基于主体⁃客体互倚模型分析老年癌症病人及配偶目标坚持性和目标灵活性对幸福感的影响

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Abstract Objective：Based on the actor‐partner inter‐dependence model（APIM）， to analyze the impact mechanism of goal persistence and goal flexibility on the well‐being of elderly cancer patients and their spouses.Methods：The convenient sampling method was used to collect 1 142 elderly cancer patients who were treated in our hospital from January 2019 to June 2023 as the survey objects. And Basic Informaton Questionnaire， the Goal Persistence Scale（TGPS）， Flexible Goal Adjustment Scale（FGAS）， and Memorial University of Newfoundland Scale of Happiness（MUNSH） were used to investigate. Based on APIM， a structural equation model was established to analyze the impact path of goal persistence and goal flexibility on happiness of elderly cancer patients and their spouses.Results：The score of the the Goal Persistence Scale for elderly cancer patients was （38.23±9.31） ， The score of the Flexible Goal Adjustment Scale was （36.01±10.56） ， And the score of the Memorial University of Newfoundland Scale of Happiness was 20.82±5.42） .The score of the the Goal Persistence Scale for spouse w as（33.77±11.31） ， The score of the Flexible Goal Adjustment Scale was 34.34±10.15） . And the score of the Memorial University of Newfoundland Scale of Happiness was （22.53±5.32） . The APIM analysis results showed that the goal persistence and goal flexibility of elderly cancer patients positively predicted their well ‐ being（both P<0.001 ）. The spouse′s goal persistence and goal flexibility of elderly patients with cancer positively predicted their well ‐ being（both P<0.001 ）. Both the goal persistence and the goal flexibility of elderly patients with cancer positively predicted spouse well ‐ being（both P<0.001 ）. The spouse′s goal persistence and goal flexibility of elderly patients with cancer positively predicted patients′ well ‐ being（both P<0.05 ）. Conclusions： The elderly cancer patients and their spouses have low goal persistence，goal flexibility and well‐being on average.Clinical doctors and nurses should pay attention to the psychological status of elderly patients with cancer and their spouses，help them solve their difficulties in life and anti‐ cancer treatment，assist them to obtain resources to adjust their life and treatment goals，and improve their well‐being.

Keywords actor‐partner inter‐dependence model; the elderly; cancer; spouse; goal persistence; goal flexibility; well‐being; investigation and research

摘要 目的：基于主体‐客体互倚模型（APIM）分析目标坚持性和目标灵活性对老年癌症病人及配偶幸福感的影响机制。（剩余11209字）