Experience of sexual recovery after percutaneous coronary intervention in young and middle-aged men: a qualitative study.

BACKGROUND

Sexual recovery is an important but often neglected component of cardiac rehabilitation after percutaneous coronary intervention (PCI). Young and middle-aged men may experience concerns about physical safety, sexual confidence, partner relationship, and cultural taboos. However, evidence on sexual recovery after PCI in the Chinese cultural context remains limited.

OBJECTIVE

This study explored the experiences of sexual recovery among young and middle-aged Chinese men after PCI, guided by the Roy Adaptation Model (RAM).

METHODS

This descriptive qualitative study recruited 12 young and middle-aged men after PCI through purposive sampling. Data were collected through face-to-face, semi-structured interviews and analyzed using directed thematic analysis guided by the RAM. The study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ).

RESULTS

Twelve participants completed the interviews. Four key themes were identified and interpreted in relation to the adaptive modes of the Roy Adaptation Model: (1) physical manifestations, including rare discomfort symptoms; (2) sense of control, including worrying about recurrence, shifting to planned and careful sex, and rebuilding a sense of control through self-management; (3) partner relationship, including relationship patterns and supportive adaptation; and (4) sexual guidance, including no clear guidance and the need for private, professional support.

CONCLUSIONS

Sexual recovery after PCI among young and middle-aged men is a multidimensional adaptation process involving physical, psychological, relational, and informational aspects. These findings highlight the need to incorporate culturally sensitive, partner-centered sexual health education into after PCI cardiac rehabilitation.