Social Support and Family Resilience Among Young and Middle-aged Patients with Coronary Heart Disease: The Mediating Role of Sense of Coherence and Coping Styles.

The survey was cross-sectional, so it cannot show that social support caused family resilience or that improving support would change outcomes. Participants were recruited from patients available at one hospital in central China, so the findings may not apply to other regions or healthcare settings. The sample was mostly male, with 212 men and 39 women, so results may not apply well to female patients. Only patients aged 18 to 60 years were included, so it says little about older adults after PCI. Family resilience was rated only by the patients, not by spouses, caregivers, or other family members, so the family system may be incomplete. All variables were self-reported questionnaires, and 5 of 260 collected questionnaires were excluded for short completion time and 4 for patterned responses. This left 251 valid responses.

This research was supported by Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, grant number 2023D38. The authors reported no conflicts of interest.

Do not conclude that social support causes family resilience or that nurses can improve resilience by simply increasing support. The study measured associations at one time point, used self-report, and did not test an intervention.