| Objective:To investigate the marital quality in patients with cervical cancer. To explore the relationship of social support, copying style and marital quality.Methods:Convenience sampling was conducted. During April and October in2012, Patients with cervical cancer from a certain3levels of first-class hospitals in Jinan was investigated by a questionnaire survey, which included self-penned general information questionnaire, Social Support Rating Scale (SSRS), trait coping style questionnaire (TCSQ) and Enrich Marital Inventory (ENRICH). SPSS17.0were used in data collection and analysis.Results:1. The average score of marital quality in patients with cervical cancer was333.95±38.74. The average scores of dimensions from high to low were36.97±5.73in relatives and friends relationship,36.24±6.03in sexual life,35.59±5.74in financial schedule,35.50±4.82in offspring and marriage,35.03±4.06in marital satisfaction.33.49±5.98in couple communication,33.49±5.67in leisure-time activities,32.76±6.11in conflict management styles,29.67±6.83in personality compatibility,29.02±5.66in role equality. The scores of marital satisfaction, personality compatibility, financial schedule, leisure-time activities, sexual life, offspring and marriage, and relatives and friends relationship were significantly lower than norm(P<0.01, P<0.05). The scores of couple communication and conflict management styles were lower than norm, but there was no significant difference compared with the norm.2. The differences of marital qualities among groups according to demographic features and disease materials in patients with cervical cancer:The scores of sexual life in religious belief were significantly lower that those of nullifidian(P<0.05). The scores of marital quality of urban patients were significantly higher than those of rural patients(P<0.05). The scores of marital quality of leader or commercial servicers were significantly higher than those of rural workers, farmers and unemployed patients(P<0.01, P＜0.05). The scores of marital quality of patients with high school education level or above were significantly higher than those below(P<0.01). The scores of marital quality, financial schedule, conflict-solving styles, and leisure-time activities of patients with income more than5,000yuan were significantly higher than those with income less than5,000yuan(P<0.01, P<0.05). The scores of marital quality of patients with medical insurance or public health services were significantly higher than those at their own expense or with new rural medical scheme(P<0.01, P＜0.05). The scores of personality compatibility and conflict-solving styles in patients with cervical cancer at stage Ⅱb were significantly lower than those in patients with carcinoma in situ or cervical cancer at stage la, Ib(P<0.01, P<0.05). The scores of patients admitted only one time to hospital were significantly higher than those admitted to hospital more than3times(P<0.01). The scores of patients feeling terrible about their diseases were significantly lower than those feeling not too bad (P＜0.01, P＜0.05).3. Total score of social support of cervical cancer patients was45.25±6.51. and dimensional scores of objective support, subjective support and availability of social support scored9.90±2.50,27.47±3.98and7.89±1.77. respectively. Total score of social support were positively correlated with marital satisfaction, couple communication, problem-solving pattern, leisure-time activities and sexual life, with correlation coefficients of0.261,0.211,0.224,0.227,0.297and0.221. respectively. There were positive correlations between objective support and total score of marital quality, problem-solving pattern, financial schedule and leisure-time activities, with correlation coefficients of0.253,0.203,0.207and0.285. Subjective support was positively correlated with leisure-time activities and sexual life, and the correlation coefficients were0.254and0.224. There were also positive correlations between availability of social support and total score of marital quality, couple communication, financial schedule and leisure-time activities, with correlation coefficients of0.215,0.222,0.216and0.212.4. Positive and negative copying styles of cervical cancer patients scored36.68±7.97and26.07±7.05, respectively. Negative copying style was negatively correlated with the total score and scores of each dimension of marital quality, with correlation coefficients of-0.464,-0.279,-0.420,-0.359,-0.335,-0.318,-0.412,-0.288,-0.323and-0.074, respectively.5. Multiple stepwise regression analysis was employed to explore the predictive variables of the marital quality and the dimensions included. The predictive variables of total score of marital quality were high school education,3,000-5,000RMB of family monthly income, public health services, negative copying style and subjective support (R2adj=37.5%). The predictive variables was negative copying style (R2adjj=8.7%) for marital satisfaction, and occupation,3or more children, cervical cancer stage ⅡA and negative copying style (R2adj=29.2%) for character compatibility, high school education and negative copying style (R2adj=13.3%) for couple communication, high school education, public health services, cervical cancer stage ⅡA and subjective support (R2adj=29.8%) for problem-solving pattern, high school education,3,000-5,000RMB of family monthly income, occupation(unemployed or cadre) and negative copying style (R2adj=35.1%) for financial schedule,3,000～5,000RMB of family monthly income, marriage age. commercial insurance for medical charge and objective support(R2adj=26.3%) for leisure-time activities, religious belief, negative copying style, and subjective support (R2adj=24.5%) for sexual life, occupation (peasant) and hospitalization time (twice)(R2adj=17.7%) for children and marriage, occupation (commerce or services), disease diagnosis and negative copying style (R2adj=16.0%) for relatives and friends relationship, and marriage age and places of residence (urban)(R adj=19.2%) for role equality.Conclusions:1. The quality of the marriage of cervical cancer patients is lower. Cervical cancer patients with low marital quality is mainly focused on patients with education level below high school, who pays at their own expense or with new rural medical scheme, and patients with cervical cancer at stage Ⅱb, as well as those admitted to hospital more than3times.Suggesting that medical workers should be concerned about the quality of the marriage of cervical cancer patients, Which suggesting that strengthen marriage guidance should be given to these groups of patients.2. The objective support and subjective support of cervical cancer patients promote the quality of marriage, suggesting that social support of patients with cervical cancer should be strengthened in order to improve the patient’s quality of marriage.3. When dealing with difficulties, cervical cancer patients tend to take a more active coping style, but there are still some patients resorting to negative coping style. And negative coping style is a negative independent predictor of marital quality. Indicating that active measures should be taken to improve the patient’s coping style, and improve the quality of their marriage. |
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