey depression in hypertensive patient with type A personality and analyze the causes, thus references are provided for intervention treatment in depression. Methods Since October 2012, 140 hypertensive patients with type A personality from department of cardiology, geriatrics and respiratory in our hospital have been accessed with type A personality scale, including general information questionnaire, self–rating depression scale, medical coping questionnaire, and social support rating scale.Results The self-rating depression scale shows that 125 of 140 patients (i.e. 89.28%) have depression, and the degree vary; The medical coping style were lower than domestic norms; The social support score were lower than normal people; Depression was positively correlated to confrontation, avoidance and surrender of the coping style, but negatively correlated to scores of objective, subjective and social support. Conclusion The hypertensive patients with type A pers