A型行为因子与冠心病的关联性

Relationship between type-A behavior factors and coronary heart disease

目的探求与冠心病有关的A型行为因子,从而有针对性地实施行为矫正。方法采用PSACIV量表进行探索性因子分析形成A型行为因子问卷,随机抽样209名冠心病患者和218名健康居民进行问卷调查,分析与冠心病有关的A型行为因子。结果A型行为模式在总体上与冠心病有关(P<0.05),冠心病组只有时间效率因子与对照组有显著性差异(P<0.05);男性人群的研究结果与整体人群相同,但女性人群冠心病组A型行为总体均分及各行为因子的均分与对照组差异均无统计学意义;不同年龄组,冠心病组暴躁、时间效率、时间紧迫、缺乏耐心、敌意、孤僻六个因子与对照组比较存在不同差异,30～39岁组,暴躁因子有显著性差异(P<0.05),40～49岁组,时间效率因子有显著性差异(P<0.05),50～59岁组,时间紧迫和时间效率特征因子有显著性差异(P<0.05),60岁以上组,时间紧迫因子有显著性差异(P<0.05)。结论冠心病患者存在明显的个性特征,有较强的时间效率、时间紧迫感和暴躁,同时A型行为因子与冠心病的关联性存在年龄和性别的差异。

AIM To find out some type-A behavior factors related with the coronary heart disease （CHD）, so that behavior of this kind can be rectified. METHODS A type-A behavior questionnaire was set up by using the PSACIV meter. Two hundred and nine patients with CHD and 218 healthy subjects were randomly chosen to answer the questionnaire and analysis of type-A behavior factors related with CHD was conducted. RESULTS As a whole, the type-A behavior pattern was related with CHD （P 〈 0. 05 ）. Among the six factors, significantly difference between the two groups was found only in the factor ＂Time Efficiency＂ （ P 〈 0. 05 ）. The results of male subgroups of both CHD and control groups were consistent with those of the whole. In the female groups, no significant difference between CHD and control groups was found in the mean score of type-A behavior total score and that of various behaviors factors. In different age subgroups, the results of the 6 factors were different between the CHD group and control group. In the subgroup aged 30 - 39, the factor ＂Irascibility＂ was significantly different （P 〈 0. 05 ）, in the group aged 40 - 49, the factor ＂Time Efficiency＂ was significantly different （P 〈 0. 05 ）, and in the group aged 50 -59, the factors of ＂Time Efficiency and Time Urgency＂ was significantly different （P 〈 0. 05）. But in the group aged above 60, the factor ＂Time Urgency＂ was significantly different （P 〈 0. 05）. CONCLUSION Patients with CHD have some individual characteristics, including stronger sense of time efficiency and time urgency, and irascibility. The correlation between type-A behavior factor and CHD varies with are and sex.