An analysis of correlation between dyadic coping in patients with hematological tumors and their spouses and fear of progression
10.3761/j.issn.0254-1769.2025.06.012
- VernacularTitle:血液肿瘤患者及其配偶二元应对与恐惧疾病进展的相关性分析
- Author:
Xuehua LIU
1
;
Jianhong WANG
;
Lihong YANG
;
Jiali LIU
;
Yanping QIAO
;
Xiaoyan LI
Author Information
1. 250021 济南市 山东第一医科大学附属省立医院血液科
- Publication Type:Journal Article
- Keywords:
Hematological Tumors;
Spouse;
Dyadic Coping;
Fear of Progression;
Actor-Partner Interdepen-dence Model;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(6):717-722
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the impact of dyadic coping on fear of progression in patients with hematological tumors and their spouses based on the Actor-Partner Interdependence Model(APIM),and to provide references for clinical intervention.Methods By the convenient sampling method,136 pairs of hematological tumor patients and their spouses were selected from October 2023 to January 2024 in 5 tertiary hospitals in Shandong Province.A general information questionnaire,Dyadic Coping Inventory,Fear of Progression Questionnaire Short Form,and Fear of Progression Questionnaire Short Form/Partner Version were used to conduct the investigation.Amos 24.0 software was used to establish the APIM for dyadic coping with fear of progression.Results A total of 280 survey questionnaires were distributed,and 272 valid questionnaires were collected,including 136 from patients and their spouses,with an effective rate of 97.14％.The dyadic coping scores of hematological tumors patients and their spouses were(129.50±20.58)and(132.71±15.70),respectively,while the fear of progression scores were(31.71±3.13)and(29.01±3.05),respectively.Regarding the actors'effects,the level of dyadic coping strategies of patients and their spouses can both predict their own fear of progression,and are negatively correlated(β1=-0.52,β2=-0.41;P＜0.001).Regarding the partners'effects,the degree of fear of progression in patients is negatively correlated with the dyadic coping level of their spouses(β=-0.19,P＜0.001).Conclusion There is an interactive effect between the fear of progression and the level of dyadic coping between hematological tumor patients and their spouses.This suggests that clinical nursing staff should pay attention to the evaluation of fear of progression in patients with hematological tumors and their spouses,and effectively reduce the level of fear of progression on both sides.
