生活事件和应对方式与急性心肌梗死发病关系的配对比较

Paired comparison of the relationship of life events and coping style to episode of acute myocardial infarction

目的研究生活事件(lifeevents,LE)和应对方式对急性心肌梗死发病的影响。探讨进行心理干预的可能性。方法83例初发心肌梗死患者按相同性别、年龄、职业和文化程度以及相同危险因素与同期住院的冠心病心绞痛患者1:1配对,并用LES量表和应对方式问卷进行评估和分类。结果心肌梗死患者发病前1年遭遇的LES频度和强度均明显高于心绞痛患者,t分别为2.132和2.341,P均<0.05。同时前者中遭遇负性LE的频度和强度,也显著多于正性LE的频度和强度,t分别为2.847和2.378,P均<0.05。不同类型的应对方式中回避应对方式的心肌梗死患者遭遇LES频度和强度明显高于面对和屈服应对方式患者,t=2.296～3.096,P均<0.05。结论LES和应对方式与急性心肌梗死发病有密切关系。

Aim To study the effect of life events (LE) and coping styles on the ep isode of acute myocardial infarction (AMI) and to investigate the possibility of psychological intervention. Methods Eighty-three cases of AMI and eighty-thre e cases of coronary heart disease(CHD), 54 pairs of males and 29 pairs of female s, were matched in gender, age, profession, education and risk factors.LE scale and medical coping modes questionnaire(MCMQ) were used for the evaluation and cl assification respectively. Results The frequency and strength of LE in AMI patie nts before episode were significantly higher than those in CHD patients (t=2.132 and t=2.341,P< 0.05).Meanwhile, the frequency and strength of negative LE in pa tients with AMI were significantly higher than those of positive LE (t=2.847 and t=2.378,P< 0.05).The frequency and strength of LE in AMI patients with avoidanc e coping style were significantly higher than those with confrontation and resig nation coping styles(t=2.296-3.096,all P< 0.05). Conclusion The episode of AMI is closely related to LE and coping style.