摘要
目的探讨冠状动脉粥样硬化性心脏病(简称冠心病)患者积极心理资源与焦虑的关系。方法采用横断面调查,以沈阳市中医院339例冠心病患者为研究对象,采用广泛性焦虑量表(GAD-7)、D型人格量表(DS14)、一般自我效能量表(GSES)、乐观量表(LOT-R)、韧性量表(RS)、希望量表(LOT-R)进行调查。采用χ2检验、t检验、方差分析、Pearson相关分析、logistic回归、多元线性回归分析积极心理资源与焦虑的关系。结果冠心病患者焦虑流行率为35.1%。χ2检验结果显示,体质量指数(BMI)、婚姻状况、冠心病病程、D型人格、一般自我效能、韧性、希望与焦虑相关(均P<0.05);logistic回归结果显示,BMI(OR=1.83,95%CI:1.03~3.25)、冠心病病程(OR=0.43,95%CI:0.19~0.98)、D型人格(OR=2.59,95%CI:1.37~4.89)、希望(OR=0.54,95%CI:0.30~0.97)对焦虑有影响(均P<0.05)。相关分析显示,BMI、教育程度、婚姻状况、冠心病分级、D型人格、韧性、希望与焦虑相关(均P<0.05)。多元线性回归分析进一步提示BMI(β=0.12)、D型人格(β=0.18)、韧性(β=-0.18)、希望(β=-0.31)对焦虑有影响(均P<0.05)。结论冠心病患者焦虑发生率较高,BMI、D型人格、希望是重要的影响因素。
Objective To evaluate the relationship between anxiety and positive psychological resources in patients with coronary heart disease.Methods A cross-sectional study was performed.A questionnaire including the generalized anxiety disorder screener(GAD-7),the 14-item type D scale(DS14),the general self-efficacy scale(GSES),the life orientation test-revised scale(LOT-R),the resilience scale-14(RS),the Herth hope index(HHI),and other tests were distributed to a total of 339 patients with coronary heart disease from a hospital in Shenyang.χ2 tests,t tests,analysis of variance,Pearson correlation analysis,logistic regression analysis,and multiple linear regression were performed to explore the relationship between anxiety and positive psychological resources.Results The prevalence of anxiety was 35.1%among patients with coronary heart disease.Theχ2 test showed that BMI,marriage,duration of coronary heart dis-ease,type D personality,self-efficacy,resilience,and hope were related to anxiety(P<0.05).Logistic regression analysis revealed that BMI(OR=1.83,95%CI:1.03-3.25),duration of coronary heart disease(OR=0.43,95%CI:0.19-0.98),type D personality(OR=2.59,95%CI:1.37-4.89)and hope(OR=0.54,95%CI:0.30-0.97)were related to anxiety(P<0.05).Via t test,analysis of variance and Pearson correlation analysis,BMI,education,marriage,classification of coronary heart disease,type D personality,resilience and hope were related to anxiety.With multiple linear regression,BMI(β=0.12),type D personality(β=0.18),resilience(β=-0.18)and hope(β=-0.31)were related to anxiety(P<0.05).Conclusion Patients with coronary atherosclerotic heart disease have a high-level prev-alence of anxiety.Furthermore BMI,type D personality,and hope were associated factors of anxiety.
作者
隋国媛
贾连群
SUI Guoyuan;JIA Lianqun(Key Laboratory of Ministry of Education for TCM Viscera-State Theory and Applications,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China)
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2019年第9期801-806,共6页
Journal of China Medical University
基金
辽宁省自然科学基金(20180550592)
中国博士后科学基金(2018M641709)
沈阳市科技计划(18-013-0-72)
