[1]姚梦真,李雪颖,孙铮.基于主-客体互倚模型分析血液透析患者及配偶二元应对对负性情绪的影响[J].军事护理,2023,40(10):17-20.[doi:10.3969/j.issn.2097-1826.2023.10.005]
　YAO Mengzhen,LI Xueying,SUN Zheng.The Influence of Dyadic Coping of Hemodialysis Patients and Their Spouses on Negative Emotions:An Analysis Based on Actor-partner Interdependence Model[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(10):17-20.[doi:10.3969/j.issn.2097-1826.2023.10.005]
点击复制

基于主-客体互倚模型分析血液透析患者及配偶二元应对对负性情绪的影响
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年10期
页码:
17-20
栏目:
论著
出版日期:
2023-10-15

文章信息/Info

Title:
The Influence of Dyadic Coping of Hemodialysis Patients and Their Spouses on Negative Emotions:An Analysis Based on Actor-partner Interdependence Model
文章编号:
2097-1826(2023)10-0017-04
作者:
姚梦真1; 李雪颖1; 孙铮2
(1.山东第一医科大学 护理学院,山东 济南 250117; 2.山东第一医科大学 临床与基础医学院)
Author(s):
YAO Mengzhen1; LI Xueying1; SUN Zheng2
(1.School of Nursing,Shandong First Medical University & Shandong Academy of Medical Sciences,Ji'nan 250117,Shandong Province,China; 2.School of Clinical and Basic Medical Sciences,Shandong First Medical University & Shandong Academy of Medical Sciences)
关键词:
血液透析患者;  配偶;  二元应对;  负性情绪;  主客体互倚模型
Keywords:
hemodialysis patient;  spouse;  dyadic coping;  negative emotion;  Actor-partner Interdependence Model
分类号:
R473
DOI:
10.3969/j.issn.2097-1826.2023.10.005
文献标志码:
A
摘要:
目的 基于主-客体互倚模型(actor-partner interdependence model,APIM)了解血液透析患者及配偶的应对方式对双方负性情绪的影响,为制订有效的干预措施提供帮助。方法 2021年12月至2022年6月,采用便利抽样法选取济南市2所三级甲等综合医院血液透析患者及配偶240对为研究对象,采用一般资料调查表、二元应对量表、医院焦虑和抑郁量表对其调查,通过主客体互倚模型,分析血液透析患者和配偶二元应对对负性情绪的影响。结果 血液透析患者二元应对总分为(113.83±11.91)分,低于配偶总分; 且患者的抑郁发生率高于配偶,差异均有统计学意义(均P<0.05)。血液透析患者、配偶的二元应对总分分别与自身及配偶的负性情绪均呈负相关(均P<0.01)。血液透析患者配偶的积极应对和消极应对均能预测自身的负性情绪(β=-0.29,0.14),即主体效应显著; 血液透析患者及其配偶积极应对均能预测对方的负性情绪(β=-0.37,-0.65),即客体效应显著。结论 血液透析患者及其配偶的应对方式与个体和客体的负性情绪密切相关,医护人员应及时发现和识别患者及配偶存在的负性情绪,将血液透析患者和配偶视为一个整体进行干预。
Abstract:
Objective To explore the influence of the coping styles of hemodialysis patients and their spouses on their negative emotions based on the Actor-partner Interdependence Model(APIM),and to provide reference for the development of effective intervention measures.Methods From December 2021 to June 2022,the convenience sampling method was used to select 240 pairs of hemodialysis patients and their spouses from 2 tertiary A hospitals in Ji 'nan,and a survey was conducted with General information questionnaire,Dyadic Coping Scale,Hospital Anxiety and Depression Scale.The effects of dyadic coping on negative emotions in hemodialysis patients and their spouses was analyzed with APIM.Results The total score of dyadic coping of hemodialysis patients was(113.83±11.91),which was lower than that of their spouses.The incidence of depression in the patients was higher than that in their spouses,and the differences were statistically significant(P<0.05).The total scores of dyadic coping of hemodialysis patients and their spouses were negatively correlated with their own negative emotions and their spouses' negative emotions(all P<0.01).The positive and negative coping styles of the spouses of hemodialysis patients could predict their own negative emotions(β=-0.29,0.14),that is,the subject effect was significant.The positive coping of hemodialysis patients and their spouses could predict the negative emotions of the other party(β=-0.37,-0.65),that is,the object effect was significant.Conclusion The coping style of hemodialysis patients and their spouses is closely related to the negative emotions of individuals and objects.Medical staff should find and identify the negative emotions of patients and their spouses in time,and treat hemodialysis patients and their spouses as a whole to intervene.

