Interaction among dual coping, marital adjustment and hope in family-clustered liver cancer patients and their spouses
10.3760/cma.j.cn211501-20240621-01621
- VernacularTitle:家族聚集性肝癌患者及其配偶二元应对、婚姻调适对夫妻希望水平的交互影响
- Author:
Zhenling ZHANG
1
;
Yanhui WANG
1
;
Ruishuang ZHENG
1
;
Xin LI
1
;
Xiaoman WANG
1
Author Information
1. 天津医科大学肿瘤医院 国家恶性肿瘤临床医学研究中心 天津市恶性肿瘤临床医学研究中心肝胆肿瘤科，天津 300060
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Spouses;
Patients;
Dual coping;
Marriage adjustment;
Hope
- From:
Chinese Journal of Practical Nursing
2024;40(35):2757-2764
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the impact of dual coping and marital adjustment of patients with familial clustering liver cancer and their spouses on the hope levels of both partners based on the model of mutual dependence between subject and object, and to provide a theoretical basis for clinical intervention.Methods:A cross-sectional study design was adopted. From October 2022 to July 2024, a convenience sampling method was used to select 238 pairs of patients with familial clustering of liver cancer and their spouses from the hepatobiliary cancer department of Tianjin Medical University Cancer Institute and Hospital. Data were collected using general information questionnaires, Dyadic Coping Inventory, Locke-Wollance Marital Adjustment Test, and Herth Hope Scale. The AMOS 24.0 software was employed to establish a model of mutual dependence between dual coping, marital adjustment, and hope levels.Results:A total of 238 pairs of patients with familial clustering of liver cancer and their spouses were included in the study. Among the patients, 158 were male and 80 were female, aged 24-83 (51.80 ± 10.38) years. Among the spouses, 80 were male and 158 were female, aged 23-76 (52.95 ± 9.97) years. The dual coping score of patients with familial clustering liver cancer was (118.55 ± 14.04) points, marital adjustment score was (88.96 ± 19.25), and hope level score was (35.97 ± 3.29); the dual coping score of spouses was (123.64 ± 16.05), marital adjustment score was (91.36 ± 17.08), and hope level score was (36.73 ± 3.33). There was no statistically significant difference in the binary coping scores between the two ( P>0.05), while there were statistically significant differences in the scores of marital adjustment and hope level ( t = - 4.90, - 3.37, both P<0.05). The results of the model of mutual dependence showed that the dual coping of patients and spouses could positively predict their own and each other′s hope levels ( β = 0.103, 0.097, 0.088, 0.094, all P<0.05); marital adjustment of patients and spouses could positively predict their own hope levels ( β = 0.086, β = 0.091, both P<0.05), but the marital adjustment of patients could not positively predict the hope level of their spouses ( β = 0.028, P = 0.106), while the marital adjustment of spouses could positively predict the hope level of patients ( β = 0.102, P<0.05). Conclusions:The hope levels of both partners are influenced not only by their own dual coping levels but also by marital adjustment. It is suggested that nursing staff should pay attention to the interactive effects of patients′and spouses′dual coping levels and marital adjustment and actively explore interventions targeting dual coping and marital adjustment to improve the hope levels of couples.
