Study on the Relationship Among Dyadic Coping,Marital Adjustment and Quality of Life in Patients with Cervical Cancer Undergoing Chemotherapy Based on the Actor-Partner Interdependence Model
Objective To explore the relationship among dyadic coping,marital adjustment and quality of life in patients with cervical cancer undergoing chemotherapy based on the actor-partner interdependence model,so as to provide a theoretical basis for clinical intervention.Methods A total of 180 couples of patients with cervical cancer who were hospitalized in gynecology and oncology departments of a tertiary A hospital in Zhengzhou from August 2021 to September 2022 were selected by convenience sampling method.Dyadic Coping Inventory,Locke-Wollance Marital Adjustment Test and the Short-Form 36 Health Survey Scale were used to investigate the subjects.Results The scores of dyadic coping,mari tal adjustment and quality of life of cervical cancer patients were lower than those of their spouses,with statistical significance differences(P<0.05).The quality of life was positively correlated with dyadic coping and marital adjustment of cervical cancer patients and their spouses(all P<0.05).In terms of subjec-tive effect,the dyadic coping and marital adjustment of cervical cancer patients could predict their own quality of life,and were pos-itively correlated(β=0.678,0.62,0.65,0.64,P<0.001);in terms of object effects,patients'dyadic coping and marital adjustment could predict spouse's quality of life,and spouses'dyadic coping and marital adjustment could also predict patients'quality of life,all of which were positively correlated(β=0.62,0.597,0.600,0.675,P<0.001).Conclusions The quality of life of cervical cancer patients undergoing chemotherapy is not only affected by themselves,but also by their spouses.It is necessary to pay attention to the inter-action between dyadic coping level and marital adjustment of patients and their spouses,so as to provide a theoretical basis for im-proving the quality of life of cervical cancer patients and their spouses.
cervical cancerdyadic copingquality of lifemarital adjustmentact or-partner interdependence model