心血管疾病论文心血管疾病患者心理特征研究和生活质量评价.docVIP

心血管疾病论文：心血管疾病患者心理特征研究和生活质量评价 【中文摘要】探讨心血管疾病患者的心理特征和生活质量,为其心理治疗提供依据。方法采用自行设计的一般情况问卷,以及一般自我效能感量表(GSES)、特质应对方式量表(TCSQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、健康状况调查问卷(SF-36)分别对126例心血管疾病患者(病例组)和143例健康者(对照组)进行评定,对病例组心理特征进行分析,从生理功能(PF)、躯体角色(RP)、躯体疼痛(BP)、一般健康(GH)、精力(VT)、社会功能(SF)、情感角色(RE)、心理健康(MH)8个维度对病例组生活质量进行评价。结果两组一般情况比较结果：年龄、体质指数(BMI)病例组高于对照组,体力活动情况低于对照组(P0.05)；多元逐步主成分Logistic回归分析结果显示,BMI、年龄与心血管疾病正相关,RP、GH与心血管疾病负相关。结论心血管疾病患者较正常人群存在较为严重的焦虑、抑郁等负性情绪,面对困难和挫折时,更加倾向于采取消极应对方式；消极应对、焦虑、抑郁、年龄、BMI是心血管疾病的危险因素。心血管疾病患者整体生活质量明显降低,RP、GH能力受损明显。 【英文摘要】:To investigate psychological characteristics of patients with cardiovascular disease and quality of life to provide the basis for psychotherapy.Methods:126 patients (case group) and 143 healthy persons(case control group) were assessed by self-command generalized information questionnaire, general self-efficacy scale (GSES), trait coping style questionnaire (TCSQ), self-rating anxiety scale (SAS), self-rating depression scale (SDS) and Short Form-36 (SF-36). The quality of life was evaluated from the dimensions of physiological function (PF), role physical (RP), bodily pain (BP), general health (GH), vitality (VT), social function (SF), emotional role (RE), mental health (MH).Results:Compared with the case control group, the case group members had characteristics of increased age and BMI, and decreased physical activity(P0.05). The results of Stepwise Logistic Regression analysis demonstrated that there was a positive association between age, BMI and cardiovascular diseases. RP, GH were negatively associated with cardiovascular diseases.Conclusion:Patients with cardiovascular disease have obvious anxiety and depression, tend to employ negative coping styles in frustration. Negative coping styles, anxiety, depression, age and BMI are risk factors of cardiovascular disease. Overall quality of life in patients with cardiovascular disease was significantly reduced. RP, GH was significantly impaired. 【关键词】心血管疾病 心理因素 生活质量 SF-36 焦虑 【英文关键词】Cardiovascular diseas