肺癌患者夫妇二元支持应对状况及影响因素分析  

Dyadic coping and related factors among patients with lung cancer and their Spouses

作　　者：蔡旭婷 雷丽婵[2] 张日文 Cai Xuting;Lei Lichan;Zhang Riwen(Department of Oncology,Nanhai Hospital,Guangdong People′s Hospital,Foshan 528200,China;Oncology Center,Guangdong People′s Hospital,Guangzhou 510080,China)

机构地区：[1]广东省人民医院南海医院肿瘤科,佛山528200 [2]广东省人民医院肿瘤中心肺一科,广州510080

出　　处：《中国实用护理杂志》2020年第12期939-944,共6页Chinese Journal of Practical Nursing

摘　　要：目的调查肺癌患者夫妇二元支持应对现状,研究影响肺癌患者夫妇二元支持应对的相关因素。方法采用方便抽样的方法,选取住院治疗的227对肺癌患者及配偶,应用一般资料调查问卷、二元支持应对量表、亲密关系满意度问卷和心理弹性量表中文简化版分别调查患者及其配偶的一般情况、二元支持应对、亲密关系和心理弹性。结果肺癌患者二元支持应对评分为(3.13±0.89)分、配偶二元支持应对评分为(3.03±0.93)分;肺癌患者和配偶二元支持应对评分呈正相关(r值为0.248~0.632,均P<0.01);患者及配偶的亲密关系(β值为0.421、0.474,均P<0.01)和心理弹性(β值为0.374、0.211,均P<0.01)均可显著预测其二元支持应对,且肺癌患者心理弹性(β值为0.193,P<0.05)和配偶感知亲密关系(β值为0.237,P<0.01)具有显著的客体效应。结论肺癌患者及配偶二元支持应对处于中等水平且存在相互影响;二元支持应对与亲密关系和心理弹性密切相关;改善亲密关系和提高各自心理弹性可能是建立积极二元支持应对的有效措施。Objective To investigate the status of dyadic coping among patients with lung cancer and their spouses,and explore the related factors of dyadic coping.Methods A convenience sample of 227 patients with lung cancer and their spouses were selected.The measurements of socio-demographic questionnaire,Dyadic Coping inventory(DCI),the Quality of Relationship index(QRI)and Connor-Davidson Resilience Scale(CD-RISC-10)were used to assess the general information,dyadic coping,relationship satisfaction and resilience,respectively.Results The DCI score of patients were(3.13±0.89)points;the DCI score of spouses were(3.03±0.93)points;the scores of DCI were significant correlated between patients and their spouses(r values were 0.248-0.632,P<0.01).The relationship satisfaction(βvalues were 0.421,0.474,P<0.01)and resilience(βvalues were 0.374,0.211,P<0.01)were the significant predictor of dyadic coping.Meanwhile,partner effects for patients′resilience(βvalue was 0.193,P<0.05)and spouse′relationship satisfaction(βvalue was 0.237,P<0.01)were also significant.Conclusions Moderate dyadic coping were occurred among patients with lung cancer and their spouses.Relationship satisfaction and resilience were the mainly predictors for dyadic coping.To improve relationship satisfaction and enhance resilience might be an effective approach to promote positively dyadic coping.

关 键 词：肺肿瘤 二元支持应对 亲密关系 心理弹性 夫妇 

分 类 号：R473[医药卫生—护理学] R734[医药卫生—临床医学]