Application of nursing intervention based on dyadic coping theory in patients with spinal cord injury and their spouses
10.3760/cma.j.cn115682-20240102-00025
- VernacularTitle:基于二元应对理论的护理干预在脊髓损伤患者及其配偶中的应用
- Author:
Na YANG
1
;
Annuo LIU
;
Zonggui WANG
Author Information
1. 安徽医科大学护理学院，合肥 230601
- Keywords:
Spinal cord injury;
Dyadic coping;
Spouse;
Quality of life;
Coping ability;
Family functioning;
Intervention program
- From:
Chinese Journal of Modern Nursing
2024;30(26):3535-3541
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a nursing intervention program based on dyadic coping theory for patients with spinal cord injury (SCI) and their spouses, and to explore the effects of the program on improving their coping abilities and quality of life.Methods:The nursing intervention program was developed through literature review, expert panel discussions, and the Delphi method, guided by dyadic coping theory. Using convenience sampling, 90 pairs of patients with SCI and their spouses who underwent surgery in the Department of Orthopedics at the Second Affiliated Hospital of Anhui Medical University from January to August 2023 were selected. Participants were randomly divided into control group ( n=46) and observation group ( n=44). The control group received standard nursing care, while the observation group received the dyadic coping-based nursing intervention program in addition to standard care for three months. Both groups were assessed at admission and three months post-intervention using the Dyadic Coping Inventory (DCI), WHO Quality of Life-BREF (WHOQOL-BREF), and Family Adaptability and Cohesion Evaluation Scale (FACESⅡ) . Results:After three months, the DCI scores for patients and spouses in the observation group were (117.80±0.88) and (121.50±3.29), respectively. The WHOQOL-BREF scores for the patients and spouses were (80.50±1.77) and (81.09±1.58), respectively. The FACESⅡ scores for the patients were (65.70±0.95) and (48.68±1.03), respectively, and for their spouses were (67.02±0.88) and (49.55±1.27), respectively. All scores were significantly higher in the observation group compared to the control group ( P<0.05) . Conclusions:The nursing intervention program based on dyadic coping theory effectively improves the dyadic coping abilities, quality of life, and family functioning of patients with SCI and their spouses.
