Spousal Involvement in the Workplace of Doctors: What Is Defined as Appropriate or Inappropriate

Background: Workers spend a significant amount of time in the workspace. Involvement of a spouse in a doctor’s workplace can take different forms and come with different intentions. Objectives: The survey aimed to determine the prevalence and extent of spousal involvement in physicians’ workplaces as well as the outcome of such involvement on doctor’ swell-being, productivity, and relationship with colleagues. Methods: This cross-sectional online survey on spousal involvement in the workplace of doctors was conducted among 83 responding doctors from July to August 2023. Results: Among the respondents, 60 (72.3%) had witnessed a doctor’s spouse being involved in the workplace. The most common reason for spousal involvement in the workplace was to protect the spouse from what they perceived as a threat 34 (54.0%). Spouse’s ignorance of boundaries in the workplace (OR: 6.09 (95% CI: 1.70, 21.79) P: 0.003) and exertion of control by the spouse (OR: 11.2 (95% CI: 2.26, 56.41) P: 0.002) were significantly associated with higher odds of inappropriate spousal involvement in the workplace, while expression of love for spouse with acts of kindness was significantly associated with a lowered odd of inappropriate spousal involvement (OR: 0.11 (95% CI: 0.03, 0.36) P: 0.0001). Conclusion: Spousal involvement in the workplace is relatively common. Ignorance of the boundaries of the workplace and exertion of control by the spouse were significant enablers of inappropriate spousal involvement in the workplace of doctors. The establishment of workplace policies that define the limits of spousal involvement in the doctor’s workplace can foster a healthy workspace environment, enhance doctors’ well-being, and improve patient care.

Development and Evaluation of 3D Delivery Animation Software Designed to Improve the Mother’s and Spouse’s Satisfaction with Delivery

Purpose: To clarify the effectiveness of 3-D delivery animation software for the mother’s and husband’s satisfaction with delivery. Subjects and Method: We independently developed a software application used to display the pelvic region and explain the labor process. The study involved a collaboration with hospital staff who recruited 18 primiparous and 18 multiparous mothers who were hospitalized for delivery at Facility A. The midwife explained the process of delivery using the “Delivery Animation Software”. A self-administered, anonymous questionnaire was distributed and analyzed separately for primiparous and multiparous mothers and their husbands. Results: 1) For both primiparous and multiparous couples, both mothers and their husbands gained a significantly higher level of understanding after delivery than during pregnancy. 2) The Self-Evaluation Scale for Experience of Delivery results were as follows: “I did my best for the baby even if it was painful” was selected more often for “birth coping skills”;“reliable medical staff” was selected more often for “physiological birth process”;“the birth progressed as I expected” was selected frequently by primiparous mothers;and “the birth progressed smoothly” was selected often by multiparous mothers. 3) In terms of husbands’ satisfaction with the delivery, “I was satisfied with the delivery”, “I was given an easy-to-understand explanation”, and “They explained the process to me” was selected of primiparous and multiparous fathers. 4) All primiparous and multiparous mothers positively evaluated whether the delivery animation was helpful in understanding the process of delivery. Conclusion: The delivery animation was effective in improving the understanding and satisfaction of both the mothers and their husbands.

The Relationship Between Spousal Support and Pregnancy Stress in High-Risk Pregnant Women

Objective:This research was conducted to establish the relationship between spousal support and pregnancy stress in high-risk pregnant women.Methods:The sample of the descriptive and correlational study consisted of 220 pregnant women who were hospitalized for treatment in the perinatology service of the Women’s and Children’s Hospital on the Anatolian side of Istanbul between 1st December 2020 and 1st February 2021.Data were collected using a descriptive data collection form,the Pregnancy Stress Assessment Scale,and the Spousal Support Scale.Data analysis involved numerical and percentage calculations,ANOVA test,Kruskal Wallis test,t-test,and Spearman correlation analysis.Results:The average score on the Pregnancy Stress Assessment Scale for the participating pregnant women was 50.24±27.10,and the average score on the Spousal support scale was 57.69±9.21.No statistically significant relationship was found between the average scores on the Pregnancy Stress Rating Scale and the Spousal Support Scale for pregnant women(P>0.01).Conclusion:It is recommended that nurses and midwives working with high-risk pregnant women incorporate plans to reduce pregnancy stress into their care processes.

