Qiu Xiaoke, Mao Jiayu, Wang Can, Yang Xueli, Zhao Jie, Li Qiuping
Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu Province, China.
Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu Province, China.
Support Care Cancer. 2025 Mar 18;33(4):297. doi: 10.1007/s00520-025-09350-8.
To explore the unmet supportive care needs (USCNs) in colorectal cancer survivors and their spousal caregivers and identifying factors influencing USCNs from a dyadic perspective.
In this cross-sectional survey, a total of 343 dyads consisting of Chinese colorectal cancer survivors and their spousal caregivers were recruited from a dyadic perspective. This study evaluated participants' USCNs, psychological distress of anxiety and depression, and benefit finding. The Actor-Partner Interdependence Mediation Model (APIMeM) as data analysis approaches was used to capture the bidirectional and mediating effects between the variables, revealing key factors influencing USCNs in colorectal cancer couples.
A total of 343 colorectal cancer couples were surveyed, reporting different USCNs. The analysis revealed that psychological distress and benefit finding play a central role in influencing USCNs. These factors affect the dyadic health outcomes of both cancer survivors and their spousal caregivers through bidirectional relationships. Specifically, psychological distress influences USCNs through its impact on benefit finding, which mediates the relationship between psychological distress and unmet care needs in the dyads.
This study highlights the USCNs and its influencing factors within colorectal cancer couples. The APIMeM findings suggest that USCNs can be enhanced by reducing psychological distress and strengthening the protective role of benefit finding. In response to the unique needs of colorectal cancer couples, tailored psycho-social supportive care interventions should be developed, focusing on alleviating psychological distress and reinforcing the positive aspects of benefit finding, thereby fostering stronger bi-directional relationships and improving USCNs in this population.
从二元视角探讨结直肠癌幸存者及其配偶照顾者未满足的支持性护理需求（USCNs），并确定影响这些需求的因素。
在这项横断面调查中，从二元视角招募了总共343对由中国结直肠癌幸存者及其配偶照顾者组成的二元组。本研究评估了参与者的USCNs、焦虑和抑郁的心理困扰以及益处发现。采用演员-伙伴相互依赖中介模型（APIMeM）作为数据分析方法，以捕捉变量之间的双向和中介效应，揭示影响结直肠癌夫妇USCNs的关键因素。
共调查了343对结直肠癌夫妇，他们报告了不同的USCNs。分析表明，心理困扰和益处发现在影响USCNs方面起着核心作用。这些因素通过双向关系影响癌症幸存者及其配偶照顾者的二元健康结果。具体而言，心理困扰通过其对益处发现的影响来影响USCNs，益处发现在二元组中介导心理困扰与未满足的护理需求之间的关系。
本研究突出了结直肠癌夫妇中的USCNs及其影响因素。APIMeM的研究结果表明，通过减少心理困扰和加强益处发现的保护作用，可以提高USCNs。为了满足结直肠癌夫妇的独特需求，应制定量身定制的心理社会支持性护理干预措施，重点是减轻心理困扰和强化益处发现的积极方面，从而促进更强大的双向关系，并改善这一人群的USCNs。
