胃癌患者及其配偶疾病沟通对夫妻二元应对的交互影响

Interaction between disease communication and dyadic coping in gastric cancer patients and their spouses

目的基于主客体互倚模型考察胃癌患者及其配偶的疾病沟通对双方二元应对的影响。方法采用一般情况调查问卷、夫妻癌症相关沟通问题量表、中文版二元应对问卷对264对胃癌患者夫妇进行调查,建立疾病沟通与双方二元应对关系的主客体互倚模型。结果胃癌患者及配偶的疾病沟通得分分别为16(9,25)分及21(8,23)分,二元应对得分分别为129(113,138)分及124(99,137)分。患者的疾病沟通的治疗特定问题维度得分显著高于其配偶(P<0.05),二元应对的压力沟通和授权应对维度得分显著高于其配偶(均P<0.05);主客体互倚模型结果显示,两者的疾病沟通可正向影响自身及对方的二元应对(均P<0.05)。结论胃癌患者及配偶的二元应对受到双方疾病沟通的共同影响,提示医护人员应重视胃癌患者夫妇疾病沟通的评估,积极探索以疾病沟通为焦点的夫妻干预方案。

Objective To investigate the effect of disease communication on dyadic coping of young couples with gastric cancer based on actor-partner interdependence model(APIM).Methods A total of 264 couples with gastric cancer were investigated by general situation questionnaire, Cancer-related Communication Problems within Couples Scale and Chinese Version of Dyadic Coping Inventory(CDCI).Results The disease communication scores of patients with gastric cancer and their spouses were 16(9,25) and 21(8,23), respectively, and the dyadic coping scores were 128.5(113,138) and 124(99,137), respectively.The score of treatment specific problem dimension of patients′ disease communication was significantly higher than that of their spouses(P<0.05), and the score of stress communication and delegated coping dimensions of dyadic coping were significantly higher than those of their spouses(P<0.05).The results of APIM showed that both disease communication could positively affect their own and each other′s dyadic coping(P<0.05).Conclusion The dyadic coping of patients with gastric cancer and their spouses was jointly affec-ted by disease communication of the couples, suggesting that medical staff should pay attention to the evaluation of disease communication between couples and actively explore couple-based intervention scheme focusing on disease communication.