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研究生:張琦
論文名稱:冠狀動脈心臟病之行為與性格危險因子之探討
論文名稱(外文):Study of the Relationship between Coronary Heart Disease and Behavioral and Personality Risk Factors
指導教授:張永源張永源引用關係
學位類別:碩士
校院名稱:高雄醫學大學
系所名稱:行為科學研究所
學門:社會及行為科學學門
學類:心理學類
論文種類:學術論文
論文出版年:1994
畢業學年度:82
語文別:中文
論文頁數:142
中文關鍵詞:冠狀動脈心臟病性格危險因子
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  本篇研究之主要目的在於建立一個冠狀動脈心臟病的行為與性格危險因子、以及傳統危險因子之預測模式。
  本研究是以醫院為基礎的病例─對照配對研究法來探討冠狀動脈心臟病的行為與性格危險因子。病例組與對照組受試分別取自民國80年5月到83年1月間高雄醫學院附設醫院心臟內科之冠狀動脈心臟病住院病人,以及至保健科體檢之一般成人,各134名。兩組受試採1:l的配對方式,配對相同性別、年齡(±5歲)、以及同一時間入院(±3個月)三項因素。兩組受試皆填寫五項行為與性格量表,包括:傑肯斯A型活動量表、巴─德敵意量表、憤怒表達量表、情境一特質焦慮量表及憂鬱量表。我們同時收集兩組個案之傳統危險因子的資料,包括:高血壓、血清膽固醇、糖尿病、遺傳、吸菸以及體童指數等。此外亦收集個案之人口學特徵資料。
  以單變量統計結果發現兩組受試在人口學特徵資料上並無差異;而傳統危險因子中,兩組在高血壓、膽固醇、遺傳以及每日吸菸量達到顯著差異:在行為與性格因素方面,病例組的傑肯斯A型活動量表、敵意量表、憤怒表達量表及憂鬱量表分數皆顯著高於對照組。經由多變量之條件式對數迴歸分析發現,當考慮五項行為與性格量表和冠狀動脈心臟病的關係時,敵意、憤怒及憂鬱分數對冠狀動脈心臟病之影響達到統計學顯著差異。
  The main purpose of the present study was to establish the relationship among coronary heart disease (CHD), the behavioral and personality risk factors, and the traditional risk factors.
  A hospital-based case-control study of the relationship between CHD and behavioral and personality risk factors using traditional biological risk factors as competing variables was conducted at Kaohsiung Chung-Ho Memorial Hospital. 134 CHD patients and 134 healthy adults were collected between May. 1991-Jan. 1994 by one to one pair matching. Each case-control pair was matched by age, sex and admission date.
  The behavioral and personality risk factors including: Type A behavior pattern, hostility, anger expression anxiety, and depression. The traditional risk factors including serum chole-sterol, hypertention, body mass index, diabetes, family history of heart disease, smoking and drinking habits. The data of these two aspects of CHD risk factors were collected from each subject as well as the demographic data.
  The results using conditional logistic regression analysis showed that hostility, anger expression, hypertension, and serum cholesterol level had significiant relationship with CHD. No significant difference in demographic characterics between case and control groups was found.
  The result of this study revealed that hostility and anger expression were the independent behavioral and personality risk factors of CHD. We suggest that a comprehensive CHD intervention biological risk factors should be included, but also the beha vioral and personality risk factors should be emphasized by modifing these four significant risk factors.
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