Abstract: Objective To investigate and analyze the level and influencing factors of dyadic coping in young and middle-aged stroke patients and their spouses. Methods A cross-sectional study was conducted on 800 young and middle-aged stroke patients who received treatment in 2 tertiary level A hospitals from December 2020 to December 2021 and their spouses. The general data questionnaire was designed to collect general information of patients and their spouses. A dyadic coping inventory was used to evaluate the coping strategies of stroke patients and their spouses. Multiple linear regression analysis method was used to analyze the influencing factors of dyadic coping of young and middle-aged stroke patients and their spouses. Results The total scores of dyadic coping of young and middle-aged stroke patients and their spouses were （122.34±18.53） points and （122.21±19.05） points, respectively, which were at the normal level. The scores of stress communication and agent support coping between patients and spouses were statistically significant （both P<0.01）. Multiple linear regression analysis showed that per capita monthly income, educational level, living with children, depression, marriage history, patient's limb dysfunction, number of comorbidities, and course of disease were the factors affecting the dyadic coping of young and middle-aged stroke patients （all P<0.01）; per capita monthly income, educational level, living with children, depression, and patient's course of disease were the factors affecting the dyadic coping of spouses （all P<0.01）. Conclusion The level of dyadic coping of young and middle-aged stroke patients and their spouses is normal, which is affected by such factors as per capita monthly income, educational level, living with children, depression, and so on.

Key words: Stroke, Spouse, Dyadic coping, Influencing factor