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中青年淋巴瘤患者二元应对影响因素研究

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目的 调查和分析中青年淋巴瘤患者的二元应对水平及影响因素.方法 采用便利抽样法选取2023年3月至2024年5月浙江省肿瘤医院淋巴瘤内科病房中青年淋巴瘤患者及配偶90对为研究对象.选用一般资料调查表、二元应对量表、婚姻调适量表、淋巴瘤患者生命质量测定量表进行问卷调查,采用单因素分析、相关性分析及多元线性回归分析探索中青年淋巴瘤患者的二元应对影响因素.结果 不同年龄、居住环境、淋巴瘤类型及分期、医保类型、患者和配偶对疾病的了解程度,其二元应对得分差异无统计学意义(P>0.05);不同性别、文化水平、化疗周期及家庭月均收入的患者,二元应对得分差异有统计学意义(P<0.05).中青年淋巴瘤患者的二元应对得分(124.022±22.924)分,婚姻质量得分(119.156±18.821)分,生命质量测定量表得分(120.811±20.170)分,相关性分析结果显示三者呈正相关.多元线性回归分析结果表明,影响患者二元应对的主要因素是患者的家庭月均收入、婚姻质量.结论 中青年淋巴瘤患者的二元应对能力处于中等水平,仍有进一步提升的空间.临床工作中应重点关注疾病治疗初期、家庭经济收入低、文化水平低、婚姻状态不稳定、生活质量差的中青年淋巴瘤患者,从疾病的症状管理和夫妻之间的二元关系角度出发,制定相应的干预策略,增强其二元应对能力.
Factors influencing dyadic coping in young and middle-aged patients with lymphoma
Objective To investigate and analyze the level of dyadic coping and its influencing factors in young and middle-aged lymphoma patients.Methods A total of 90 young and middle-aged lymphoma patients and spouses in the Internal Medicine of Lymphoma,Zhejiang Cancer Hospital from March 2023 to May 2024 were selected for the study using convenience sampling method.The general information questionnaire,dyadic coping inventory,dyadic adjustment scale,and functional assessment of cancer therapy-lymphoma were selected for questionnaire survey,and influencing factors of dyadic coping in young and middle-aged lymphoma patients were explored using univariate analysis,correlation analysis,and multiple linear regression analysis.Results Differences in dyadic coping scores were not statistically significant when comparing different ages,living environments,types and stages of lymphoma,types of health insurance,and patients'and spouses'knowledge of the disease(P>0.05),and in comparison of dyadic coping scores for patients with different levels of genders,literacy levels,cycles of chemotherapy,and average monthly household incomes,the difference was statistically significant(P<0.05).Young and middle-aged lymphoma patients had dyadic coping score of(124.022±22.924)points,marital quality score of(119.156±18.821)points,and functional assessment of cancer therapy-lymphoma score of(120.811±20.170)points,and correlation analyses showed that the three were positively correlated.Multiple regression analysis showed that patients'average monthly family income and marital quality were main factors affecting their dyadic coping.Conclusion The dyadic coping ability of young and middle-aged lymphoma patients is at an intermediate level,and there is still room for further improvement.The work should focus on young and middle-aged lymphoma patients in the early stages of disease treatment,with low family financial income,low literacy levels,unstable marital status and poor quality of life,assisting them to develop appropriate intervention strategies from the perspectives of symptom management of the disease and dyadic relationships between the couples,To enhance their dyadic coping skills.

LymphomaYoung and middle-agedDyadic copingInfluencing factors

邹倩、陈美华、张志迪

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浙江中医药大学护理学院,浙江 杭州 310053

浙江省肿瘤医院淋巴瘤内科,浙江 杭州 310022

淋巴瘤 中青年 二元应对 影响因素

2024

中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
年,卷(期):2024.62(35)