D型人格与冠脉介入治疗患者远期生存质量的相关性

Relationship between Type D personality and long-term quality of life in patients after percutaneous coronary intervention

目的了解经皮冠状动脉介入治疗(PCI)患者远期生存质量及D型人格在该人群中的分布,探讨D型人格与PCI患者远期生存质量之间的关系。方法运用冠脉血运重建结局量表、D型人格量表,对410例PCI≥1年的患者进行调查。结果 PCI患者远期生存质量得分(68.73±7.66)分,D型人格在该人群中的分布为31.71%。D型人格患者生存质量总分显著低于非D型人格患者(P<0.01)。偏相关分析显示,D型人格消极情感、社交抑制与生存质量总分呈显著负相关(均P<0.01)。结论 PCI患者远期生存质量有待提高,D型人格可降低患者的远期生存质量。应针对D型人格PCI患者实施有效的心理干预措施,以提高患者的远期生存质量。

Objective To describe the long-term quality of life （QOL） and the prevalence of Type D personality among patients after percutaneous coronary intervention （PCI）,and to explore the relationship between them.Methods A total of 410 patients who had received PCI ≥1 year completed the Coronary Revascularisation Outcome Questionnaire and the Type D Personality Scale-14.Results The average score of long-term QOL was 68.73±7.66 and the prevalence of Type D personality was 31.71% among patients after PCI.Patients with Type D personality scored significantly lower on long-term QOL than non-Type D patients （P〈 0.01）.Partial correlation analysis showed that Type D personality-negative affectivity and social inhibition-were negatively correlated with the total score of QOL（P〈0.01 for both）.Conclusion The long-term QOL after PCI should be improved,and Type D personality may have an adverse effect on it.We must take effective psychological interventions to improve patients＇ long-term QOL.