摘要
目的探讨去势治疗前列腺癌患者不同时间点二元应对水平的纵向变化情况,并分析其相关因素。方法采用前瞻性研究方法,选取2022年10月至2024年10月在温州市某医院泌尿外科收治的75例接受去势治疗的前列腺癌患者为研究对象,应用二元应对量表(CDCI)、Locke-Wollance婚姻量表(MAT)和一般情况调查表对患者进行调查,纵向比较患者在去势治疗1个月时、3个月时、6个月时和12个月时二元应对水平情况的变化,并通过多重线性回归分析接受去势治疗前列腺癌患者二元应对水平情况变化的相关因素。结果随访结束时共70例患者完成调查,治疗1个月时、3个月时、6个月时和12个月时CDCI得分分别为(108.93±14.92)分,(111.39±15.37)分,(104.77±14.30)分,(104.46±13.99)分。多重线性分析显示,职业(b=-7.78,95%CI:-15.12~-0.45)和婚龄(b=-4.41,95%CI:-8.35~-0.47)是长期接受去势治疗的前列腺癌患者二元应对水平的重要影响因素。结论长期接受去势治疗前列腺癌患者的二元应对能力处于偏低水平,并随着时间的发展呈先上升后下降趋势,职业和婚龄是二元应对能力变化的重要危险因素,可通过对患者夫妻双方的评估,采取促进夫妻双方协作的措施,提高患者关于疾病的知识储备,以此来增强患者的二元应对能力。
Objective To investigate the dyadic coping of patients with non-metastatic prostate cancer after castration therapy andto analyze its influencing factors.Methods A prospective research method was adopted to select 75 prostate cancer patients who received castration therapy and were admitted to the Department of Urology of a Hospital in Wenzhou City from Octo-ber 2022 to October 2024 as the research subjects.The Chinese Version of Dyadic Coping Inventory(CDCI),the Lock-Wollance Marriage Adjustment Test(MAT)and General Situation Questionnaire were applied for investigation to compare longitudinally the changes in the binary coping levels of patients at the 1 th,3 th,6th and 12th months after castration therapy.Multiple linear re-gression was used to analyze the related factors of the changes in the binary coping level of prostate cancer patients undergoing castration therapy.Results At the end of follow-up,70 patients completed the investigation.The CDCI scores at 1 month,3 month,6 month and 12 month of the treatment were(108.93±14.92),(111.39±15.37),(104.77±14.30),and(104.46±13.99)points.The multiple linear regression analysis showed that occupation(b=-7.78,95%CI:-15.12--0.45)and dura-tion of marriage(b=-4.41,95%CI:-8.35--0.47)might be significant influencing factors of dyadic coping levels in prostate cancer patients undergoing long-term androgen deprivation therapy.Conclusion The dual coping ability of prostate cancer pa-tients receiving castration treatment for a long time is at a low level,and it increases first and then decreases with the development of time.Occupation and marital duration serve as significant risk factors for dyadic coping capacity deterioration.Implementing conjoint spousal assessments and adopting interventions to enhance marital collaboration,coupled with targeted patient education to improve disease-related knowledge,may effectively strengthen dyadic coping abilities in this patient population.
作者
李萍
吴程为
吴帆
项梦帆
陈好
Li Ping;Wu Chengwei;Wu Fan;Xiang Mengfan;Chen Hao(The First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)
出处
《中国医院统计》
2026年第1期31-35,42,共6页
Chinese Journal of Hospital Statistics
基金
温州市科技局项目(Y20220694)。
关键词
去势治疗
二元应对
前列腺癌
亲密关系
castration therapy
dyadic coping
prostate cancer
intimate relationship
