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Marital functioning after cardiac surgery.

P Miller1, R Wikoff, M McMahon

  • 1College of Nursing, University of Nebraska, Medical Center.

Heart & Lung : the Journal of Critical Care
|January 1, 1990
PubMed
Summary
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Confrontive coping strategies and spouse anxiety significantly predict marital functioning in cardiac patients and their spouses. Patient compliance and shared responsibility further enhance couple health.

Area of Science:

  • Cardiology
  • Psychology
  • Family Health

Background:

  • Marital functioning is crucial for patient recovery after cardiac events.
  • Family health functioning models provide a framework for understanding couple dynamics.

Purpose of the Study:

  • To examine the relationships between spouse anxiety, coping methods, responsibility for compliance, and reported compliance with marital couple functioning.
  • To identify predictors of marital couple functioning in patients recovering from cardiac events.

Main Methods:

  • Utilized Barnhill's components of family health functioning.
  • Administered five psychosocial scales via mail to 136 Mended Heart members and spouses.
  • Employed multiple regression analysis to identify predictive factors.

Related Experiment Videos

Main Results:

  • Confrontive coping strategies and spouse trait anxiety were key predictors of overall couple marital functioning.
  • Spouses' confrontive behaviors and patient compliance (diet, stress, smoking) predicted both patient and spouse marital functioning.
  • Spouse marital functioning was influenced by state anxiety and patient compliance; patient marital functioning by compliance and shared responsibility.

Conclusions:

  • Confrontive coping and lower spouse anxiety are vital for positive marital functioning post-cardiac event.
  • Patient compliance and shared responsibility are essential for both partners' marital well-being.
  • Integrating spouses into cardiac rehabilitation programs may improve couple functioning and patient outcomes.