Quality of life after colorectal surgery:A prospective study of patients compared with their spouses

BACKGROUND Although radical surgery for colorectal cancer improves the oncological outcomes,a significant portion of patients suffer from alterations in their quality of life(QoL).There are many studies investigating the QoL of patients who have colorectal cancer but none of these focus on the QoL of spouses.AIM To compare the QoL of patients after colorectal surgery to the QoL of spouses.METHODS This prospective study consisted of patients who were married and who underwent surgery at the University of Ankara,Department of Surgery between March 2006 and November 2010.Patients’spouses were also enrolled.The study was approved by the Ethics Committee of the Faculty of Medicine,Ankara University,and all patients provided written informed consent.The study included patients who underwent curative surgery for colorectal carcinoma[n=100;abdominoperineal excision(n=33),low anterior resection(n=33),left hemicolectomy(n=34)]and their spouses(n=100).The patients and spouses completed the Medical Outcome Study 36-item Short Form Survey(SF-36)and the World Health Organization Disability Assessment Schedule II(WHODAS-II)preoperatively and at postoperative months 15 to 18.RESULTS During this 4.5-year study period,273 patients with sigmoid or rectal cancer were admitted to the hospital.Of these patients,119 were eligible and willing to participate.Eleven patients had either systemic or locally inoperable disease,three patients had a severe surgical complication,and five patients were lost to followup.Therefore,a total of 100 patients completed the follow-up period.There was a statistically significant positive correlation between the disability scores of patients and the scores of their spouses for some of the WHODAS-II subscales,such as“self-care,”“life activities,”and“participation in society,”as well as for the total WHODAS-II score.There was also a positive correlation between the QoL of patients and the QoL of their spouses in most of the SF-36 subscales.Statistically significant correlations were observed for the“bodily pain,”“general health,””vitality,”“social function,”“emotion,”“mental health,”and mental component summary score subscales of the SF-36.When gender differences were evaluated,the QoL of male patients’spouses changed more when compared with female patients’spouses for all of the WHODAS-II subscales.Colorectal cancer surgery has a significant effect on the QoL of both patients and their spouses,these effects were more significant among male patients’spouses.CONCLUSION Preoperative counseling regarding potential problems should therefore collectively address patient and their spouse as a couple rather than the patient alone,particularly for patients undergoing low anterior resection and abdominoperineal resection procedures.

Characteristics and Social Support Needs Predicting Anticipatory Grief in the Spouses of Patients with Cancer at the End of Life

Background: Medical staff provide care to spouses of terminal cancer patients through trial and error by meeting their various support needs and spousal factors regarding their anticipatory grief. Studies on the association between spousal characteristics and anticipatory grief have been inconclusive;additionally, there has been insufficient research on support needs for anticipatory grief of spouses. This study aimed to explore the spousal characteristics and social support needs predicting anticipatory grief in spouses of patients with cancer at the end of life. Methods: This was a cross-sectional study. Eligible spouses (n = 102) completed a self-report questionnaire in two hospitals with palliative care units in Japan. The questionnaire included demographic information, a tool assessing social support needs of spouses, and the Anticipatory Grief Scale for Family Caregivers. Results: Simple regression analyses indicated that patient age, chemotherapy, no treatment, ECOG PS3, children aged under 20 years, total score of “social support needs regarding the disease and treatment of the patients” and subscale scores (“medical condition and cure,” “daily life and social support,” and “intimacy and employment”), and total score of “social support needs of the spouses” and subscale scores (“family psychological issues and social support” and “intimacy, employment, and society”) were significant variables (all p p Conclusions: Patients having no experience of “chemotherapy” and higher “social support needs of the spouses” in Model 1, and greater spousal needs of “family psychological issues and social support” in Model 2 were significant predictors of severe anticipatory grief. Medical staff should pay attention to these risk factors that predict anticipatory grief among spouses.

Factors Associated with Social Support Needs of Spouses of Patients with Cancer: Online Survey

Background: A means of assessing the social support needs of spouses of patients with cancer is not available in Japan, yet such individuals are at increased risk of developing psychological difficulties. Objectives: The present study aimed (1) to describe the social support needs of spouses of patients with cancer, and (2) to explore factors associated with social support needs of spouses of patients with cancer. Design: Spouses (n = 559) of patients with cancer were recruited by registered agents of an online survey company and completed a self-reporting, online questionnaire. Measurements: The questionnaires included demographic information and a tool to assess social support needs. Results: Factor analysis of social support needs of the spouses of patients with cancer indicated that (1) “social support needs regarding disease and treatment of patient” (54 items) comprised 3 factors (“medical condition and cure”, “daily life and social support”, “intimacy and employment”), and (2) “social support needs of spouse (19 items)” comprised 2 factors (“family psychological issues and social support” and “intimacy, employment and society”). The ANOVA and T tests showed that “younger age”, “under treatment”, and “cancer not cured: treatment stopped”, “PS1” and “PS 2-4”, the presence of “lung cancer”, and “recurrence/metastasis” were significant factors (all

