A型行为对 Graves 病患者生活质量的影响

摘要

目的：探讨A型行为对Graves病（GD）患者生活质量的影响。方法采用病人一般情况问卷，A型行为类型问卷（TABPQ）和简明健康调查量表（SF‐36），对新发病的80例GD患者和80例正常人进行调查。结果测得GD患者A型行为检出率为65.0％，与正常对照组16.3％相比，差异具有统计学意义（ P＜0.05）；GD患者中A型行为组的生理机能（PF）、生理职能（RP）、躯体疼痛（BP）、总体健康（GH）、活力（VT ）、社会功能（SF）、情感职能（RE）、心理健康（MH）得分均低于非A型行为组，差异具有统计学意义（P＜0.05）；多元逐步回归分析显示，A型行为、文化程度、性别、经济状况进入生活质量回归方程（β值分别为－5.74、7.20、－1.82、3.94），A型行为与GD患者生活质量呈负相关，文化程度与GD患者生活质量呈正相关。结论 A型行为影响GD患者的生活质量。%Objective To explore effects on quality of life(QOL)of patients with Graves Disease(GD) .Methods 80 patients and 80 normal controls were assessed using self‐composing questionnaire、TABP and 36‐item Short Form Health Survey(SF‐36) .Results Of all subjects 65 .0% were identified as type A behavior pattern ,compared with normal control group 16.3% ,with significant difference (P<0.05) .The scores of physical functioning(PF) , role-physical(RP) ,bodily pain(BP) ,genera health(GH)vitality(VT) ,social functioning(SF) ,role emotional(RE) , mental‐health(MH)in patients with type A behavior were lower than the patients with non -type A behavior pat‐tern ,with significant difference (P<0.05) .Multiple stepwise regression analysis showed that type A behavior ,edu‐cational status ,gender and financial situation differences were entered QOL regression equation (β= -5.74、7.20、-1.82、3.94) .Conclusion Type A behavior pattern influence the QOL of patients with GD .