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目的探求与冠心病有关的A型行为因子,从而有针对性地实施行为矫正。方法采用PSACIV量表进行探索性因子分析形成A型行为因子问卷,随机抽样209名冠心病患者和218名健康居民进行问卷调查,分析与冠心病有关的A型行为因子。结果A型行为模式在总体上与冠心病有关(P<0.05),冠心病组只有时间效率因子与对照组有显著性差异(P<0.05);男性人群的研究结果与整体人群相同,但女性人群冠心病组A型行为总体均分及各行为因子的均分与对照组差异均无统计学意义;不同年龄组,冠心病组暴躁、时间效率、时间紧迫、缺乏耐心、敌意、孤僻六个因子与对照组比较存在不同差异,30～39岁组,暴躁因子有显著性差异(P<0.05),40～49岁组,时间效率因子有显著性差异(P<0.05),50～59岁组,时间紧迫和时间效率特征因子有显著性差异(P<0.05),60岁以上组,时间紧迫因子有显著性差异(P<0.05)。结论冠心病患者存在明显的个性特征,有较强的时间效率、时间紧迫感和暴躁,同时A型行为因子与冠心病的关联性存在年龄和性别的差异。
Objective To explore type A behavioral factors associated with coronary heart disease and to conduct behavioral correction in a targeted manner. Methods The exploratory factor analysis (PSAC) scale was used to analyze the type A behavioral factors questionnaire. A total of 209 coronary heart disease patients and 218 healthy residents were randomly selected to conduct a questionnaire survey to analyze the type A behavioral factors associated with coronary heart disease. Results The type A behavioral pattern was generally associated with coronary heart disease (P <0.05), and only the time efficiency factor in the CHD group was significantly different from that in the control group (P <0.05). The results of the male population were the same as those in the general population, but women Coronary heart disease group A type of behavior in the overall average and the behavior factors of the average and the control group differences were not statistically significant; different age groups, coronary heart disease group irritability, time efficiency, time constraints, the lack of patience, hostility, There was significant difference between the age group and the control group (P <0.05). There were significant differences in the time efficiency factor (P <0.05) between the age group of 40-49 and the age group of 50-59 There was a significant difference between the two groups (P <0.05). There was a significant difference in the time-critical factors between the two groups (P <0.05). Conclusion There are obvious personality traits in patients with coronary heart disease, there is a strong time efficiency, urgency and irritability, and type A behavioral factors associated with coronary heart disease there are differences in age and gender.