关键词: 脑卒中；偏瘫；A型人格；D型人格；康复期 

Abstract:

Objective   To investigate the distribution of type A  personality  and type D personality in patients with hemiplegic stroke in the rehabilitation phase, and the influence factors of the two kinds of personalities in stroke. Methods   77 patients were investigated with the Type A  Scale-Chinese(TAS-C) , Type D Scale-14(DS14), Self-Rating Depression Scale(SDS), Self-Rating Anxiety Scale(SAS)  and Life Orientation Test-Revised(LOT-R) on the second day of admission to judge the personality and mood states of the patients. The correlation was analyzed. 58 healthy individuals were used as the control. Results   The detection rates of type A personality were 70.1% in the study group and 24.1% in the control group, while the detection rates of type D personality were 67.5% in the study group and 25.9% in the control group，and the D&A were 44.2% in the study group and 8.6% in the control group (all P<0.01). The scores of the study group were significantly higher compared with the control group in Type A score, TH, CH and Type D score,  NA， SI (all P<0.01).The regression analysis showed that type A personality, type D personality and NA,SI were risk factors of the stroke( all P<0.01). TH,CH and NA were positively correlated with SAS total scores(r=0.25-0.34；all P<0.05). NA and SI were negatively correlated with the scores LOT-R（ all P＜0.05), and positively correlated with SDS total scores(all P<0.05). The score of NA had significant correlation with depression and anxiety(P<0.01). The scores of TH were correlated with the optimism(P<0.05). The scores of SI were correlated with SAS total scores(P<0.01). Conclusion   Type D personality is closed to the hemiplegic stroke, and could incur an increased risk of anxiety and depression.

Key words: Stroke; Hemiplegia; Type A Scale-Chinese; Type D personality; Rehabilitation period