Duan Xiaocui, Yang Xiumu, Duan Yongli, Shao Yujiao, Xu Xuejun, Zhao Shuang, Zhang Zeyu, Chen Yongxia, Sun Caixia, Zhang Shiqing, Shen Zhengfu, Xiong Yunbo, Zhang Yanfang, Zhao Long, Yang Yue
School of Nursing, Bengbu Medical University, Longzihu District, 2600 Donghai Avenue, Bengbu, 233000, Anhui, China.
Nursing Department of Fuyang People's Hospital, Fuyang, Anhui, China.
Support Care Cancer. 2025 Jul 1;33(7):643. doi: 10.1007/s00520-025-09704-2.
Breast cancer has become a stressful event that endangers the physical and mental health of women and their families. Post-traumatic growth refers to the positive psychological changes individuals experience as a result of coping with breast cancer. It can help individuals alleviate negative emotions, reduce physical and psychological stress, and increase self-confidence. The purpose of this study is to explore the influencing factors in the post-traumatic growth journey of couples where one partner has breast cancer and to provide reference information for the clinical development of dyadic interventions for couples.
Using phenomenological research, semi-structured interviews were conducted with 13 pairs of breast cancer patients and their spouses through a purposive sampling method, and the Colaizzi 7-step analysis approach was used to analyze the transcribed materials.
A total of three themes and nine subthemes were distilled. The most significant facilitators of post-traumatic growth included multiple support systems, psychological adjustment in social interaction, and personal strength enhancement. Additional adaptive regulatory factors for post-traumatic growth included reconstruction of healthy behaviors and selective avoidance of negative information. The key obstacle factors of post-traumatic growth included multiple pressure challenges, family and social alienation, insufficient health literacy related to cancer, and distressing chemotherapy-related symptoms.
The post-traumatic growth of breast cancer patients and their spouses is dynamically interacted with and influenced by facilitator factors, obstacle factors, and adaptive regulatory factors. Medical staff can formulate dyadic intervention strategies for the post-traumatic growth of couples based on influencing factors, aiming to improve the physical and mental health of both.
乳腺癌已成为危及女性及其家庭身心健康的应激事件。创伤后成长是指个体在应对乳腺癌过程中所经历的积极心理变化。它有助于个体缓解负面情绪、减轻身心压力并增强自信心。本研究旨在探讨一方患有乳腺癌的夫妻创伤后成长历程中的影响因素，为夫妻二元干预的临床开展提供参考依据。
采用现象学研究方法，通过目的抽样法对13对乳腺癌患者及其配偶进行半结构式访谈，并运用Colaizzi 7步分析法对转录材料进行分析。
共提炼出三个主题和九个次主题。创伤后成长最显著的促进因素包括多重支持系统、社交互动中的心理调适以及个人力量增强。创伤后成长的其他适应性调节因素包括健康行为重建和对负面信息的选择性回避。创伤后成长的关键阻碍因素包括多重压力挑战、家庭和社会疏离、癌症相关健康素养不足以及令人痛苦的化疗相关症状。
乳腺癌患者及其配偶的创伤后成长与促进因素、阻碍因素及适应性调节因素动态相互作用并受其影响。医护人员可根据影响因素为夫妻创伤后成长制定二元干预策略，旨在改善双方的身心健康。