A Survey on the Sexual Health of Elderly Patients with Cardiovascular Disease and Their Spouses

Objective:To investigate the sexual relationship and sexual health of elderly patients with cardiovascular disease and their spouses,as well as to explore the relationship between sexual health and the quality of life.Methods:A total of 206 CHD patients and their spouses(N=206)as well as 238 age-and gender-matched healthy people were recruited and investigated by using a seilf-designed sexual relationship and sexual health questionnaire and the SF-36 questionnaire;data analysis and comparison were carried out by using SPSS 22.0.Results:The scores of perceived health,marital satisfaction,sexual satisfaction,sexual function,and quality of life were all significantly different among elderly CVD patients,then-spouses,and healthy people(F=3.894,p<0.05).There was a significant correlation between perceived health,marital satisfaction,sexual satisfaction,and sexual function with quality of life(p<0.05).Conclusion:Sexual behavior is an important aspect of quality of life.The sexual relationship,sexual health,and quality of life of elderly patients with cardiovascular disease and their spouses were significantly lower than those of healthy people.It is recommended that more attention should be paid on the sexual relationship and sexual health of these patients and their spouses,with counselling offered when needed.

Spouses Who Donate Seem to Be the Winners – A Questionnaire Study of Kidney Donors Long-Term

Background:Living donor kidney transplantations have been performed at Sahlgrenska University Hospital in Gothenburg, Sweden since 1965. In this study we wanted to explore the living kidney donor’s long-term experiences of the donation. Methods: Of 1110 consecutive living donors throughout 1965-2005, 823 were available for our questionnaire study. Results:Totally 692 replied to the questionnaire, 65% were females. The most common relation to the recipients was siblings (284), parents (262) and spouses (96). Time since donation was median 15 years (2 - 43). The initiative to donate came from the donors themselves in 69%. The dominating motives for donation were a wish to help, worries about the recipient not receiving a transplant and the knowledge that one could live a normal life with one kidney. The majority of the donors, felt well informed about potential risks both short-term and long-term. Depression post donation was reported by few donors, 2.3% and persisting pain by 4.3%. Comparisons between sibling donors and spouse donors show a significant difference (p Conclusions:Our study shows that the donor population is in good psychosocial health. It is a positive progress that spouses can be living kidney donors - they seem to be the winners.

Depressive Symptoms in Spouses of HIV Infected Individuals: A Study of HIV Uninfected Caregivers in Pune, India

Background: HIV infected individuals are at increased risk of developing psychiatric comorbidities, particularly depression. Coping with a disease associated with significant morbidity, mortality and financial stress is likely to result in psychiatric morbidity even among caregivers, especially family members. However, there is scarcity of such data in HIV uninfected caregiver spouses. Material and Methods: Beck Depression Inventory (BDI-II), a diagnostic tool that measures depressive symptoms, was administered to HIV uninfected caregiver spouses of HIV infected individuals (n = 55) and HIV seronegative individuals from general population (n = 63) with similar demographic profile. Chisquare test was used for categorical data. Results: Caregiver spouses exhibited higher depressive symptoms on the BDI-II (mean score 5.25 vs. 3.03;p = 0.029) as compared to others. The scores tended to be higher on the majority of the items, with sadness (p = 0.032), punishment feeling (p = 0.024) and crying (p = 0.037) being statistically significant. Conclusions: Our results indicate that it is important to address the mental health needs of the spouses of HIV infected individuals as they may play a major role in their care and support in the Indian

Analysis on the status quo and influencing factors of fear of disease progress in 120 patients ’ spouse after bladder cancer surgery

