The status and influencing factors of the dyadic coping in spouses of young and middle-age cervical cancer patients undergoing synchronous radiotherapy and chemotherapy / 中国实用护理杂志

Objective:To analyze the status of the dyadic coping in spouses of young and middle-age cervical cancer patients undergoing synchronous radiotherapy and chemotherapy, and to explore the influencing factors in bi-directional of patients and their spouses.Methods:With the convenience sampling method, a total of 150 cervical cancer patients undergoing synchronous radiotherapy and chemotherapy who were hospitalized in the Radiotherapy Department of Tianjin Medical University Cancer Institute and Hospital from March 2021 to February 2022 and their spouses were selected. A cross-sectional study was conducted by the Dyadic Coping Inventory, the Lock-Wallace Marital Adjustment Test, the General Self-Efficacy Scale, the Hospital Anxiety and Depression Scale, etc. Besides, multiple linear regression was used to identify predictors of the dyadic coping in spouses of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy.Results:The total score of dyadic coping, marital quality, general self-efficacy, anxiety and depression in spouses of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy were (121.69 ± 19.67), (97.23 ± 25.05), (25.13 ± 5.19), (9.98 ± 3.46), (8.19 ± 4.06) points. The scores of anxiety and depression of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy were (10.57 ± 3.60), (9.10 ± 4.12) points. Multiple linear regression analysis showed that factors of the patients′ anxiety and depression, spouse′s perception of marital quality, spouse′s general self-efficacy, changes in family relationship, family income, and period of radiotherapy were the main influencing factors ( P<0.01), which accounted for 55.7% of total variation. Conclusions:The level of dyadic coping in spouses of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy was medium, the marriage quality remains to be further improved,and its influence factors involved in the bi-directional of patient and spouse, including patients′ anxiety and depression, the changes of the family relationship, period of radiotherapy, spouses perception of marital quality and self-efficacy and family income. Clinical medical staff can improve the level of dyadic coping in spouses of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy by improving their cognition of disease, reducing the incongruence of dyadic illness appraisals, and taking multiple measures to reduce the economic burden felt of the spouses.

The intermediary effect of dyadic coping style in the relationship between psychological distress and intimate relationship in stroke patients / 中国实用护理杂志

Objective:To explore the relationship between psychological distress and intimacy in stroke patients and the mediating effect of different dyadic coping style, to provide theoretical guidance for improving the intimate relationship of stroke patients.Methods:A convenient sampling method was used to select 203 patients with stroke who visited the General Hospital of Ningxia Medical University, the People's Hospital of Ningxia Hui Autonomous Region and the Department of Neurology of Yinchuan First People's Hospital from December 2020 to July 2021 as the survey objects. The general information questionnaire, Kessler Psychological Distress Scale, Quality of Relationship Index and Dyadic Coping Inventory were used to investigate patients.Results:The scores of psychological distress, intimate relationship, positive dyadic coping and negative dyadic coping were 19.33 ± 7.46, 32.75 ± 6.79, 86.25 ± 13.22, and 16.46 ± 4.08, respectively. Correlation analysis showed that psychological distress was negatively correlated with intimate relationship and positive dyadic coping ( r=-0.195, -0.204, both P<0.01), psychological distress was positively correlated with negative dyadic coping ( r=0.229, P<0.01). The mediating effect of positive dyadic coping and negative dyadic coping on psychological distress and intimate relationship was 35.87% and 53.26%, respectively. Conclusions:The psychological distress indirectly affects the intimate relationship of stroke patients through positive dyadic coping and negative dyadic coping. Health care workers can guide patients to actively cope with the disease and encourage couples to strengthen communication, so as to enhance the intimacy of couples and promote their physical and mental health development.

Relationship of common dyadic coping to marital satisfaction and quality of life for patients with brain injury and their spouses in a rehabilitation facility: using common fate model / 中国康复理论与实践

ObjectiveTo investigate common dyadic coping (CDC) in linking with marital satisfaction and quality of life (QOL) in patients with brain injury and their spouses in a rehabilitation facility by using common fate model (CFM). MethodsFrom October, 2022 to June, 2023, 101 brain injury inpatients and their spouses in Beijing Bo'ai Hospital completed the questionnaire of Dyadic Coping Inventory, Kansas Marital Satisfaction Scale and World Health Organization Quality of Life. ResultsThe level of CDC between patients and their spouses significantly positively correlated with their marital satisfaction for both partners (β = 0.814, P < 0.001), as well as correlated with their quality of life (β = 0.271, P = 0.038; β = 0.481, P < 0.001). For the dimensions of QOL, the physical, psychological, social relationship and environmental dimensions significantly positive correlated with the CDC for the spouses, and only psychological and social relationship dimensions for the patients. ConclusionFacing the stress of brain injury, the level of CDC within couples can positively predict their marital satisfaction and QOL, and effect seems stronger for the spouses. It is advisable to consider both brain injured patients and their spouses as a whole to promote psychological adaptation and improve rehabilitation outcomes.

