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Journal of Nursing ›› 2024, Vol. 31 ›› Issue (2): 1-5.doi: 10.16460/j.issn1008-9969.2024.02.001

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Actor-partner effects of subjective well-being and marital adjustment of Crohn's disease patients and Their Spouses

PAN Ting1, CHEN Yan2a, KONG Fang2b, ZHANG Ai-ling1, CHEN Dan-lei1, DING Cheng-liang2b   

  1. 1. School of Nursing, Nanjing University of Chinese Medicine, Nanjing 210023, China;
    2a. Dept. of Nursing Administration; 2b. Digestive Disease Treatment Center, Nanjing Hospital of Nanjing University of Chinese Medicine (Nanjing Second Hospital) ,Nanjing 210003, China
  • Received:2023-09-05 Online:2024-01-25 Published:2024-02-20

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Abstract: Objective To explore the effect of subjective well-being (SWB) on marital adjustment in patients with Crohn's disease and their spouses using the actor-partner interdependence model. Methods A total of 210 pairs of patients and their spouses were recruited using convenient sampling from a tertiary grade-A hospital in Nanjing. They were surveyed using a self-designed general information questionnaire, Subjective Well-being Scale for Chinese Citizens (SWBS-CC20) and Locke-Wollance Marital Adjustment Test (LWMAT). The independent sample t-test or chi-square test was used to compare SWB and marital adjustment differences. The actor-partner interdependence model and Pearson analysis were used to analyze the influence of SWB on marital adjustment. Results The SWB of both patients and their spouses could positively predict their marital adjustment (β=0.67,0.71,P<0.01), indicating obvious actor effect. The SWB of both patients and their spouses could positively predict the marital adjustment of each other (β=0.47、0.46, P<0.01), which showed obvious partner effect. Conclusion The marital adjustment of Crohn's disease patients and their spouses is affected by the interaction of their own and their partner's SWB, and the subject effect and object effect between SWB and marital adjustment are significant. Considering the patients with Crohn's disease and their spouse as a whole, developing a marital adjustment intervention program and focusing on the binary interaction of the couple are important to improve the psychological adjustment of patients with Crohn's disease and their spouses.

Key words: Crohn's disease, spouse, marital adjustment, subjective well-being, actor-partner interdependence model

CLC Number: 

