The Dyadic Effects of Family Cohesion and Communication on Health-Related Quality of Life: The Moderating Role of Sex.
The Dyadic Effects of Family Cohesion and Communication on Health-Related Quality of Life: The Moderating Role of Sex.
复制标题
家庭凝聚力和沟通对健康相关生活质量的二元影响：性的调节作用。
DOI：
10.1097/ncc.0000000000000468
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发表时间：
2018
期刊：
影响因子：
2.6
通讯作者：
Shon,En-Jung
中科院分区：
文献类型：
--
作者：
Lim,Jung-Won;Shon,En-Jung
背景：配偶照顾幸存者的能力尤其具有挑战性，因为患者和配偶是相互依赖、相互影响的。鉴于癌症会影响家庭动态，家庭凝聚力和沟通等家庭功能可能在改善夫妻健康相关生活质量 (HRQOL) 方面发挥主要作用。 目的：本研究的目的是调查家庭沟通对家庭凝聚力和 HRQOL 关系的中介作用，并检验性别对癌症幸存者与配偶二人关系的调节作用。方法：总共 91 名诊断为乳腺癌、结直肠癌或癌症的癌症幸存者。前列腺癌患者及其配偶是从俄亥俄州克利夫兰大学医院登记处招募的。使用结构方程模型和行动者-伴侣相互依赖中介模型对二元数据进行分析。结果：研究结果表明，配偶自己感知的家庭沟通在他们自己的家庭凝聚力和身体HRQOL之间以及幸存者的家庭凝聚力和身体HRQOL之间的关联中起到中介作用。家庭沟通与HRQOL之间的配偶行为者效应因性别而存在显着差异。结论：增强家庭凝聚力和家庭内部沟通可以改善配偶的HRQOL。关于性别差异的发现可以作为基于性别的方法改善家庭幸存者护理中的 HRQOL 的基本原理。实践意义：基于夫妇和/或家庭的干预措施应旨在增强家庭凝聚力并提高家庭沟通技巧，以便在夫妇和家庭内部进行有效调整。可以促进家庭背景下的支持性护理，以应对幸存者护理的各种挑战。
Background:Spouses’ ability to care for survivors can be particularly challenging because patients and spouses are interdependent and mutually influence one another. Family functioning such as family cohesion and communication may play a primary role in improving the health-related quality of life (HRQOL) of couples, given that cancer can influence family dynamics.Objective:The aims of this study were to investigate the mediating effect of family communication on the relationship between family cohesion and HRQOL and examine the moderating effect of sex on this relationship among cancer survivor–spouse dyads.Methods:A total of 91 cancer survivors with a diagnosis of breast, colorectal, or prostate cancer and their spouses were recruited from the University Hospital Registry in Cleveland, Ohio. The dyadic data were analyzed using structural equation modeling with the actor-partner interdependence mediation model.Results:Findings demonstrated that the spouses’ own perceived family communication mediated the associations between their own family cohesion and physical HRQOL and between the survivors’ family cohesion and physical HRQOL. The spouse actor effects between family communication and HRQOL significantly differed by sex.Conclusions:Enhancing family cohesion and communication within the family can improve the spouses’ HRQOL. Findings regarding sex differences serve as a rationale for gender-based approaches to improving HRQOL in survivorship care in the family context.Implications for Practice:Couple-and/or family-based interventions should be designed to enhance family cohesion and improve family communication skills for effective adjustments within couples and families. Supportive care within the family context can be promoted to address the diverse challenges of survivorship care.