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梅尼埃病中的关系质量、疾病干扰及伴侣支持

Relational quality, illness interference, and partner support in Ménière's disease.

作者信息

Pyykkö Ilmari, Manchaiah Vinaya, Zou Jing, Levo Hilla, Kentala Erna

机构信息

a Department of Otolaryngology, Hearing and Balance Research Unit , University of Tampere , Tampere , Finland.

b Department of Speech and Hearing Sciences , Lamar University , Beaumont , Texas , United States.

出版信息

Int J Audiol. 2018 Jan;57(1):69-75. doi: 10.1080/14992027.2017.1367847. Epub 2017 Aug 24.

Abstract

OBJECTIVE

The current study aimed to better understand how patients and their significant others (SOs) cope with Menière's disease (MD).

DESIGN

The study used a cross-sectional design and the data were collected using questionnaires.

STUDY SAMPLE

Seventy-five dyads in which one person had MD.

RESULTS

SOs of patients with MD not only experienced activity and participation restrictions but also had positive experiences. In relational quality, the SOs reported uncertainty of their future, limited visits in noisy places, limited activities as walking, watching TV, and participating in social life. The illness interference correlated with the patients' complaints, and most significant was the problem of imbalance. The quality of life was significantly reduced in patients with MD, and the illness interference in terms of quality of life was correlated with the SOs in items related to mood and anxiety. The stress related conditions of the SOs were correlated with two positive items (e.g. alleviating the stress factor). The SOs could also identify one positive item (i.e., improved relationship).

CONCLUSIONS

Perceptions of MD as interfering in couples' lives influence dyadic coping in unique ways. The current study identified that dyadic coping has both positive aspects and limitations as a consequence of their partner's MD.

摘要

目的

本研究旨在更好地了解患者及其重要他人(SOs)如何应对梅尼埃病(MD)。

设计

本研究采用横断面设计,通过问卷调查收集数据。

研究样本

75对中有一人患有MD的二元组。

结果

MD患者的SOs不仅经历了活动和参与限制,也有积极的体验。在关系质量方面,SOs报告了对未来的不确定性、在嘈杂场所的探访受限、如散步、看电视和参与社交生活等活动受限。疾病干扰与患者的主诉相关,最显著的是失衡问题。MD患者的生活质量显著降低,生活质量方面的疾病干扰在与情绪和焦虑相关的项目中与SOs相关。SOs的压力相关状况与两个积极项目相关(如减轻压力因素)。SOs也能识别出一个积极项目(即关系改善)。

结论

将MD视为干扰夫妻生活的认知以独特方式影响二元应对。本研究发现,作为其伴侣MD的结果,二元应对既有积极方面也有局限性。

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