中国临床心理学杂志

对冠心病患者预后心理社会影响因素的2年随访研究

作者：赵兴蓉¹ 白俊云² 李娜¹ 许秀峰¹

单位：1. 昆明医学院第一附属医院精神科云南昆明650032
2. 昆明医学院第一附属医院干疗科云南昆明650032

分类号：R541.4;R395

出版年,卷(期):页码：2011,19(1):106-109

摘要：

目的：分析冠心病患者2年中生存率和心血管事件再发率，探讨多种因素对冠心病患者预后的影响。采用DS14中文版、A型行为问卷、应付方式问卷、汉密尔顿抑郁量表和焦虑量表对203名冠心病患者进行测查，并随访2年的生存情况和心血管事件再发情况。结果：①心功能、年龄和D型人格是冠心病患者死亡的独立危险因素。②D型人格、空腹血糖是冠心病患者再发心血管事件的独立危险因素，运动是冠心病患者再发心血管事件的保护因素。冠心病患者预后受生物学和心理社会多种因素影响。

Objective:analyer the survival rate and the recurrence rate after two-year follow-up to the patients withcoronary heart disease,and discusse the factors influencing the prognosis of these patients.Methods:203 patients withCHD selected randomly from the Department of Cardiology were investigated by Type D Scale -14,Type A BehaviorQuestionnaire,Coping Style Questionnaire,HAMD,HAMA,and they were followed up for 2 years about the situation ofsurvival and recurrence.Results:①Heart function,age and type D personality were the dangerous independent factors tothe death of the patients with coronary heart disease.②Type D personality,fasting blood glucose were the dangerous independentfactors,while exercises was the independent protecting factor of the recurrence of cardiovascular events of thepatients with coronary heart disease.Conclusion:The prognosis of the patients with coronary heart disease is influencedby various kinds of factors,including biological and psychosocial factors.

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作者简介：

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