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目的:观察分析心理因素对于心血管疾病的相关影响。方法:随机选2014年1月-2015年1月就诊的120例心血管疾病患者作为研究组,同时选择同期进行健康体检的130名正常健康人作为对照组,采用一般自我效能感量表、抑郁自评量表、焦虑自评量表评价两组心理状态,同时采用SF-36量表评价两组生活质量。结果:研究组患者消极应对评分、抑郁评分、焦虑评分均明显高于对照组(P<0.05),两组一般自我效能感以及积极应对方面差异对比并不存在很大差异(P>0.05)。经过多元Logistic回归分析结果表明,消极应对、抑郁、焦虑等对心血管疾病会产生一定的影响。研究组患者一般健康状况、躯体疼痛、生理功能、躯体角色、情感角色、社会功能以及精力等方面评分均明显低于对照组(P<0.05),说明研究组生活质量相对于健康正常人较差。结论:心血管疾病患者常常会产生消极、抑郁、焦虑等负面情绪,不仅会影响临床治疗效果,也会降低患者的整体生活质量,因此临床治疗过程中应注意加强患者的心理疏导,引导患者形成积极向上、乐观的生活态度。
Objective: To observe and analyze the related influence of psychological factors on cardiovascular diseases. Methods: One hundred and twenty patients with cardiovascular diseases from January 2014 to January 2015 were randomly selected as the study group, and 130 normal healthy subjects in the same period were selected as the control group. The general self-efficacy scale, depression Self-rating scale, self-rating anxiety scale to evaluate the psychological status of both groups, while using the SF-36 scale to evaluate the quality of life in both groups. Results: The scores of negative coping, depression and anxiety in the study group were significantly higher than those in the control group (P <0.05). There was no significant difference between the two groups in the general self-efficacy and the positive coping (P> 0.05). After multivariate Logistic regression analysis showed that negative coping, depression, anxiety and other cardiovascular diseases have a certain impact. The scores of general health status, physical pain, physical function, body role, emotional role, social function and energy in study group were significantly lower than those in control group (P <0.05), indicating that the study group’s quality of life was worse than that of healthy normal people . Conclusion: Patients with cardiovascular diseases often have negative emotions such as depression, depression and anxiety, which will not only affect the clinical treatment effect but also reduce the overall quality of life of the patients. Therefore, we should pay attention to strengthen the psychological counseling and lead the patients to form during clinical treatment Positive, optimistic attitude towards life.