Association between Unmet Needs and Dyadic Coping of Breast Cancer Patients and Spouses after Radical Mastectomy

Mei YAN; Qiongyao GUAN; Yuanxiao WANG; Liqi GU; Lei ZHE; Lijuan LIU; Runzhen HAO; Yan SU; Sisi HUANG

doi:10.12259/j.issn.2095-610X.S20230410

Volume 44 Issue 4

Apr. 2023

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Article Navigation > Journal of Kunming Medical University > 2023 > 44(4): 93-99

Mei YAN, Qiongyao GUAN, Yuanxiao WANG, Liqi GU, Lei ZHE, Lijuan LIU, Runzhen HAO, Yan SU, Sisi HUANG. Association between Unmet Needs and Dyadic Coping of Breast Cancer Patients and Spouses after Radical Mastectomy[J]. Journal of Kunming Medical University, 2023, 44(4): 93-99. doi: 10.12259/j.issn.2095-610X.S20230410

Citation:

Mei YAN, Qiongyao GUAN, Yuanxiao WANG, Liqi GU, Lei ZHE, Lijuan LIU, Runzhen HAO, Yan SU, Sisi HUANG. Association between Unmet Needs and Dyadic Coping of Breast Cancer Patients and Spouses after Radical Mastectomy[J]. Journal of Kunming Medical University, 2023, 44(4): 93-99. doi: 10.12259/j.issn.2095-610X.S20230410

Citation:

Mei YAN, Qiongyao GUAN, Yuanxiao WANG, Liqi GU, Lei ZHE, Lijuan LIU, Runzhen HAO, Yan SU, Sisi HUANG. Association between Unmet Needs and Dyadic Coping of Breast Cancer Patients and Spouses after Radical Mastectomy[J]. Journal of Kunming Medical University, 2023, 44(4): 93-99. doi: 10.12259/j.issn.2095-610X.S20230410

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Association between Unmet Needs and Dyadic Coping of Breast Cancer Patients and Spouses after Radical Mastectomy

doi: 10.12259/j.issn.2095-610X.S20230410

1.
Dept. of Nursing
2.
Dept. of 1st Breast Cancer
3.
Dept. of ICU，Yunnan Cancer Hospital/The 3rd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650118
4.
School of Nursing，Kunming Medical University,Kunming Yunnan 650500，China

Received Date: 2022-11-29
Available Online: 2023-04-24
Publish Date: 2023-04-25

Abstract

Abstract

Objective To investigate the interaction between the level of unmet needs and dyadic coping of breast cancer patients and their spouses after radical mastectomy, and to provide reference for health care workers to develop intervention programs to help breast cancer patients and their spouses improve their quality of life. Methods 110 patients who were hospitalized in Yunnan Cancer Hospital from June 2021 to January 2022 after radical mastectomy and their spouses were selected by convenience sampling method. The Chinese Version of Need for Breast Cancer Patients and Spouse Scale, and Dyadic Coping Inventory were used to measure the level of unmet needs and dyadic coping of participants respectively. The relationship between the level of unmet needs and dyadic coping of breast cancer patients and their spouses was analyzed by the Actor-Partner Interdependence Model （APIM）. Results In this study, a total of 110 questionnaires were distributed, and 104 valid questionnaires were recovered, with an effective recovery rate of 94.5%. The unmet needs and dyadic coping levels of patients and their spouses were generally above the medium level. The stress communication score of patients was higher than that of spouses （P < 0.001）, and the negative coping score of spouses was higher than that of patients （P < 0.05）. The level of dyadic coping of breast cancer patients was positively correlated with the level of unmet needs of their spouses （r = 0.239, P < 0.05）, and positively correlated with the level of dyadic coping of their spouses （r = 0.542, P < 0.001）. The level of dyadic coping of spouses was positively correlated with their unmet needs （r = 0.378, P < 0.001）. The level of unmet needs of breast cancer patients was positively correlated with that of their spouses （r = 0.197, P < 0.05）. The results of the Actor-Partner Interdependence Model showed that in the subjective effect, the level of unmet needs of spouses could positively predict their own level of dyadic coping （β = 0.350, P < 0.05）. In the object effect, the level of unmet needs of spouses could positively predict the level of dyadic coping of breast cancer patients （β = 0.464, P < 0.001）. Conclusion The level of dyadic coping of breast cancer patients is influenced by the level of unmet needs of their spouses, and is closely related to the level of the dyadic coping of their spouses. The level of dyadic coping of spouses is influenced by their own unmet needs, and the level of unmet needs of breast cancer patients are closely related to the level of unmet needs of their spouses.
- Breast cancer patient,
- Spouse,
- Unmet needs,
- Dyadic coping

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