冠心病患者的个性特征、心理状态及其生活质量的调查研究

Investigation and Study of the Personality,Mentality and Quality of Life in Patients with Coronary Heart Disease.

目的 探讨冠心病患者的个性特征、心理状态及其生活质量。方法 采用艾森克个性问卷 ( EPQ)、症状自评量表( SCL-90 )及生活质量综合评定问卷 ( GQOLI)对 3 8例冠心病患者进行了测试 ,并同 3 8名健康人加以比较。结果 1冠心病组的 N维度 T分明显高于健康对照组 ( P<0 .0 1 ) ;2冠心病组的 SCL-90各因子分均明显高于健康对照组 ( P<0 .0 5或P<0 .0 1 ) ,突出表现在躯体化、恐怖、焦虑及抑郁 4个方面 ;3冠心病组的总体生活质量较健康对照组差 ( P<0 .0 1 ) ,涉及到躯体功能、心理功能、社会功能及物质生活 4个维度 ,其中以躯体健康和心理健康影响最大。结论 冠心病患者病前个性以情绪不稳多见 ,并存在着诸多方面的心理问题 。

Objective To explore the personality,mentality and quality of life in patients with coronary heart disease.Methods Eysenck Personality Questionnaire(EPQ),Symptom Check List-90(SCL-90) and the General Quality of Life Inventory(GQOLI) were used of the 38 patients with coronary heart disease,compared with nomal person controls.Results ①The scores of N of the patients with coronary heart disease was higher than that of the controls (P<0.01). ②The scores of all factors of SCL-90 of the patients with coronary heart disease group were higher than that of the controls(P<0.05 or P< 0.01 ).The distinct manifestation were somatization,phobia,anxiety and depression.③The score of the patients with coronary heart disease were lower than that of the controls on the quality of life and subfactor such as physical function,mental function,social function and economic condition,especially on physical health and mental health.Conclusion The patients with coronary heart disease had problems of special personality and many aspect of psychology.The quality of life of psoriasis patients were lower.