Influence of dependence between patients with prostate cancer and their primary caregivers on positive feeling
Objective To explore the influence of the dependence between patients with prostate cancer and their primary caregivers on positive feelings based on the actor-partner interdependence model(APIM).Methods This study was a prospective and single-center trial.One hundred and thirty-three patients with prostate cancer treated at Hospital Affiliated to Jiangnan University from May 2021 to May 2023 and their main caregivers were selected as the research objects;the patients were 49-90(70.52±12.65)years old;among the caregivers,there were 42 males and 91 females who were 22-79(62.56±10.45)years old.The dependence and positive feelings of the patients and their main caregivers were investigated by the Dependence Scale(MS)and Positive Feeling Scale(PAC).t test was used to statistically analyze the differences of dependency score and positive feeling score between the patients and their main caregivers.Pearson analysis was used to analyze the dependence and positive feelings of the patients and their main caregivers.The linear mixed model APIM was used to analyze the influence of dependence between the prostate cancer patients and their main caregivers on positive feelings.Results The scores of love and affection dimensions and total score in the dependent relationship of the prostate cancer patients were higher than those of the primary caregivers[(4.45±0.77)vs.(2.62±0.55)and(15.75±2.88)vs.(13.60±2.25)];the scores of self-affirmation and life outlook and total score in positive feelings of the patients were lower than those of their primary caregivers[(12.34±2.11)vs.(13.28±2.59),(13.46±2.53)vs.(15.30±2.95),and(25.80±4.25)vs.(28.58±3.43)];there were statistical differences(t=22.30,6.78,3.25,5.46 and 5.87;all P＜0.05).The patients'dependence was positively correlated with the caregivers'dependence and positive feelings(r=0.887 and 0.718;both P＜0.001);the patients'positive feelings was positively correlated with the caregivers'dependence and positive feelings(r=0.590 and 0.527;both P＜0.001).On the subjective effect,the dependence between the patients and their caregivers could affect their positive feelings(β=0.474 and 0.485;both P＜0.05).On the object effect,the dependence between the patients and their caregivers could affect each other's positive feelings(β=0.356,0.265,0.344,and 0.315;all P＜0.05).Conclusion The score of dependence between patients with prostate cancer and their main caregivers is positively correlated with the score of their own and each other's positive feelings,and it is verified by the APIM that their dependence can positively affect their positive feelings.
万方数据
维普