参考文献/References:

[1] WANG F,YANG C,LONG J,et al.Executive summary for the 2015 annual data report of the China kidney disease network(CK-NET)[J].Kidney Int,2019,95(3):502-505.
[2] PEREIRA B D S,FERNANDES N D S,DE MELO N P,et al.Beyond quality of life:a cross sectional study on the mental health of patients with chronic kidney disease undergoing dialysis and their caregivers[J/OL].[2023-01-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5392976/.DOI:10.1186/s12955-017-0646-4.
[3] GEROGIANNI G,POLIKANDRIOTI M,BABATSIKOU F,et al.Anxiety-depression of dialysis patients and their caregivers[J/OL].[2023-01-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6572629/.DOI:10.3390/medicina55050168.
[4] BODENMANN G,PIHET S,KAYSER K.The relationship between dyadic coping and marital quality:a 2-year longitudinal study[J].J Fam Psychol,2006,20(3):485-493.
[5] 张琦, 齐艳, 韩杰.二元应对干预在慢性病患者夫妻中的应用进展[J].解放军护理杂志,2021,38(9):53-56.
[6] LEE H,KANG H S,DE GAGNE J C.Life satisfaction of multicultural married couples:actor-partner interdependence model analysis[J].Health Care Women Int,2021,44(9):1106-1118.
[7] 雷晓芬.基于主客体互倚模型的不孕不育夫妇抑郁、生育压力、生活质量相关性研究[D].太原:山西医科大学,2022.
[8] KENNY D A,LEDERMANN T.Detecting,measuring,and testing dyadic patterns in the actor-partner interdependence model[J].J Fam Psychol,2010,24(3):359-366.
[9] GMELCH S,BODENMANN G,MEUWLY N,et al.Dyadic Coping Inventory(DCI): A questionnaire assessing dyadic coping in couples[J/OL].[2023-02-10].https://www.researchgate.net/publication/282543342_Dyadic_Coping_Inventory_DCI_A_questionnaire_assessing_dyadic_coping_in_couples DOI:10.1007/978-3-319-15877-8_678-1.
[10]XU F,HILPERT P,RANDALL A K,et al.Validation of the dyadic coping inventory with Chinese couples: factorial structure,measurement invariance,and construct validity[J].Psychol Assess,2016,28(8):e127-e140.
[11]ZIGMOND A S,SNAITH R P.The hospital anxiety and depression scale[J].Acta Psychiatr Scand,1983,67(6):361-370.
[12]安慧颖,王月芹,陈长英,等.中青年淋巴瘤患者二元应对水平及影响因素分析[J].护理学杂志,2020,35(3):70-73.
[13]刘小妹.中青年冠心病患者和配偶二元应对与焦虑抑郁的关系研究[D].苏州:苏州大学,2020.
[14]KHAIRA A,MAHAJAN S,KHATRI P,et al.Depression and marital dissatisfaction among Indian hemodialysis patients and their spouses:a cross-sectional study[J].Ren Fail,2012,34(3):316-322.
[15]STARKS S A,GRAFF J C,WICKS M N.Factors associated with quality of life of family caregivers of dialysis recipients[J].West J Nurs Res,2020,42(3):177-186.
[16]HATFIELD E,CACIOPPO J T,RAPSON R L.Emotional Contagion[M].New York:cambridge university press,1994:20-25.
[17]MARGUERITE S,LAURENT B,MARINE A,et al.Actor-partner interdependence analysis in depressed patient-caregiver dyads:influence of emotional intelligence and coping strategies on anxiety and depression[J].Psychiatry Res,2017(258):396-401.
[18]王晓丽.基于主客体互倚模型探讨先兆早产孕妇和配偶抑郁现状及其影响因素[D].济南:山东大学,2021.
[19]LAFAYE A,PETIT S,RICHAUD P,et al.Dyadic effects of coping strategies on emotional state and quality of life in prostate cancer patients and their spouses[J].Psychooncology,2014,23(7):797-803.
[20]LI Q,LIN Y,CHEN Y,et al.Mutual support and challenges among Chinese couples living with colorectal cancer: a qualitative study[J].Cancer Nurs,2018,41(5):E50-E60.
[21]LAZARUS R,FOLKMAN S.Stress,appraisal,and coping[M].New York:Free Press,1984:56-67.

