设计一种基于互联网的、针对心理因素以降低心血管疾病风险的干预措施：压力和愤怒的作用。
Designing an Internet-Based Intervention Tailored to Psychological Factors for CVD Risk Reduction: Role of Stress and Anger.
作者信息
Kim Chun-Ja, Park Na-Jin, Choi JiYeon, Shin Dong-Soo
机构信息
Ajou University College of Nursing, Suwon, South Korea.
University of Pittsburgh School of Nursing, Pittsburgh, USA.
出版信息
Stud Health Technol Inform. 2016;225:1001-2.
PURPOSE
To examine the mediating role of occupational stress on the relationship of anger expression to cardiovascular disease (CVD) risk using Framingham risk score equation in Korean adults with metabolic syndrome.
METHODS
This cross-sectional study was a secondary analysis of baseline data from a longitudinal study conducted in 91 Korean male workers. Psychological variables were assessed using structured questionnaires.
RESULTS
Occupational stress was significantly predictive of CVD risk (β=.278, p=.008). The inclusion of occupational stress non-significantly decreased the standardized beta by 33.6% for anger expression as a predictor of CVD risk (β=.152, p=.163). The Sobel test showed a significant mediating effect between occupational stress and CVD risk (p<0.01).
CONCLUSION
This mediating role of occupational stress has important clinical implications as interventions designed to manage anger expression to reduce CVD risk in this population.
目的
利用弗雷明汉风险评分方程，探讨职业压力在韩国患有代谢综合征的成年人中，对愤怒表达与心血管疾病（CVD）风险关系的中介作用。
方法
这项横断面研究是对91名韩国男性工人进行的纵向研究基线数据的二次分析。使用结构化问卷评估心理变量。
结果
职业压力是CVD风险的显著预测因素（β = 0.278，p = 0.008）。将职业压力纳入后，作为CVD风险预测因素的愤怒表达的标准化β系数非显著降低了33.6%（β = 0.152，p = 0.163）。索贝尔检验显示职业压力与CVD风险之间存在显著的中介作用（p < 0.01）。
结论
职业压力的这种中介作用具有重要的临床意义，因为旨在控制愤怒表达以降低该人群CVD风险的干预措施。
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