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

doi:10.3969/j.issn.1006-9771.2024.05.011

Abstract

Abstract:

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 included Type D Personality Scale, Chinese Version of Patient Perception Empowerment Scale (CV-PPES), Control 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, individual 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.

Key words: coronary heart disease, type D personality, health empowerment, perceived control, experiential avoidance

CLC Number:

R541.4

ZHANG Ruilin, ZHANG Qiumin, WANG Lijuan, QI Wanpeng, SONG Yuping, JIANG Nengzhi, TIAN Xiangjuan. Characteristics of health empowerment, perceived control and experiential avoidance in coronary heart disease patients with type D and non-type D personality[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(5): 570-576.

Figures/Tables 3

Table 1

Table 2

Table 3

References 51

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项目	D型人格 (n = 68)	非D型人格(n = 117)	t值	P值
消极情感	12.529±2.588	8.667±2.590	-9.783	< 0.001
社交抑制	12.294±2.247	8.299±2.669	-10.385	< 0.001

项目		D型人格(n = 68)	非D型人格(n = 117)	χ²值	P值
性别	男	41	73	0.080	0.777
性别	女	27	44	0.080	0.777
年龄	< 60岁	24	54	2.080	0.149
年龄	> 60岁	44	63	2.080	0.149
文化程度	初中及以下	41	76	0.402	0.526
文化程度	高中及以上	27	41	0.402	0.526
吸烟史	无吸烟史	38	58	0.686	0.408
吸烟史	有吸烟史	30	59	0.686	0.408
饮酒史	无饮酒史	31	53	0.001	0.970
饮酒史	有饮酒史	37	64	0.001	0.970

项目	D型人格 (n = 68)	非D型人格 (n = 117)	t值	P值
CV-PPES总分	38.824±3.081	43.957±4.557	8.254	< 0.001
信息	10.691±1.175	11.846±1.264	6.148	< 0.001
决策	6.647±0.958	7.786±1.431	5.843	< 0.001
个体化	10.353±1.255	11.957±1.626	7.009	< 0.001
自我管理	11.132±1.171	12.368±1.495	5.849	< 0.001
CAS-R评分	24.603±3.971	26.667±5.126	2.858	0.005
AAQ-II评分	26.588±5.453	18.932±5.263	-9.414	< 0.001

Characteristics of health empowerment, perceived control and experiential avoidance in coronary heart disease patients with type D and non-type D personality

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