二元应对干预对青年乳腺癌患者及配偶创伤后成长和二元应对水平的影响

Effect of dyadic coping intervention on post-traumatic growth and dyadic coping ability of young patients with breast cancer and their spouses

目的探讨夫妻二元应对干预对青年乳腺癌患者及配偶创伤后成长和二元应对水平的影响。方法选择2020年8月—2021年1月本院收治的42对乳腺癌患者及配偶作为实验组,给予二元应对干预;2021年2—7月收治的42对患者及配偶作为对照组,给予常规照护。比较干预前后患者及配偶的创伤后成长和二元应对水平。结果干预前患者及配偶创伤后成长及二元应对得分比较,差异无统计学意义(P>0.05)。干预后,实验组两结局指标总分及各维度得分均较干预前有所提高,差异有统计学意义(P<0.05);干预后创伤后成长得分同对照组相比,除患者个人力量维度外(t=1.97,P=0.052),实验组患者及配偶其他维度及总分均高于对照组(P<0.05);干预后患者及配偶除授权应对维度外(患者t=1.881,P=0.064,配偶t=1.111,P=0.269),实验组总分及其他维度得分且均高于对照组(P<0.05)。结论针对青年乳腺癌患者及配偶实施夫妻二元应对干预可以有效提升夫妻双方创伤后成长及二元应对水平。

Objective To explore the effect of dyadic coping intervention on post-traumatic growth and dyadic coping ability of young patients with breast cancer and their spouses.Methods 42 couples of breast cancer patients those were admitted to our hospital from August 2020 to January 2021 and their spouses were selected as the experimental group,and dual coping intervention were adopted.From February to July 2021,42 pairs of patients and their spouses were treated as the control group and received routine care.The levels of post-traumatic growth and dualistic coping were compared between the two groups before and after the intervention.Results There were no significant difference in post-traumatic growth and binary coping scores between patients and their spouses before intervention(P>0.05).After the intervention,the total score and each dimension score of the two outcome indexes in the experimental group were improved,and the differences were statistically significant(P<0.05).After intervention,compared with the control group,except for the individual strength dimension of the patients(t=1.97,P=0.052),the other dimension scores and total scores of the patients and their spouses in the experimental group were higher than those in the control group(P<0.05).Except for the authorized coping dimension(patient:t=1.881,P=0.064;spouse:t=1.111,P=0.269),the total score and other dimension scores of the experimental group were higher than those of the control group.Conclusions The dyadic coping intervention applied in young breast cancer patients and their spouses could effectively enhance the post-traumatic growth and dyadic coping ability of them.