性格特征对心房颤动患者生活质量的影响

The effect of personality traits on quality of life in patients with atrial fibrillation

目的探讨性格特征对心房颤动患者生活质量的影响。方法本研究为横断面研究,选择2020年10月至2022年3月西安交通大学第二附属医院心血管内科的初诊心房颤动患者,收集其性别、年龄、酗酒情况等参数。采用心房颤动特异性生活质量问卷(AFEQT)评估其生活质量,依据AFEQT得分将患者分为高生活质量组(AFEQT≥80分)和低生活质量组(AFEQT<80分)。用艾森克人格测试(EPQ)成人版评估患者的性格特征,Logistic回归分析影响心房颤动患者生活质量的危险因素,受试者工作特征曲线评价艾森克人格测试不同子量表得分[内外向性(E)、精神质(P)和神经质(N)量表]对患者生活质量的预测价值。结果共纳入124例心房颤动患者,其中男62例,年龄(67.48±11.59)岁。高生活质量组27例,低生活质量组97例。两组患者在人口学因素方面的差异无统计学意义。多因素Logistic回归表明,酗酒(OR=1.328,95%CI 1.016~1.877,P=0.033)和性格特征(P=0.016)是影响心房颤动患者生活质量的独立危险因素。E、P或N量表在独立预测受试者生活质量时的作用有限(P均>0.05),E量表和N量表联合可显著提高预测心房颤动患者的生活质量的能力(AUC=0.751,P=0.001)。结论性格特征对心房颤动患者的生活质量有重要的影响,早期评价性格特征有利于提高患者的生活质量。

Objective To investigate the influence of personality traits on quality of life(QOL)in patients with atrial fibrillation(AF).Methods This was a cross-sectional study.Newly diagnosed AF patients in the Department of Cardiovascular Medicine of the Second Affiliated Hospital of Xi'an Jiaotong University from October 2020 to March 2022 were selected,and sex,age,alcohol history and so on were documented.Atrial Fibrillation Effect on Quality of Life(AFEQT)was used to assess their QOL.Subjects were divided into high quality of life group(AFEQT≥80)and low quality of life group(AFEQT<80)according to AFEQT overall score.The Eysenck personality Questionnaire(EPQ)test was used to evaluate the patients'personality traits,the risk factors affecting the QOL of AF patients were analyzed by Logistic regression,and the predictive values of scores on different EPQ subscales[internal and external extroversion(E),psychoticism(P)and neuroticism(N)scales]were evaluated by Receiver Operating Characteristic(ROC)curves.Results A total of 124 AF patients were included,including 62 males aged(67.48±11.59)years.There were 27 cases in the high quality of life group and 97 cases in the low quality of life group.There was no significant difference in demographic factors between the two groups.Multivariate Logistic regression showed that alcoholism(OR=1.328,95%CI 1.016-1.877,P=0.033)and personality traits(P=0.016)were independent risk factors for QOL in AF patients.The independent E,P or N scales had limited effect on the prediction of subjects'QOL(P>0.05).The combination of E and N scales significantly improved the ability to predict the QOL(AUC=0.751,P=0.001).Conclusion Personality traits have an important impact on the QOL for AF patients.Early evaluation of personality traits is beneficial to improve the QOL for AF patients.