乳腺癌患者及配偶婚姻调适与二元应对的关系  

Relationship between marital adjustment and dyadic coping in patients with breast cancer and their spouses

作　　者：锁蓉飞 谢敏仪[3] 叶凤莲[1] 张丽娟[4] 潘青竹[1] 李富兰[1] 颜君[2] SUO Rongfei;XIE Minyi;YE Fenglian;ZHANG Lijuan;PAN Qingzhu;LI Fulan;YAN Jun(Thyroid&breast surgery,Fifth Affiliated Hospital Sun Yat-Sen University,Zhuhai 519000,Guangdong Province,China;School of Nursing,Sun Yat-Sen University,Guangzhou 510080,China;Gastrointestinal Surgery,Fifth Affiliated Hospital Sun Yat-Sen University,Zhuhai 519000,Guangdong Province,China;Breast Surgery,Cancer Center,Sun Yat-Sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第五医院甲乳外科,广东珠海519000 [2]中山大学护理学院,广州510080 [3]中山大学附属第五医院胃肠外科,广东珠海519000 [4]中山大学肿瘤防治中心乳腺外科,广州510080

出　　处：《中国心理卫生杂志》2022年第4期319-323,共5页Chinese Mental Health Journal

基　　金：2019年国家自然基金面上项目(71974217);2020年中山大学校级学位与研究生教育改革研究项目(53000-18842214)。

摘　　要：目的:探究乳腺癌患者及配偶的婚姻调适与二元应对的关系。方法:选取某综合性三级甲等医院乳腺专科门诊的乳腺癌患者及其配偶共206对,采用婚姻调适测定(MAT)、二元应对量表(DCI)进行调查,通过主-客体互倚模型(APIM)分析患者及其配偶的婚姻调适与二元应对的关系。结果:乳腺癌患者的积极二元应对、支持性二元应对得分均低于配偶,而委托性二元应对得分高于配偶(均P<0.05)。APIM结果显示,个体的婚姻调适与自身及配偶的共同二元应对、支持性二元应对均正向关联(β=0.76~2.37),与配偶的压力交流正向关联(β=1.73、1.85),配偶的婚姻调适与自身压力交流正向关联(β=1.14);个体的婚姻调适与自身消极二元应对负向关联β=-0.94、-0.86),配偶婚姻调适与患者的消极二元应对负向关联(β=-0.48)。结论:本研究提示,乳腺癌患者及配偶的婚姻调适与二元应对相关,积极的二元应可利于自身及对方的婚姻调适。Objective:To explore the relationships between marital adjustment and dyadic coping in patients with breast cancer and their spouses.Methods:Totally 206 patients with breast cancer and their spouses in a Grade A hospital were included in this study.They were asked to complete the Short Marital Adjustment and Prediction Test(MAT)and Dyadic Coping Inventory(DCI).The relationships of marital adjustment and dyadic coping were analyzed by using actor-partner interdependence model(APIM).Results:The positive and supportive dyadic coping scores were lower and the entrusting dyadic coping scores were higher in patients with breast cancer than in their spouses(Ps<0.05).The results of APIM showed that one’s marital adjustment was positively associated with his/her own and spouse’s common dyadic coping and the supportive dyadic coping(β=0.76-2.37),and positively associated with spouse’s stress communication(β=1.73,1.85),spouse’s marital adjustment was positively associated with his/her own stress communication(β=1.14),one’s marital adjustment was negatively associated with his/her own negative dyadic coping(β=-0.94,-0.86),and spouse’s was negative associated with patients’negative dyadic coping(β=-0.48).Conclusion:It suggests that marital adjustment is associated with dyadic coping in patients with breast cancer and their spouse,and positive dyadic coping is beneficial to his/her own and spouse’s marital adjustment.

关 键 词：乳腺癌 配偶 婚姻调适 二元应对 主-客体互倚模型 

分 类 号：C913.13[经济管理]