Construction and preliminary validation of discharge preparation service for elderly lung neoplasms patientsand caregivers based on dualistic coping theory / 中国实用护理杂志

Objective:To construct a discharge preparation service program for elderly lung cancer patients and their caregivers based on binary coping theory, evaluate its clinical feasibility.Methods:To develop discharge preparation service for elderly lung cancer patients and their caregivers by literature retrieval, expert correspondence consultation and theoretical research. The program included three themes: binary evaluation, binary management behaviorand binary health, and six intervention strategies: evaluation of symptoms, care goals and intentions, decision making, emotional communication support, management of physical function changes and general health behavior. From July to September 2021, 30 pairs of elderly lung cancer patients and their caregivers were recruited and assigned into the control group and the experimental group with 15 pairs in each group according to random numbers generated by computer. The feasibility and clinical effect of the program were evaluated by feasibility evaluation index, discharge readiness, dual coping and comprehensive needs scale of caregivers.Results:In this study, the recruitment rate was 76%(32/42), the retention rate was 94%(30/32), and the acceptance rate of the intervention plan in the experimental group was 100%. After intervention, the total scores of discharge readiness was (83.00 ± 2.59), the patient dyadic coping was (136.80 ± 4.54), caregiver dyadic coping was (136.33 ± 3.56) and caregiver comprehensive needs was (124.37 ± 11.69) in the experimental group, which were better than those of in the control group, (74.40 ± 4.17), (129.07 ± 4.83), (120.33 ± 9.17) and (206.57 ± 9.14), the differences were statistically significant ( t values were -6.78- 5.54, all P< 0.05). Conclusion:The discharge preparation service plan for elderly lung cancer patients and caregivers based on dyadic coping theory is scientific and feasible, but the plan still needs further optimization, improvement and large sample randomized controlled trial to verify.

Research progress on dyadic coping of pregnant women and their spouses / 中国实用护理杂志

This article reviewed the concept and theoretical models of dyadic coping, as well as the related factors of dyadic coping of pregnant women and their spouses, and introduced the application status of dyadic coping in pregnant women and their spouses. To provide a reference for constructing a dyadic coping intervention plan between pregnant women and their spouses based on the cultural background of China.

Estilos de comunicación como predictores del estrés y el afrontamiento diádico en matrimonios puertorriqueños / Communication Styles as Stress Predictors and Dyadic Coping in Puerto Rican Marriages / Estilos de comunicação como preditores do stress e o afrontamento diádico em matrimônios porto-riquenhos

Resumen Objetivo. Evaluar la posible relación de los estilos de comunicación (positivo, negativo y reservado) con el estrés y el afrontamiento diádico en las relaciones de pareja. Método. Se empleó un estudio cuantitativo no experimental en el que participaron 121 personas casadas, seleccionadas por disponibilidad. La mayoría de los participantes estaban en su primer matrimonio, y tenían una edad promedio de 42 años. Aceptaron contestar los siguientes instrumentos: (a) inventario de estilo de comunicación marital (ECOM) y (b) escala de estrés en la relación marital. Resultados. El análisis mediante regresión múltiple evidenció que los estilos de comunicación positivo y reservado son predictores del afrontamiento diádico. Se observó también que el estilo de comunicación negativo es un predictor significativo del estrés en las relaciones de pareja. Conclusión. Se sustenta la importancia de la comunicación en las relaciones de pareja y de desarrollar estilos de comunicación positivos para afrontar las situaciones estresantes.

Abstract Objetive. To evaluate the possible relationship between the communication styles (positive, negative and reserved), stress and dyadic coping. Method. Considering this purpose, a non-experimental quantitative study was proposed in which 121 married people participated based on their availability. Most of the participants were in their first marriage, and averaged 42 years old. The participants agreed to answer the following instruments: (a) Marital Communication Style Inventory and (b) Marital Relationship Stress Scale. Results. Positive and reserved communication styles are predictors of dyadic coping. It was also observed that the negative communication style is a significant predictor of stress in relationships. Conclusion. These results support the relevance of communication in relationships and the importance of developing positive communication styles to cope with stressful situations.

Resumo Escopo. Avaliar a possível relação dos estilos de comunicação (positivo, negativo e reversado) com o stress e o afrontamento diádico nas relações de casal. Metodologia. Foi empregado um estudo quantitativo não experimental no que participaram 121 pessoas casadas, selecionadas por disponibilidade. A maioria dos participantes estavam no seu primeiro matrimonio, e tinham uma idade média de 42 anos. Aceitaram contestar os seguintes instrumentos: (a) inventário de estilo de comunicação marital (ECOM) e (b) escada de stress na relação marital. Resultados. A análise mediante regressão múltipla evidenciou que os estilos de comunicação positivo e reservado são preditores do afrontamento diádico. Foi observado também que o estilo de comunicação negativo é um preditor significativo do stress nas relações de casal. Conclusão. Foi sustentada a importância da comunicação nas relações de casal e de desenvolver estilos de comunicação positivos para afrontar as situações estressantes.

