述情障碍对冠心病合并2型糖尿病患者应对方式及生活质量的影响

目的:探讨述情障碍对冠心病合并2型糖尿病患者应对方式及生活质量的影响。方法:对符合世界卫生组织冠心病、2型糖尿病诊断标准的70例患者,依据多伦多述情障碍量表(TAS-20)评分分为2组,总分60分为述情障碍组,50分为非述情障碍组,50~60分不做研究。述情障碍组41例,无述情障碍组29例。尔后分别进行医学应对问卷(MCMQ)、生活质量综合评定问卷(GQLI)测评,并进行比较分析。结果:述情障碍组MCMQ面对因子评分显著低于非述情障碍组(t=-8.23,P0.01),而回避、屈从因子评分则显著高于非述情障碍组(t=5.21,4.27;P0.01)。非述情障碍组GQLI总分及躯体健康、心理健康、社会功能因子分均显著高于述情障碍组,差异有统计学意义(t=3.66,3.82,3.66,2.37;P0.01);物质生活维度评分差异无统计学意义(P0.05)。患者TAS-20评分与MCMQ的面对因子评分呈显著负相关(r=-0.34,P0.01),而与MCMQ回避、屈从因子评分呈显著正相关(r=0.32,0.34;P0.01);与GQLI总分、躯体健康、心理健康及社会功能因子分呈显著负相关(r=-0.31,-0.33,-0.30;P0.01),与物质生活维度评分无相关性。结论 :冠心病合并2型糖尿病述情障碍患者多采用回避和屈服的消极应对方式,而较少采用积极应对方式;其生活质量较非述情障碍患者差。

Effects of Alexithymia on the Coping Style and Life Quality of Patients with Coronary Heart Disease with Diabetes Mellitus

Objective :To investigate the effects of alexithymia on the coping style and life quality of patients with coronary heart disease (CHD)with diabetes mellitus .Methods :A total of 70 patients were enrolled following the di-agnostic criteria of CHD and diabetes mellitus ,and were divided into two groups according to Toronto Alexithymia scale - 20 (TAS - 20) :Alexithymia group (TAS - 20 > 60)and non - alexithymia group (TAS - 20 < 50) .Medical Coping Modes Questionnaire (MCMQ)and Life quality complex assessment questionnaire (GQLI)were employed for the comparison .Results :The confront factor was significantly lower in alexithymia group than in non - alexithymia group(t = -8 .23 ,P < 0 .01) ,whereas the scores of avoidance and resignation factors were significantly higher in alexi-thymia group than in non - alexithymia group(t = 5 .21 ,4 .27 ;P < 0 .01) .Scores of total ,physical health ,psychological health and social function of CQLI in non - alexithymia group were significantly higher than those in alexithymia group .There were no significant differences in material life dimension score (t = 3 .66 ,3 .82 ,3 .66 ,2 .37 ;P > 0 .05) . TAS - 20 score was negatively related to the score of confront factor (r = -0 .34 ,P < 0 .01)and positively related to the scores of avoidance and resignation factors of MCMQ (r = 0 .32 ,0 .34 ;P < 0 .01) ,which was further negatively re-lated to the scores of total ,physical health ,psychological health and social function of CQLI (r = -0 .31 ,-0 .33 ,-0 .30 ;P < 0 .05)in patients with CHD with diabetes mellitus ,with no significant correlation with material life dimension score .Conclusion :Alexithymia patients with CHD with diabetes mellitus are prone to cope with passive avoidance and resignation rather than positive confront ,their life quality is lower than that of non - alexithymia patients .