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

A comparative study of sociopsychologic factors, personality characteristics and life style in acute myocardial infarction patients and normal persons

目的为探讨社会心理因素、个性特征、生活方式与急性心肌梗死(AcuteMyocardialInfarc-tion,AMI)的病因学联系。方法对86例AMI病人和86位正常人应用LES、SSRS、EPQ等量表和生活方式、一般状况测查表进行对照调查。结果AMI组发作前有明显心理刺激因素的有68例(79.07%)。与正常组对照,AMI组有更高的E分(68.25±13.56)、N分(62.89±11.21)(P<0.01),有更多的外倾行为和情绪不稳定性格(P<0.05或P<0.01),负性生活事件分更高(P<0.01)。AMI组的客观支持和主观支持和对支持利用度均明显低于正常组(P<0.01)。生活方式方面,AMI组在饮食不良习惯、业余生活单调、缺乏锻炼、嗜烟酒、睡眠无规律等均明显高于对照组(P<0.01)。结论负性事件多发,缺乏亲人和社会支持,不良的生活方式等均是AMI的发病危险因素。

ObjectiveTo study etiological relation of sociopsychologic factors’ personality characteristics, life style and acute myocardial infarct (AMI). Methods86 AMI and 86 normal persons were investigated with LES, SSRS, EPQ, life-style and generally investigated tables.ResultsThere are 68 patients (79.07%)whom have obvious psychologic stimulant factors in AMI group.Compared with normal group AMI patients had higher scores in E,N score, had more extraversion behavior, emotionally unstable personality ( P <0.05 or < 0.01 ),and had higher negative life events( P <0.01).AMI group had clearly lower scores in social supports( P < 0.01 ). AMI group had clearly higher scores in harmful dietetically habits, monotonous amateur life, lacking physical exercises, having a liking for cigarette and drinking and somnus unregulation of life style( P < 0.01). ConclusionMore much negative life events, laking relative and social supports, unhealthy personality characteristics and harmful life style are accessed dangerous factors of AMI.