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首页> 外文期刊>Journal of family nursing >The Roles of Dyadic Appraisal and Coping in Couples With Lung Cancer
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The Roles of Dyadic Appraisal and Coping in Couples With Lung Cancer

机译：二元评估和应对在肺癌夫妇中的作用

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摘要

Given the high symptom burden and low survivability of lung cancer, patients and their spouses have been found to experience poor mental health. The current study examined the roles of dyadic appraisal and dyadic coping on the mental health of 78 couples living with non-small cell lung cancer. Multilevel modeling revealed that spouses, on average, reported significantly worse mental health than patients. Dyadic appraisal and dyadic coping played important roles in predicting mental health, controlling for known developmental and contextual covariates. Dyadic appraisal of the patient's pain and fatigue was significantly associated with spouse mental health, albeit in opposite directions. Dyadic coping significantly predicted patient mental health. The study underlines the need to incorporate routine screening of both patient and spouse mental health, and highlights the complex role of appraisal within the couple in a life-threatening context. Viewing the couple as a unit, rather than separate individuals, raises important awareness about the role of disparate illness appraisals and coping strategies within the dyad on the health of both members. Nurses are particularly well situated to engage in a collaborative family-focused approach to the couple with cancer that promotes communication and health.
机译：考虑到肺癌的高症状负担和低生存率，已发现患者及其配偶的心理健康状况较差。目前的研究检验了二元评估和二元应对对78例患有非小细胞肺癌的夫妇的心理健康的作用。多层次建模显示，平均而言，配偶所报告的心理健康状况远较患者差。二元评估和二元应对在预测心理健康，控制已知的发育和情境协变量方面发挥了重要作用。对患者的疼痛和疲劳的二重评估与配偶的心理健康显着相关，尽管方向相反。二重应对显着预测了患者的心理健康。这项研究强调了对患者和配偶的心理健康进行常规筛查的必要性，并强调了在威胁生命的背景下，夫妻之间评估的复杂作用。将夫妻视为一个单位而不是单独的个人，可以提高人们对两人健康中不同疾病评估和应对策略的作用的重要认识。护士处于特别有利的位置，可以采取以家庭为中心的协作方式来治疗患有癌症的夫妇，以促进沟通和健康。

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