乳腺癌患者及配偶积极心理资本与二元应对的主客体效应研究
Study on the actor-partner effects between positive psychological capital and dyadic coping in breast cancer patients and their spouses
张珊 1赵洁 2暴雨 3胥娟 4王心怡 1张燕飞 1曹宝花1
作者信息
- 1. 空军军医大学:护理系,陕西 西安 710032
- 2. 空军军医大学:西京医院甲状腺乳腺血管外科,陕西 西安 710032
- 3. 解放军总医院第二医学中心心血管内科,北京 100853
- 4. 解放军西部战区总医院烧伤整形科,四川 成都 610083
- 折叠
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.
Abstract
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.
关键词
乳腺癌/积极心理资本/二元应对/主客体效应Key words
breast cancer/positive psychological capital/dyadic coping/actor-partner effect引用本文复制引用
基金项目
陕西省重点研发计划项目(2022SF-371)
出版年
2024
国家科技期刊平台
NSTL
万方数据