摘要目的:调查颈椎管狭窄伴不全瘫患者及其配偶的二元应对和负性情绪水平，并分析患者及配偶之间的差异。方法:采用目的抽样法，选取2019年1月—2021年1月于南京医科大学附属南京医院（南京市第一医院）骨科住院的120例颈椎管狭窄伴不全瘫痪患者及其配偶作为研究对象。采用二元应对量表、医院焦虑抑郁量表分别评估患者及配偶的二元应对、焦虑、抑郁水平。结果:120例颈椎管狭窄伴不全瘫患者二元应对量表总分及压力沟通、支持二元应对、代办二元应对、共同二元应对、消极二元应对各维度条目平均分分别为（107.28±17.35）、（1.21±0.38）、（1.39±0.67）、（1.46±0.33）、（1.21±0.48）、（3.88±0.75）分，120名配偶得分分别为（108.22±16.54）、（1.34±0.69）、（1.85±0.49）、（1.57±0.61）、（1.93±0.43）、（2.85±0.61）分；患者及其配偶在支持二元应对、共同二元应对、消极二元应对维度的得分比较差异有统计学意义（ P<0.05），总分和其余维度得分比较差异无统计学意义（ P>0.05）。患者二元应对水平调查中，62例（51.7%，62/120）为低水平，34例（28.3%，34/120）为中水平，24例（20.0%，24/120）为高水平；患者配偶中，58名（48.3%，58/120）为低水平，36名（30.0%，36/120）为中水平，26名（21.7%，26/120）为高水平；两者低、中、高水平比例比较差异无统计学意义（ P>0.05）。颈椎管狭窄伴不全瘫患者的焦虑量表得分为（18.79±3.93）分，抑郁量表得分为（18.95±4.82）分，医院焦虑抑郁量表总分为（39.27±4.21）分；患者配偶焦虑得分为（19.13±2.68）分，抑郁得分为（19.22±4.03）分，总分为（40.04±4.77）分；患者与其配偶焦虑、抑郁、总分比较，差异无统计学意义（ P>0.05）。 结论:颈椎管狭窄伴不全瘫患者及其配偶的积极二元应对水平较低，消极二元应对水平较高，且焦虑、抑郁负性情绪普遍存在。在今后临床工作中护理人员应重视配偶在颈椎管狭窄伴不全瘫患者疾病诊疗及康复中的重要作用，对患者及家属共同进行科学心理干预。

abstractsObjective:To investigate the dyadic coping and negative emotional of patients with cervical spinal stenosis accompanied by incomplete paralysis and their spouses, and analyze the differences between the patients and their spouses.Methods:From January 2019 to January 2021, purposive sampling was used to select 120 patients with cervical spinal stenosis accompanied by incomplete paralysis and their spouses who were hospitalized in the Department of Orthopedics of Nanjing First Hospital, Nanjing Medical University (Nanjing First Hospital) as the study subject. The Dyadic Coping Inventory and the Hospital Anxiety and Depression Scale were used to evaluate the dyadic coping, anxiety, and depression of patients and their spouses, respectively.Results:The total score of the Dyadic Coping Inventory for patients with cervical spinal stenosis and incomplete paralysis, as well as the item average scores of pressure communication, support dyadic coping, agency dyadic coping, common dyadic coping, and negative dyadic coping dimensions, were (107.28±17.35), (1.21±0.38), (1.39±0.67), (1.46±0.33), (1.21±0.48), and (3.88±0.75), respectively. The spouse's scores were (108.22±16.54), (1.34±0.69), (1.85±0.49), (1.57±0.61), (1.93±0.43), and (2.85±0.61), respectively. There were statistically significant differences in scores between patients and their spouses in support dyadic coping, common dyadic coping, and negative dyadic coping dimensions ( P<0.05), while there was no statistically significant difference in total scores and other dimensions ( P>0.05). In the survey of patients' dyadic coping level, 62 cases (51.7%, 62/120) were at low level, 34 cases (28.3%, 34/120) were at medium level, and 24 cases (20.0%, 24/120) were at high level. Among the spouses of patients, 58 (48.3%, 58/120) were at low level, 36 (30.0%, 36/120) were at medium level, and 26 (21.7%, 26/120) were at high level. There was no statistically significant difference in the proportion of low, medium and high levels between patients and their spouses ( P>0.05). The anxiety subscale score of patients with cervical spinal stenosis and incomplete paralysis was (18.79±3.93), the depression subscale score was (18.95±4.82), and the total score of the Hospital Anxiety and Depression Scale was (39.27±4.21). The anxiety score of the patient's spouse was (19.13±2.68), the depression score was (19.22±4.03), and the total score was (40.04±4.77). There was no statistically significant difference in anxiety, depression, and total scores between patients and their spouses ( P>0.05) . Conclusions:Patients with cervical spinal stenosis accompanied by incomplete paralysis and their spouses have low levels of positive dyadic coping, high levels of negative dyadic coping, and widespread negative emotions such as anxiety and depression. Nurses should pay attention to the important role of spouses in the diagnosis, treatment, and rehabilitation of patients with cervical spinal stenosis and incomplete paralysis, and provide scientific psychological intervention to patients and their families together.