Objective:To investigate the status quo of fear of disease progressi on in postoperative patients’spouse of bladder cancer and analyze its influencing factors.Methods:Postoperative patients’spouse of bladder cancer of a cancer hospital in Tianjin were selected as the research objects by the convenience sampling method.The general data questionnaire,spouse fear of disease progression scale and self-efficacy scale were used to investigate.Multiple linear regression was used to analyze the influencing factors of the fear of the disease progression in the postoperative pa tients’spouse of bladder cancer.Results:The score of fear of disease progression was(35.75±9.86).The results of multiple linear regression analysis showed that the spouse’s age,medical payment method,occupational status and self-efficacy were the main influencing factors for the spouse’s fear of disease progression after bladder cancer(P<0.05),which accounted for 55%of the total variation.Conclusion:The spouse’s fear of disease progression in patients with bladder cancer is at a moderate lev el,and age,medical payment method,occupational status and self-efficacy are the main influencing factors.It is suggested that clinical medical staff focus on young,rural cooperative medical care,self-financed,in-service,and unemployed,low self-eff icacy of postoperative bladder cancer patients'spouses.A series of psychological counseling and health education should be given to help the patient spouse correctly understand and deal with diseases,reduce the patients’spouses of negative emotions,im prove the patients’spouses of self-efficacy,and reduce the spouse fear level of disease progression.

Microbial dysbiosis in spouses of ulcerative colitis patients: any clues to disease pathogenesis?

A number of alterations have been found within the gutmicrobial profile of patients with inflammatory bowel diseases when compared with the healthy population; however, it is unclear whether such dysbiosis is the cause or simply the consequence of the disease state. In ulcerative colitis, the environment seems to play a crucial role in disease etiology since monozygotic twins show a concordance rate of only 8%-10%-though it is unclear whether it does so by acting through the microbiome. In this study, the authors investigated the influence of cohabitation on the gut microbial community in healthy partners of ulcerative colitis patients-with the intent of clarifying some of these issues. As expected, ulcerative colitis patients had a significant dysbiosis and alterations in microbial metabolism. Interestingly, these abnormal fecal microbial communities were relatively similar amongst patients and their spouses. Thus, this study shows that the microbial profile might be partially transferred from ulcerative colitis patients to healthy individuals. Whether this finding impacts on disease development or has any implication for the role of the microbiome in inflammatory bowel disease etiology remains to be determined.

脑卒中病人配偶照顾者出院过渡期心理适应水平及其影响因素

目的:调查脑卒中病人配偶照顾者出院过渡期的心理适应水平,分析其影响因素。方法:采用一般情况调查表、心理适应量表(PAS)、中文版Connor-Davidson心理韧性量表(CD-RISC-25)和相依关系量表(MS)对237例脑卒中病人配偶照顾者于出院前后进行调查。结果:出院前1 d及出院后1、3、6个月脑卒中病人配偶照顾者PAS得分分别为60(52,68)分、61(53,70)分、67(57,76)分、72(61,80)分。广义估计方程结果显示,男性配偶、配偶有照顾经验、配偶高相依关系及高心理韧性是脑卒中病人配偶照顾者PAS得分的保护因素,家庭经济负担是脑卒中病人配偶照顾者PAS得分的危险因素。结论:脑卒中病人配偶照顾者心理适应水平在出院后呈上升发展趋势,应提升配偶照顾者的相依关系及心理韧性,以改善其心理适应状况。

围透析期慢性肾脏病患者夫妻疾病感知与希望水平的关系研究

目的探讨围透析期慢性肾脏病患者夫妻疾病感知对希望水平的影响,为后期临床开展以夫妻为中心的二元干预提供理论支持及依据。方法纳入郑州大学第一附属医院肾病内科的140对围透析期慢性肾脏病患者夫妻为研究对象,采用简易疾病感知问卷和中文版希望量表进行调查研究。通过主客体互倚模型,分析围透析期慢性肾脏病患者夫妻疾病感知对希望水平的影响。结果围透析期慢性肾脏病患者夫妻希望水平处于中等水平,患者希望量表总分及各维度评分均低于配偶,简易疾病感知问卷总分及认知、情绪维度评分均高于配偶(P<0.05或0.01)。围透析期慢性肾脏病患者夫妻的疾病感知和希望水平存在相关性(P<0.01)。主体效应方面,围透析期慢性肾脏病患者夫妻的疾病感知都会对其希望水平产生影响(P<0.01);客体效应方面,围透析期慢性肾脏病患者的疾病感知都会对其配偶的希望水平产生影响(P<0.05)。结论围透析期慢性肾脏病患者夫妻的希望水平受自身和对方疾病感知的交互影响。医护人员应将围透析期慢性肾脏病患者夫妻视为一个共同体,有助于实施以夫妻为中心的相互支持应对策略,从而提高他们应对围透析期时的希望水平。

