通讯作者: 陈美华, chenmeihua34@Sina.com

DOI：10.12201/bmr.202410.00013

A study of factors influencing dyadic coping in young and middle-aged patients with malignant lymphoma

• 摘要：目的 调查和分析中青年淋巴瘤患者的二元应对水平及其影响因素，旨为提升他们面对疾病时的二元应对能力提供参考依据。方法 采用便利抽样法，选取2023年3月至2024年5月某三级甲等医院淋巴瘤内科病房共90对中青年淋巴瘤夫妻作为研究对象。选用一般资料调查表、二元应对量表、婚姻调适量表、淋巴瘤患者生命质量测定量表进行问卷调查，采用单因素分析、相关性分析及多元线性回归分析探索中青年淋巴瘤患者的二元应对影响因素。结果 回收有效问卷90份。单因素分析结果表明，对比不同年龄、居住环境、淋巴瘤类型及分期、医保类型、患者和配偶对疾病的了解程度，其二元应对得分的差异没有统计学意义（P>0.05）；对于不同性别、文化水平、化疗周期以及家庭月均收入的患者，二元应对得分的差异有统计学意义（P<0.05）。中青年淋巴瘤患者的二元应对得分124.022±22.924分，婚姻质量得分119.156±18.821分，生命质量测定量表得分120.811±20.170分，相关性分析结果显示三者呈正相关。多元线性回归分析结果表明，影响患者二元应对的主要因素是患者的化疗周期、家庭月均收入、文化程度、婚姻质量和生命质量。结论 中青年淋巴瘤患者的二元应对水平处于中等水平，仍有进一步提升的空间。临床工作中应重点关注疾病治疗初期、家庭经济收入低、文化水平低、婚姻状态不稳定、生活质量差的中青年淋巴瘤夫妻，协助他们从疾病的症状管理和夫妻之间的二元关系角度出发，制定相应的干预策略，旨在增强他们的二元应对能力。

  关键词： 淋巴瘤; 中青年; 二元应对; 影响因素

   

  Abstract: Objective To investigate and analyze the level of dyadic coping and its influencing factors in young and middle-aged lymphoma patients, aiming to provide a reference basis for improving their dyadic coping ability when facing the disease. Methods A total of 90 young and middle-aged lymphoma couples in the lymphoma medical ward of a tertiary care hospital from March 2023 to May 2024 were selected for the study using convenience sampling method. The General Information Questionnaire, Dyadic Coping Inventory, Dyadic Adjustment Scale, and The Functional Assessment of Cancer Therapy-lymphoma were selected for the questionnaire survey, and the influencing factors of dyadic coping in young and middle-aged lymphoma patients were explored using univariate analysis, correlation analysis, and multiple linear regression analysis. Results Ninety valid questionnaires were collected. The results of the univariate analysis showed that the differences in the dyadic coping scores were not statistically significant when comparing different ages, living environments, types and stages of lymphoma, types of health insurance, and patients and spouses knowledge of the disease (P>0.05), and in the comparison of dyadic coping scores for patients with different levels of genders, literacy levels, cycles of chemotherapy, and average monthly household incomes, the difference was statistically significant (P<0.05). Young and middle-aged lymphoma patients had a dyadic coping score of 124.022±22.924, a dyadic adjustment scale score of 119.156±18.821, and a functional assessment of cancer therapy-lymphoma score of 120.811±20.170, and correlation analyses showed that the three were positively correlated. Multiple regression analysis showed that patients average monthly family income and marital quality were the main factors affecting their dyadic coping. Conclusion The dyadic coping ability of young and middle-aged lymphoma patients is at an intermediate level, and there is still room for further improvement. The work should focus on young and middle-aged lymphoma couples in the early stages of disease treatment, with low family financial income, low literacy levels, unstable marital status and poor quality of life, assisting them to develop appropriate intervention strategies from the perspectives of symptom management of the disease and dyadic relationships between the couples, aiming to enhance their dyadic coping skills.

  Key words: lymphoma; Young and middle-aged; Dyadic coping; Influencing factors

  提交时间：2024-10-08

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  1	2024-09-15	bmr.202410.00013V1	下载

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