年轻女性乳腺癌患者和配偶支持应对与亲密关系的相关性研究

Relationship between support coping and intimate relationship in 180young female breast cancer patients and their spouses

目的探讨年轻乳腺癌患者及其配偶支持应对与亲密关系的相关性,为提高其应对水平及夫妻间的稳定关系提供参考依据.方法采用便利抽样法,选取2020-05-01-2021-05-10山东省肿瘤医院治疗中的180例年轻乳腺癌患者及其配偶为研究对象.应用自制一般资料调查表、夫妻支持应对量表(DCI)和婚姻调适测定(MAT)量表进行调查,并建立年轻乳腺癌患者和配偶的支持应对与亲密关系的主-客体模型(APIM),分析患者和配偶的支持应对与亲密关系的相关性.结果相关分析结果显示,在主体效应方面,患者和配偶的相互支持应对(b分别为1.81和2.07)、授权支持应对(b分别为3.09和3.96)和共同支持应对(b分别为2.08和0.57)与自身的亲密关系均存在正性关联;消极支持应对与患者和配偶的亲密关系存在负性关联(b分别为-2.77和-2.62).在客体效应方面,患者的相互支持应对(b=0.91)和授权支持应对(b=4.11)与配偶的亲密关系存在正性关联;配偶授权支持应对(b=4.11)和共同支持应对(b=0.79)与患者的亲密关系存在正性关联;患者和配偶的消极支持应对与对方的亲密关系均存在负性关联,b=-1.45.结论年轻乳腺癌患者与配偶的亲密关系与个体自身以及配偶夫妻支持应对存在相关性.

Objective To explore the correlation between support coping and intimate relationship of young breast cancer patients and their spouses,so as to provide reference basis for improving their coping level and stable relationship between husband and wife.Methods Using the method of convenient sampling,180pairs of young breast cancer patients and their spouses who were treated in Shandong Cancer Hospital in 2020-05-01 Mel 2021-05-10were selected as subjects.Self-made general data questionnaire,marital support coping scale(dyadic coping inventory,DCI)and marital adjustment scale(short marital adjustment and prediction test,MAT)were used to investigate the relationship between support coping and intimate relationship among young breast cancer patients and their spouses.A subject-object model(actor-partner interdependence model,APIM)was established to analyze the correlation between support coping and intimate relationship between patients and spouses.Results The results of correlation analysis showed that in terms of subject effect,there was a positive correlation between patients'and spouse's mutual support coping and their own intimate relationship(b values were 1.81and 2.07),authorized supportive coping and their own intimate relationship(b values were 3.09and 3.96),and common supportive coping and their own intimate relationship(b values were 2.08and 0.57).There was a negative correlation between negative support coping and the intimate relationship between patients and their spouses(b values were 2.77and-2.62).In the aspect of object effect,there was a positive correlation between patient's mutual support coping and spouse's intimate relationship(b=0.91),patient's authorized support coping and spouse's intimate relationship(bounce 4.11),spouse authorized support coping and patient's intimate relationship(b=4.11),co-supportive coping and patient's intimate relationship(b=0.79),there was a positive correlation between spouse authorized support and patient's intimate relationship(b=4.11),and there was a positive correlation between spouse authorized support and patient's intimate relationship.There was a negative correlation between patients'and spouses'negative support coping and each other's intimate relationship(b=1.45).Conclusion There is a correlation between the intimate relationship between young breast cancer patients and their spouses and the support and coping strategies of the individuals themselves and their spouses.