Nasiłowska-Barud Alicja, Fedorovich Valentina, Zapolski Tomasz, Sikorska-Jaroszyńska Małgorzata, Wysokiński Andrzej
Department of Clinical Psychology, Medical University, Lublin Poland; Department of Cardiology, Medical University, Lublin Poland.
Department of Clinical Psychology, Medical University, Lublin Poland.
Ann Agric Environ Med. 2013;20(4):767-72.
The objective of the study was evaluation of the level and structure of anxiety and fear, and the characteristics of pain coping strategies used by females with ischemic heart disease (IHD). The detailed aim was assessment of the mutual relationships between the fear and pain coping strategies applied.
The study covered 75 females aged 33-80 (mean age 61; SD±9.66), hospitalized in the Cardiology Clinic who had coronary angiography performed in order to assess the state of coronary vessels. Psychological studies were conducted by means of the IPAT Anxiety Scale by R. B. Cattell and the Pain Coping Strategies Questionnaire CSQ by A. C. Rosenstiel and F. J. Keefe.
The results obtained indicated that in the group of 75 females with IHD in the structure of anxiety and fear there dominated strong tendencies towards self-blaming and the experiencing of a sense of guilt, as well as a high level of internal tension. The strategy of the greatest importance in coping with pain among females with IHD was 'Praying and Hoping'. The strategies used with similar frequency were: 'Coping Self-Statements', 'Diverting Attention' and 'Increased Behavioural Activities'.
In females with IHD, the application of psychotherapy is recommended, aimed at reducing the level of auto-aggression tendencies and decreasing a high level of internal tension. Psychotherapeutic activities carried out among females with ischemic heart disease should focus on the strengthening of strategies of coping with pain, such as: 'Coping Self- Statements', 'Increased Behavioural Activities', and focusing attention on serious life problems.
本研究的目的是评估缺血性心脏病（IHD）女性患者的焦虑和恐惧水平及结构，以及她们应对疼痛的策略特点。具体目标是评估所应用的恐惧和疼痛应对策略之间的相互关系。
本研究涵盖了75名年龄在33 - 80岁（平均年龄61岁；标准差±9.66）的女性，她们因评估冠状动脉血管状况而在心脏病诊所住院，并接受了冠状动脉造影检查。心理研究通过R.B.卡特尔的IPAT焦虑量表以及A.C.罗森斯蒂尔和F.J.基夫的疼痛应对策略问卷CSQ进行。
所得结果表明，在75名患有缺血性心脏病的女性群体中，焦虑和恐惧结构中自我责备和内疚感的强烈倾向以及高水平的内心紧张占主导地位。缺血性心脏病女性患者应对疼痛最重要的策略是“祈祷与希望”。使用频率相近的策略有：“应对自我陈述”、“转移注意力”和“增加行为活动”。
对于缺血性心脏病女性患者，建议采用心理治疗，旨在降低自我攻击倾向水平并减轻高水平的内心紧张。对缺血性心脏病女性患者开展的心理治疗活动应侧重于强化应对疼痛的策略，如：“应对自我陈述”、“增加行为活动”，以及关注严重的生活问题。
