{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T06:27:00Z","timestamp":1786602420093,"version":"build-2736575974"},"reference-count":28,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"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. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study explored the experiences of sexual recovery among young and middle-aged Chinese men after PCI, guided by the Roy Adaptation Model (RAM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1876557","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T05:31:59Z","timestamp":1786599119000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Experience of sexual recovery after percutaneous coronary intervention in young and middle-aged men: a qualitative study"],"prefix":"10.3389","volume":"14","author":[{"given":"Yue","family":"Mao","sequence":"first","affiliation":[{"name":"Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Zhan","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daoxin","family":"Hua","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2169\/internalmedicine.4505-24","article-title":"Advances in technology and technique in percutaneous coronary intervention: a clinical review","volume":"65","author":"Saito","year":"2026","journal-title":"Intern Med."},{"key":"B2","doi-asserted-by":"publisher","first-page":"290","DOI":"10.3390\/healthcare11030290","article-title":"Sexual satisfaction and quality of life in cardiovascular patients: the mediating role of anxiety","volume":"11","author":"Epifanio","year":"2023","journal-title":"Healthcare."},{"key":"B3","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1016\/j.ijcard.2016.11.192","article-title":"The prevalence of sexual dysfunction and its association with quality of life in adults with congenital heart disease","volume":"228","author":"Neiman","year":"2017","journal-title":"Int J Cardiol."},{"key":"B4","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1001\/jamacardio.2016.2362","article-title":"Sexual activity and function in the year after an acute myocardial infarction among younger women and men in the United States and Spain","volume":"1","author":"Lindau","year":"2016","journal-title":"JAMA Cardiol."},{"key":"B5","doi-asserted-by":"publisher","first-page":"20190204","DOI":"10.1515\/jcim-2019-0204","article-title":"A randomized trial of the effect of peer education on the sexual quality of life in patients with myocardial infarction","volume":"17","author":"Abbasi","year":"2020","journal-title":"J Complement Integr Med"},{"key":"B6","doi-asserted-by":"publisher","first-page":"e362","DOI":"10.1161\/CIR.0b013e3182742cf6","article-title":"2013 ACCF\/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation\/American Heart Association Task Force on Practice Guidelines","volume":"127","author":"O'Gara","year":"2013","journal-title":"Circulation."},{"key":"B7","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1016\/j.jacc.2023.04.003","article-title":"2023 AHA\/ACC\/ACCP\/ASPC\/NLA\/PCNA guideline for the management of patients with chronic coronary disease: a report of the American Heart Association\/American College of Cardiology Joint Committee on Clinical Practice Guidelines","volume":"82","author":"Virani","year":"2023","journal-title":"J Am Coll Cardiol."},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(99)00218-0","article-title":"Sexual activity as a trigger for cardiovascular events: what is the risk?","author":"Je","year":"1999","journal-title":"Am J Cardiol"},{"key":"B9","doi-asserted-by":"publisher","first-page":"51","DOI":"10.2147\/VHRM.S484566","article-title":"Sexual and cardiovascular healthFactors influencing on the quality of sexual life of coronary heart disease patients - 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