Wang Chuntao, Wang Yaling, Bian Longyan, Wu Fan, Hengudomsub Pornpat, Wacharasin Chintana
Department of Nursing, Jiangsu Medical College, Yancheng, Jiangsu, China.
Faculty of Nursing, Burapha University, Muang, Chonburi, Thailand.
BMC Nurs. 2025 Aug 8;24(1):1042. doi: 10.1186/s12912-025-03571-2.
Cervical cancer and its treatment impose significant psychological and physical challenges for patients and their spousal caregivers. Understanding dyadic coping mechanisms and self-efficacy can significantly improve the quality of life (QoL) for both parties. However, research exploring these relationships from a dyadic perspective remains limited, particularly in the Chinese context.
This cross-sectional study involved 288 dyads of patients with cervical cancer and their spousal caregivers from five hospitals in Jiangsu Province, China, between November 2022 and August 2023. Participants completed validated scales, including the Dyadic Coping Inventory, the General Self-Efficacy Scale and the 12-item Short-Form health survey. The mediating role of self-efficacy in the relationship between dyadic coping and QoL was assessed using Actor-Partner Interdependence Mediation Model (APIMeM).
Findings indicate significant actor and partner effects, suggesting that both patients' and caregivers' dyadic coping positively influences their own and each other's self-efficacy and QoL. Mediation analyses revealed that: (1) patients' and caregivers' self-efficacy fully mediated the relationship between dyadic coping and mental QoL (MCS); while (2) patients' self-efficacy partially mediated the relationship between dyadic coping and physical QoL (PCS). Spousal caregivers reported higher dyadic coping and self-efficacy scores, which were associated with better mental QoL (MCS) outcomes compared to patients.
The study highlights the critical role of dyadic coping mechanisms and self-efficacy in enhancing the QoL of patients with cervical cancer and their spousal caregivers. These findings support the need for psychosocial interventions aimed at strengthening both dyadic coping and self-efficacy to improve the overall well-being in a cancer context. The insights offer a promising avenue for nursing practice in cervical cancer, suggesting that fostering these psychosocial resources can help manage the complex demands of cancer care.
宫颈癌及其治疗给患者及其配偶照顾者带来了重大的心理和身体挑战。了解二元应对机制和自我效能感可以显著提高双方的生活质量（QoL）。然而，从二元角度探索这些关系的研究仍然有限，尤其是在中国背景下。
这项横断面研究于2022年11月至2023年8月期间，纳入了来自中国江苏省五家医院的288对宫颈癌患者及其配偶照顾者。参与者完成了经过验证的量表，包括二元应对量表、一般自我效能量表和12项简短健康调查问卷。使用行为者-伙伴相互依赖中介模型（APIMeM）评估自我效能感在二元应对与生活质量关系中的中介作用。
研究结果表明存在显著的行为者和伙伴效应，这表明患者和照顾者的二元应对都对他们自己以及彼此的自我效能感和生活质量产生积极影响。中介分析显示：（1）患者和照顾者的自我效能感完全中介了二元应对与心理生活质量（MCS）之间的关系；而（2）患者的自我效能感部分中介了二元应对与身体生活质量（PCS）之间的关系。与患者相比，配偶照顾者报告的二元应对和自我效能感得分更高，这与更好的心理生活质量（MCS）结果相关。
该研究强调了二元应对机制和自我效能感在提高宫颈癌患者及其配偶照顾者生活质量方面的关键作用。这些发现支持了开展心理社会干预的必要性，旨在加强二元应对和自我效能感，以改善癌症背景下的整体幸福感。这些见解为宫颈癌护理实践提供了一条有前景的途径，表明培养这些心理社会资源有助于应对癌症护理的复杂需求。
