D型人格对脑卒中患者自我管理和生命质量的影响

Effect of type D personality on self-management and quality of life in patients with stroke

目的 调查D型人格脑卒中患者自我管理能力和生命质量的现状,研究D型人格与脑卒中患者自我管理能力和生命质量间的相关性。方法 采用目的 抽样法,抽取2017年10月至2019年5月在哈尔滨医科大学附属第一医院住院的629例脑卒中患者为研究对象。应用脑卒中患者自我管理行为量表、生命质量测定量表简表和D型人格量表,对629例脑卒中患者进行调查。结果 脑卒中患者自我管理量表得分为(138.38±13.21)分,生命质量量表得分为(56.99±2.22)分,D型人格脑卒中患者的自我管理和生命质量总分分别为(136.38±12.26)、(56.09±2.51)分,低于非D型人格脑卒中患者的(139.34±14.21)、(57.54±1.31)分,差异有统计学意义(t值为3.018、90.616,P<0.01)。Pearson相关分析显示,患者自我管理各维度及量表总分与D型人格的负性情感和社交抑制维度呈显著负相关关系(r值为-0.425^-0.117,P<0.05)。生命质量各维度及量表总分与D型人格的负性情感和社交抑制维度均呈负相关关系(r值为-0.447^-0.142,P<0.05)。结论 D型人格脑卒中患者自我管理和生命质量处于一般水平,D型人格能够减弱患者自我管理能力和生命质量。

Objective To investigate the status of self-management ability and quality of life in patients with type D personality stroke,and to study the correlation between type D personality and self-management ability and quality of life of stroke patients.Methods A total of 629 stroke patients were investigated by using the self-management behavior scale,the quality of life measurement scale and the D-type personality scale.Results The self-management scale score of stroke patients was 138.38±13.21 and the quality of life scale score was 56.99±2.22.The self-management and quality of life of patients with type D personality stroke were 136.38±12.26,56.09±2.51,lower than those of non-D type personality stroke patients(139.34±14.21,57.54±1.31)(t values were 3.018,90.616,P<0.05).Pearson correlation analysis showed that patients'self-management dimensions and total scores were correlated with the negative emotion and social inhibition dimensions of D-type personality,showing a significant negative correlation(r values were-0.425--0.117,P<0.05).The dimensions of life quality and the total score of the scale were also correlated with the negative emotion and social inhibition dimensions of D-type personality,and all had negative correlations(r values were-0.447--0.142,P<0.05).Conclusion The self-management and quality of life of patients with type D personality stroke are at a general level,and type D personality can weaken patients′self-management ability and quality of life.