Highlights
- •Level of dyadic coping from the perspective of patients and spouses could improve engagement and contribution to self-care in couples living with cardiovascular disease.
- •The actor and partner effects of dyadic coping on self-care should be taken into consideration at both perceived and provided levels in couples living with a chronic condition.
- •Dyadic coping at self, partner, and common levels should be assessed and managed in patients and caregivers to provide couple-centered healthcare.
Abstract
Background
Dyadic engagement of patients and caregivers in self-care is essential for management
of heart disease. However, little is known how dyadic coping at individual and partner
levels is associated with self-care in couples living with cardiovascular disease.
Objective
This study examined whether dyadic coping at self, partner, and common levels was
associated with patients’ engagement in self-care and spouses’ contribution to self-care
in older couples living with cardiovascular disease.
Methods
In this cross-sectional study, 288 older patients and spouses were recruited from
outpatient heart clinics in Qazvin, north of Iran. Data were collected using the Dyadic
Coping Inventory, the Self-care of Coronary Heart Disease Inventory, and the Caregiver's
Contribution to Self-care of Coronary Heart Disease. Dyadic data were analyzed using
the actor-partner interdependence model.
Results
The results showed that patients’ engagement in self-care maintenance was associated
with partner dyadic coping in patients, self and common dyadic coping in spouses.
Patients’ engagement in self-care monitoring was only associated with self dyadic
coping in spouses. Dyadic analysis also showed that self-care confidence in patients
was only associated with by partner dyadic coping in spouses.
Conclusions
This study revealed that self-care was associated with dyadic coping employed by each
member of the dyad at self, partner and common levels. Findings of this study suggest
that perceived and provided levels of dyadic coping can be employed for maintaining
or restoring self-management in older couples living with cardiovascular disease.
Keywords
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Article info
Publication history
Published online: October 19, 2022
Accepted:
September 23,
2022
Received in revised form:
September 22,
2022
Received:
February 26,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
