二元应对干预对乳腺癌术后患者及配偶的影响  

Effects of dyadic coping intervention on breast cancer patients and their spouses

作　　者：段素伟[1] 乔凌芳 张爱萍[1] 豆静静 Duan Suwei;Qiao Lingfang;Zhang Aiping;Dou Jingjing(Department of Thyroid and Breast Surgery,Puyang People′s Hospital,Puyang 457000,China)

机构地区：[1]濮阳市人民医院甲状腺乳腺外科,河南濮阳457000

出　　处：《护理学杂志》2022年第4期71-74,共4页Journal of Nursing Science

基　　金：河南省医学科技攻关项目(201701014)。

摘　　要：目的探讨二元应对干预对乳腺癌术后患者心理资本及其与配偶间疾病沟通问题的影响。方法选取乳腺癌改良根治术后患者及其配偶为研究对象,按住院时间段分为对照组和干预组各48例,对照组给予常规护理,干预组在此基础上实施二元应对护理干预。干预前及干预16周后采用积极心理资本问卷、夫妻癌症相关沟通问题量表、二元应对量表评价干预效果。结果干预后,干预组患者心理资本得分,夫妻双方二元应对得分显著高于对照组,患者自评夫妻间疾病沟通问题得分显著低于对照组(均P<0.01)。结论二元应对干预能够提高乳腺癌患者心理资本、二元应对水平,降低其与配偶间疾病沟通问题。Objective To explore the effects of dyadic coping intervention on psychological capital and cancer-related communication problems in breast cancer patients and their spouses.Methods Breast cancer patients were selected and evenly divided into 2 groups of 48 cases each according to either of the 2 periods they were hospitalized.The control group received routine nursing care,while the intervention group was additionally subjected to dyadic coping intervention.Before and after 16 weeks,the 2 groups were evaluated with the Positive Psychological Capital Questionnaire,the Cancer-related Communication Problems Scale,and the Dyadic Coping Inventory.Results After intervention,the scores of psychological capital,and dyadic coping were significantly higher,while the scores of cancer-related communication problems were significantly lower,in the intervention group than in the control group(P<0.01 for all).Conclusion The dyadic coping model can improve psychological capital and dyadic coping level of breast cancer patients,and mitigate the disease communication problems lying between patients and their spouse.

关 键 词：乳腺癌 配偶 二元应对 心理资本 疾病沟通 情感表达 自我表露 护理干预 

分 类 号：R47[医药卫生—护理学] R395.6[医药卫生—临床医学]