宫颈癌患者及其配偶疾病获益感的影响因素及路径分析

Analysis of influencing factors and impact path of benefit finding in patients with cervical cancer and their spouses

目的分析宫颈癌患者及其配偶疾病获益感的影响因素及因素间的作用路径,为制订针对性的临床干预提供依据。方法采用便利抽样法,选取2022年10月—2023年7月在太原市某三级甲等医院就诊或住院的245对宫颈癌患者及其配偶作为调查对象,使用一般资料调查表、痛苦表露指数量表、心理韧性量表、疾病获益感量表进行调查。采用单因素分析、Pearson相关分析、多元线性回归分析进行数据分析,并构建主客体互倚模型。结果宫颈癌患者及其配偶疾病获益感量表得分分别为(65.31±7.94)、(69.87±9.63)分。多元线性回归分析结果显示,患者的文化程度、是否放化疗、自我表露、心理韧性及配偶的文化程度是影响患者疾病获益感的因素;配偶的文化程度、职业状态、自我表露、心理韧性及患者的自我表露和心理韧性是配偶疾病获益感的影响因素。主客体互倚模型结果显示,宫颈癌患者的自我表露、心理韧性能正向预测自身及配偶的疾病获益感(路径系数分别为0.415、0.501、0.216、0.168,均P<0.05),但配偶的自我表露、心理韧性只能正向预测其自身的疾病获益感(路径系数分别为0.188、0.254,均P<0.05)。结论宫颈癌患者及配偶的疾病获益感均处中等水平且受多种因素影响;宫颈癌患者及其配偶的自我表露、心理韧性均对自身的疾病获益感有正向预测作用。医护人员应鼓励双方对疾病进行良性互动,采取措施提升二者的韧性水平,并最终挖掘更高水平的获益感。

Objective This study aims to analyze the factors influencing benefit finding among cervical cancer patients and their spouses,as well as the interconnections between these factors.The goal is to provide a foundation for developing targeted clinical interventions.Methods Using the convenience sampling method,cervical cancer patients and spouses of 245 pairs who attended or were hospitalized in a tertiary-level hospital in Taiyuan City from October 2022 to July 2023 were selected as study subjects.Data were collected using a general information questionnaire,the Distress Disclosure Index,the Connor-Davidson Resilience Scale,and the Benefit Finding Scale.Univariate analysis,Pearson correlation analysis,and multiple linear regression were employed to scrutinize the data,leading to the establishment of Actor-Partner Interdependence Model.Results Benefit finding scores for cervical cancer patients and their spouses were(65.31±7.94)and(69.87±9.63),respectively.Multiple linear regression revealed that the educational level of patients and their spouses,whether or not they received chemotherapy or radiotherapy,self-disclosure and psychological resilience were the factors that affected patients’benefit finding.Spouse’s education level,occupation,self-disclosure,psychological resilience and patients’self-disclosure and psychological resilience were the influencing factors of spouse’s benefit finding.The Actor-Partner Interdependence Model analysis indicated that the self-disclosure and psychological resilience of cervical cancer patients positively predicted their own benefit finding and that of their spouses(path coefficients were 0.415,0.501,0.216,and 0.168,respectively,all P<0.05).However,spouses’self-disclosure and psychological resilience could only positively predict their own benefit finding(path coefficients were 0.188 and 0.254,respectively,all P<0.05).Conclusion Benefit finding among cervical cancer patients and their spouses is moderate and influenced by various factors.Both self-disclosure and psychological resilience of cervical cancer patients and their spouses have positive subjective effects on their own benefit finding.Healthcare professionals should encourage both parties to engage in healthy interactions about the disease,take steps to increase the level of psychological resilience of both,and ultimately tap into a higher level of benefit finding.