乳腺癌患者术后应对方式对婚姻质量及配偶创伤后成长水平的影响  

Effect of postoperative coping style on marital quality and spouse post-traumatic growth in breast cancer patients

作　　者：吴翠凤 黄柏林 吴玲华 Wu Cuifeng;Huang Bolin;Wu Linghua(Department of Breast Surgery,Tongling Maternal and Child Health Hospital(The Fourth People's Hospital),Tongling 244000,China)

机构地区：[1]铜陵市妇幼保健院(第四人民医院)乳腺外科,铜陵244000

出　　处：《中华现代护理杂志》2022年第29期4058-4063,共6页Chinese Journal of Modern Nursing

摘　　要：目的:探讨乳腺癌患者术后应对方式对婚姻质量及配偶创伤后成长水平的影响。方法:选取2016年1月—2021年6月在铜陵市妇幼保健院乳腺外科接受乳腺癌根治术和化疗并跟踪随访0.5~1.0年的80例乳腺癌患者,使用医学应对方式问卷(MCMQ)、Olson婚姻质量问卷(ENRICH)及配偶创伤后成长评定量表(PTGI)对患者及其配偶进行问卷调查。共发放80份调查问卷,回收有效问卷80份,有效回收率为100%。分析80例乳腺癌患者医学应对、婚姻质量及配偶创伤后成长间的相关性。结果:80例乳腺癌患者ENRICH评分及其配偶PTGI评分与MCMQ中的面对维度评分均呈正相关(r=0.549~0.693,P<0.05),与回避及屈服维度评分均呈负相关(r=-0.256~-0.391,P<0.05);中介效应模型中,多重线性回归分析回归系数均显著(P<0.05);面对、回避及屈服应对方式在配偶创伤后成长与婚姻质量中的间接效应分别为0.382、0.183、0.079(95%CI中均未包含0),相对效应分别为47.04%、22.54%、9.73%。结论:乳腺癌患者术后以面对为主要应对方式,其面对应对方式不仅与自身婚姻质量及配偶创伤后成长水平具有正相关性,在两者间可起到中介效应。对于创伤后成长水平较差的患者配偶,可通过提升患者配偶创伤后成长水平及患者面对应对能力的方式改善婚姻质量。Objective To explore the effect of postoperative coping style on marital quality and spouse post-traumatic growth in breast cancer patients.Methods A total of 80 breast cancer patients who underwent radical mastectomy and chemotherapy in Department of Breast Surgery in Tongling Maternal and Child Health Hospital from January 2016 to June 2021 were selected and they were followed up for 0.5 to 1.0 year.Medical Coping Modes Questionnaire(MCMQ),Olson Marital Quality Questionnaire(ENRICH)and Posttraumatic Growth Inventory(PTGI)were used to investigate patients and their spouses.A total of 80 questionnaires were distributed and 80 valid questionnaires were recovered,with an effective recovery rate of 100%.The correlations among medical coping,marital quality and spouse's post-traumatic growth in 80 breast cancer patients were analyzed.Results ENRICH score and PTGI score of spouse in 80 breast cancer patients were positively correlated with the face dimension score of MCMQ(r=0.549-0.693,P<0.05),and negatively correlated with the avoidance and yield dimension score(r=-0.256--0.391,P<0.05).In the mediating effect model,the regression coefficients of multiple linear regression analysis were all significant(P<0.05).The indirect effects of facing,avoiding and yielding coping styles on spouse's post-traumatic growth and marital quality were 0.382,0.183 and 0.079(95%CI did not include 0),and the relative effects were 47.04%,22.54%,and 9.73%,respectively.Conclusions Face is the main coping style of breast cancer patients after surgery.The face coping style is not only positively correlated with the quality of marriage and the level of post-traumatic growth of spouse,but also plays a mediating effect between them.For spouses of patients with poor post-traumatic growth level,the quality of marriage can be improved by improving the level of post-traumatic growth of patients'spouses and the coping ability of patients.

关 键 词：乳腺肿瘤 根治术 应对方式 婚姻质量 配偶 创伤后成长 

分 类 号：R473.73[医药卫生—护理学]