{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:18:00Z","timestamp":1791353880447,"version":"4.3.1"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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\u2019 perceptions of spousal support, and a lack of clear understanding regarding long-term disease management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fcvm.2026.1791315","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T04:33:30Z","timestamp":1780547610000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["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"],"prefix":"10.3389","volume":"13","author":[{"given":"Suwen","family":"Ma","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, The Second Affiliated Hospital of Guangxi Medical University","place":["Nanning, Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuyu","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, The Second Affiliated Hospital of Guangxi Medical University","place":["Nanning, Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Lu","sequence":"additional","affiliation":[{"name":"Heart Center, Guilin People's Hospital","place":["Guilin, Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, The Second Affiliated Hospital of Guangxi Medical University","place":["Nanning, Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, The Second Affiliated Hospital of Guangxi Medical University","place":["Nanning, Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juanjuan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, The Second Affiliated Hospital of Guangxi Medical University","place":["Nanning, Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pinyue","family":"Tao","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, The Second Affiliated Hospital of Guangxi Medical University","place":["Nanning, Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e41","DOI":"10.1161\/CIR.0000000000001303","article-title":"2025 heart disease and stroke statistics: a report of us and global data from the american heart 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