Effect of Dyadic Coping Intervention on Young and Middle-Aged Bladder Cancer Patients Receiving Intravesical Chemotherapy and Their Spouses

LI Shuxia; CHENG Xizi

doi:10.3969/j.issn.1004-437X.2025.14.009

Abstract：Objective To investigate the effects of dyadic coping interventions on psychological resilience and quality of life in young and middle-aged bladder cancer patients undergoing intravesical chemotherapy and their spouses.Methods Using convenience sampling,eligible young and middle-aged bladder cancer patients and their spouses treated in the urology department of a tertiary grade-A hospital in Henan between June 2022 and May 2023 were enrolled as study participants.Participants were randomly assigned to either the intervention group or the control group(43 dyads each)using a random number table.The control group received routine nursing care,while the intervention group received dyadic coping-based nursing interventions in addition to routine care.Before and after the intervention,psychological resilience was assessed using the Connor-Davidson resilience scale(CD-RISC-10),and quality of life was evaluated using the Chinese version of the WHO Quality of Life Brief Scale(WHOQOL-BREF).Results Before the intervention,there were no differences in psychological resilience and quality of life scores between the two groups(P＞0.05).After the intervention,the intervention group had higher scores in psychological resilience and quality of life compared to before intervention(P＜0.05).After intervention,the scores in both psychological resilience and quality of life were higher in the intervention group than the control group(P＜0.05).Conclusion Implementing dyadic coping interventions for young and middle-aged bladder cancer patients receiving intravesical chemotherapy and their spouses can enhance psychological resilience and quality of life for both members of the couple.