非心源性胸痛患者心理因素和生活质量间关系的研究-内科学(消化系病)专业论文.docxVIP

华中科技大学硕士学位论文 华 中 科 技 大 学 硕 士 学 位 论 文 3 3 Correlation between psychological disorder and quality of life in the patients with noncardiac chest pain Abstract Objective To investigate psychological abnormalities in patients with Noncardiac Chest Pain(NCCP), and to explore their relationship with quality of life. Methods From January 2008 to June 2010, 100 healthy adults, 178 patients with cardiac chest pain(CCP),and 202 NCCP patients who had received coronary angiography were included in this study and fulfilled Short form 36 health survey questionnaire (SF-36), and Hospital Anxiety and Depressive Scale(HADS), the difference of scores were compared and analyzed among the three groups. Results the scores of anxiety in patients with NCCP were higher than CCP, Healthy adults ( 6.92±4.50 vs. 5.72±3.46 vs. 4.05±2.78,P0.0001), Except the role of mental health ,general health, 6 healthy conceptions in the health-related quality of life in CCP patients were significantly lower than those in NCCP. (All value P 0.05) The incidence and scores of anxiety and depression in patients with NCCP and CCP was higher than that in healthy adults(All value P 0.05), there was negative correlation between the scores of anxiety and depression and quality life. Conclusion Psychological factor plays an important role on the onset and development in cases of NCCP. Life quality of patients with CCP declined more significantly than patients with NCCP. 【Key Words】 Noncardiac chest pain; Psychological factor; Questionnaire survey; Quality of life 1 1 主要缩略词表 NCCP non-cardiac chest pain 非心源性胸痛 CCP cardiac chest pain 心源性胸痛 SF-36 the MOS 36 item short from health survey, 健康调查简易表 PF physical functioning 生理功能 RP role limitations due to physical health 生理职能 RE role limitations due to enotional problems 情感职能 VT vitality 活力 MH mental health 精神健康 SF social functioning 社会功能 BP body pain 躯体疼痛 GH general health 总体健康 HADS hospital anxiety and depressive scale 综合医院焦虑抑郁情绪测定表 独创性声明 本人郑重声明，本学位论文是本人在导师指导下进行的研究工作