Dyadic coping and negative emotions in cervical spinal stenosis and incomplete paralysis patients and their spouses
10.3760/cma.j.cn115682-20220712-03399
- VernacularTitle:颈椎管狭窄伴不全瘫患者及其配偶二元应对和负性情绪的调查分析
- Author:
Tian YUAN
1
;
Pingxia ZHANG
;
Jisheng SUI
;
Lingxia ZHANG
Author Information
1. 南京医科大学附属南京医院（南京市第一医院）骨科，南京 210006
- Keywords:
Spinal stenosis;
Incomplete paralysis;
Spouses;
Dyadic coping;
Anxiety;
Depression
- From:
Chinese Journal of Modern Nursing
2023;29(20):2738-2742
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the dyadic coping and negative emotional of patients with cervical spinal stenosis accompanied by incomplete paralysis and their spouses, and analyze the differences between the patients and their spouses.Methods:From January 2019 to January 2021, purposive sampling was used to select 120 patients with cervical spinal stenosis accompanied by incomplete paralysis and their spouses who were hospitalized in the Department of Orthopedics of Nanjing First Hospital, Nanjing Medical University (Nanjing First Hospital) as the study subject. The Dyadic Coping Inventory and the Hospital Anxiety and Depression Scale were used to evaluate the dyadic coping, anxiety, and depression of patients and their spouses, respectively.Results:The total score of the Dyadic Coping Inventory for patients with cervical spinal stenosis and incomplete paralysis, as well as the item average scores of pressure communication, support dyadic coping, agency dyadic coping, common dyadic coping, and negative dyadic coping dimensions, were (107.28±17.35), (1.21±0.38), (1.39±0.67), (1.46±0.33), (1.21±0.48), and (3.88±0.75), respectively. The spouse's scores were (108.22±16.54), (1.34±0.69), (1.85±0.49), (1.57±0.61), (1.93±0.43), and (2.85±0.61), respectively. There were statistically significant differences in scores between patients and their spouses in support dyadic coping, common dyadic coping, and negative dyadic coping dimensions ( P<0.05), while there was no statistically significant difference in total scores and other dimensions ( P>0.05). In the survey of patients' dyadic coping level, 62 cases (51.7%, 62/120) were at low level, 34 cases (28.3%, 34/120) were at medium level, and 24 cases (20.0%, 24/120) were at high level. Among the spouses of patients, 58 (48.3%, 58/120) were at low level, 36 (30.0%, 36/120) were at medium level, and 26 (21.7%, 26/120) were at high level. There was no statistically significant difference in the proportion of low, medium and high levels between patients and their spouses ( P>0.05). The anxiety subscale score of patients with cervical spinal stenosis and incomplete paralysis was (18.79±3.93), the depression subscale score was (18.95±4.82), and the total score of the Hospital Anxiety and Depression Scale was (39.27±4.21). The anxiety score of the patient's spouse was (19.13±2.68), the depression score was (19.22±4.03), and the total score was (40.04±4.77). There was no statistically significant difference in anxiety, depression, and total scores between patients and their spouses ( P>0.05) . Conclusions:Patients with cervical spinal stenosis accompanied by incomplete paralysis and their spouses have low levels of positive dyadic coping, high levels of negative dyadic coping, and widespread negative emotions such as anxiety and depression. Nurses should pay attention to the important role of spouses in the diagnosis, treatment, and rehabilitation of patients with cervical spinal stenosis and incomplete paralysis, and provide scientific psychological intervention to patients and their families together.
