School of Nursing, Jinzhou Medical University, No.40, Section 3, Songpo Road, Linghe District, Jinzhou City, Liaoning Province, P.R. China.
The First Affiliated Hospital of Jinzhou Medical University, No. 2, Section 5, Renmin Avenue, Guta District, Jinzhou, Liaoning, China.
BMC Psychiatry. 2024 Nov 29;24(1):860. doi: 10.1186/s12888-024-06289-8.
The disease impact of breast cancer is to view the couple as a whole, breast cancer is a disease shared by the couple. Cancer coping has evolved from an individual perspective to a dyadic coping perspective for couples. The purpose of this study was to identify and describe the dyadic coping categories of couples with breast cancer and to analyze the relationship between dyadic coping categories and post-traumatic growth (PTG) in couples with breast cancer.
In this study, breast cancer patients and their spouses were selected as the study population from several tertiary hospitals in Jinzhou City using convenience sampling method in 2023. A general information questionnaire, Dyadic Coping Inventory (DCI), and Post-traumatic Growth Inventory (PTGI) were used to survey 254 couples with breast cancer. Latent profile analysis (LPA) was performed using Mplus (version 8.3). SPSS 26.0 was used for data entry, and data were analyzed using one-way analysis of variance and multifactor logistic regression. Significance level α = 0.05.
The study examines the influence of various factors such as educational attainment, age, income, residence, medical insurance, surgical procedure type, disease stage, and breast cancer recurrence on patients' coping strategies. Multiple logistic regression analysis showed that education level, age at marriage, place of residence, form of health care coverage, stage of the disease, and whether or not the disease recurred were significant predictors of each indicator (P < 0.05). The LPA yielded four dyadic coping subgroups, with high relative entropy (0.942), respectively, each accounting for 7.4%, 17.1%, 24.3%, and 51.2% of the total. The study found that the high-level coping group scored significantly higher in all dimensions of binary coping with post-traumatic growth among different patient and spouse subgroups.
Couple dyadic coping in breast cancer patients was categorized into four groups. The low-level coping group is the one that needs focused observation and intervention. This is a better reference for caregivers to provide more targeted coping programs based on the different dyadic coping categories of couples of breast cancer patients.
乳腺癌的疾病影响是将夫妻视为一个整体，乳腺癌是夫妻共同患有的疾病。癌症应对已经从个体视角演变为夫妻的双重应对视角。本研究旨在确定和描述乳腺癌夫妻的双重应对类别，并分析乳腺癌夫妻的双重应对类别与创伤后成长（PTG）之间的关系。
本研究于 2023 年采用便利抽样法，从锦州市多家三级医院选取乳腺癌患者及其配偶作为研究对象。采用一般资料问卷、夫妻应对量表（DCI）和创伤后成长量表（PTGI）对 254 对乳腺癌夫妻进行调查。采用 Mplus（版本 8.3）进行潜在剖面分析（LPA）。SPSS 26.0 用于数据录入，采用单因素方差分析和多因素 logistic 回归进行数据分析。显著性水平α=0.05。
本研究考察了教育程度、年龄、收入、居住地、医疗保险、手术方式、疾病分期和乳腺癌复发等多种因素对患者应对策略的影响。多因素 logistic 回归分析显示，教育程度、婚龄、居住地、医保形式、疾病分期和疾病是否复发是各指标的显著预测因素（P<0.05）。LPA 得出四个夫妻双重应对亚组，相对熵分别为 0.942，总组的 7.4%、17.1%、24.3%和 51.2%。研究发现，在不同患者和配偶亚组中，高水平应对组在二元应对创伤后成长的所有维度上得分均显著较高。
乳腺癌患者的夫妻双重应对分为四组。低水平应对组是需要重点观察和干预的组。这为护理人员提供了更好的参考，以便根据乳腺癌患者夫妻的不同双重应对类别提供更有针对性的应对方案。
