摘要
目的通过主客体互倚模型探究乳腺癌患者及配偶积极心理资本与二元应对间的交互效应。方法采用方便抽样法,选取2023年6月至9月在西安市3所三级甲等医院收治的282例乳腺癌患者及配偶进行调查。结果乳腺癌患者及配偶的积极心理资本得分分别为(122.15±16.50)分和(130.12±15.17)分;患者的积极心理资本得分低于其配偶(P<0.001);患者的韧性维度(3.91±0.89)分,与量表的理论中值无显著性差异(t=1.630,P=0.104)。二元应对得分分别为(121.22±15.79)分和(123.63±14.33)分,处于临界值111分及145分之间;患者的压力沟通维度得分低于其配偶(P<0.05),其他维度无显著性差异(P>0.05)。在主客体效应方面,积极心理资本均可正向预测自身及配偶的二元应对(P<0.05)。结论乳腺癌患者及配偶的积极心理资本与二元应对得分均处于中等水平;在患者的积极心理资本中,韧性维度得分最低。患者及配偶的二元应对水平受自身及对方积极心理资本水平的交互影响。
Objective To explore the interaction effects of positive psychological capital and dyadic coping in breast cancer patients and their spouses through Actor-Partner Interdependence Model.Methods A total of 282 couples of patients with breast cancer who where admitted to three grade A tertiary hospitals in Xi an from June to September 2023 were investigated using the convenience sampling method.Results The positive psychological capital scores of patients with breast cancer and their spouses were(122.15±16.50)and(130.12±15.17),respectively.The positive psychological capital scores of patients were lower than those of their spouses(P<0.001).The tenacity dimension score of patients was(3.91±0.89),which was no significant difference from the theoretical median value of the scale(t=1.630,P=0.104).The dyadic coping scores were(121.22±15.79)and(123.63±14.33),respectively,which were between the cut-off points of 111 and 145.The score of stress communication dimension of patients was lower than that of their spouses(P<0.05),and there was no significant difference in other dimensions(P>0.05).In terms of actor-partner effects,positive psychological capital could positively predict dyadic coping for both the individuals and their spouses(P<0.05).Conclusion Patients with breast cancer and their spouses have moderate scores in both positive psychological capital and dyadic coping.The score of tenacity dimension of patients has the lowest score in positive psychological capital.The dyadic coping level of patients and their spouses is affected by the interaction effect of positive psychological capital level of patients and their spouses.
作者
张珊
赵洁
暴雨
胥娟
王心怡
张燕飞
曹宝花
ZHANG Shan;ZHAO Jie;BAO Yu;XU Juan;WANG Xinyi;ZHANG Yanfei;CAO Baohua(School of Nursing,Breast and Vascular Surgery,Xijing Hospital,Air Force Medical University,Xi'an 710032,China;Department of Thyroid,Breast and Vascular Surgery,Xijing Hospital,Air Force Medical University,Xi'an 710032,China;Department of Cardiovascular Medicine,Second Medical Center,Chinese PLA General Hospital,Beijing 100853,China;Department of Burn and Plastic Surgery,General Hospital of Western Theater Command,Chengdu 610083,China)
出处
《空军军医大学学报》
CAS
2024年第9期1013-1017,共5页
Journal of Air Force Medical University
基金
陕西省重点研发计划项目(2022SF-371)。
关键词
乳腺癌
积极心理资本
二元应对
主客体效应
breast cancer
positive psychological capital
dyadic coping
actor-partner effect