家庭参与模式对高龄初产妇配偶照护能力的影响

目的探讨家庭参与式照护模式对高龄初产妇配偶照护能力的影响。方法选取2023年2月至2024年2月在商丘市第一人民医院产科一病区和产科二病区住院的100名高龄初产妇配偶作为研究对象,以病区为单位分为对照组与干预组。该研究共进行6周,从入院时开始到产褥期结束。对照组高龄初产妇的配偶接受常规护理干预,干预组在对照组的基础上应用家庭参与式照护模式。比较两组配偶高龄初产妇和婴儿照护知识得分、自我效能感得分以及护理满意度得分。结果干预前,高龄初产妇照护知识和婴儿照护知识评分对比,差异无统计学意义(P>0.05);干预后,两组产妇配偶照护知识调查问卷中产妇照护知识、婴儿照护知识得分及总分高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05)。干预前,两组高龄孕妇的自我效能感得分对比,差异无统计学意义(P>0.05);干预后,两组高龄初产妇配偶自我效能感得分高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05)。经过对两组高龄初产妇配偶的干预,其满意度提升,且干预组配偶护理满意度高于对照组(P<0.05)。结论家庭参与式照护模式应用于高龄初产妇配偶,能够提高高龄初产妇配偶的高龄初产妇和婴儿照护知识水平,提高高龄初产妇配偶的自我效能感和护理满意度,值得临床推广。

晚期肺癌患者及配偶照顾者恐惧疾病进展与心理困扰的主客体效应分析

目的探讨晚期肺癌患者及其配偶照顾者恐惧疾病进展对心理困扰的影响。方法便利选取240对晚期肺癌患者及其配偶照顾者,使用心理困扰量表和恐惧疾病进展简化量表进行调查,建立恐惧疾病进展与双方心理困扰关系的主客体互倚模型。结果晚期肺癌患者及配偶照顾者的心理困扰得分分别为(31.53±6.60)分、(32.37±6.49)分;恐惧疾病进展得分分别为(35.55±8.79)分、(37.26±6.34)分。主客体互倚模型分析表明,患者及配偶的恐惧疾病进展均正向影响自身及对方的心理困扰(均P<0.05),主客体效应显著。结论晚期肺癌患者及配偶照顾者的心理困扰处于中等偏上水平,受到双方恐惧疾病进展的共同影响。应将晚期肺癌患者和配偶照顾者视为一个整体,及时发现和识别他们的疾病进展恐惧水平,以减轻对心理困扰的影响。

中青年乳腺癌患者恐惧疾病进展与认知情绪调节方式、配偶支持感知的相关性

目的探究中青年乳腺癌患者恐惧疾病进展与认知情绪调节方式、配偶支持感知的相关性,为临床制定针对性干预措施提供依据。方法采用便利抽样法选取2021年3月至2022年4月河南省肿瘤医院收治的中青年乳腺癌患者为研究对象,采用一般资料调查问卷、恐惧疾病进展简化量表、中文版认知情绪调节问卷、配偶支持感知量表对患者进行调查。结果225例患者恐惧疾病进展得分为(39.56±7.48)分、认知情绪调节方式得分为(122.39±16.71)分、配偶支持感知得分为(90.30±11.42)分;积极的认知情绪调节方式与配偶支持感知与恐惧疾病进展得分呈负相关(P<0.05),消极的认知情绪调节方式与恐惧疾病进展得分呈正相关(P<0.05);分层回归分析的总模型显示年龄、疾病分期、认知情绪调节方式、配偶支持感知可共同解释中青年乳腺癌患者恐惧疾病进展评分42.8%的变异。其中积极的认知情绪调节方式与配偶支持感知负向预测恐惧疾病进展,而消极的认知情绪调节方式可正向预测恐惧疾病进展。结论中青年乳腺癌患者恐惧疾病进展情绪较严重,不同的认知情绪调节方式与配偶支持感知水平可对患者恐惧疾病进展情绪产生影响。护理人员可通过团体认知行为干预,促进患者采取积极的认知情绪调节策略,增强对配偶支持的感知能力,从而降低恐惧疾病进展情绪。

早发型痴呆患者配偶照顾者照护体验的Meta整合

目的:系统整合早发型痴呆患者配偶照顾者照护体验的质性研究,为制定满足配偶照顾者内心需求的干预措施提供参考。方法:计算机检索中英文数据库,纳入关于早发型痴呆患者配偶照顾者照护体验的质性研究,检索时限均为建库至2024年3月。采用澳大利亚JBI循证卫生保健中心质性研究文献质量评价工具对文献质量进行评价,运用汇集性整合方法对结果进行整合。结果:共纳入9篇研究,提炼出34个明确的研究结果,归纳形成9个新类别,综合出4个整合结果:严重的痴呆症状与复杂的诊断心理过程;沉重的照顾负担与巨大的心理社会压力;积极应对与个人成长;复杂需求与多元支持。结论:早发型痴呆患者配偶照顾者难以管理早发型痴呆患者的异常精神行为症状、承担沉重的照顾负担、存在强烈负性情绪、渴望获得多元化的支持,但也能够积极应对困境。医院及社区医护人员应高度重视早发型痴呆患者配偶照顾者的心理体验和需求,并给予个性化干预措施,提升早发型痴呆患者及其配偶的生活质量。

