School of Psychology and Griffith Health Institute, Griffith University, Gold Coast, Queensland, Australia.
Eur J Cancer Care (Engl). 2011 Mar;20(2):237-47. doi: 10.1111/j.1365-2354.2010.01225.x. Epub 2010 Sep 6.
This study investigated coping and quality of life in men with prostate cancer (n= 105, 48-86 years of age) and their partners (n= 85, 48-84 years). Participants completed the Abbreviated Dyadic Adjustment Scale, Brief COPE, European Organisation for Research and Treatment of Cancer Core Quality of Life Questionnaire (QLQ-C30) and open-ended questions on appraisal and coping. Multivariate analyses showed that better quality of life was associated with higher education levels (role functioning and fatigue), lower avoidant coping (emotional, social, and physical functioning and fatigue), and higher relationship satisfaction (emotional functioning). Use of medication or combined treatments was associated with worse physical and role functioning. Partners reported similar quality of life for patients as the patient ratings, except that partners reported patients' emotional functioning as significantly worse and social functioning as significantly better than the patients' own ratings. Patients and partners reported both positive and negative aspects to prostate cancer, and mentioned a range of coping strategies. Similarities between patients and partners in their responses to prostate cancer were identified using both quantitative and qualitative methods. Some differences within dyads were also noted and previous suggestions to incorporate partners and significant others in education and treatment were supported.
本研究调查了前列腺癌患者（n=105，48-86 岁）及其伴侣（n=85，48-84 岁）的应对方式和生活质量。参与者完成了简短的对偶调整量表、简要应对方式量表、欧洲癌症研究与治疗组织核心生活质量问卷（QLQ-C30）以及关于评估和应对的开放性问题。多变量分析表明，较高的生活质量与较高的教育水平（角色功能和疲劳）、较低的回避应对（情感、社会和身体功能及疲劳）和较高的关系满意度（情感功能）有关。使用药物或联合治疗与较差的身体和角色功能有关。与患者自评相比，伴侣报告的患者生活质量相似，但伴侣报告患者的情绪功能明显更差，社会功能明显更好。患者和伴侣都报告了前列腺癌的积极和消极方面，并提到了一系列应对策略。使用定量和定性方法确定了患者和伴侣对前列腺癌的反应中的相似之处。还注意到了一些对偶内的差异，并支持将伴侣和重要他人纳入教育和治疗的建议。