Coping e coping diádico: uma análise qualitativa das estratégias de coping de casais / Dyadic coping and coping: a qualitative analysis of coping strategies couples / Diádica coping y coping: un análisis cualitativo de coping parejas estrategias

O objetivo deste artigo é analisar os conceitos de coping e coping diádico, trazendo trechos de entrevistas de uma pesquisa qualitativa com casais heterossexuais de famílias intactas da classe média do Rio de Janeiro e de Curitiba. Para tanto, foram realizadas entrevistas semiestruturadas com perguntas norteadoras, seguindo um roteiro e sendo gravadas em áudio, com o intuito de analisar o coping nesses casais. O coping é um processo complexo, que demonstra a forma como o indivíduo lida com o estresse, vivencia os problemas e utiliza recursos diante das dificuldades. Dessa forma, a eficácia das estratégias de coping depende dos recursos que o indivíduo possui e de sua avaliação cognitiva. Foi observado que os cônjuges estabelecem diadicamente diferentes formas de coping e quando o estresse é compartilhado seus efeitos podem ser amenizados pela parceria e presença do cônjuge. Concluiu-se que os casais elegem determinados padrões de coping e os utilizam conjuntamente, o que aponta para a importância de se analisar a forma como os cônjuges estabelecem as estratégias de coping diádico, pois estas são o fundamento da dinâmica do casal para o enfrentamento dos estresses e dos conflitos cotidianos.

Coping is a complex process that shows the way an individual deal with stress and conflict. The efficacy of coping strategies depends on the individual's resources and his/ her cognitive evaluation, but it also depends on the interpersonal relationship, such as in a couple relationship. The aim of this study is to analyze the concept of coping and dyadic coping, based on excerpts of interviews of a qualitative research with heterosexual intact families of middle class in Rio de Janeiro and Curitiba. Semi-structured interviews were conducted with pre-determined questions, following a guide. All the interviews were recorded. Content Analysis was used with the aim of understanding the coping in these couples. It was observed that couples dyadically establish different ways of coping and that stress, when shared, has its effects reduced by partnership and the presence of the spouse. It was concluded that couples choose certain patterns of coping and use them together, which points out to the need of analyzing the way how couples establish dyadic coping strategies, as these strategies are the couple's dynamic foundation for facing stress and daily conflicts.

El coping es un proceso complejo, que demuestra la forma como el individuo se enfrenta con el estrés y el conflicto. La eficacia de las estrategias de coping depende de los medios que el individuo tiene y de sus evaluaciones cognitiva, pero depende igualmente de las relaciones interpersonales, como la de una pareja. El objetivo de este artículo es el de analizar los conceptos de coping y coping diádico, trayendo fragmentos de entrevistas de una encuesta cualitativa con parejas heterosexuales de familias intactas de la clase media de Rio de Janeiro y de Curitiba. Fueron realizadas entrevistas semiestructuradas con preguntas dirigidas, siguiendo un guión y siendo gravadas en audio, con la intención de comprender el coping de estas parejas, utilizando el Análisis de Contenido. Fue observado que los cónyuges establecen diádicamente diferentes formas de coping y que el estrés cuando compartido, tiene sus efectos amenizados por la alianza y presencia de los cónyuges. Fue concluido que las parejas eligen determinados patrones de coping y los utilizan en conjunto, lo que apunta para la importancia de analizar la forma como los cónyuges establecen las estrategias de coping diádico, pues estos son los fundamentos de la dinámica de la pareja para el afrontamiento del estrés y de los conflictos cotidianos.

Relationship between dyadic coping and intimacy in gynecological cancer patients and partners / 中国心理卫生杂志

Objective:To investigate the dyadic coping and intimacy in gynecological cancer patients and their partners,and to explore the association between the two aspects.Methods:A total of 180 postoperative couples with gynecological cancer from 4 tertiary hospitals were investigated with Dyadic Coping Inventory (DCI) and Short Marital Adjustment (MAT).The relationship between couples,dyadic coping and intimacy were analyzed with the Actor-Partner Interdependence Model (APIM).Results:APIM result showed that in the actor effect patients' and spouses'supportive dyadic coping,delegated dyadic coping and common dyadic coping were positive associated with their own intimacy (B =1.77-4.41),patients'and spouses'negative dyadic coping were both adversely associated with their own intimacy (B =-2.81,-2.66).The partner effect showed that patients' supportive dyadic coping and delegated dyadic coping were both positive associated with spouses'intimacy (B =1.00,4.07),spouses'delegated dyadic coping and common dyadic coping were both positive associated with patients' intimacy (B =2.67,2.60),patients' and spouses'negative dyadic coping were negatively associated with partner'intimacy (B =-1.67,-1.40).Conclusion:It suggests that the dyadic coping may be associated with both patients'and partners' intimacy.