Effects of “Three Good Things” Intervention on Dyadic Coping Among Young and Middle-Aged Stroke Survivors and Their Spousal Caregivers

Nursing Research and Practice

卷:2026

Research Article

Zhiwei Liu¹  Xinyue Zhang²  Lixia Qu¹  Yinxia Dou³  Lingling Wang³  Nan Zhao³  Dandan Xiang⁴  Jing Chen¹  Suyan Chen¹  Zhenxiang Zhang^1,3 

[1] Department of Traditional Chinese and Western Medicine, The First Affiliated Hospital of Henan Medical University, 88 Jiankang Road, Xinxiang, Henan, 453199, China

[2] School of Nursing, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan, Hubei, 430034, China, hust.edu.cn

[3] Zhengzhou Health College, No.6 Gongming Road, Zhengzhou, Henan, 450064, China

[4] School of Nursing and Health, Zhengzhou University, 101 Science Avenue, Zhengzhou, Henan, 450001, China, zzu.edu.cn

关键词: couples;    dyadic coping;    mutuality;    nursing;    positive psychology intervention;    stroke;    subjective well-being;   

DOI  :  10.1155/nrp/2745228

 received in 2026-01-08, accepted in 2026-07-22,  发布年份 2026

来源: Hindawi Publishing Corporation

【 摘 要 】

AimTo evaluate the effectiveness of the “Three Good Things” (TGT) intervention in improving dyadic coping, mutuality, and well-being among young and middle-aged stroke survivors and their spousal caregivers.MethodsA parallel-group quasiexperimental design was used. One hundred young and middle-aged stroke survivors and their spousal caregivers were recruited and assigned to either the intervention (n = 50) or control group (n = 50). The intervention group received eight sessions of the TGT intervention plus routine care. Outcomes were assessed at baseline, immediately postintervention, and at one- and three-month follow-up. Intervention effects over time and role differences were examined using multilevel modeling.ResultsThe intervention group showed significantly higher overall levels of dyadic coping, mutuality, and subjective well-being than the control group (all p < 0.05). Role differences were observed in delegated dyadic coping (p < 0.001), with spouses reporting higher levels than patients. Changes over time in delegated dyadic coping differed between patients and spouses (p = 0.010), and the intervention effect on mutuality was stronger among patients than among spouses (p = 0.001).ConclusionThe TGT intervention was associated with improvements in psychological and relational outcomes in young and middle-aged stroke survivors and their spousal caregivers.

【 授权许可】

CC BY   
Copyright © 2026 Zhiwei Liu et al. Nursing Research and Practice published by John Wiley & Sons Ltd. 2026

【 图 表 】

Figure 8