相似文献/References:

[1]刘贺,郑蔚,苏闪闪,等.癌症患者夫妻疾病沟通评估工具的研究进展[J].军事护理,2022,39(03):82.[doi:10.3969/j.issn.1008-9993.2022.03.020]
[2]叶慧慧,葛莉娜,臧爽,等.二元应对在中老年妇科癌症患者配偶婚姻满意度与生活质量间的中介效应[J].军事护理,2022,39(05):26.[doi:10.3969/j.issn.1008-9993.2022.05.007]
　YE Huihui,GE Lina,ZANG Shuang,et al.Mediating Role of Dyadic Coping between Marital Satisfaction and Quality of Life in Spouses of Middle-Aged and Elderly Patients with Gynecological Cancer[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(10):26.[doi:10.3969/j.issn.1008-9993.2022.05.007]
[3]相丹丹,刘志薇,张振香,等.脑卒中患者夫妻二元抑郁的潜在剖面分析及相关因素[J].军事护理,2023,40(03):49.[doi:10.3969/j.issn.2097-1826.2023.03.012]
　XIANG Dandan,LIU Zhiwei,ZHANG Zhenxiang,et al.Latent Profile Analysis of Dyadic Depression among Stroke Patients and their Spouses and Its Related Factors[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(10):49.[doi:10.3969/j.issn.2097-1826.2023.03.012]
[4]肖扬,徐瑞生,任琳,等.二元应对干预对高级别脑胶质瘤患者及其配偶心理困扰和生活质量的影响[J].军事护理,2023,40(04):40.[doi:10.3969/j.issn.2097-1826.2023.04.010]
　XIAO Yang,XU Ruisheng,REN Lin,et al.Effects of Binary Coping Intervention on Psychological Distress and Quality of Life in Patients with High-grade Glioma and Their Spouses[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(10):40.[doi:10.3969/j.issn.2097-1826.2023.04.010]
[5]刘志薇,张振香,梅永霞,等.脑卒中患者配偶照顾者抑郁症状潜在类别分析及影响因素[J].军事护理,2023,40(04):56.[doi:10.3969/j.issn.2097-1826.2023.04.014]
　LIU Zhiwei,ZHANG Zhenxiang,MEI Yongxia,et al.Latent Class Analysis of Depressive Symptoms in Spouse Caregivers of Stroke Patients and the Influencing Factors[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(10):56.[doi:10.3969/j.issn.2097-1826.2023.04.014]
[6]周育萍,黄凡艳,陈宇琦,等.产妇及其配偶产后抑郁情绪与心理弹性、二元应对的主客体互倚关系研究[J].军事护理,2023,40(12):10.[doi:10.3969/j.issn.2097-1826.2023.12.003]
　ZHOU Yuping,HUANG Fanyan,CHEN Yuqi,et al.A Study on Subject-object Interdependence of Postpartum Depression, Mental Resilience and Dyadic Coping Between Puerperae and Their Spouses[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(10):10.[doi:10.3969/j.issn.2097-1826.2023.12.003]

备注/Memo

备注/Memo:
【收稿日期】2023-02-16【修回日期】2023-09-25
【基金项目】2021年山东省研究生教育质量提升计划和研究生教育创新计划项目(SDYKC21145)
【作者简介】姚梦真,硕士,电话:0538-6238121
【通信作者】孙铮,电话:0531-59567629
更新日期/Last Update: 2023-10-15