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 - Report - MDSpire
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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
Experiences of Dyadic Coping Among Patients and Partners During PCI
Overview
This qualitative study explores the dyadic coping experiences of young and middle-aged patients with coronary heart disease and their spouses during the perioperative phase of percutaneous coronary intervention (PCI). Key themes identified include coping styles, financial pressures, spousal interaction, perceptions of support, and understanding of disease management.
Background
Coronary heart disease (CHD) is a leading cause of mortality, with an increasing prevalence among younger populations. The perioperative period of PCI is critical for transitioning to long-term disease management, where dyadic coping plays a vital role in patient outcomes. Understanding the dynamics of spousal support can enhance disease management strategies.
Data Highlights
This study involved semistructured interviews with 19 patient-partner pairs, focusing on their experiences during the PCI perioperative phase.
Key Findings
Patients and spouses exhibited differing coping styles during decision-making about stents.
Financial pressures exacerbated psychological stress for both patients and partners.
Conflicting patterns of interaction were observed between spouses.
Patients had varied perceptions of the support provided by their spouses.
There was a lack of clear understanding regarding long-term disease management among couples.
Clinical Implications
The findings suggest the need for dyadic, collaborative care interventions that enhance health literacy and communication between patients and spouses. Addressing financial and emotional challenges during the perioperative phase may improve overall disease management outcomes.
Conclusion
Middle-aged and young patients with coronary heart disease and their spouses face significant challenges during the PCI perioperative period, highlighting the importance of supportive dyadic coping strategies.