  • R473.57
[1] 韩雪,徐仁华,韩雪,等.基于主客体互倚模型的不孕症夫妻性压力和婚姻调适的关系研究[J].中国护理管理,2021,21(9):1418-1422. DOI:10.3969/j.issn.1672-1756.2021.09.029.
[2] 赵婷婷,明月,张小杰.中青年乳腺癌改良根治术患者抑郁与配偶心理反应及亲密关系的纵向研究[J].护理学杂志,2021,36(23):75-78. DOI:10.3870/j.issn.1001-4152.2021.23.075.
[3] 尚星辰,林征,卞秋桂,等. 炎性肠病患者主观幸福感与乐观、应对方式的关系研究[J].中国实用护理杂志, 2018,34(32):2490-2495.DOI:10.3760/cma.j.issn.1672-7088.2018.32.003.
[4] Whisman MA,Rhee SH,Hink L,et al.Genetic and environmental influences on the association between subjective well-being and marital adjustment[J].Couple Family Psychol,2014,3(1):48-64. DOI: 10.1037/cfp0000008.
[5] Kageyama G, Onishi A, Ueda Y, et al.Subjective well-being among rheumatoid arthritis patients[J]. Int J Rheum Dis,2019,22(10):1863-1870. DOI: 10.1111/1756-185X.13704.
[6] 曹品娟,贾俊婉,王谊,等.克罗恩病患者鼻胃管家庭肠内营养自我管理体验的质性研究[J].军事护理,2022,39(7):54-56. DOI:10.3969/j.issn.2097-1826.2022.07.014.
[7] 孙晋洁,朱慧,何伯圣.炎症性肠病患者营养状况与生活质量的相关性研究[J].护理实践与研究,2022,19(18):2736-2740. DOI:10.3969/j.issn.1672-9676.2022.18.012.
[8] 阮安然,胡浩冉,任亚豪,等.2010-2020年炎症性肠病心理领域研究热点的可视化分析[J].护理学报,2022,29(6):26-31. DOI:10.16460/j.issn1008-9969.2022.06.026.
[9] Kenny DA, Ledermann T.Detecting, measuring, and testing dyadic patterns in the actor-partner interdependence model[J].J Fam Psychol,2010,24(3):359-66.DOI: 10.1037/a0019651.
[10] 吴开春,梁洁,冉志华,等.炎症性肠病诊断与治疗的共识意见(2018年,北京)[J].中华消化杂志,2018,38(5):292-311. DOI:10.3760/cma.j.issn.0254-1432.2018.05.002.
[11] 倪平,陈京立,刘娜.护理研究中量性研究的样本量估计[J].中华护理杂志,2010,45(4):378-380.DOI:10.3761/j.issn.0254-1769.2010.04.037.
[12] 邢占军. 中国城市居民主观幸福感量表简本的编制[J].中国行为医学科学, 2003(6):103-105. DOI:10.3760/cma.j.issn.1674-6554.2003.06.054.
[13] 汪向东,王希林,马弘.心理卫生评定量表手册[J].北京:中国心理卫生杂志社,1999:159-161.
[14] 柏荣伟. 二元应对与2型糖尿病患者自我管理及夫妻双方主观幸福感的关系研究[D].苏州:苏州大学,2021.
[15] Fernández Lorca MB, Lay SL.Multiple roles and subjective well-being of middle-aged women who are caregivers of elderly people in Chile[J]. J Women Aging, 2020,32(2):149-167. DOI: 10.1080/08952841.2018.1537690.
[16] 程菲,郭菲,陈祉妍,等.我国已婚人群婚姻质量现况调查[J].中国心理卫生杂志,2014,28(9):695-700. DOI:10.3969/j.issn.1000-6729.2014.09.011.
[17] 邾萍,王梅香,孙孟青,等.乳腺癌患者及其配偶婚姻调适的调查研究[J].护理学报, 2015, 22(17):34-38.DOI:10.16460/j.issn1008-9969.2015.17.034.
[18] Li G, Ren J, Wang G, et al.Impact of Crohn's disease on marital quality of life: a preliminary cross-sectional study[J].J Crohns Colitis,2015,9(10):873-80.DOI:10.1093/ecco-jcc/jjv121.
[19] 吴霞,刘素婷,周思佳,等.基于主体-客体互倚模型分析结直肠癌患者和家庭主要照顾者的亲密关系对生活质量的影响研究[J].中国全科医学,2020,23(17):2120-2125. DOI:10.12114/j.issn.1007-9572.2020.00.203.
[20] Rasmus A, Orłowska E.Marriage and post-stroke aphasia: the long-time effects of group therapy of fluent and non-fluent aphasic patients and their spouses[J]. Front Psychol,2020,11:1574. DOI: 10.3389/fpsyg.2020.01574.
[21] Bouchard K, Greenman PS, Pipe A, et al.Reducing caregiver distress and cardiovascular risk: a focus on caregiver-patient relationship quality[J]. Can J Cardiol, 2019,35(10):1409-1411. DOI: 10.1016/j.cjca.2019.05.007.
[22] Ruiz-Marin CM, Molina-Barea R, Slim M, et al.Marital adjustment in patients with cancer: association with psychological distress, quality of life, and sleep problems[J]. Int J Environ Res Public Health,2021,18(13):7089.DOI:10.3390/ijerph18137089.
[23] Brandão T, Brites R, Hipólito J, et al.Dyadic coping, marital adjustment and quality of life in couples during pregnancy: an actor-partner approach[J]. J Reprod Infant Psychol,2020,38(1):49-59.DOI:10.1080/02646838.2019.1578950.
[24] Upenieks L, Liu Y.Marital strain and support and subjective well-being in later life: ascribing a role to childhood adversity[J]. J Aging Health,2022,34(4/5):550-568. DOI: 10.1177/08982643211048664.
[25] Gallagher E, Rickenbach EH.Perceptions of couplehood among community-dwelling spousal caregivers[J]. Aging Ment Health,2020, 24(9):1429-1436.DOI:10.1080/13607863.2019.1594168.
[26] Badr H, Herbert K, Bonnen MD, et al.Dyadic coping in patients undergoing radiotherapy for head and neck cancer and their spouses[J]. Front Psychol, 2018,9:1780.DOI:10.3389/fpsyg.2018.01780.
[27] DeMaris A, Oates G. The trajectory of subjective well-being: a partial explanation of the marriage advantage[J]. J Fam Issues,2022,43(6):1650-1668.DOI:10.1177/0192513x211030033.
[28] 史根芽,史铁英,刘宇,等.慢性病患者与配偶亲密关系的研究进展[J].中华护理杂志,2021,56(5):786-790. DOI:10.3761/j.issn.0254-1769.2021.05.025.
[29] 王晓旭,张清.家庭弹性对血液透析患者及其照顾者创伤后成长的交互影响[J].解放军护理杂志,2021,38(5):45-47. DOI:10.3969/j.issn.1008-9993.2021.05.012.
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