在面对乳腺癌的夫妇中开发一个共同的双层应对尺度:开放的沟通的重要性
Wenjia Liu1, Frances Marcus Lewis1,2, Min Li3
1Department of Child, Family, and Population Health Nursing, University of Washington School of Nursing, Seattle, Washington, USA.
一个新的12项尺度衡量了夫妻对抗乳腺癌的沟通,为评估癌症护理和研究中联合应对策略提供了可靠的工具.
科学领域:
- 心理学 心理学 心理学
- 在瘤学瘤学.
- 卫生沟通健康沟通
背景情况:
- 情侣共同应对对于管理乳腺癌的影响至关重要.
- 评估夫妻沟通作为应对机制的现有措施是不够的.
研究的目的:
- 开发和验证对夫妇应对的自我报告措施,强调沟通.
- 解决目前用于评估乳腺癌患者及其伴侣双性应对的工具不足的问题.
主要方法:
- 利用了以婚姻沟通为重点的随机临床试验中的343对夫妇的基线数据.
- 从专家审查的互惠和人际敏感度表 (MIS) 中选择的项目.
- 进行探索性和确认性因子分析以建立测量模型.
主要成果:
- 一个12项,四个因素的测量模型得到了验证:开放的沟通,积极的前景分享,避免负面情绪,以及足够的讨论时间.
- 对于女性来说,可靠性在0.76到0.87之间;对于配偶来说,可靠性在0.70到0.83.7之间.
- 确定的四个因素是:保持沟通开放,分享积极的前景,避免负面讨论,花时间交谈.
结论:
- 新开发的测量方法是一个有效和可靠的工具,用于评估情侣基于沟通的应对乳腺癌.
- 这一措施在临床实践和未来的研究中具有很大的应用潜力.
- 它可以增强在癌症幸存者的背景下对双向应对策略的评估.
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