Amirshamsi Mohammad, Shahrbabaki Parvin Mangolian, Dehghan Mahlagha
Author Affiliation: Nursing Research Center, Department of Critical Care Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Iran.
Cancer Nurs. 2022;45(2):E614-E620. doi: 10.1097/NCC.0000000000001010.
Cancer is one of the most important diseases of the present century worldwide. Patients and their spouses can find more difficulty accepting the diagnosis of cancer than its phases of treatment. Both the physical health and mental health of the patient and spouse are important in the process of recovery from cancer and its treatment.
The aim of this study was to determine the relationship between coping strategies for stress and self-efficacy in patients with cancer and that of their spouses.
In this descriptive-analytical cross-sectional study, 91 patients and their 91 spouses completed the Endler and Parker Coping Inventory, the Sherer General Self-Efficacy Scale, and a demographic information questionnaire.
The problem-oriented coping style was used more than the other strategies by patients with cancer and their spouses. The least used coping style by patients and their spouses was the avoidance style. The self-efficacy of patients and their spouses was above average. Self-efficacy was directly and moderately correlated with problem-oriented coping style (P < .001) and inversely and moderately correlated with emotion-oriented coping style (P < .001).
Adoption of strategies like training and consulting may enhance the problem-focused coping style and reduce emotion-focused coping style and therefore lead to increased self-efficacy in patients and their spouses.
Healthcare providers', especially nurses', knowledge and sensitivity about the coping strategies of patients with cancer and their spouses may help providers select more effective interventions for improving patients' and their spouses' effective coping styles and self-efficacy.
癌症是本世纪全球最重要的疾病之一。与癌症治疗阶段相比，患者及其配偶可能更难接受癌症诊断。在从癌症及其治疗中康复的过程中，患者及其配偶的身心健康都很重要。
本研究旨在确定癌症患者及其配偶应对压力的策略与自我效能之间的关系。
在这项描述性分析横断面研究中，91名患者及其91名配偶完成了恩德勒和帕克应对量表、谢勒一般自我效能量表以及一份人口统计学信息问卷。
癌症患者及其配偶使用问题导向型应对方式多于其他策略。患者及其配偶最少使用的应对方式是回避型。患者及其配偶的自我效能高于平均水平。自我效能与问题导向型应对方式呈直接且中等程度的相关性（P <.001），与情绪导向型应对方式呈反向且中等程度的相关性（P <.001）。
采用培训和咨询等策略可能会增强以问题为中心的应对方式，减少以情绪为中心的应对方式，从而提高患者及其配偶的自我效能。
医疗保健提供者，尤其是护士，对癌症患者及其配偶应对策略的了解和敏感度可能有助于他们选择更有效的干预措施，以改善患者及其配偶的有效应对方式和自我效能。
