The Investigation And Study On Chronic Stress And Coping Style And Social Support Of The Young And Middle-aged And The Eldly Patients With CHD

Objective: Not only years of age is a risk factor for the epidemic disease research of CHD, but also is a confounding factor. Owing to the different social environment and recognition of the young and the aged people, their exposure ratio have some discrepancies. As a risk factor of CHD, the chronic stress'source of the young and middle-aged and the eldly people have some discrepancies, too. Recently being our speeding life rhythm, changing life style and ever-increasing economic needs, people's competition and stress became bigger and bigger. Coping and coping style is a significant mesomerism variable between psychological stress and health. Coping style facing stress environment is a important factor for CHD's progression and treatment of disease. One is that the favourable social support can protect individual in psychological stress, another is that social support can maintain individual healthy emotional experience. The aim of this study is to explore the different chronic stress and coping style and social support of young and middle-aged and eldly patients with CHD. Hope that it can directly provid a theory foundation for the young and old patients with CHD to carry on exact psychological deoppilation and behavior modification.Method: This study adopted transection comparison descriptive method. This study conveniently collected 158 in- patients of the Second Clinical Medical College of Hebei North University and the Staff-worker Hospital of Xuanhua Iron&Steel Group Liability Corporation from February to November, 2008. The main research tools were the Self-made General Data Questionnaire and Chronic Stress Questionnaire, the Simple Coping Style Questionnaire edited by Xie Yaning and the Social Support Rating Scale edited by Xiao Shuiyuan. This study adoped frequency distribution, percentage, chi-square criterion,t-test, Correlate and Linear Regression, Pass to statistics result carry on analytical processing.Result:1 There was different chronic stress, coping style and social support between the young and middle-aged and the eldly patients with CHD, and there was significant deviation in job stress, health stress, passive coping style and three degree of social support.2 The main chronic stress in the young and middle-aged patients with CHD was job stress, economic stress and healthy stress. The young and middle-aged patients'economic stress and healthy stress was negative correlation with their education degree. The young and middle-aged patients'job stress was positive correlation with their earnings. The young and middle-aged patients'job stress and marriage stress was positive correlation with their life events counts.3 The main chronic stress in the eldly patients with CHD was economic stress, children stress and healthy stress. The eldly patients'economic stress was negative correlation with their education degree. The eldly patients'job stress was positive correlation with their earnings. The eldly patients'economic stress and marriage stress was negative correlation with their earnings and positive correlation with their life events counts.4 Job stress and economic stress in the male, young and middle-aged patients with CHD was higher than the female, and there was significant deviation in job stress. Children stress and healthy stress in female of two groups was higher than the male, and there was significant deviation in children stress.5 The CHD patients'social support was positive correlation with their positive coping style. The CHD patients'social support was negative correlation with their passive coping style.Conclusion: There was different main source of chronic stress between the young and middle-aged and the eldly patients with CHD. The main chronic stress in the young and middle-aged CHD patients was job stress, economic stress and healthy stress. The main chronic stress in the eldly CHD patients was economic stress, children stress and health stress. And chronic stress was correlated with their education degree, earnings and life events counts. So we should aim directly at carrying on healthy education and think highly of different chronic stress of various population, and adopt exact positive coping style confronting life events, and utilize social network to get more social support, especially the old CHD patients. We should help patients to eliminate various chronic stress, maintain and promote various crowd'health, improve the CHD patients as soon as possible, recover their psychosomatic health. We must do good for the CHD patients'first-level and second-level prevention.