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乳腺癌女性患者男性配偶的生活质量:希望、自我效能感与内疚感认知

The quality of life of male spouses of women with breast cancer: hope, self-efficacy, and perceptions of guilt.

作者信息

Duggleby Wendy, Doell Heather, Cooper Dan, Thomas Roanne, Ghosh Sunita

机构信息

Author Affiliations: Faculty of Nursing, University of Alberta, Edmonton (Dr Duggleby); Saskatchewan Cancer Agency, Saskatoon (Ms Doell); Regina Qu'Appelle Health Region, Regina, Saskatchewan (Rev Cooper); MacLean Faculty of Health Sciences, University of Ottawa, Ontario (Dr Thomas); Faculty of Dentistry and Medicine, University of Alberta, Edmonton, Canada (Dr Ghosh).

出版信息

Cancer Nurs. 2014 Jan-Feb;37(1):E28-35. doi: 10.1097/NCC.0b013e31827ca807.

DOI:10.1097/NCC.0b013e31827ca807
PMID:23348665
Abstract

BACKGROUND

The quality of life of male spouses of partners with breast cancer may determine the support they are able to give their wives. Little is known about the factors associated with their quality of life.

OBJECTIVE

The purpose of this study was to examine the relationship of the quality of life of male spouses of partners with breast cancer with the following factors: (a) demographic variables of male spouses and their partners, (b) levels of hope of male spouses and their partners, (c) self-efficacy and loss and grief of male spouses, and (d) quality of life of partners with breast cancer.

METHODS

Six hundred surveys were mailed to women with breast cancer (stage 1-3) and their male spouses. A total of 110 surveys were completed.

RESULTS

With the use of generalized linear modeling, participating male spouses with higher quality of life scores: (a) were older (P = .01), (b) had higher hope scores (P = .01), (c) had lower feelings of guilt scores (P < .01) (subscale of loss and grief), (d) had higher general self-efficacy scores (P < .01), and (e) had partners with breast cancer with higher quality of life scores (P < .01).

CONCLUSIONS

Hope, self-efficacy, feelings of guilt, age, and their partners' quality of life were significantly related to quality of life of the male spouses of women with breast cancer.

IMPLICATIONS FOR PRACTICE

The findings underscore the importance of assessing for and fostering hope and self-efficacy as well as decreasing guilt in male spouses of women with breast cancer to improve their quality of life.

摘要

背景

乳腺癌患者配偶的生活质量可能决定他们给予妻子的支持程度。关于影响其生活质量的因素,人们了解甚少。

目的

本研究旨在探讨乳腺癌患者男性配偶的生活质量与以下因素之间的关系:(a) 男性配偶及其伴侣的人口统计学变量;(b) 男性配偶及其伴侣的希望水平;(c) 男性配偶的自我效能感以及失落与悲伤情绪;(d) 乳腺癌患者伴侣的生活质量。

方法

向600名患有1 - 3期乳腺癌的女性及其男性配偶邮寄调查问卷。共完成110份调查问卷。

结果

通过广义线性模型分析,生活质量得分较高的参与研究的男性配偶:(a) 年龄较大(P = 0.01);(b) 希望得分较高(P = 0.01);(c) 内疚感得分较低(P < 0.01)(失落与悲伤分量表);(d) 一般自我效能感得分较高(P < 0.01);(e) 其患有乳腺癌的伴侣生活质量得分较高(P < 0.01)。

结论

希望、自我效能感、内疚感、年龄及其伴侣的生活质量与乳腺癌女性患者配偶的生活质量显著相关。

实践意义

研究结果强调了评估和培养乳腺癌女性患者配偶的希望与自我效能感以及减少其内疚感对提高他们生活质量的重要性。

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