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目的:探讨夫妻自我表露在中青年早期肺癌患者及其配偶中的应用效果。方法:采用便利抽样法，选取2018年1月—2019年6月在郑州大学第一附属医院收治的86例早期肺癌患者作为研究对象，采用随机数字法将其分为对照组44例，试验组42例。试验组在常规护理的基础上给予夫妻自我表露干预，对照组给予常规护理。干预前后采用SAS、Herth希望量表（HHI）、照顾者反应评估量表（CRA）比较干预的效果。最终对照组获得有效资料39份，试验组获得有效资料38份。结果:干预后，试验组患者SAS得分低于对照组，差异有统计学意义（n P<0.05）；试验组HHI各维度得分均高于对照组，差异有统计学意义（n P<0.05）；两组患者配偶CRA中的自尊、时间安排被打扰和家庭支持缺乏维度条目均分比较差异有统计学意义（n P0.05）。n 结论:夫妻自我表露干预能够有效降低中青年早期肺癌患者的焦虑水平，增强患者的希望水平，还可以降低患者配偶的照顾压力。“,”Objective:To explore the application effect of marital self-disclosure in young and middle-aged patients with early-stage lung cancer and their spouses.Methods:Using the convenient sampling method, a total of 86 patients with early-stage lung cancer who were admitted to the First Affiliated Hospital of Zhengzhou University from January 2018 to June 2019 were selected as the research objects. They were divided into the control group (n n=44) and the experimental group (n n=42) by random number table method. The experimental group was given marital self-disclosure intervention on the basis of routine nursing, while the control group was given routine nursing. Before and after the intervention, Self-rating Anxiety Scale (SAS) , Herth Hope Index (HHI) and Caregiver Reaction Assessment (CRA) were used to compare the effects of intervention. In the end, 39 valid data were obtained in the control group and 38 in the experimental group.n Results:After the intervention, the SAS score of the experimental group was lower than that of the control group, and the difference was statistically significant (n P<0.05) . The scores of all dimensions of HHI in the experimental group were higher than those in the control group, and the differences were statistically significant (n P<0.05) . There were statistically significant differences between the two groups in the mean scores of dimensions of self-esteem, disturbed time schedule and lack of family support in spouse CRA (n P 0.05) .n Conclusions:Marital self-disclosure intervention can effectively reduce the anxiety level of young and middle-aged patients with early-stage lung cancer, enhance the hope level of patients and reduce the caring pressure of the patients' spouses.