关键词: 中青年, 配偶, 恶性肿瘤, 家庭适应性, 家庭复原力, 照顾负担

Abstract: Objective: To investigate status and its influential factors of family adaptability among spouses of young and middle-aged cancer survivors, so as to provide evidence for improving family adaptability. Methods: A total of 282 spouses of young and middle -aged cancer survivors were included. A social -demographic questionnaire, Family Cohesion and Adaptability Scale, Family Resilience Scale, and ZBI Caregiver Burden Scale were used in investigation. Results: Young and middle-aged cancer survivors’ spouses had a median score of 54 （49 ，58) for family adaptability. The mean score of family resilience was 199.05±21.26, and the score of caregiver burden was 27 （17，41）. The family adaptability of spouses was significantly positively correlated with family resilience （r =0.584, P ＜0.001）. Family adaptability was significantly negtively associated with caregiver burden (r=-0.284, P<0.001). The multiple linear regression analysis showed that the two second-dimensions of family resilience including family belief and family strength, cancer survivors’ job (no work), disease type (lung cancer and head -neck cancer) and the family’s monthly income were the influencing factors of family adaptability for these spouses, accounting 57.2% of the variable. Conclusion: The family resilience among spouses of young and middle-aged survivors affects their family adaptability. It is suggested that healthcare professionals should improve their family resilience, help them seek solutions to problems, strengthen their communicating ability and cooperation with family members, and maintain the routines of family life and the intimacy between family members, which probably, in turn, increases these people’s family adaptability.

Key words: Young and middle-aged survivors, Spouse, Malignant tumor, Family adaptability, Family resilience, Caregiver burden