脑损伤康复期患者及配偶的共同二元应对与婚姻满意度和生活质量的关系：基于共同命运模型的分析

doi:10.3969/j.issn.1006-9771.2023.12.009

Abstract

Abstract:

Objective To investigate common dyadic coping (CDC) in linking with marital satisfaction and quality of life (QOL) in patients with brain injury and their spouses in a rehabilitation facility by using common fate model (CFM).

Methods From October, 2022 to June, 2023, 101 brain injury inpatients and their spouses in Beijing Bo'ai Hospital completed the questionnaire of Dyadic Coping Inventory, Kansas Marital Satisfaction Scale and World Health Organization Quality of Life.

Results The level of CDC between patients and their spouses significantly positively correlated with their marital satisfaction for both partners (β= 0.814, P < 0.001), as well as correlated with their quality of life (β = 0.271, P = 0.038; β = 0.481, P < 0.001). For the dimensions of QOL, the physical, psychological, social relationship and environmental dimensions significantly positive correlated with the CDC for the spouses, and only psychological and social relationship dimensions for the patients.

Conclusion Facing the stress of brain injury, the level of CDC within couples can positively predict their marital satisfaction and QOL, and effect seems stronger for the spouses. It is advisable to consider both brain injured patients and their spouses as a whole to promote psychological adaptation and improve rehabilitation outcomes.

Key words: brain injury, common dyadic coping, marital satisfaction, quality of life, common fate model, rehabilitation

CLC Number:

R651.1

FU Wenjuan, HOU Jianhua, YU Xiaonan, CHEN Tianyong. Relationship of common dyadic coping to marital satisfaction and quality of life for patients with brain injury and their spouses in a rehabilitation facility: using common fate model[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(12): 1446-1453.

Figures/Tables 7

References 48

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项目	患者(n = 101)	配偶(n = 101)	t/χ²值	P值
年龄/岁	53.15±10.09	52.03±10.75	3.108	0.002
受教育年限/年	13.06±4.05	13.31±3.89	-0.747	0.457
女性占比/%	21.78	78.20	89.602	< 0.001
婚龄/年	26.72±11.29
家庭月收入/元	≥ 5 000占89.11%
配偶有无慢性疾病	有慢性疾病占29.70%
病程/d	117.97±119.07
并发症数量/n	5.37±3.61
简易精神状态检查评分	25.56±4.73
运动功能评级	2.00±1.12
日常生活能力评级	3.04±0.98
功能障碍/n
运动	91
言语/构音	55
吞咽	13
认知	42
情绪	22
排泄	2
感觉	46
平衡	51

项目	患者(n = 101)	配偶(n = 101)	t值	P值
他/她的疾病对你情绪的影响	7.19±2.97	6.32±2.96	2.326	0.022
导致(他/她的)疾病最主要原因/n			-0.261	0.794
高血压	39	39
不良生活方式	29	30
你和配偶对疾病评估的一致度	5.36±1.52	5.34±1.32	0.145	0.885
影响日常生活能力最主要原因/n			1.198	0.234
肢体功能障碍	73	80
认知障碍	20	14
其他	3	7

项目	患者(n = 101)	配偶(n = 101)	t值	P值
CDC	13.39±4.16	12.76±4.34	1.37	0.170
C-KMS	14.97±2.99	13.70±3.34	3.58	0.001
WHOQOL-BREF	59.77±15.38	64.70±14.14	-2.76	0.007
身体健康	1.90±0.64	2.59±0.57	-8.98	< 0.001
心理	2.39±0.73	2.48±0.65	-6.76	< 0.001
社会关系	2.68±0.69	2.67±0.58	0.04	0.967
环境	2.51±0.70	2.36±0.68	1.81	0.074

项目			CDC		婚姻满意度		WHOQOL-BREF		WHOQOL-BREF
			患者	配偶	患者	配偶	患者	配偶	患者				配偶
			患者	配偶	患者	配偶	患者	配偶	身体健康	心理	社会关系	环境	身体健康	心理	社会关系
CDC	配偶		0.425^a
婚姻满意度	患者		0.533^a	0.323^a
婚姻满意度	配偶		0.327^a	0.603^a	0.375^a
WHOQOL-BREF	患者		0.274^a	0.096	0.259^a	0.161
WHOQOL-BREF	配偶		0.231^b	0.483^a	0.143	0.489^a	0.262^a
WHOQOL-BREF	患者	身体健康	0.101	0.072	0.070	0.116	0.826^a	0.267^a
		心理	0.326^a	0.090	0.296^a	0.091	0.856^a	0.235^b	0.604^a
		社会关系	0.242^b	0.194^c	0.333^a	0.249^b	0.758^a	0.273^a	0.514^a	0.642^a
		环境	0.289^a	0.036	0.244^b	0.110	0.895^a	0.173^c	0.587^a	0.696^a	0.677^a
	配偶	身体健康	0.149	0.289^a	0.102	0.344^a	0.163	0.819^a	0.199^b	0.125	0.205^b	0.078
		心理	0.244^b	0.504^a	0.128	0.478^a	0.180^c	0.880^a	0.181^c	0.218^b	0.222^b	0.092	0.629^a
		社会关系	0.140	0.454^a	0.082	0.277^a	0.146	0.746^a	0.173^c	0.123	0.202^b	0.073	0.523^a	0.593^a
		环境	0.237^b	0.435^a	0.139	0.426^a	0.326^a	0.911^a	0.302^a	0.292^a	0.265^a	0.261^a	0.611^a	0.731^a	0.688^a

Relationship of common dyadic coping to marital satisfaction and quality of life for patients with brain injury and their spouses in a rehabilitation facility: using common fate model

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