CAJ | 학술논문

目的探讨D型人格与焦虑、抑郁、社会支持水平等相关社会心理因素对慢性心衰(chronic heart failure,CHF)患者生活质量的影响.方法选择住院的CHF患者150例.依据D型人格量表(DS14)把所有CHF患者分为D型人格组和非D型人格组,两组均在接受治疗前进行一般状况调查表、明尼苏达心力衰竭生活质量量表(MLHFQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)和社会支持评定量表(SSRS)的测试.结果 (1)D型人格组的焦虑得分、抑郁得分[分别为(52.16±8.86)分、(56.82±10.29)分]均明显高于非D型人格组[分别为(43.56±7.33)分、(46.59±10.07)分](P＜0.01);D型人格组的社会支持得分[(34.00±7.18)分]明显低于非D型人格组[(41.57±7.61)分](P＜0.01);D型人格、消极情感、社交压抑均与焦虑(r=0.452、0.521、0.230)、抑郁(r=0.458、0.477、0.296)呈正相关,与社会支持水平(r=-0.336、-0.271、-0.316)呈负相关(P＜0.01).(2)在生活质量方面,D型人格组的得分[(58.61±17.12)分]明显高于非D型人格组[(36.67±17.63)分](P＜0.01).(3)在生活质量影响因素的多元逐步回归分析中,D型人格、焦虑、抑郁、社会支持水平和NYHA分级进入回归方程(β值分别为-9.074、0.418、0.512、-0.519、6.58,P＜0.05).结论 D型人格与CHF患者焦虑、抑郁、社会支持水平具有相关性,D型人格及焦虑、抑郁、社会支持水平等相关社会心理因素影响CHF患者的生活质量.
목적 탐토D형인격여초필、억욱、사회지지수평등상관사회심리인소대만성심쇠(chronic heart failure,CHF)환자생활질량적영향.방법 선택주원적CHF환자150례.의거D형인격량표(DS14)파소유CHF환자분위D형인격조화비D형인격조,량조균재접수치료전진행일반상황조사표、명니소체심력쇠갈생활질량량표(MLHFQ)、초필자평량표(SAS)、억욱자평량표(SDS)화사회지지평정량표(SSRS)적측시.결과 (1)D형인격조적초필득분、억욱득분[분별위(52.16±8.86)분、(56.82±10.29)분]균명현고우비D형인격조[분별위(43.56±7.33)분、(46.59±10.07)분](P＜0.01);D형인격조적사회지지득분[(34.00±7.18)분]명현저우비D형인격조[(41.57±7.61)분](P＜0.01);D형인격、소겁정감、사교압억균여초필(r=0.452、0.521、0.230)、억욱(r=0.458、0.477、0.296)정정상관,여사회지지수평(r=-0.336、-0.271、-0.316)정부상관(P＜0.01).(2)재생활질량방면,D형인격조적득분[(58.61±17.12)분]명현고우비D형인격조[(36.67±17.63)분](P＜0.01).(3)재생활질량영향인소적다원축보회귀분석중,D형인격、초필、억욱、사회지지수평화NYHA분급진입회귀방정(β치분별위-9.074、0.418、0.512、-0.519、6.58,P＜0.05).결론 D형인격여CHF환자초필、억욱、사회지지수평구유상관성,D형인격급초필、억욱、사회지지수평등상관사회심리인소영향CHF환자적생활질량.
Objective To explore the effects of type D personality and related psychosocial factors on quality of life in patients with chronic heart failure (CHF).Methods According to the type D personality scale (DS14),150 patients with CHF were divided into the type D personality group and the non-type D personality group.All patients were investigated with the general healthy questionnaire,minnesota living with heart failure questionnaire(MLHFQ),Zung' s self-rating anxiety scale(SAS),Zung' s self-rating depression scale(SDS) and Social support rating scale (SSRS) before receiving treatment.Results (1)The scores of SAS,SDS in the type D personality group were higher than those in the non-type D personality group(52.16±8.86 vs 43.56±7.33,56.82± 10.29 vs 46.59± 10.07,separately) (P＜0.01).The score of SSRS in the type D personality group was lower than that in the non-type D personality group(34.00±7.18 vs 41.57±7.61,P＜0.01).The type D personality,negative affectivity (NA) and social inhibition (SI) were positively correlated with anxiety and depression (r=0.452,0.521,0.230;0.458,0.477,0.296,separately) (P＜0.01),and the type D personality,NA and SI were negatively correlated with social support level(r=-0.336,-0.271,0.316,P＜0.01).(2)The score of MLHFQ in the type D personality group was significantly higher than that in the non-type D personality group (58.61 ± 17.12 vs 36.67± 17.63,P＜ 0.01).(3)Multiple stepwise regression analysis showed that type D personality,anxiety,depression,social support level and NYHA class entered the quality of life regression equation(β=-9.074,0.418,0.512,-0.519,6.584,P＜ 0.05).Conclusion The type D personality of CHF is closely related to anxiety,depression and social support level,and type D personality and related psychosocialfactors affect the quality of life of CHF.