中青年淋巴瘤患者二元应对的影响因素研究

Objective To investigate and analyze the level of dyadic coping and its influencing factors in young and middle-aged lymphoma patients, aiming to provide a reference basis for improving their dyadic coping ability when facing the disease. Methods A total of 90 young and middle-aged lymphoma couples in the lymphoma medical ward of a tertiary care hospital from March 2023 to May 2024 were selected for the study using convenience sampling method. The General Information Questionnaire, Dyadic Coping Inventory, Dyadic Adjustment Scale, and The Functional Assessment of Cancer Therapy-lymphoma were selected for the questionnaire survey, and the influencing factors of dyadic coping in young and middle-aged lymphoma patients were explored using univariate analysis, correlation analysis, and multiple linear regression analysis. Results Ninety valid questionnaires were collected. The results of the univariate analysis showed that the differences in the dyadic coping scores were not statistically significant when comparing different ages, living environments, types and stages of lymphoma, types of health insurance, and patients and spouses knowledge of the disease (P>0.05), and in the comparison of dyadic coping scores for patients with different levels of genders, literacy levels, cycles of chemotherapy, and average monthly household incomes, the difference was statistically significant (P<0.05). Young and middle-aged lymphoma patients had a dyadic coping score of 124.022±22.924, a dyadic adjustment scale score of 119.156±18.821, and a functional assessment of cancer therapy-lymphoma score of 120.811±20.170, and correlation analyses showed that the three were positively correlated. Multiple regression analysis showed that patients average monthly family income and marital quality were the main factors affecting their dyadic coping. Conclusion The dyadic coping ability of young and middle-aged lymphoma patients is at an intermediate level, and there is still room for further improvement. The work should focus on young and middle-aged lymphoma couples in the early stages of disease treatment, with low family financial income, low literacy levels, unstable marital status and poor quality of life, assisting them to develop appropriate intervention strategies from the perspectives of symptom management of the disease and dyadic relationships between the couples, aiming to enhance their dyadic coping skills.