中青年冠心病患者经皮冠状动脉介入治疗术后二元应对现状及影响因素分析

马素雯; 陶品月; 毛华琴; 刘润香; 高蔓妮; 黄丹

doi:10.16190/j.cnki.45-1211/r.2026.02.012

中青年冠心病患者经皮冠状动脉介入治疗术后二元应对现状及影响因素分析

Analysis of dyadic coping status and influencing factors among young and middle-aged patients with coronary heart disease after percutaneous coronary intervention

摘要

摘要:
目的了解中青年冠心病患者经皮冠状动脉介入治疗（percutaneous coronary intervention, PCI）术后二元应对现状，分析其影响因素，探索其内在作用机制，为构建夫妻协同护理干预方案提供依据。
方法采用便利抽样法，选取2025年3—8月广西某三级甲等医院心脏中心收治的179例中青年冠心病PCI术后患者作为研究对象。使用一般资料调查表、夫妻支持应对量表（dyadic coping inventory，DCI）、婚姻主观感受量表（marriage perception scale，MPS）及一般自我效能量表（general self-efficacy scale，GSES）进行问卷调查。
结果中青年冠心病患者PCI术后DCI总得分为（123.10±25.92）分，MPS总得分为（59.38±15.17）分，GSES总得分为（25.20±6.02）分；婚姻质量与自我效能是中青年冠心病患者PCI术后二元应对水平的独立影响因素（调整后R²=0.509，P＜0.001）。婚姻质量在中青年冠心病患者PCI术后自我效能与二元应对间发挥部分中介作用，占总效应的44.35%。
结论中青年冠心病患者PCI术后的二元应对呈中等水平，其独立影响因素为婚姻质量和自我效能，自我效能不仅可直接影响二元应对，还可通过提升婚姻质量间接对二元应对产生影响。

Abstract:
Objective To clarify the dyadic coping status among young and middle-aged coronary heart disease patients following percutaneous coronary intervention (PCI), analyze its influencing factors, explore its underlying mechanisms, and provide evidence for developing spousal collaborative nursing intervention programs.
Methods Using convenience sampling, 179 young and middle-aged patients with coronary heart disease who underwent PCI at the Cardiology Center of a Grade A tertiary hospital in Guangxi from March to August 2025 were enrolled. Questionnaire surveys were conducted using a general information form, the dyadic coping inventory (DCI), the marriage perception scale (MPS), and the general self-efficacy scale (DSES).
Results The mean total score for DCI among young and middle-aged CHD patients after PCI was 123.10±25.92, that of MPS was 59.38±15.17, and that of GSES was 25.20±6.02. Marital quality and self-efficacy were the independent influencing factors of binary coping levels in young and middle-aged CHD patients after PCI (adjusted R²=0.509, P < 0.001). Marital quality partially mediated the relationship between self-efficacy and dyadic coping in these patients, accounting for 44.35% of the total effect.
Conclusion Dyadic coping among young and middle-aged CHD patients after PCI is at a moderate level, primarily influenced by marital quality and self-efficacy. Self-efficacy directly affects dyadic coping and indirectly influences it by improving marital quality.

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