摘要
目的 分析肝癌患者及配偶二元应对与术后癌症复发恐惧水平的主客体效应,为临床干预提供参考依据.方法 采用便利抽样法,选取2020年1月-2023年5月我院接受手术治疗的肝癌患者及其配偶138对,采用一般资料调查问卷、二元应对量表(DCI)及恐惧疾病进展简化量表(FOP-Q-SF)对患者及配偶进行调查.采用Mplus 7.4软件构建主客体互倚模型,分析肝癌患者及配偶二元应对与术后癌症复发恐惧水平的关系.结果 肝癌患者DCI总分为(64.09±12.51)分,配偶为(63.45±12.65)分;患者术后FOP-Q-SF总分为(30.72±6.74)分,配偶为(32.46±7.52)分.患者二元应对和自身及配偶术后癌症复发恐惧均呈负相关(r=-0.689、-0.478,P＜0.05);配偶二元应对与自身及患者术后癌症复发恐惧均呈负相关(r=-0.602、-0.571,P＜0.05);患者二元应对与配偶二元应对呈正相关(r=0.585,P＜0.05);患者术后癌症复发恐惧与配偶术后癌症复发恐惧呈正相关(r=0.525,P＜0.05).主客体互倚模型以二元应对作为预测变量,术后复发恐惧作为结果变量,通过最大似然法分析初始模型参数,整体拟合良好.肝癌患者的二元应对均对自身及配偶的癌症复发恐惧有显著影响(β=-0.417、-0.176,P＜0.05);配偶的二元应对均对自身及患者的癌症复发恐惧有显著影响(β=-0.357、-0.183,P＜0.05).结论 肝癌患者及配偶二元应对受术后癌症复发恐惧水平的交互影响,提高肝癌患者及配偶二元应对,可降低双方术后癌症复发恐惧水平.
Abstract
Objective To analyze the subjective and objective effects of binary coping strategies and postoperative fear of cancer recurrence in liver cancer patients and their spouses,and provide theoretical basis for clinical intervention.Methods Con-venience sampling was used to include 138 pairs of liver cancer patients and their spouses who underwent surgical treatment in our hospital from January 2020 to May 2023.Adopting general information survey questionnaires DCI and FOP-Q-SF study on pa-tients and their spouses.Exploring the relationship between binary coping strategies and postoperative fear of cancer recurrence in liver cancer patients and their spouses based on a subject object interdependence model.Results The total scores of binary coping strategies for patients and spouses were(64.09±12.51)and(63.45±12.65),respectively.The total scores of postoperative cancer recurrence fear for patients and spouses were(30.72±6.74)and(32.46±7.52),respectively.The total score of binary coping and the fear of postoperative cancer recurrence scores of the patient and their spouse were negatively correlated(r=-0.689、-0.478,P＜0.05);The total score of spouse's binary coping strategy was negatively correlated with their own and post-operative cancer recurrence fear scores(r=-0.602、-0.571,P＜0.05);The total score of binary coping in patients is positively correlated with the total score of binary coping in spouses(r=0.585,P＜0.05);The postoperative fear of cancer recurrence score of patients is positively correlated with the postoperative fear of recurrence score of their spouses(r=0.525,P＜0.05).The sub-ject object interdependence model uses binary coping as the predictive variable and postoperative fear of recurrence as the outcome variable.The initial model parameters are analyzed using maximum likelihood method,and the overall fit is good.The dual coping strategies of liver cancer patients have a significant impact on their own and their spouse's fear of cancer recurrence(β=-0.417、-0.176,P＜0.05);The dual coping strategies of spouses have a significant impact on their own and patients'fear of cancer recurrence(β=-0.357、-0.183,P＜0.05).Con-clusion The dual coping strategies of liver cancer patients and their spouses are influenced by the interaction of postoperative fear of cancer recurrence.Therefore,improving the dual coping strategies of liver cancer patients and their spouses can reduce their postoperative fear of cancer recurrence.
维普
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