脊髓损伤病人配偶二元应对现状及其影响因素分析

目的:调查脊髓损伤病人配偶二元应对现状,并分析其影响因素。方法:选取2020年1月—2023年1月于医院就诊的120例脊髓损伤病人的配偶作为研究对象。采用二元应对量表(DCI)、婚姻调适量表(MAT)、照护负担量表(ZBI)以及自制疾病认知程度调查问卷对病人配偶进行调查,采用单因素及多元线性回归分析对脊髓损伤病人配偶二元应对的影响因素进行分析。结果:120例脊髓损伤病人配偶二元应对评分为(57.22±5.93)分;相关性分析结果显示,脊髓损伤病人配偶的消极应对评分与疾病认知程度、亲密关系评分呈负相关(P<0.05),与照护负担评分呈正相关(P<0.05);而积极应对则与亲密关系、疾病认知程度评分呈正相关(P<0.05);多元线性回归分析结果显示,照顾负担、亲密关系、文化程度、疾病认知程度是影响脊髓损伤病人配偶二元应对的主要因素(P<0.05)。结论:目前脊髓损伤病人配偶二元应对水平普遍较差。在临床上医生和护士应给予更多关注,并根据影响因素来制定干预策略,开展脊髓损伤病人及其配偶精神心理与生活多方面的干预,提高脊髓损伤病人配偶的二元应对水平以及生活质量。

“996”工作模式对配偶心理健康的溢出效应——基于CFPS2018的实证研究

超时劳动对个体心理健康的负面效果已被广泛证实,但已有研究较少探讨“996”工作模式对配偶心理健康产生的溢出效应。使用CFPS2018年的夫妻匹配样本分析“996”工作模式对配偶心理健康的影响,结果发现无论妻子或丈夫是“996”工作模式,都会造成另一方的心理健康水平显著下降,并且丈夫是“996”工作模式对妻子心理健康的影响强度更大。在影响机制方面,当妻子是“996”工作模式时,会显著降低丈夫对妻子家庭经济贡献和家务贡献的满意度,进而传递到心理健康方面。同时,丈夫的“996”工作模式也通过上述两条中介路径影响妻子心理健康,相关结论均通过了稳健性检验。因此,“996”工作模式不仅会对劳动者自身健康产生影响,还会在家庭内部产生溢出效应,影响配偶的心理健康水平。

银屑病患者配偶生活质量现状及影响因素分析研究

目的 探讨银屑病患者配偶的生活质量现状,并对其影响因素进行分析。方法 采用便利抽样法,选取2022年7月—2023年1月在同济大学附属上海市皮肤病医院就诊的245对斑块状银屑病患者及其配偶为研究对象。采用一般资料调查表、家庭皮肤病生活质量指数(FDLQI)、皮肤病生活质量指数(DLQI)、医院焦虑和抑郁量表(HADS)进行调查。配偶的生活质量影响因素的分析采用Kruskal-Wallis检验、Mann-Whitney U检验、相关分析及多元线性回归分析。结果 银屑病患者配偶生活质量评分为(7.65±6.47)分,其中,89.6%的配偶报告生活质量有受损情况。单因素分析结果显示,患者的教育程度、是否累及指甲、既往是否接受传统治疗、体表受累面积(BSA)、躯干银屑病面积和严重程度指数(PASI)、上肢PASI、下肢PASI、临床医师整体评估(PGA)、DLQI、患者对病情的总体评估(PtGA)、焦虑和抑郁评分以及配偶自身焦虑和抑郁评分,均与配偶的FDLQI显著相关(P<0.05)。多元线性回归分析结果显示:患者的BSA、DLQI、PtGA和配偶自身的焦虑评分是影响配偶生活质量的因素。结论 临床实践中,银屑病患者配偶的生活质量受损现象较为普遍。因此,在为患者制定治疗计划、做出治疗决策、制定教育计划以及提供心理支持时,皮肤科医生和护士应该充分考虑患者的配偶。