关键词: 卵巢功能障碍, 恐惧疾病进展, 夫妻疾病沟通, 自我表露, 中介效应

Abstract: Objective: To understand the current status of fear of disease progression, couple disease communication and self-disclosure in patients with ovarian dysfunction, and to analyze the mediating effect of self-disclosure between couple disease communication and fear of disease progression in patients with ovarian dysfunction. Methods: A total of 268 patients with ovarian dysfunction were selected as the research objects. The general information questionnaire, the pain disclosure index scale, the couple-related disease communication scale and the simplified version of the fear of disease progression questionnaire were used to conduct the survey. Amos software was used to construct structural equation modeling for mediation effect testing. Results: The total score of fear of disease progression in patients with ovarian dysfunction was 35.24±5.28, the total score of couples′ disease communication was 17.74±3.64, and the total score of self-disclosure was 38.38±5.58. There was a positive correlation between fear of disease progression and couple′s disease communication, a significant negative correlation with self-disclosure (P<0.05), and a negative correlation between self-disclosure and couple′s disease communication (P<0.05). The mediating effect of self-disclosure between couples′ disease communication and fear of disease progression was 0.27, accounting for 34.18% of the total effect. Conclusion: Self-disclosure is a mediating variable between couples disease communication and fear of disease progression in patients with ovarian dysfunction. Clinical medical staff should pay more attention to disease communication in couples with ovarian dysfunction, encourage emotional expression, and take intervention measures to prevent excessive fear, so as to improve patients′ quality of life.

Key words: Ovarian dysfunction, Fear of disease progression, Couples disease communication, Self-disclosure, Mediating effect