护理学报
護理學報
호이학보
Journal of Nursing
2015年
17期
34-37,38
,共5页
邾萍%王梅香%孙孟青%孟爱凤%董高悦
邾萍%王梅香%孫孟青%孟愛鳳%董高悅
주평%왕매향%손맹청%맹애봉%동고열
乳腺癌%配偶%婚姻调适%症状%生活质量
乳腺癌%配偶%婚姻調適%癥狀%生活質量
유선암%배우%혼인조괄%증상%생활질량
breast neoplasms%spouse%marital adjustment%symptom%quality of life
目的：了解乳腺癌患者及其配偶的婚姻调适现状，探讨患者婚姻调适的影响因素。方法采用方便抽样法，选取4所三级甲等医院243对乳腺癌住院患者及其配偶照顾者为研究对象，使用 Locke-Wallace 婚姻调适测定量表（ Marriage Adjustment Test，MAT）评估乳腺癌患者及配偶的婚姻调适情况，分别使用乳腺癌患者生活质量量表（Functional Assessment of Breast Cancer Therapy, FACT-B）和安德森症状评估量表（M.D Anderson Symptom Inventory, MADSI），评估患者生活质量和症状发生情况。结果婚姻调适得分患者为（104.80±21.88）分，配偶为（106.45±23.79）分，患者婚姻失调者占34.2%，配偶婚姻失调者占32.8%，一致性检验显示夫妻双方婚姻调适评估结果一致性不可靠（Kappa值为0.363）；多元线性回归分析显示：社会/家庭状况、患者症状严重程度、婚姻状况为患者婚姻调适的影响因素（F=11.174，R2=0.250，P=0.000）。结论大部分乳腺癌患者夫妻婚姻调适较好，两者婚姻调适情况互相影响，但不能用一方评估结果代替夫妻双方评估结果。应重点关注社会/家庭支持较少、症状程度严重、再婚的患者。鼓励配偶参与照顾工作，将患者—配偶作为一个整体实施干预，以提高其婚姻质量。
目的：瞭解乳腺癌患者及其配偶的婚姻調適現狀，探討患者婚姻調適的影響因素。方法採用方便抽樣法，選取4所三級甲等醫院243對乳腺癌住院患者及其配偶照顧者為研究對象，使用 Locke-Wallace 婚姻調適測定量錶（ Marriage Adjustment Test，MAT）評估乳腺癌患者及配偶的婚姻調適情況，分彆使用乳腺癌患者生活質量量錶（Functional Assessment of Breast Cancer Therapy, FACT-B）和安德森癥狀評估量錶（M.D Anderson Symptom Inventory, MADSI），評估患者生活質量和癥狀髮生情況。結果婚姻調適得分患者為（104.80±21.88）分，配偶為（106.45±23.79）分，患者婚姻失調者佔34.2%，配偶婚姻失調者佔32.8%，一緻性檢驗顯示伕妻雙方婚姻調適評估結果一緻性不可靠（Kappa值為0.363）；多元線性迴歸分析顯示：社會/傢庭狀況、患者癥狀嚴重程度、婚姻狀況為患者婚姻調適的影響因素（F=11.174，R2=0.250，P=0.000）。結論大部分乳腺癌患者伕妻婚姻調適較好，兩者婚姻調適情況互相影響，但不能用一方評估結果代替伕妻雙方評估結果。應重點關註社會/傢庭支持較少、癥狀程度嚴重、再婚的患者。鼓勵配偶參與照顧工作，將患者—配偶作為一箇整體實施榦預，以提高其婚姻質量。
목적：료해유선암환자급기배우적혼인조괄현상，탐토환자혼인조괄적영향인소。방법채용방편추양법，선취4소삼급갑등의원243대유선암주원환자급기배우조고자위연구대상，사용 Locke-Wallace 혼인조괄측정량표（ Marriage Adjustment Test，MAT）평고유선암환자급배우적혼인조괄정황，분별사용유선암환자생활질량량표（Functional Assessment of Breast Cancer Therapy, FACT-B）화안덕삼증상평고량표（M.D Anderson Symptom Inventory, MADSI），평고환자생활질량화증상발생정황。결과혼인조괄득분환자위（104.80±21.88）분，배우위（106.45±23.79）분，환자혼인실조자점34.2%，배우혼인실조자점32.8%，일치성검험현시부처쌍방혼인조괄평고결과일치성불가고（Kappa치위0.363）；다원선성회귀분석현시：사회/가정상황、환자증상엄중정도、혼인상황위환자혼인조괄적영향인소（F=11.174，R2=0.250，P=0.000）。결론대부분유선암환자부처혼인조괄교호，량자혼인조괄정황호상영향，단불능용일방평고결과대체부처쌍방평고결과。응중점관주사회/가정지지교소、증상정도엄중、재혼적환자。고려배우삼여조고공작，장환자—배우작위일개정체실시간예，이제고기혼인질량。
Objective To investigate the current status and influencing factors of marital adjustment between breast cancer patients and their spouses. Methods A questionnaire survey was conducted in 243 breast cancer patients and their spouses in four hospitals. They were investigated with Marital Adjustment Test (MAT), Functional Assessment of Breast Cancer Therapy (FACT-B) and MD Anderson Symptom Inventory (MDASI). Results The scores of MAT in breast cancer patients and their spouses were 104.80 ±21.88 and 106.45±23.79 respectively. The consistency check showed that assessment results of the couples were unreliable (Kappa=0.363). Social/family well-being, severity of symptoms and marital status had significant effect on marital adjustment of breast cancer patients and their spouses (F=11.174,R2=0.250,P=0.000). Conclusion Most breast cancer couples are satisfied with their marriage but around a third of couples present poor marital adjustment. Marital adjustment interact with each other between the couples but it is not suitable to evaluate only one of the couples. Strategies should be implemented on both patients and their spouses to improve the quality of marriage, especially the patients with less social/family support, high level of symptoms and those remarried.
