夫妻共情对青年乳腺癌患者与配偶自我表露及亲密关系的交互影响  

Interaction influence of conjugal empathy on self disclosure and intimate relationship in young breast cancer patients and spouses

作　　者：李蕾[1] 陈丽[1] 吴春亚[1] Li Lei;Chen Li;Wu Chunya

机构地区：[1]河南省中医药研究院/河南省中医药研究院附属医院外妇科,河南郑州450004

出　　处：《护理学杂志》2022年第18期75-78,共4页Journal of Nursing Science

基　　金：河南省中医药研究院基本科研课题(2004818)。

摘　　要：目的 基于主-客体互倚模型探讨乳腺癌患者与其配偶的共情对双方自我表露及亲密关系的影响。方法 采用一般资料调查表、人际反应指针量表、痛苦表露指数量表及Locke-Wallace婚姻调适量表对281例青年乳腺癌患者及其配偶进行调查,采用主-客体互倚模型处理成对数据。结果 患者的共情及自我表露总分显著高于其配偶(均P<0.05),但二者的亲密关系差异无统计学意义(P>0.05);主-客体互倚模型结果显示,患者及配偶的共情可以显著正向预测自身的自我表露及亲密关系,患者的共情可以显著正向预测配偶的亲密关系(均P<0.05),但不能显著预测其自我表露(P>0.05),配偶的共情能够显著正向预测患者的自我表露及亲密关系(P<0.05);路径分析显示,配偶自身的共情可以通过对患者的自我表露影响其亲密关系(P<0.05)。结论 乳腺癌患者及配偶的共情处于中等偏上水平,两者的共情影响自身和对方的自我表露及亲密关系。应基于共情的夫妻二元干预视角制订相关的改善措施,提升两者的共情能力,从而促进患者与配偶的自我表露并提升亲密关系。Objective To explore the influence of conjugal empathy on self disclosure and intimate relationship in young breast cancer patients and spouses based on the Actor-partner Interdependence Model(APIM).Methods A total of 281 young breast cancer patients and their spouses were investigated by using a general information questionnaire,Interpersonal Reactivity Index-C(IRI-C),Distress Disclosure Index(DDI) and Marriage Adjustment Test(MAT).Paired data were processed with APIM.Results The patients′ total scores of IRI-C and DDI were significantly higher than those of their spouses(P<0.05 for both),while it was not significantly different in the score of MAT between them(P>0.05).APIM results showed that,the patients′ and their spouses′ IRI-C score could significantly and positively predict their own score of DDI and MAT,and the patients′ IRI-C score could significantly and positively predict their spouses′ MAT score(P<0.05),but could not predict the spouses′ DDI score(P>0.05),and the spouses′ IRI-C score could significantly and positively predict the patients′ score of DDI and MAT(P<0.05 for both).The results of path analysis indicated that,the spouses′ empathy could affect the patients′ intimate relationship through their self disclosure(P<0.05).Conclusion The empathy of young breast cancer patients and their spouses are at medium and above level,which influence their own and spouses′ self disclosure and intimate relationship.It is necessary to develop interventions based on binary empathy perspective of wife and husband,to enhance their empathy ability,then improve self disclosure and intimate relationship of patients and spouses.

关 键 词：乳腺癌 青年 配偶 共情 自我表露 亲密关系 主-客体互倚模型 

分 类 号：R473.6[医药卫生—护理学] R395.1[医药卫生—临床医学]