乳腺癌患者及其配偶婚姻调适的调查研究  

Marital Adjustment between Breast Cancer Patients and Their Spouses

作　　者：邾萍[1] 王梅香[2] 孙孟青[2] 孟爱凤[3] 董高悦[1] 

机构地区：[1]江苏省肿瘤医院综合科,江苏南京210000 [2]江苏省肿瘤医院乳腺外科,江苏南京210000 [3]江苏省肿瘤医院护理部,江苏南京210000

出　　处：《护理学报》2015年第17期34-38,共5页Journal of Nursing（China）

基　　金：江苏省肿瘤医院护理科研项目(ZH2011014)

摘　　要：目的了解乳腺癌患者及其配偶的婚姻调适现状,探讨患者婚姻调适的影响因素。方法采用方便抽样法,选取4所三级甲等医院243对乳腺癌住院患者及其配偶照顾者为研究对象,使用Locke-Wallace婚姻调适测定量表(Marriage Adjustment Test,MAT)评估乳腺癌患者及配偶的婚姻调适情况,分别使用乳腺癌患者生活质量量表(Functional Assessment of Breast Cancer Therapy,FACT-B)和安德森症状评估量表(M.D Anderson Symptom Inventory,MADSI),评估患者生活质量和症状发生情况。结果婚姻调适得分患者为(104.80±21.88)分,配偶为(106.45±23.79)分,患者婚姻失调者占34.2%,配偶婚姻失调者占32.8%,一致性检验显示夫妻双方婚姻调适评估结果一致性不可靠(Kappa值为0.363);多元线性回归分析显示:社会/家庭状况、患者症状严重程度、婚姻状况为患者婚姻调适的影响因素(F=11.174,R2=0.250,P=0.000)。结论大部分乳腺癌患者夫妻婚姻调适较好,两者婚姻调适情况互相影响,但不能用一方评估结果代替夫妻双方评估结果。应重点关注社会/家庭支持较少、症状程度严重、再婚的患者。鼓励配偶参与照顾工作,将患者—配偶作为一个整体实施干预,以提高其婚姻质量。Objective To investigate the current status and influencing factors of marital adjustment between breast cancer patients and their spouses. Methods A questionnaire survey was conducted in 243 breast cancer patients and their spouses in four hospitals. They were investigated with Marital Adjustment Test （MAT）, Functional Assessment of Breast Cancer Therapy （FACT-B） and MD Anderson Symptom Inventory （MDASI）. Results The scores of MAT in breast cancer patients and their spouses were 104.80±21.88 and 106.45±23.79 respectively. The consistency check showed that assessment results of the couples were unreliable （Kappa=0.363）. Social/family well-being, severity of symptoms and marital status had significant effect on marital adjustment of breast cancer patients and their spouses （F=11.174,R2=0.250,P=0.000）. Conclusion Most breast cancer couples are satisfied with their marriage but around a third of couples present poor marital adjustment. Marital adjustment interact with each other between the couples but it is not suitable to evaluate only one of the couples. Strategies should be implemented on both patients and their spouses to improve the quality of marriage, especially the patients with less social/family support, high level of symptoms and those remarried.

关 键 词：乳腺癌 配偶 婚姻调适 症状 生活质量 

分 类 号：R473.73[医药卫生—护理学]