Cardiac disease and its consequences on the partner relationship: a systematic review

Tomas Dalteg1, Eva Benzein, Bengt Fridlund

  • 1School of Health and Caring Sciences, Linneaus University, Kalmar, Sweden. dato0909@student.hj.se

Insights

Cardiac disease significantly impacts relationships, causing overprotection and communication issues. However, couples often adjust, finding that the shared experience can ultimately strengthen their bond.

Area of Science:

  • Cardiology
  • Psychology
  • Sociology

Background:

  • Cardiac disease is a chronic condition with profound effects on patients and their partners.
  • Previous research has not comprehensively reviewed the impact of cardiac disease on partner relationships.
  • This review focuses on myocardial ischemia, arrhythmia, and heart failure.

Purpose of the Study:

  • To examine how partner relationships are affected after hospital discharge for cardiac disease.
  • To identify key themes related to relationship dynamics following a cardiac event.

Main Methods:

  • A systematic review of literature from CINAHL, PubMed, and PsycINFO (1999-2009).
  • Quality assessment using the Joanna Briggs Institute Reviewers' Manual.
  • Inclusion of 20 relevant articles.

Main Results:

  • Five emergent themes: overprotection, communication deficiency, sexual concerns, altered domestic roles, and illness adjustment.
  • Patients reported overprotection leading to conflict.
  • Couples experienced changes in sexual intimacy and emotional communication.
  • Significant shifts in domestic roles and responsibilities were observed.
  • Despite distress, many couples reported increased closeness post-diagnosis.

Conclusions:

  • Couples experience distress following cardiac events but adapt their relationships.
  • The adjustment process involves navigating challenges and can lead to strengthened bonds.
Abstract

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