护理学报2025，Vol.32Issue(14)：7-12,6.DOI:10.16460/j.issn2097-6569.2025.14.007
基于生态系统理论育龄期乳腺癌患者婚姻生活体验的质性研究
Marital life experience of breast cancer patients at reproductive age based on ecosystem theory:a qualitative study
摘要
Abstract
Objective To gain an in-depth understanding of the current status of marital life experience of breast cancer patients at re-productive age based on ecosystem theory,and to provide reference for clinical support of breast cancer patients at reproductive age in a targeted manner.Methods Purposive sampling was used to select 15 married breast cancer patients from October 1 to December 1,2024 to conduct in-depth interviews.Directed content analysis and NVivo software were used to analyze the interview data.Results Three themes and 12 sub-themes were summarized:marital anxiety(somatic anxiety activation,increased self-blame and guilt,self-re-flective retrospection,and negative avoidance tendencies);couple interaction(increased emotional dependence,adequate emotional support,effective provision of caregiving support,and deepened marital estrangement);and family change(increased role conflict,chil-dren's health concerns,increased burden of living,and activation of resilience adjustment).Financial stress and role conflict were par-ticularly prominent for patients with low-income.Conclusion This study innovatively reveals the multilevel and interactive nature of marital life experiences of low-income breast cancer patients at reproductive age.Anxiety emerges as the core distress(micro level);spousal support serves as the critical buffer for marital quality maintenance(meso level),and financial strain and family role imbalance constitutes pervasive and burdensome stressors(macro level).This suggests that clinical staff need to identify problems at different lev-els,with particular attention to the socioeconomic and role dilemmas faced by low-income patients.An integrated,tiered marital sup-port program should be implemented,incorporating psychological counseling,spousal communication facilitation,and family resource linkage to improve patients'overall marital quality of life.关键词
乳腺癌,育龄期/已婚/婚姻生活/生态系统理论/质性研究Key words
breast cancer,reproductive age/married/martial life/ecosystem theory/qualitative research分类
医药卫生引用本文复制引用
付屹鸥,陈偶英,韩露,姚铭霞,朱燕,李珂,李金花..基于生态系统理论育龄期乳腺癌患者婚姻生活体验的质性研究[J].护理学报,2025,32(14):7-12,6.基金项目
湖南省自然科学基金(2025JJ80854) （2025JJ80854）
湖南省卫生健康高层次人才支持计划(20240304039) （20240304039）
