D型人格对冠心病患者预后的影响 |
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引用本文: | 赵兴蓉,白俊云,李娜,许秀峰. D型人格对冠心病患者预后的影响[J]. 临床心身疾病杂志, 2011, 17(6): 523-526. DOI: 10.3969/j.issn.1672-187X.2011.06.019-0523-04 |
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作者姓名: | 赵兴蓉 白俊云 李娜 许秀峰 |
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作者单位: | 昆明医学院第一附属医院,云南昆明,650032 |
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摘 要: | 目的 探讨D型人格对冠心病预后的影响.方法 对203名冠心病患者运用D型人格量表筛查D型与非D型人格,统计其生存率及心血管事件再发率,随访2 a,对统计结果进行对比分析.结果 D型人格冠心病患者2 a生存率为80.65%,显著低于非D型人格患者(92.71%)(OR=31.177,95%CI:29.874-32.480,P<0.05);心血管再发率为34.80%,显著高于非D型人格患者(19.10%)(OR=2.095,95%CI:1.034-4.240,P<0.05).结论 D型人格与冠心病患者生存率和心血管事件再发率显著相关,对D型人格冠心病患者的不健康行为方式及心理状况进行有针对性的心理干预具有重要意义.
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关 键 词: | 冠心病 D型人格 生存率 再发心血管事件 D型人格量表 心理干预 |
Effects of type D personality on the prognosis of patients with coronary heart disease |
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Affiliation: | Zhao Xingrong,Bai Junyun,Li Na(The First Affiliated Hospital of Kunming Medical College, Kunming 650032 ,Yunnan , China) |
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Abstract: | Objective To explore the effects of type D personality on the prognosis of patients with coronary heart disease (CHD). Methods Type D and non-D personality were screened in 203 CHD patients with the Type D Personality Scale-14 (DS-14), their survival rates and recurrence -rates of cadiovascular events added up, they followed up for 2 years and statistical results analyzed contras- tively. Results Two-year survival rates of type D personality CHD patients were significantly lower (80.2% vs. 92.7%,OR=31.177,95%CI:29.874-32.480,P〈0.05) and recurrence rates of cadiovascular events significantly higher (34.8% vs. 19. 1%,OR=2.095,95%CI:1.034-4. 240,P〈0.05) than those of non-D. Conclusion Type D personality is notably related to survival rates and the recurrence rates of cadiovascular events of the CHD patients, it is important to carry out purposeful mental intervention to unhealth behavior style and mental status of CHD patients with type D personality. |
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Keywords: | CHD type D personality survival rate recurrent cardiovascular events DS14 mental intervention |
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