中青年永久性结肠造口患者配偶述情障碍及成人依恋现状及其相关性

Correlation between adult attachment and alexithymia in spouses of young and middle-aged patients with permanent colostomy

目的了解中青年永久性结肠造口患者配偶述情障碍及成人依恋现状,探讨二者之间的关系。方法采用一般资料调查表、亲密关系体验量表(experiences in close relationships inventory,ECR)及多伦多述情障碍量表(twenty-item Toronto alexithymia scale,TAS-20)对128名中青年永久性结肠造口患者配偶进行调查。结果中青年永久性结肠造口患者配偶述情障碍得分为(57.32±12.15)分;依恋焦虑维度(69.74±14.58)分,依恋回避维度(48.22±13.29)分。依恋焦虑维度及依恋回避维度与述情障碍均呈正相关(P<0.01)。回归分析显示,控制一般资料变量后,依恋焦虑与依恋回避可解释中青年永久性结肠造口患者配偶述情障碍得分的18.9%的变异。结论中青年永久性结肠造口患者配偶述情障碍处于临界状态,依恋焦虑处于中等偏高水平,依恋回避处于偏低水平。护理人员可从关注中青年永久性结肠造口患者配偶成人依恋水平入手,帮助其建立积极的应对方式,从而改善其述情障碍。

Objective To investigate the status of alexithymia and adult attachment in the spouses of young and middle-aged patients with permanent colostomy and analyze their correlation.Methods From March 2017 to July 2018,a survey was done among 128 spouses of patients with permanent colostomy using the general information questionnaire,the experience in close relationships inventory(ECR),and the Toronto alexithymia scale(TAS-20).The relationship between alexithymia and adult attachment was analyzed.Results The score of alexithymia was(57.32±12.15).The score of attachment anxiety dimension was(69.74±14.58),and attachment avoidance dimension was(48.22±13.29).Attachment anxiety dimension and attachment avoidance dimension are positively correlated correlated with alexithymia(P<0.01).Hierarchical regression analysis showed that attachment anxiety dimension and attachment avoidance dimension independently predict 18.9%alexithymia among the spouses by controlling general factors.Conclusions The alexithymia of the young and middle-aged patients with permanent colostomy is at the critical level,and their adult attachment at the middle level.There is a correlation between their spouse adult attachment and alexithymia.Medical workers should pay attention to the personal attachment level and help them to improve alexithymia.