冰冻灾害及其他心理因素对脑出血发病的影响

Effects of Freezing Disaster and Other Psychological Factors on Cerebral Hemorrhage

目的探讨冰冻灾害及其他社会心理因素对脑出血患者发病的影响。方法应用自制一般情况量表、生活事件量表、社会支持量表、特质应对方式问卷、A型行为类型评定量表对60例脑出血患者及60例健康体检者进行病例对照研究。结果冰冻灾害、文化、职业、高血压病史、糖尿病病史、卒中家族史、正性事件刺激量、负性事件刺激量、事件刺激总量、主观支持、对支持的利用度、消极应对、积极应对,脑出血患者与健康体检者比较差异有统计学意义(P<0.05或P<0.01)。多元逐步Logistic回归分析发现:冰冻灾害、高血压病史、负性事件刺激量与脑出血呈正相关(P<0.05或P<0.01),主观支持与脑出血呈负相关(P<0.05)。结论冰冻灾害作为社会环境因素对脑出血患者发病有明显影响。

Objective To investigate the effects of freezing disaster and other psychological factors on cerebral hemorrhage.Methods Sixty patients with cerebral hemorrhage and 60 healthy subjects were assessed by Life Event Scale（LES）,Type A Behavior Pattern（TABP）,Social Support Rating Scale（SSRS） and Trait Coping Style Questionnaire（TCSQ）.Results There were significant differences（P0.05 or P0.01）in correlative factors of cerebral hemorrhage,including freezing disaster,culture,occupation,hypertension history,diabetes history,family history of stroke,amount of positive life events,amount of negative life events,total amount of life events,subjective support,utilization of support,negative coping and positive coping,between patients with cerebral hemorrhage and healthy subjects.Multiple logistic analysis showed that freezing disaster,hypertension history,and amount of negative life events were positively correlated with cerebral hemorrhage（P0.05 or P0.01）.Subjective support was negatively correlated with cerebral hemorrhage（P0.05）.Conclusion Freezing disaster as a social environmental factors exerts obvious influence on the onset of cerebral hemorrhage.