乳腺癌夫妻疾病沟通与癌症复发恐惧的二元交互作用

Disease-related communication and fear of cancer recurrence in breast cancer patients and their spouses:dyadic analysis

目的分析乳腺癌患者及其配偶疾病沟通与癌症复发恐惧之间的关系。方法选取安徽省3所三甲医院的332对乳腺癌夫妻为研究对象,采用恐惧疾病进展简化量表、夫妻癌症相关疾病沟通量表进行问卷调查。结果乳腺癌患者的夫妻疾病沟通评分(20.92±5.48)显著高于其配偶(18.48±5.23),癌症复发恐惧评分(32.57±6.19)显著低于其配偶(36.60±6.05),两者比较,均P<0.05。乳腺癌患者及其配偶的夫妻疾病沟通均正向预测自身的癌症复发恐惧,也正向预测对方的癌症复发恐惧(均P<0.05)。结论乳腺癌患者及其配偶的癌症复发恐惧水平受夫妻疾病沟通水平的交互影响,应制订以乳腺癌夫妻为整体的沟通策略,从而缓解夫妻双方的癌症复发恐惧水平。

Objective To analyze the relationship between disease-related communication and fear of cancer recurrence in breast cancer patients and their spouses using a dyadic analysis approach.Methods Totally 332 couples treated in three class-3 grade-A hospitals in Anhui province for breast cancer were selected and surveyed using the Fear of Progression questionnaire-Short form and the Cancer-Related Communication Problems Scale.Results The score of disease-related communication of breast cancer patients(20.92±5.48)was significantly higher than that of their spouses(18.48±5.23)(P<0.05).However,the score of cancer recurrence fear in breast cancer patients(32.57±6.19)was significantly lower than that in their spouses(36.60±6.05)(P<0.05).The disease-related communication of breast cancer patients and their partners could positively predict their own fear of cancer recurrence,as well as the other′s(all P<0.05).Conclusion Breast cancer patient and partner disease-related communication seems to impact not only on their own fear of cancer recurrence,but also on that of the other′s.Communication strategies should be developed for breast cancer couples as a whole to alleviate their fear of cancer recurrence.