中青年宫颈癌同步放化疗患者配偶二元应对现状及影响因素分析  

The status and influencing factors of the dyadic coping in spouses of young and middle-age cervical cancer patients undergoing synchronous radiotherapy and chemotherapy

作　　者：陈希伟 郑晓玲 陈小岑 王雪 杜娟 张芳 Chen Xiwei;Zheng Xiaoling;Chen Xiaocen;Wang Xue;Du Juan;Zhang Fang(The Radiotherapy Department,Tianjin Medical University Cancer Institute and Hospital,National Clinical Research Center for Cancer,Tianjin Clinical Research Center for Cancer,Key Laboratory of Cancer Prevention and Therapy,Tianjin 300060,China)

机构地区：[1]天津医科大学肿瘤医院放射治疗科、国家恶性肿瘤临床医学研究中心、天津市恶性肿瘤临床医学研究中心、天津市肿瘤防治重点实验室,天津300060

出　　处：《中国实用护理杂志》2023年第21期1657-1664,共8页Chinese Journal of Practical Nursing

基　　金：天津市医学重点学科第二轮建设项目(TJYXZDXK-011A)。

摘　　要：目的分析中青年宫颈癌同步放化疗患者配偶二元应对现状,从配偶与患者双向水平探讨配偶二元应对的影响因素。方法本研究为横断面调查,采用便利抽样法选取2021年3月至2022年2月在天津医科大学肿瘤医院放射治疗科住院的150例中青年宫颈癌同步放化疗患者及配偶为研究对象,采用夫妻支持应对量表、Locke-Wallace婚姻调适量表、一般自我效能感量表、医院焦虑抑郁量表等评估中青年宫颈癌同步化疗患者配偶的二元应对、婚姻质量、一般自我效能等情况。采用多元线性回归分析中青年宫颈癌同步放化疗患者配偶二元应对的影响因素。结果中青年宫颈癌同步放化疗患者配偶二元应对的得分为(121.69±19.67)分,婚姻质量得分为(97.23±25.05)分,一般自我效能感得分为(25.13±5.19)分,焦虑、抑郁得分分别为(9.98±3.46)、(8.19±4.06)分。中青年宫颈癌同步放化疗患者焦虑、抑郁得分分别为(10.57±3.60)、(9.10±4.12)分。多元线性回归分析显示:患者焦虑/抑郁、配偶感知的婚姻质量、配偶一般自我效能感、患病后家庭关系变化、家庭人均月收入、放疗次数是中青年宫颈癌同步放化疗患者配偶二元应对主要影响因素(P<0.01),解释总变异的55.7%。结论中青年宫颈癌同步放化疗患者配偶二元应对处于正常偏低水平,婚姻质量有待进一步提高,其影响因素涉及患者及配偶自身双向水平,包括患者焦虑抑郁、患病后家庭关系变化、放疗次数、配偶感知的婚姻质量和一般自我效能感以及家庭人均月收入,临床医务人员可以从提高二者对疾病认知、减少二元评价差异、多措并举减轻患者配偶感受到的经济负担等方面入手来提高患者配偶的二元应对水平。ObjectiveTo analyze the status of the dyadic coping in spouses of young and middle-age cervical cancer patients undergoing synchronous radiotherapy and chemotherapy,and to explore the influencing factors in bi-directional of patients and their spouses.MethodsWith the convenience sampling method,a total of 150 cervical cancer patients undergoing synchronous radiotherapy and chemotherapy who were hospitalized in the Radiotherapy Department of Tianjin Medical University Cancer Institute and Hospital from March 2021 to February 2022 and their spouses were selected.A cross-sectional study was conducted by the Dyadic Coping Inventory,the Lock-Wallace Marital Adjustment Test,the General Self-Efficacy Scale,the Hospital Anxiety and Depression Scale,etc.Besides,multiple linear regression was used to identify predictors of the dyadic coping in spouses of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy.ResultsThe total score of dyadic coping,marital quality,general self-efficacy,anxiety and depression in spouses of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy were(121.69±19.67),(97.23±25.05),(25.13±5.19),(9.98±3.46),(8.19±4.06)points.The scores of anxiety and depression of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy were(10.57±3.60),(9.10±4.12)points.Multiple linear regression analysis showed that factors of the patients′anxiety and depression,spouse′s perception of marital quality,spouse′s general self-efficacy,changes in family relationship,family income,and period of radiotherapy were the main influencing factors(P<0.01),which accounted for 55.7%of total variation.ConclusionsThe level of dyadic coping in spouses of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy was medium,the marriage quality remains to be further improved,and its influence factors involved in the bi-directional of patient and spouse,including patients′anxiety and depression,the changes of the family relationship,

关 键 词：宫颈肿瘤 配偶 中青年 二元应对 影响因素 

分 类 号：R473.73[医药卫生—护理学]