The Relationship Between Dyadic Coping And Intimacy Of Patients With Gynecological Cancer And Their Spouses

Objective The way couples deal with stressors is likely to influence their adjustment after gynecological cancer diagnosis.Based on the systemic-transactional model,this study examined whether the stress communication,supportive,delegated and negative dyadic coping provided by patients and partners and their common dyadic coping as a couple were associated with intimacy relationship.To know more about gynecologic cancer patients and spouses relationship status and the influence factors.Methods 190 patients with gynecological cancer and their partners from 4 tertiary hospitals were investigated by convenience sampling.The patients with gynecological cancer completed the general data questionnaire,DCI,Short Marital Adjustment and Prediction Test.SPSS23.0 statistical analysis of data was used.Effective data is analyzed using the method of descriptive statics,paired t test,correlation,Actor-partner interdependence model analysis.Results(1)Paired t test: the scores of dyadic coping and intimacy had statistical significance differences in paired t test(P<0.05),and it was suitable for both patients and partners,only except supportive dyadic coping and common dyadic coping.(2)Correlation analysis: the scores of dyadic coping,Short Marital Adjustment and Prediction Test were significant correlated between patients with gynecological cancer and their partners(P<0.05).(3)Actor-partner interdependence model:APIM showed that patients’ intimacy was positive associated with their own stress communication(P<0.05),partners’ intimacy was positive associated with their own and patients’ stress communication(P<0.05);patients’ intimacy was positive associated with their own supportive dyadic coping(P<0.05),partners’ intimacy was positive associated with their own and patients’ supportive dyadic coping(P<0.05);negative dyadic coping was adversely associated with both patients’ and partners’ outcomes(P<0.05);delegated dyadic coping was positive associated with both patients’ and partners’ outcomes(P<0.05);patients’ intimacy was positive associated with their own and partners’ common dyadic coping(P<0.05).Conclusions This study has contributed to disentangling how dyadic coping behaviors influence couples’ adjustment.Interventions may focus on reducing negative dyadic coping and strengthening positive dyadic coping,and be attentive to the different effects of dyadic coping on patients and partners.