Dyadic coping experiences of young and middle-aged patients undergoing PCI for coronary heart disease and their spouses during the perioperative period: a qualitative study.

OBJECTIVE

This study focuses on the dyadic coping units formed by middle-aged and young patients and their spouses during the perioperative period of percutaneous coronary intervention(PCI) given the trend toward a younger onset of coronary heart disease. It explores their experiences of dyadic coping during this critical transitional phase.

METHODS

Based on the theory of dyadic illness management, this descriptive qualitative study involved semistructured joint interviews with 19 pairs of middle-aged and young PCI patients and their spouses. Content analysis was used to identify themes, and the study adhered to the COREQ reporting guidelines.

RESULTS

The study identified five key themes: differing coping styles during the decision-making phase regarding stents, the exacerbation of psychological stress due to dual financial pressures, conflicting patterns of spousal interaction, variations in patients' perceptions of spousal support, and a lack of clear understanding regarding long-term disease management.

CONCLUSION

Middle-aged and young patients with coronary heart disease and their spouses face multiple challenges during the perioperative period of PCI. It is recommended that a dyadic, collaborative care intervention program be developed at the family level that integrates health literacy enhancement, financial support, spousal communication and information-based continuity of care to improve disease management outcomes.