Effect of postoperative coping style on marital quality and spouse post-traumatic growth in breast cancer patients
10.3760/cma.j.cn115682-20220507-02217
- VernacularTitle:乳腺癌患者术后应对方式对婚姻质量及配偶创伤后成长水平的影响
- Author:
Cuifeng WU
1
;
Bolin HUANG
;
Linghua WU
Author Information
1. 铜陵市妇幼保健院（第四人民医院）乳腺外科，铜陵 244000
- Keywords:
Breast neoplasm;
Radical prostatectomy;
Coping style;
Marital quality;
Spouse;
Post-traumatic growth
- From:
Chinese Journal of Modern Nursing
2022;28(29):4058-4063
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of postoperative coping style on marital quality and spouse post-traumatic growth in breast cancer patients.Methods:A total of 80 breast cancer patients who underwent radical mastectomy and chemotherapy in Department of Breast Surgery in Tongling Maternal and Child Health Hospital from January 2016 to June 2021 were selected and they were followed up for 0.5 to 1.0 year. Medical Coping Modes Questionnaire (MCMQ) , Olson Marital Quality Questionnaire (ENRICH) and Posttraumatic Growth Inventory (PTGI) were used to investigate patients and their spouses. A total of 80 questionnaires were distributed and 80 valid questionnaires were recovered, with an effective recovery rate of 100%. The correlations among medical coping, marital quality and spouse's post-traumatic growth in 80 breast cancer patients were analyzed.Results:ENRICH score and PTGI score of spouse in 80 breast cancer patients were positively correlated with the face dimension score of MCMQ ( r=0.549-0.693, P<0.05) , and negatively correlated with the avoidance and yield dimension score ( r=-0.256--0.391, P<0.05) . In the mediating effect model, the regression coefficients of multiple linear regression analysis were all significant ( P<0.05) . The indirect effects of facing, avoiding and yielding coping styles on spouse's post-traumatic growth and marital quality were 0.382, 0.183 and 0.079 (95% CI did not include 0) , and the relative effects were 47.04%, 22.54%, and 9.73%, respectively. Conclusions:Face is the main coping style of breast cancer patients after surgery. The face coping style is not only positively correlated with the quality of marriage and the level of post-traumatic growth of spouse, but also plays a mediating effect between them. For spouses of patients with poor post-traumatic growth level, the quality of marriage can be improved by improving the level of post-traumatic growth of patients' spouses and the coping ability of patients.
