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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.
Introduction:
Cardiac disease is a chronic illness that has extensive impact on patients and their partners. No previous review has been made on how the partner relationship is affected following cardiac disease. The review limited itself to the main cardiac disease of myocardial ischemia, arrhythmia and heart failure.
Aim:
The aim of this review was to identify how the partner relationship is affected following cardiac disease after hospital discharge.
Method:
CINAHL, PubMed and PsycINFO were searched from 1999 to 2009. Quality assessment of included articles was made using the Joanna Briggs Institute Reviewers' Manual. A total of 20 articles were included.
Results:
Five themes identified how the partner relationship is affected following cardiac disease, namely: overprotection, communication deficiency, sexual concerns, changes in domestic roles, and adjustment to illness. Patients reported feeling overprotected by their spouses which occasionally served as a fertile ground for arguments or conflicts. Most couples experienced some implications concerning their sexual life following cardiac disease, though in various degrees. Both patients and partners seemed to experience communication deficiency concerning emotions within their relationship following the event. Most couples experienced a shift in roles and responsibilities within their partner relationship. Even though most couples experienced great distress following being afflicted with cardiac disease they reported that the disease had brought them closer together.
Conclusion:
The review found that though couples found the cardiac event distressful they conformed and adjusted their relationship to the new situation.
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