López-Castedo Antonio, González-Rodríguez Rubén, Vázquez Pérez Raquel
Departamento de Análisis e Intervención Psicosocioeducativa. Universidad de Vigo. Ourense. España.
Rev Esp Salud Publica. 2019 Oct 3;93:e201910079.
Ischemic cardiomyopathy is a major public health concern in Spain. Death from ischemic disease accounts for approximately a third of all deaths due to cardiovascular disease, and imposes a serious burden on already overstretched public health system owing to the tendency to chronicity. This study aimed to evaluate the psychometric properties of Templer's Death Anxiety Scale (DAS) in a sample of patients with ischemic cardiomyopathy (acute myocardial infarction and angina pectoris).
This study applied the Spanish version of Templer's Death Anxiety Scale (DAS). The sample consisted of 141 patients (61% men) with ischemic cardiomyopathy, mean agede 71.57 years (SD=5.76). A descriptive statistical analysis was performed, and factorial analysis of the principal components.
The corrected element-total correlation was positive in all items, with values ranging from 0.32 and 0.54. Four factors jointly explained 51.85% of the data variance. The reliability coefficients were high in all of the variables analysed, with a total Cronbach Alpha of 0.77.
The results obtained in this study revealed ischemic cardiomyopathy was susceptible to the process of death anxiety. This underscores the need for educating patients with this pathology to help them adapt to the process of chronicity, and to develop an understanding of the naturalization process of dying bearing in mind each person's multidimensionality.
缺血性心肌病是西班牙主要的公共卫生问题。缺血性疾病导致的死亡约占所有心血管疾病死亡人数的三分之一，由于其慢性化趋势，给本就不堪重负的公共卫生系统带来了沉重负担。本研究旨在评估缺血性心肌病（急性心肌梗死和心绞痛）患者样本中坦普勒死亡焦虑量表（DAS）的心理测量特性。
本研究应用了坦普勒死亡焦虑量表（DAS）的西班牙语版本。样本包括141例缺血性心肌病患者（61%为男性），平均年龄71.57岁（标准差=5.76）。进行了描述性统计分析和主成分因子分析。
所有项目的校正项-总分相关性均为正，值范围为0.32至0.54。四个因素共同解释了51.85%的数据方差。在所有分析变量中，可靠性系数都很高，总克朗巴哈α系数为0.77。
本研究结果显示缺血性心肌病患者易出现死亡焦虑。这突出了对患有这种疾病的患者进行教育的必要性，以帮助他们适应慢性病程，并在考虑到每个人的多维度性的情况下，培养对死亡自然过程的理解。
