妇科癌症患者夫妻疾病沟通现状及影响因素研究

Disease communication between couples of gynecological cancer wife and its influencing factors

目的了解妇科癌症患者夫妻疾病沟通的现状及其影响因素,为临床护理干预提供理论依据。方法采用便利抽样法,于2022年2月-2023年2月使用一般资料调查问卷、夫妻癌症相关沟通问题量表(cancer-related communication problems within couples scale,CRCP)对住院治疗的102例妇科癌症患者进行调查。结果妇科癌症患者夫妻癌症相关沟通问题总分为(17.25±2.90)分。多元逐步线性回归结果显示,家庭月均收入、肿瘤TNM分期、与医护人员交流情况是妇科癌症患者夫妻疾病沟通水平的独立影响因素(R^(2)=0.390,_(△)R^(2)=0.364,F=15.475,P<0.001)。结论妇科癌症患者夫妻癌症沟通水平处于中度水平。护理人员需重点关注家庭月均收入低、肿瘤TNM分期高、与医护人员交流少的癌症患者,为其提供针对性的沟通策略,促进夫妻间积极沟通。

Objective To understand the current situation of disease communication between couples with gynecological cancer wife and its influencing factors.Methods Between February 2022 and February 2023,102 hospitalized gynecological cancer patients were selected using convenience sampling.They were investigated using a general information questionnaire and the cancer-related communication problem scale(CRCP).Results The total CRCP score was(17.25±2.90)points.According to the multiple linear regression analysis,the monthly family income,TNM stage and communication with medical staff were independent influencing factors of the CRCP score(R^(2)=0.390,_(△)R^(2)=0.364,F=15.475,P<0.001).Conclusion The communication between couples of gynecological cancer patients is of moderate level.The monthly family income,TNM stage and communication with medical staff may affect such communication.Therefore,in the clinical practice,medical staff should provide them with targeted communication strategies to promote positive communication.