首页|D型与非D型人格冠心病患者的健康赋权、感知控制和经验性回避特征比较

D型与非D型人格冠心病患者的健康赋权、感知控制和经验性回避特征比较

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目的 探讨D型与非D型人格冠心病患者健康赋权、感知控制和经验性回避的差异.方法 2022年1月至10月,方便选取山东第二医科大学附属医院195例冠心病患者.采用D型人格量表、中文版赋权感知量表(CV-PPES)、修订版控制态度量表(CAS-R)和接纳与行动问卷第二版(AAQ-Ⅱ)对患者进行问卷调查.结果 共回收有效问卷185份,其中D型人格患者68例,非D型117例.与非D型患者相比,D型患者的消极情感与社交抑制得分均显著较高(|t|>9.783,P<0.001).D型患者在CV-PPES总分及信息、决策、个体化和自我管理4个维度分均显著低于非D型患者(t>5.843,P<0.001).D型患者CAS-R评分明显低于非D型患者(t=2.858,P=0.005),AAQ-Ⅱ评分显著高于非D型患者(t=-9.414,P<0.001).结论 与非D型人格比较,D型人格冠心病患者的健康赋权和感知控制水平较低,而经验性回避水平较高,可能会对健康行为产生消极影响.
Characteristics of health empowerment,perceived control and experiential avoidance in coronary heart disease patients with type D and non-type D personality
Objective To investigate the differences in health empowerment,perceived control and experiential avoidance between patients with coronary heart disease(CHD)with type D personality and non-type D personality.Methods From January to October,2022,using the convenient sampling method,a questionnaire survey was conducted on 195 patients with CHD from Affiliated Hospital of Shandong Second Medical University.Assessment tools in-cluded Type D Personality Scale,Chinese Version of Patient Perception Empowerment Scale(CV-PPES),Con-trol Attitudes Scale-Revised(CAS-R)and Acceptance Action Questionnaire-Ⅱ(AAQ-Ⅱ).Results A total of 185 effective questionnaires were returned,and 68 patients with type D personality.Compared with the patients with non-type D personality,the scores of negative affectivity and social inhibition were higher(|t|>9.783,P<0.001),the total score of CV-PPES and the scores of four dimensions(information,decision,individu-al and self-management)were lower(t>5.843,P<0.001),the score of CAS-R was lower(t=2.858,P=0.005),and the score of AAQ-Ⅱ was higher(t=-9.414,P<0.001)in CHD patients with type D personality.Conclusion Compared with non-D-type patients,CHD patients with D-type personality exhibit lower levels of health empowerment and perceived control,and higher level of experiential avoidance,which may negatively impact on health behaviors.

coronary heart diseasetype D personalityhealth empowermentperceived controlexperiential avoidance

张睿琳、张秋敏、王丽娟、齐万鹏、宋玉萍、姜能志、田相娟

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山东第二医科大学心理学院,山东潍坊市 261053

山东第二医科大学附属医院,山东潍坊市 261031

冠心病 D型人格 健康赋权 感知控制 经验性回避

山东省自然科学基金面上项目潍坊市科技发展计划软科学研究计划山东省教育发展研究微课题

ZR2021MC0372023RKX134FH032

2024

中国康复理论与实践
中国残疾人康复协会,中国医师协会,中国康复研究中心

中国康复理论与实践

CSTPCD北大核心
影响因子:1.354
ISSN:1006-9771
年,卷(期):2024.30(5)
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