2型糖尿病患者及其配偶二元应对与主观幸福感的主体-客体互倚模型研究  

Dyadic coping and subjective happiness of type 2 diabetes patients and their spouses:a study based on the actor-partner interdependence model

作　　者：柏荣伟 袁媛 叶赟[2] 倪静玉 BAI Rongwei;YUAN Yuan;YE Yun;NI Jingyu(Affiliated Hospital of Yangzhou University,Yangzhou 225000,China)

机构地区：[1]扬州大学附属医院,江苏扬州225000 [2]苏州大学附属第三医院

出　　处：《中国临床护理》2023年第8期463-467,共5页Chinese Clinical Nursing

摘　　要：目的探讨2型糖尿病患者及其配偶二元应对与主观幸福感的关系,为临床干预提供理论依据。方法利用便利抽样法,选取2所三级甲等医院的247对2型糖尿病患者及其配偶为研究对象。采用二元应对量表、总体幸福感量表对其进行调查,并运用主体-客体互倚模型分析2型糖尿病患者及其配偶二元应对与主观幸福感的关系。结果2型糖尿病患者二元应对总分为(126.26±19.22)分,配偶二元应对总分为(125.44±17.97)分;患者主观幸福感得分为(82.39±13.54)分,配偶主观幸福感得分为(83.39±12.97)分。2型糖尿病患者及其配偶的二元应对与自身及对方的主观幸福感均呈正相关(r=0.657~0.754,均P<0.001)。主体效应显示,2型糖尿病患者和配偶的积极应对均正向预测自身主观幸福感(β=0.733,P<0.001;β=0.442,P<0.001),消极应对均负向预测自身主观幸福感(β=-0.685,P<0.001;β=-0.482,P<0.001)。客体效应显示,患者的积极二元应对正向预测配偶主观幸福感(β=0.276,P=0.015),消极应对负向预测配偶主观幸福感(β=-0.282,P<0.001),但配偶的积极与消极应对对患者主观幸福感的影响均不显著。结论2型糖尿病患者的二元应对对夫妻双方主观幸福感具有显著影响,患者的应对方式不仅可以影响个体本身,同样会影响配偶的主观幸福感。Objective To explore the relationship between dyadic coping and subjective happiness of patients with type 2 diabetes mellitus(T2DM)and their spouses,and to provide the oretical basis for clinical intervention.Methods With convenience sampling,a total of 247 pairs of T2DM patients and their spouses were recruited from two grade-A tertiary hospitals.The dyadic coping inventory(DCI)and general well-being schedule(GWBS)were used to assess dyadic coping style and subjective happiness,and the data were analyzed by using the actor-partner interdependence model.Results The total DCI scores of patients and their spouses were 126.26±19.22 and 125.44±17.97 respectively,while their GWBS scores were 82.39±13.54 and 83.39±12.97.The score of dyadic coping in T2DM patients and their spouses was positively correlated with subjective happiness(r=0.657~0.754,all P<0.001).In term of actor-effect,according to APIM,the positive coping of both patients and their spouses positively predicted their own subjective well-being(β=0.733,P<0.001;β=0.442,P<0.001),while the negative coping did their subjective well-being negatively(β=-0.685,P<0.001;β=-0.482,P<0.001).In terms of partner-effect,the positive and negative coping of patients had corresponding effect on their spouse′s subjective well-being(β=0.276,P=0.015;β=-0.282,P<0.001),but not vice versa.Conclusion The dyadic coping of T2DM patients have a more significant effect on their and their spouse′s subjective well-being,as their ways of coping can affect not only their subjective happiness,but also that of their spouses.

关 键 词：2型糖尿病 配偶 二元应对 主观幸福感 主体-客体互倚模型 

分 类 号：R473.5[医药卫生—护理学]